ID | 106034 |
Author |
Nakatani, Hajime
Department of Surgery, Noichi Central Hospital
Kumon, Tatsuya
Department of Surgery, Noichi Central Hospital
Kumon, Masamitsu
Department of Surgery, Noichi Central Hospital
Hamada, Shinichi
Department of Surgery, Kubokawa Hospital
Okanoue, Toyotake
Department of Surgery, Kubokawa Hospital
Kawamura, Akihiro
Department of Surgery, Kubokawa Hospital
Nakatani, Kimiko
Department of Radiology, Kochi Red Cross Hospital
Hiroi, Makoto
Laboratory of Diagnostic Pathology, Kochi Medical School, Kochi University
Hanazaki, Kazuhiro
Department of Surgery, Kochi Medical School, Kochi University
|
Keywords | carcinoembryonic antigen
carbohydrate antigen 19-9
sigmoid colon cancer
|
Content Type |
Journal Article
|
Description | Carcinoembryonic antigen (CEA) and carbohydrate antigen (CA)19-9 are well known as the most common tumor markers of colon cancer, and levels are used not only for preoperative assessment of extent and outcome of cancer, but also postoperative monitoring of recurrence. We encountered a patient with sigmoid colon cancer showing abnormally high serum levels of CEA (311.1 ng/ml) and CA19-9 (5731.2 U/ml) preoperatively. We could not detect any metastases on computed tomography (CT) or 18F-fluorodeoxyglucose positron emission tomography/CT. Sigmoidectomy and lymph node dissection were performed. Pathological analysis revealed well-differentiated tubular adenocarcinoma of the sigmoid colon with cancer cells infiltrating to the subserosa, but no lymph node metastases. As of postoperative day 60, serum levels of CEA and CA19-9 were 3.4 ng/ml and 9.2 U/ml, respectively, without any further anti-tumor treatment. This represents a rare case of sigmoid colon cancer with high levels of tumor markers in sera that improved following sigmoidectomy without further anti-cancer treatment.
|
Journal Title |
The journal of medical investigation : JMI
|
ISSN | 13431420
|
NCID | AA11166929
|
Volume | 59
|
Issue | 3-4
|
Start Page | 280
|
End Page | 283
|
Sort Key | 280
|
Published Date | 2012-08
|
FullText File | |
language |
eng
|
TextVersion |
Publisher
|