Carcinoembryonic Antigen (CEA)

A broad tumor marker linked to colorectal and other cancers.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Any time of day
best timing
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In short

Carcinoembryonic antigen, or CEA, is a protein normally made in large amounts before birth and only in tiny amounts in healthy adults. It is measured in the blood as a tumor marker.

Many healthy people have a small, detectable level. Smoking raises CEA, which is why smokers have a higher normal range than non-smokers.

Cancer Markers (Screening)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

CEA is mostly used to follow people already diagnosed with certain cancers, especially bowel (colorectal) cancer, to watch response to treatment and check for return. It is not a screening test for healthy people.

A mildly raised CEA is often benign. It can rise with smoking, inflammation of the gut, liver disease, and some infections. A high or rising level always needs a doctor to interpret it in the full clinical picture.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Ranges are guidance only and are higher in smokers. CEA is an upper-cutoff marker.

GroupCommon upper guide (SI)
Non-smokersup to about 3.0 to 5.0 µg/L
Smokersup to about 5.0 µg/L or higher

Aligned to German laboratory practice (DGKL). Always check your own lab's cutoff.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A baseline CEA level, most meaningful when tracked over time.
  • An early flag that, with your doctor, may prompt further questions.
  • Context your concierge can read alongside your history and other markers in a personalized action plan.
What affects your level

What can affect this result?

What can skew the result

Smoking raises CEA. Benign conditions such as inflammatory bowel disease, liver disease, pancreatitis, and some infections can also raise it. Results from different assays are not interchangeable, so trends should be followed on the same method.

Best interpreted with

Often read alongside other tumor markers such as CA 19-9 in the right clinical setting, and always with your medical history.

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Any time of day
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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