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患有克罗恩病、腹水且血清CA125抗原值升高的女性的诊断困难

Diagnostic Difficulties in Woman with Crohn's Disease, Ascites, and Elevated Value of Serum CA125 Antigen.

作者信息

Kłopocka Maria, Liebert Ariel, Bielińska Joanna, Manerowski Marcin

机构信息

Department of Gastroenterological Nursing, Medical College, Nicolaus Copernicus University, Ujejskiego 75, 85-168 Bydgoszcz, Poland ; Outpatient Department for Inflammatory Bowel Diseases, The Jan Biziel University Hospital No. 2, Ujejskiego 75, 85-168 Bydgoszcz, Poland.

Department of Gastroenterological Nursing, Medical College, Nicolaus Copernicus University, Ujejskiego 75, 85-168 Bydgoszcz, Poland.

出版信息

Case Rep Med. 2014;2014:981726. doi: 10.1155/2014/981726. Epub 2014 Nov 23.

Abstract

Variety of symptoms and atypical clinical course of Crohn's disease (CD) often create the need for additional diagnostic procedures. In the described case of woman with CD, there was a suspicion of coexistence of ovarian cancer. This issue is particularly important in patients treated with immunosuppressants and biological agents. The discussion focused on the usefulness of CA125 (cancer antigen 125, mucin 16) serum level estimation in clinical practice and draws attention to the possible reasons for the increase of its value which is not associated to ovarian cancer.

摘要

克罗恩病(CD)症状多样且临床病程不典型,常常需要进行额外的诊断程序。在所描述的这位患有CD的女性病例中,怀疑同时存在卵巢癌。这个问题在接受免疫抑制剂和生物制剂治疗的患者中尤为重要。讨论聚焦于CA125(癌抗原125,粘蛋白16)血清水平评估在临床实践中的有用性,并提请注意其值升高但与卵巢癌无关的可能原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e66/4259078/a0e6d1b842b1/CRIM2014-981726.001.jpg

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