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系统性红斑狼疮中胸膜活检假阳性及血清和胸腔积液中CA125水平升高

False positive pleural biopsy and high CA125 levels in serum and pleural effusion in systemic lupus erythematosus.

作者信息

Yucel A E, Calguneri M, Ruacan S

机构信息

Department of Rheumatology, Hacettepe University, Ankara, Turkey.

出版信息

Clin Rheumatol. 1996 Mar;15(2):197-9. doi: 10.1007/BF02230341.

DOI:10.1007/BF02230341
PMID:8777857
Abstract

A 23-year-old female with systemic lupus erythematosus is reported. The clinical features included fever, shortness of breath, lymphadenopathies, hepatosplenomegaly, pleural and pericardial fluids, ANA and Anti-DNA positivity. Pleural biopsy was false positive for malignancy on two occasions. High CA125 levels were detected in both serum and pleural fluid. Following prednisolone treatment, clinical and laboratory findings returned to normal.

摘要

报告了一名23岁的系统性红斑狼疮女性患者。临床特征包括发热、呼吸急促、淋巴结病、肝脾肿大、胸腔和心包积液、抗核抗体(ANA)和抗双链DNA(Anti-DNA)阳性。胸腔活检两次对恶性肿瘤呈假阳性。血清和胸腔积液中均检测到高CA125水平。泼尼松龙治疗后,临床和实验室检查结果恢复正常。

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Intra-abdominal miliary tuberculosis presenting as disseminated ovarian carcinoma with ascites and raised CA125.表现为播散性卵巢癌伴腹水及CA125升高的腹腔粟粒性结核。
Br J Obstet Gynaecol. 1993 Nov;100(11):1051-3. doi: 10.1111/j.1471-0528.1993.tb15148.x.
2
Highly elevated CA125 and tubo-ovarian abscess mimicking ovarian carcinoma.CA125高度升高及输卵管卵巢脓肿酷似卵巢癌。
Gynecol Obstet Invest. 1994;37(2):143-4. doi: 10.1159/000292544.
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Extremely high levels of CA19-9 and CA125 antigen in benign mucinous ovarian cystadenoma.
良性黏液性卵巢囊腺瘤中CA19-9和CA125抗原水平极高。
Gynecol Oncol. 1994 Feb;52(2):267-71. doi: 10.1006/gyno.1994.1044.
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The 1982 revised criteria for the classification of systemic lupus erythematosus.1982年系统性红斑狼疮分类的修订标准。
Arthritis Rheum. 1982 Nov;25(11):1271-7. doi: 10.1002/art.1780251101.
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Sensitivity, specificity, and predictive values of closed pleural biopsy.闭合性胸膜活检的敏感性、特异性及预测值。
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A radioimmunoassay using a monoclonal antibody to monitor the course of epithelial ovarian cancer.一种使用单克隆抗体监测上皮性卵巢癌病程的放射免疫分析。
N Engl J Med. 1983 Oct 13;309(15):883-7. doi: 10.1056/NEJM198310133091503.
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Atypical cells in pleural fluid characteristic of systemic lupus erythematosus.胸腔积液中具有系统性红斑狼疮特征的非典型细胞。
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Chest. 1985 Jul;88(1):129-35. doi: 10.1378/chest.88.1.129.
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