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Elevation of serum carcinoembryonic antigen level in a patient with hypothyroidism after radiation therapy for cervical esophageal cancer

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Abstract

We report the case of a 51-year-old woman who showed elevation of serum carcinoembryonic antigen (CEA) level 14 months after chemoradiation therapy for her cervical esophageal cancer. Close examination demonstrated that the patient was suffering from hypothyroidism probably due to the chemoradiation therapy. The serum CEA level decreased after starting supplementary treatment with oral levothyroxine. The exact mechanism underlying the elevated level of CEA observed in a patient with hypothyroidism is unclear. However, we should be aware of the possibility of transient elevation of CEA affected by thyroid function in patients after radiation therapy for head and neck cancer.

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References

  1. Jereczek-Fossaa BA, Alterio D, Jassem J et al (2004) Radiotherapy-induced thyroid disorders. Cancer Treat Rev 30:369–384

    Article  Google Scholar 

  2. Koepke JA (1992) Molecular marker test standardization. Cancer 69:1578–1581

    Article  CAS  PubMed  Google Scholar 

  3. Duffy MJ (2001) Carcinoembryonic antigen as a marker for colorectal cancer: is it clinically useful? Clin Chem 47:624–630

    CAS  PubMed  Google Scholar 

  4. Sobin LH, Wittekind CH (2002) Oesophagus. In: Sobin LH, Wittekind CH (eds) TNM classification of malignant tumours, 6th edn. Wiley, New York, pp 60–64

    Google Scholar 

  5. Sasamoto R, Sakai K, Inakoshi H et al (2007) Long-term results of chemoradiotherapy for locally advanced esophageal cancer, using daily low-dose 5-fluorouracil and cis-diammine-dichloro-platinum (CDDP). Int J Clin Oncol 12:25–30

    Article  CAS  PubMed  Google Scholar 

  6. Jameson JL, Weetman AP (2005) Disorders of the thyroid gland. In: Kasper DL, Braunwald E, Fauci AS et al (eds) Harrison’s principles of internal medicine, 16th edn. McGraw-Hill, New York, pp 2104–2113

    Google Scholar 

  7. Tulloch BR (1974) Lipid changes in thyroid disease: the effect of thyroxine and analogues. Proc R Soc Med 67:670–671

    CAS  PubMed  Google Scholar 

  8. Hancock SI, McDougall IR, Constine LS (1995) Thyroid abnormalities after therapeutic external radiation. Int J Radiat Oncol Biol Phys 31:1165–1170

    CAS  PubMed  Google Scholar 

  9. Emami B, Lyman J, Brown A et al (1991) Tolerance of normal tissue to therapeutic irradiation. Int J Radiat Oncol Biol Phys 21:109–122

    CAS  PubMed  Google Scholar 

  10. Kato H, Wakasugi H, Tsutsumi T et al (1991) A case of transient elevation of the serum carcinoembryonic antigen and associated with severe malnutrition and low T3, T4 syndrome. Fukuoka Igaku Zasshi 82:387–390

    CAS  PubMed  Google Scholar 

  11. Takahashi N, Shimada T, Ishibashi Y et al (2007) Transient elevation of serum tumor markers in a patient with hypothyroidism. Am J Med Sci 333:387–389

    Article  PubMed  Google Scholar 

  12. Bertola G, Balza G, Oriani A et al (2004) Elevated concentration of serum carcinoembryonic antigen in hypothyroidism. Recenti Prog Med 95:204–206

    PubMed  Google Scholar 

  13. Amino N, Kuro R, Yabu Y et al (1981) Elevated levels of circulating carcinoembryonic antigen in hypothyroidism. J Clin Endocrinol Metab 52:457–462

    Article  CAS  PubMed  Google Scholar 

  14. Hashimoto T, Matsubara F (1989) Changes in the tumor marker concentration in female patients with hyper-, eu-, and hypothyroidism. Endocrinol Jpn 36:873–879

    CAS  PubMed  Google Scholar 

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Correspondence to Gen Kawaguchi.

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Kawaguchi, G., Abe, E., Sasamoto, R. et al. Elevation of serum carcinoembryonic antigen level in a patient with hypothyroidism after radiation therapy for cervical esophageal cancer. Int J Clin Oncol 15, 104–108 (2010). https://doi.org/10.1007/s10147-009-0005-5

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  • DOI: https://doi.org/10.1007/s10147-009-0005-5

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