Journal of Nippon Medical School = Nippon Ika Daigaku zasshi · 2013
Giant epidermoid cyst of the spleen with elevated CA 19-9 production managed laparoscopically: report of a case.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hoshino Arichika, Nakamura Yoshiharu, Suzuki Hideyuki, Mizutani Satoshi, Chihara Naoto, Matsunobu Tetsuro, Maejima Kentaro, Miura Katsuhiro, Hanawa Hidetsugu, Nomura Satoshi, Toyoda Tetsutaka, Yamagishi Seiji, Nakata Ryosuke, Muraki Akira, Uchida Eiji
Аннотация
True splenic cysts are uncommon and are associated with elevated serum and intracystic tumor marker CA 19-9 levels. A 33-year-old woman presented to our hospital with a chief complaint of epigastralgia. Computed tomography of the abdomen showed a 10-cm cystic lesion in the spleen. The serum carbohydrate antigen (CA) 19-9 level was 3,347 U/mL (normal, <37 U/mL). Total laparoscopic splenectomy was performed, and the serum level of CA 19-9 had normalized 2 weeks later. Pathological examination showed a benign true epidermal cyst of the spleen with strong immunohistological staining for CA 19-9. Splenic epidermoid cysts most often occur in young women, and laparoscopic surgery to remove cysts of this type is minimally invasive. Thus, laparoscopic surgery should be the method of first choice for most cases of splenic benign true cyst.