The diagnosis of pleural effusions--are cancer markers clinically helpful?

Med Pediatr Oncol. 1984;12(1):68-72. doi: 10.1002/mpo.2950120116.

Abstract

We submitted 83 consecutive patients with pleural effusion to routine clinical investigation; 57 were diagnosed as malignant, 18 as benign, and 8 were not diagnosed. Pleural fluid and serum were analysed for carcinoembryonic antigen (CEA), acid glycoprotein (AGP), antichymotrypsin (ACT), C-reactive protein (CRP), alpha 2-pregnancy associated glycoprotein (alpha 2-PAG) and ferritin. Multivariate discriminant analysis was performed on the results of the protein measurements. CEA and ACT values in serum and fluid were found to give a good discriminating function between the benign and malignant groups. The use of such an analysis, in a clinical context, is discussed.

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • C-Reactive Protein / analysis
  • Carcinoembryonic Antigen / analysis
  • Chymotrypsin / analysis
  • Chymotrypsin / antagonists & inhibitors
  • Evaluation Studies as Topic
  • Female
  • Ferritins / analysis
  • Humans
  • Immunodiffusion
  • Male
  • Middle Aged
  • Neoplasms / diagnosis*
  • Orosomucoid / analysis
  • Pleural Effusion / metabolism*
  • Pregnancy-Associated Plasma Protein-A / analysis
  • Probability
  • Prospective Studies
  • alpha 1-Antichymotrypsin

Substances

  • Carcinoembryonic Antigen
  • Orosomucoid
  • alpha 1-Antichymotrypsin
  • C-Reactive Protein
  • Ferritins
  • Chymotrypsin
  • Pregnancy-Associated Plasma Protein-A