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낭액 CA 19-9 및 CEA 증가를 동반한 진성 비장낭종 1예True splenic cyst producing high levels of cystic fluid CA 19-9 and CEA: A case report
- Other Titles
- True splenic cyst producing high levels of cystic fluid CA 19-9 and CEA: A case report
- Issue Date
- 2009
- Publisher
- 대한내과학회
- Keywords
- 비장; 낭종; CA 19-9; CEA; Spleen; Cyst; CA 19-9; CEA; Spleen; Cyst; CA 19-9; CEA
- Citation
- 대한내과학회지, v.76, no.3, pp 348 - 351
- Pages
- 4
- Indexed
- KCI
- Journal Title
- 대한내과학회지
- Volume
- 76
- Number
- 3
- Start Page
- 348
- End Page
- 351
- ISSN
- 1738-9364
2289-0769
- Abstract
- True non-parasitic splenic cysts are rare. Series have reported over 30 cases of true splenic cysts producing elevated serum CA 19-9 levels. A 27-year-old woman presented with a painless mass in her left upper abdomen. Computed tomography (CT) of the abdomen showed a 16-cm cyst in the spleen. The serum CA 19-9 and CEA levels were 432 U/mL and 1.67 ng/mL, respectively. The cystic fluid CA 19-9 and CEA levels were markedly elevated. A splenectomy was performed. The pathology showed a benign true epidermoid cyst, which was negative for CEA. The serum CA 19-9 level returned to normal after removing the splenic cyst. This is the first reported case of a true benign splenic cyst producing high levels of CA 19-9 and CEA in Korea.
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