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Laboratory Work-up. Unica Francisco. Laboratory Work-Up. Algorithm for patients with jaundice. Ultrasound Findings. Pancreatic head. Intrahepatic duct dilatation. Dilated pancreatic duct. Extrahepatic duct dilatation. Tumor Markers. CA 19-9.
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Laboratory Work-up Unica Francisco
Ultrasound Findings Pancreatic head Intrahepatic duct dilatation Dilated pancreatic duct Extrahepatic duct dilatation
CA 19-9 • CA 19-9 antigen is a sialylated oligosaccharide that is most commonly found on circulating mucins in cancer patients. It can be elevated in acute or chronic biliary disease. • Patients with pancreatic carcinoma, 75-85% have elevated CA 19-9 levels. CA 19-9 value of greater than 100 U/mL is highly specific for malignancy, usually pancreatic.
CEA • Carcinoembryonic antigen (CEA) is a high–molecular weight glycoprotein found normally in fetal tissues. It has commonly been used as a tumor marker in other gastrointestinal malignancies. • The reference range is less than or equal to 2.5 mg/mL. • Only 40-45% of patients with pancreatic carcinoma have elevated CEA levels.