(median 9.9 pgml-1, range 2.5-> 100 pg ml-') and in 67 patients with primary carcinoma (median 1.0pgml-', range 3.8->100ugml-'). Elevated Ca antigen levels were found in 50% of patients with metastatic spread (median 30.7pgmlP', range 8.2->l 00gmlP') and in some patients with primary disease but further studies are needed to determine the prognostic significance. Immunochemical studies confirmed that Ca antigen is a normal serum product but its function is unclear.