Colon Polyps (Colonic Adenoma): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests.

  • Test for occult (invisible) blood in stool.
  • Histological examination: this is mandatory for any polyp.

Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters – for differential diagnostic clarification of suspected degeneration.

  • CEA (carcinoembryonic antigen) – CEA level is an independent prognostic tumor marker and should therefore be determined preoperatively when colon cancer is suspected
  • CCSA (colon cancer-specific antigen-3, CCSA-4) – this test for colon cancer proteins in the blood can be used to detect 91 percent of diseases
  • CA 19-9 (carbohydrate antigen 19-9) – elevated in circa 70% of cases (but not specific for carcinoma of the gastrointestinal tract).