A case of intralobar pulmonary sequestration with high serum CA19-9 levels.

Acta Med Okayama

Division of Internal Medicine, Ehime Prefectural Central Hospital, Matsuyama, Japan.

Published: October 1988

AI Article Synopsis

  • - A 38-year-old woman experienced cough and fever, leading to a chest X-ray that showed an abnormal shadow in her left lung.
  • - High levels of the carbohydrate antigen 19-9 (CA19-9) were found in her blood, indicating a medical issue, which was confirmed by surgery revealing intralobar pulmonary sequestration.
  • - After removing the affected lung lobe, her CA19-9 levels returned to normal, marking a significant find as this is the first reported case of elevated CA19-9 associated with pulmonary sequestration.

Article Abstract

A 38-year-old female presented with cough and fever. A chest X-ray examination revealed an abnormal shadow in the posteroinferior portion of the left hemithorax, and a laboratory examination showed that the serum carbohydrate antigen 19-9 (CA19-9) level was markedly high (1000 U/ml). A left thoracotomy showed an intralobar pulmonary sequestration of the left lower lobe, and after a left lower lobe lobectomy, the serum level of CA19-9 decreased to normal. Increased CA19-9 activity was detected by immunohistochemistry in the epithelia of bronchioles in the pulmonary sequestration. This communication is the first to report a case of increased activity of CA19-9 in pulmonary sequestration.

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Source
http://dx.doi.org/10.18926/AMO/31023DOI Listing

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