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
Rok vydání: 2014
Předmět:
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