Hemothorax with a High Carbohydrate Antigen 19-9 Level Caused by a Bronchogenic Cyst

被引：4

作者：

Tsuzuku, Akifumi ^{[1
]}

Asano, Fumihiro ^{[1
]}

Murakami, Anri ^{[1
]}

Masuda, Atsunori ^{[1
]}

Sobajima, Takuya ^{[1
]}

Matsuno, Yoshihiko ^{[1
]}

Matsumoto, Shinsuke ^{[2
]}

Mori, Yoshio ^{[2
]}

Takiya, Hiroshi ^{[2
]}

Iwata, Hitoshi ^{[3
]}

机构：

[1] Gifu Prefectural Gen Med Ctr, Dept Pulm Med, Gifu, Japan

[2] Gifu Prefectural Gen Med Ctr, Dept Thorac Surg, Gifu, Japan

[3] Gifu Prefectural Gen Med Ctr, Dept Pathol, Gifu, Japan

来源：

INTERNAL MEDICINE | 2014年 / 53卷 / 17期

关键词：

bronchogenic cyst; carbohydrate antigen 19-9; hemothorax;

D O I：

10.2169/internalmedicine.53.2401

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 58-year-old man presented with right-sided chest pain. Radiography and computed tomography showed a pleural effusion in the right chest and a mass in the right hilum. Thoracentesis showed a hemothorax. The carbohydrate antigen (CA) 19-9 level in the pleural effusion was very high, requiring differentiation from malignancy. Positron emission tomography showed no significant fluorodeoxy glucose (FDG) accumulation. Magnetic resonance imaging revealed a cystic lesion. The tumor was resected for both a diagnosis and treatment. A pathological examination demonstrated a bronchogenic cyst. An immunohistochemical study suggested that the cyst was the source of the hemothorax and the high CA19-9 level.

引用

页码：1981 / 1984

页数：4

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