[肺隔离症与血清中高水平肿瘤标志物相关]

[Pulmonary sequestration associated with high levels of tumor markers in serum].

作者信息

Ishii H, Mukae H, Ihiboshi H, Taniguchi H, Ashitani J, Mashimoto H, Matsukura S, Ichinari H, Matsuzaki Y, Kadota J

机构信息

Third Department of Internal Medicine, Miyazaki Medical College, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Sep;35(9):1029-33.

PMID:9396266

Abstract

A 20-year-old woman was admitted to our hospital because of an abnormal shadow on a chest X-ray film. Laboratory tests done on admission showed high levels of tumor markers in serum. A computed-tomographic scan of the chest showed a multilocular cystic mass in the S10 of the right lung. Angiography revealed an abnormal artery that branched from the abdominal aorta, and therefore pulmonary sequestration was diagnosed. A right lower lobectomy was done. Analysis of fluid from the cyst revealed very high levels of CA19-9, CEA, and SLX. In an immunohistochemical study, epithelial cells of the cyst's walls were stained for CA19-9, CEA, and SLX. After the operation the levels of these tumor markers in serum were almost normal.

摘要

一名20岁女性因胸部X线片出现异常阴影而入院。入院时进行的实验室检查显示血清中肿瘤标志物水平升高。胸部计算机断层扫描显示右肺S10有一个多房囊性肿块。血管造影显示一条异常动脉从腹主动脉分支出来，因此诊断为肺隔离症。进行了右下肺叶切除术。对囊肿内液体的分析显示CA19-9、癌胚抗原（CEA）和SLX水平非常高。在一项免疫组织化学研究中，囊肿壁的上皮细胞被CA19-9、CEA和SLX染色。术后血清中这些肿瘤标志物的水平几乎恢复正常。