ID 106034
著者
ナカタニ, ハジメ Department of Surgery, Noichi Central Hospital
クモン, タツヤ Department of Surgery, Noichi Central Hospital
クモン, マサミツ Department of Surgery, Noichi Central Hospital
ハマダ, シンイチ Department of Surgery, Kubokawa Hospital
オカノウエ, トヨタケ Department of Surgery, Kubokawa Hospital
カワムラ, アキヒロ Department of Surgery, Kubokawa Hospital
ナカタニ, キミコ Department of Radiology, Kochi Red Cross Hospital
ヒロイ, マコト Laboratory of Diagnostic Pathology, Kochi Medical School, Kochi University
ハナザキ, カズヒロ Department of Surgery, Kochi Medical School, Kochi University
キーワード
carcinoembryonic antigen
carbohydrate antigen 19-9
sigmoid colon cancer
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
59
3-4
開始ページ
280
終了ページ
283
並び順
280
発行日
2012-08
フルテキストファイル
言語
eng
著者版フラグ
出版社版