Hemothorax with a High Carbohydrate Antigen 19-9 Level Caused by a Bronchogenic Cyst
Autor: | Hitoshi Iwata, Fumihiro Asano, Hiroshi Takiya, Takuya Sobajima, Shinsuke Matsumoto, Yoshihiko Matsuno, Atsunori Masuda, Akifumi Tsuzuku, Anri Murakami, Yoshio Mori |
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Rok vydání: | 2014 |
Předmět: |
Male
Pathology medicine.medical_specialty CA-19-9 Antigen Pleural effusion medicine.medical_treatment Bronchogenic cyst Carbohydrates Thoracentesis Chest pain Malignancy Diagnosis Differential Bronchogenic Cyst Internal Medicine medicine Humans Cyst Hemothorax medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Positron emission tomography Positron-Emission Tomography Radiology medicine.symptom Tomography X-Ray Computed business |
Zdroj: | Internal Medicine. 53:1981-1984 |
ISSN: | 1349-7235 0918-2918 |
Popis: | 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. |
Databáze: | OpenAIRE |
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