Strong CA19-9 expression associated with multiple metastases in a case of apocrine carcinoma.

Kaohsiung J Med Sci

Division of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Graduate Institute of Healthcare Administration, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Published: December 2014

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http://dx.doi.org/10.1016/j.kjms.2014.04.004DOI Listing

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Article Synopsis
  • Porcelain gallbladder is a rare condition marked by calcification of the gallbladder wall, increasing the risk of gallbladder cancer and leading to high levels of the tumor marker CA19-9.
  • A case study presented a 60-year-old woman with abdominal pain and nausea, where imaging revealed porcelain gallbladder and common bile duct stones; her CA19-9 levels were extremely elevated after stone removal.
  • Post-surgery, histopathology showed no cancer but inflammation and calcification, and CA19-9 levels normalized, emphasizing that benign conditions can elevate CA19-9 and the importance of accurate diagnosis.
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