Nakashima Kiyoshi, Okagawa Takehiko
Department of Thoracic Surgery, Aichi Cancer Center Aichi Hospital, Aichi, Japan.
Kyobu Geka. 2018 Jan;71(1):76-79.
A 60-year-old man exhibited an abnormal shadow in the right upper lobe. He was diagnosed with lung cancer by percutaneous computed tomography-guided lung tumor biopsy. Preoperative blood test showed high serum alpha-fetoprotein(AFP) and carcinoembryonic antigen(CEA) values. Right upper lobectomy was performed and histlogical diagnosis was AFP producing hepatoid adenocarcinoma with immunohistochemically positive HEP-PAR1. After the surgery, AFP and CEA values decreased to normal range.
一名60岁男性右上叶出现异常阴影。经皮计算机断层扫描引导下的肺肿瘤活检诊断为肺癌。术前血液检查显示血清甲胎蛋白(AFP)和癌胚抗原(CEA)值升高。行右上叶切除术,组织学诊断为产生AFP的肝样腺癌,免疫组化HEP-PAR1呈阳性。术后,AFP和CEA值降至正常范围。