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肺隔离症合并高水平肿瘤标志物易被误诊为肺癌。

Pulmonary sequestration with high levels of tumor markers tending to be misdiagnosed as lung cancer.

作者信息

Matsuoka Hidehito, Nohara Hideaki

机构信息

Department of Surgery, Hyogo Prefectural Kaibara Hospital, Tanba, Hyogo, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2006 Mar;54(3):117-9. doi: 10.1007/BF02744874.

DOI:10.1007/BF02744874
PMID:16613230
Abstract

A 62-year-old man with hemoptysis and an abnormal shadow on chest roentgenogram was diagnosed as having anomalous systemic arterial supply to the normal basal segment of the left lower lobe. The preoperative serum carbohydrate antigen 19-9 and carcinoembryonic antigen levels were 73.8 units/ml and 10.8 ng/ml, respectively. Histopathological examination confirmed that the lesion was an intralobar pulmonary sequestration without air connection. There was no malignant finding in the resected specimen. The serum values of tumor markers returned to their approximate normal ranges after lower lobectomy.

摘要

一名62岁男性,有咯血症状,胸部X线片显示有异常阴影,被诊断为左下叶正常基底段存在异常体循环动脉供血。术前血清糖类抗原19-9和癌胚抗原水平分别为73.8单位/毫升和10.8纳克/毫升。组织病理学检查证实该病变为叶内型肺隔离症,无空气连通。切除标本中未发现恶性病变。下叶切除术后肿瘤标志物血清值恢复至大致正常范围。

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Pulmonary sequestration with high levels of tumor markers tending to be misdiagnosed as lung cancer.肺隔离症合并高水平肿瘤标志物易被误诊为肺癌。
Jpn J Thorac Cardiovasc Surg. 2006 Mar;54(3):117-9. doi: 10.1007/BF02744874.
2
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Nihon Kokyuki Gakkai Zasshi. 1999 May;37(5):433-7.
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A case of intralobar pulmonary sequestration with calcification and elevated serum values of carcinoembryonic antigen and carbohydrate antigen 19-9.一例伴有钙化及癌胚抗原和糖类抗原19-9血清值升高的叶内型肺隔离症。
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Pulmonary sequestration with Aspergillus infection presenting as massive hemoptysis and hemothorax with highly elevated carcinoembryonic antigen in pleural effusion that mimics advanced lung malignancy.表现为大咯血和血胸的伴曲霉感染的肺隔离症,胸腔积液中癌胚抗原显著升高,类似于晚期肺癌。
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本文引用的文献

1
Lower accessory pulmonary artery with intralobar sequestration of lung; a report of seven cases.伴肺叶内隔离症的低位副肺动脉:7例报告
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2
Intralobar pulmonary sequestration presenting increased serum CA19-9 and CA125.叶内型肺隔离症伴血清CA19-9和CA125升高。
Intern Med. 2002 Oct;41(10):875-8. doi: 10.2169/internalmedicine.41.875.
3
Video-assisted thoracic surgery lobectomy for pulmonary sequestration.
Ann Thorac Surg. 2002 Feb;73(2):639-40. doi: 10.1016/s0003-4975(01)03012-0.
电视辅助胸腔镜手术:治疗肺隔离症的首选方法。
J Minim Access Surg. 2022 Apr-Jun;18(2):230-234. doi: 10.4103/jmas.JMAS_251_20.
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Extralobar pulmonary sequestration with elevated serum neuron-specific enolase: A case report and review of the literature.血清神经元特异性烯醇化酶升高的肺叶外型肺隔离症:一例报告并文献复习
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Gen Thorac Cardiovasc Surg. 2010 Jun;58(6):298-301. doi: 10.1007/s11748-009-0523-0. Epub 2010 Jun 13.
4
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Nihon Kokyuki Gakkai Zasshi. 1999 May;37(5):433-7.
5
[A resected case of intralobar pulmonary sequestration with increased serum tumor markers, CA19-9, CA125 and NCC-ST-439].[1例血清肿瘤标志物CA19-9、CA125及NCC-ST-439升高的叶内型肺隔离症切除病例]
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Dec;35(12):1425-29.
6
High systemic origin of the sole artery to the basal segments of the left lung: findings, surgical treatment, and embryologic interpretation.发自体循环的左肺基底段唯一动脉的高位起源:研究结果、外科治疗及胚胎学解释
Surgery. 1970 Apr;67(4):624-32.
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The spectrum of pulmonary sequestration.肺隔离症的谱系
Ann Thorac Surg. 1974 Dec;18(6):644-58. doi: 10.1016/s0003-4975(10)64417-7.
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A case of carcinoma in intralobar pulmonary sequestration.一例叶内型肺隔离症合并癌
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Bronchial carcinoid arising in intralobar bronchopulmonary sequestration with vascular supply from the left gastric artery. Case report.起源于叶内型支气管肺隔离症且由左胃动脉供血的支气管类癌。病例报告。
J Thorac Cardiovasc Surg. 1985 Jul;90(1):25-8.
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Lung carcinoma arising in bronchopulmonary sequestration.
Cancer. 1979 Jul;44(1):334-9. doi: 10.1002/1097-0142(197907)44:1<334::aid-cncr2820440157>3.0.co;2-6.