True splenic cyst producing high levels of cystic fluid CA 19-9 and CEA: A case report.
- Author:
Ki Shik SHIM
1
;
Hyun Jin KIM
;
In Kyu MOON
;
Kyoung Ah JUNG
;
Tae Hyo KIM
;
Woon Tae JUNG
;
Ok Jae LEE
Author Information
1. Department of Internal Medicine, Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. imdrkim@naver.com
- Publication Type:Case Report
- Keywords:
Spleen;
Cyst;
CA 19-9;
CEA
- MeSH:
Abdomen;
Adult;
Epidermal Cyst;
Female;
Humans;
Korea;
Spleen;
Splenectomy
- From:Korean Journal of Medicine
2009;76(3):348-351
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
True non-parasitic splenic cysts are rare. Series have reported over 30 cases of true splenic cysts producing elevated serum CA 19-9 levels. A 27-year-old woman presented with a painless mass in her left upper abdomen. Computed tomography (CT) of the abdomen showed a 16-cm cyst in the spleen. The serum CA 19-9 and CEA levels were 432 U/mL and 1.67 ng/mL, respectively. The cystic fluid CA 19-9 and CEA levels were markedly elevated. A splenectomy was performed. The pathology showed a benign true epidermoid cyst, which was negative for CEA. The serum CA 19-9 level returned to normal after removing the splenic cyst. This is the first reported case of a true benign splenic cyst producing high levels of CA 19-9 and CEA in Korea.
