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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.

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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