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Vol.38 No.6 contents | Japanese/English |
- Case Report -
A Case of CA19-9 Producing Bronchiolo-Alveolar Carcinoma of the Lung Presenting Extraordinary High Values of CA19-9 in Serum after Recurrence
Yoshiki Umemori, Shigeki Makihara, Tetsuzi Fukuhara, Kazutaka Nakashima, Tadashi Maeda* and Keisuke Aoe*Department of Surgery, Internal Medicine*, Sanyo National Hospital
A 72-year-old man had undergone right lower lobectomy for a typical bronchiolo-alveolar carcinoma in January 1992, and the pathological stage was pT2N0M0. As he had two localized metastases in the right upper and middle lobes 5 years and 6 months later, right completion pneumonectomy with partial resection of the chest wall and diaphragm was performed. Serum CA19-9 was extraordinarily elevated, and gradually increased in parallel with deterioration of his condition. The pathological diagnosis was a moderately differentiated papillary adenocarcinoma, with bronchiolo-alveolar type foci. Immunohistochemical examination of the lung specimens from first and second operations showed positive staining for CA19-9 on tumor cells. Our final diagnosis was CA19-9 producing adenocarcinoma of the lung.
key words: Bronchiolo-alveolar carcinoma, CA19-9 producing lung cancer, Recurrence
Received: August 3, 1998
Accepted: September 16, 1998
JJLC 38 (6): 751-756, 1998
