術前血中CA19-9が高値を示した早期胃癌の1例

• 田澤 賢一

  富山県立中央病院外科

• 黒田 吉隆

  富山県立中央病院外科

• 木村 寛伸

  富山県立中央病院外科

• 前田 基一

  富山県立中央病院外科

• 薮下 数久

  富山県立中央病院外科

• 小西 孝司

  富山県立中央病院外科

• 辻 政彦

  富山県立中央病院外科

• 山下 弘子

  富山県立中央病院臨床病理科

• 三輪 淳夫

  富山県立中央病院臨床病理科

書誌事項

タイトル別名

• A CASE OF EARLY GASTRIC CANCER WITH A HIGH LEVEL OF SERUM CA19-9

抄録

We report a case of early gastric cancer with a high level of serum CA19-9 (400IU/ml). A 62-year-old man was admitted to the hospital because of abnormality of the stomach by screening. Gastric endoscopy visualized a type IIc lesion on the posterior wall of the lower body following the biopsy result of “poorly defferentiated adenocarcinoma”. At gastrography, sclerosing features of the cardiac wall were identified. At the preoperative state, serum level of CA19-9 was 400IU/ml (normal range:<37). Total gastrectomy with splenectomy was performed, because of the white sclerosis of the serosal surface. Histhologically, the lesion, measuring 12×12mm, revealed poorly differentiated adenocarcinoma (m, ly0, v0, n0). Immunohisthochemically, carcinoma cells were positively-stained for CA19-9 and negatively-stained for CEA. Postoperative course has been uneventful. Serum CA19-9 level decreased within the normal range on the postoperative 21th day. Caution is advisable to perform the preoperative examination because of this rare presence of early gastric cancer with high level of serum CA19-9.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 59 (4), 994-998, 1998

  日本臨床外科学会

キーワード

• 早期胃癌

詳細情報

• CRID: 1390282679826271232
• NII論文ID: 130003600879
• NII論文ID: 10008435752
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.994
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/4/59_4_994/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998219892
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