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ARTICLE |

Creatine Kinase-MB Elevation in a Patient With Adenocarcinoma of the Lung FREE

Gary R. Gibson, MD; Gary A. Schnur, MD
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JAMA. 1986;256(8):1035-1035. doi:10.1001/jama.1986.03380080081033
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ELEVATION of creatine kinase (CK) isoenzymes in patients with malignancies has been reported. The isoenzyme BB is commonly present in stage D prostate cancer but has also been reported in lung cancer of all histological types. This ectopic CK-BB may migrate to atypical positions on gel electrophoresis, depending on whether it forms complexes with immunoglobulins or other macromolecules. By contrast, the MB isoenzyme is rarely produced ectopically from carcinoma.1 The patient described herein had a metastatic adenocarcinoma and a CK electrophoretic pattern on cellulose acetate that showed a normal MM peak with a larger peak anodal to the MM peak, in the position normally occupied by the CK-MB isoenzyme.

Report of a Case  A 66-year-old man was admitted to the Trumbull Memorial hospital with a two-day history of progressive dyspnea and pedal edema. Five months earlier, he had presented with pain in the right hip, weight loss, and a

REFERENCES

Goulle JP, Maitrot B, Mechard D, et al:  MB isoenzyme of serum creatine phosphokinase (title translated from French) . Ann Biol Clin 1975;; 33:385-390.
Stein W. Bohner J:  Immunoglobulin-bound creatine kinase BB ('macro-CK') in three patients with different diseases . Clin Chem 1979;;25:1513-1514.
Velletri K, Griffiths WC, Diamond I:  Abnormal electrophoretic mobility of a creatine kinase MM isoenzyme . Clin Chem 1975;;2:1837-1838.
Silverman LM, Dermer GB, Zweig MH, et al:  Creatine kinase BB: A new tumor-associated marker . Clin Chem 1979;;25:1432-1435.
Paris M. Leclerc P, Lebeau B, et al:  Isoenzyme BB of creatine phosphokinase: Its place in pulmonary pathology . Sem Hop Paris 1980;;56:329-333.
El-Shribiny A, Bharvaga A, Fitzpatrick J, et al:  Creatine kinase isoenzyme (CK-BB) by radioimmunoassay as a follow-up marker in stage D cancer of the prostate: Comparison with PAP radioimmunoassay . J Surg Oncol 1985;;28:232-236.

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Goulle JP, Maitrot B, Mechard D, et al:  MB isoenzyme of serum creatine phosphokinase (title translated from French) . Ann Biol Clin 1975;; 33:385-390.
Stein W. Bohner J:  Immunoglobulin-bound creatine kinase BB ('macro-CK') in three patients with different diseases . Clin Chem 1979;;25:1513-1514.
Velletri K, Griffiths WC, Diamond I:  Abnormal electrophoretic mobility of a creatine kinase MM isoenzyme . Clin Chem 1975;;2:1837-1838.
Silverman LM, Dermer GB, Zweig MH, et al:  Creatine kinase BB: A new tumor-associated marker . Clin Chem 1979;;25:1432-1435.
Paris M. Leclerc P, Lebeau B, et al:  Isoenzyme BB of creatine phosphokinase: Its place in pulmonary pathology . Sem Hop Paris 1980;;56:329-333.
El-Shribiny A, Bharvaga A, Fitzpatrick J, et al:  Creatine kinase isoenzyme (CK-BB) by radioimmunoassay as a follow-up marker in stage D cancer of the prostate: Comparison with PAP radioimmunoassay . J Surg Oncol 1985;;28:232-236.
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