Elevated Carbohydrate Antigen 19-9 Level in a Patient with Horseshoe Type Pulmonary Sequestration.

Korean J Thorac Cardiovasc Surg

Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital; Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine.

Published: December 2016


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Elevated carbohydrate antigen (CA) 19-9 can indicate malignancies of the gastrointestinal, pancreatic, and biliary tracts, and be found in a pulmonary sequestration. A 30-year-old man visited Seoul National University Bundang Hospital due to elevated CA 19-9 levels, representing pulmonary sequestration of the bilateral lower lobes, which were connected with each other. We performed left lower lobectomy and division of the systemic arteries. After operation, CA 19-9 levels decreased to normal range, even though a small amount of sequestrated lung remained in the right lower lobe. It is not uncommon that presence of pulmonary sequestration might elevate serum CA 19-9 levels; however, horseshoe type bilateral pulmonary sequestration is very rare.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5147476PMC
http://dx.doi.org/10.5090/kjtcs.2016.49.6.475DOI Listing

Publication Analysis

Top Keywords

pulmonary sequestration
20
19-9 levels
12
elevated carbohydrate
8
carbohydrate antigen
8
antigen 19-9
8
horseshoe type
8
19-9
5
pulmonary
5
sequestration
5
19-9 level
4

Similar Publications

Objective: There is a paucity of literature regarding the application of nonintubated anesthesia in pediatric thoracoscopic surgery. This study provides a systematic description of the authors' anesthetic regimen and evaluates the feasibility and safety of nonintubated anesthesia in pediatric video-assisted thoracoscopic surgery.

Design: A retrospective observational study.

View Article and Find Full Text PDF

Introduction: The Crumbs homolog-2 ()-related syndrome is an extremely rare genetic disorder characterized by congenital hydrocephalus, steroid-resistant nephrotic syndrome, and cardiac anomalies. It is caused by biallelic variants in the gene.

Case Presentation: Herein, 2 new patients are presented including congenital hydrocephalus, nephrotic syndrome, scimitar syndrome, and severe cardiac anomalies.

View Article and Find Full Text PDF

The simultaneous occurrence of Kommerell's diverticulum (KD), pulmonary sequestration (PS), and congenital pulmonary airway malformation type 1 (CPAM-1) represents an exceptionally rare clinical scenario. We present the first documented case of this triad in a young patient. We present a 14-year-old female with chronic cough and dysphagia underwent to thoracic CT and CT angiography revealing: 34 mm KD with aberrant left subclavian artery, Intralobar PS associated to CPAM-type1 features in the same pulmonary segment, mostly related to hybrid CPAM-sequestration lesion.

View Article and Find Full Text PDF

Aim: To establish a CT-based classification system for hybrid lesions in children, elucidate misdiagnosis mechanisms, and propose optimized clinical management pathways through comparative analysis with isolated CPAM and BPS.

Materials And Methods: This retrospective study analyzed 393 children with surgically confirmed congenital lesions (87 hybrids, 218 CPAMs, 88 BPS) from two centers (2010-2022). Hybrid lesions were classified preoperatively: Type A: cystic lesion + systemic arterial supply; Type B: solid lesion + systemic arterial supply; Type C: solid lesion - systemic arterial supply.

View Article and Find Full Text PDF