Tailgut Cyst Associated With Marked Elevation of Serum Carbohydrate Antigen 19-9 : Report of a Case
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- OHSAWA Tomonori
- Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
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- TADA Masakazu
- Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
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- ISHIDA Hideyuki
- Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
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We report herein an unusual case of a 59-year-old woman, with a tailgut cyst associated with elevated serum level of carbohydrate antigen (CA) 19-9. The patient was observed for 24 months after detection of a presacral cystic mass. Thereafter, the patient eventually consented to surgery. Preoperative serum CA19 -9 was markedly elevated (360.2 U/ml) but diagnostic imaging techniques did not demonstrate any evidence of malignancy in intra-or extra- cystic lesions. The cystic mass was excised via the transsacral approach. Pathological findings were compatible with tailgut cyst. The epithelium lining of the cystic wall was positive for CA19-9 but there were no findings of malignant change. The serum level of CA19-9 decreased to within the normal range 6 months postoperatively. The patient has remained well with no evidence of recurrence for 12 months postoperatively. This case suggests that a tailgut cyst can lead to a marked elevation of CA19-9 even without malignant change.
収録刊行物
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- 日本外科系連合学会誌
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日本外科系連合学会誌 31 (2), 235-239, 2006-04-30
Japanese College of Surgeons
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詳細情報 詳細情報について
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- CRID
- 1571417125315992320
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- NII論文ID
- 10018201573
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- NII書誌ID
- AN00002502
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- ISSN
- 03857883
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- 本文言語コード
- en
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- データソース種別
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