A CASE OF CARBOHYDRATE ANTIGEN 19-9 PRODUCTING GASTRIC MUTINOUS ADENOCARCINOMA WITH TOO MUCH MUCOUS SECRETING
| Autor: | K. Yokokawa, Noriyuki Murai, Hiroshi Suzuki, Atsushi Ohta, Mitsunori Hoshino, Mitsuo Kusano, Kazusige Arai, Takashi Niiya, Hiroshi Ishii, Sho Oyama |
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| Rok vydání: | 2000 |
| Předmět: |
Pathology
medicine.medical_specialty endocrine system diseases business.industry medicine.drug_class medicine.medical_treatment Cancer medicine.disease Monoclonal antibody digestive system diseases Medicine Adenocarcinoma Immunohistochemistry Gastrectomy business Antrum Carbohydrate antigen Gastrointestinal endoscopy |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 61:958-962 |
| ISSN: | 1882-5133 1345-2843 |
| DOI: | 10.3919/jjsa.61.958 |
| Popis: | We report a rare case of carbohydrate antigen (CA) 19-9 producting mucinous gastric cancer with too much secreting. A 46-year-old man was pointed out high value of serum CA19-9 by a routine health examination. So He was admitted to the hospital in order to rule out malignant disease. He was diagnosed as having advanced gastric cancer at the posterior wall on the antrum by gastrointestinal endoscopy. Distal gastrectomy with regional lymph node dissection was performed. Microscopic examination revealed that the cancer was arose from mucous nodose and immunohistochemical stain of the resected material was positive for anti-CA19-9 monoclonal antibody was positive. The value of serum CA19-9 increased after admission and remarkaably decreased to the normal range after the gastrectomy. The normalized CA19-9 level has been kept up to nou for 3 years. Patients group with high CA19-9 valeu has a poor prognosis, and hence further strict observation of his clinical course will be nesessary. |
| Databáze: | OpenAIRE |
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