Izaki Hirofumi, Takahashi Masayuki, Yuasa Akihito, Fukawa Tomoya, Koizumi Takahiro, Yamaguchi Kunihisa, Yamamoto Yasuyo, Taue Ryuichi, Nakatsuji Hiroyoshi, Kishimoto Tomoteru, Fukumori Tomoharu, Kanayama Hiro-Omi, Bando Yoshimi, Kusuhara Yoshito
The Department of Urology, The University of Tokushima Graduate School, Japan.
Hinyokika Kiyo. 2009 Nov;55(11):695-8.
A 40-year-old woman was referred to our hospital because of pain extending from the left lateral abdomen to the left inferior limb. The abdominal computed tomography (CT) revealed an 8x7x12 cm retroperitoneal serous cystic mass. The serum carcinoembryogenic antigen (CEA) level was slightly elevated to 2.7 ng/ml. Therefore, we suspected it to be malignant, and we performed laparoscopic resection carefully. The retroperitoneal cyst was not adherent to the surrounding tissues and was easily dissected and removed under laparoscopy. Carbohydrale antigen (CA)19-9, CA125 and CEA levels in the fluid were elevated, but a cytology of the fluid was negative and no malignant sign was seen in the cyst wall. To our knowledge, this is the second reported case of retroperitoneal serous cyst resected by laparoscopic surgery in the Japanese literature.
一名40岁女性因疼痛从左下腹延伸至左下肢而被转诊至我院。腹部计算机断层扫描（CT）显示一个8×7×12cm的腹膜后浆液性囊性肿块。血清癌胚抗原（CEA）水平略有升高至2.7ng/ml。因此，我们怀疑其为恶性，并谨慎地进行了腹腔镜切除术。腹膜后囊肿未与周围组织粘连，在腹腔镜下易于分离并切除。囊液中的糖类抗原（CA）19-9、CA125和CEA水平升高，但囊液细胞学检查为阴性，囊肿壁未见恶性征象。据我们所知，这是日本文献中第二例报道的通过腹腔镜手术切除腹膜后浆液性囊肿的病例。
