True cyst of the spleen with high level of CA19-9 in cystic fluid.
- Author:
Eul Jo CHUNG
1
;
Ok Jae LEE
;
Soon Chan HONG
;
Woon Tae JUNG
;
Joong Hyun CHO
;
Young Chai KIM
Author Information
1. Department of Internal Medicine, Gyeongsang National University College of Medicine, Chinju, Korea.
- Publication Type:Original Article
- Keywords:
Spleen, Cyst;
CA19-9, Tumor marker;
Splenic disease
- MeSH:
Abdomen;
Abdominal Pain;
Adult;
Epidermal Cyst;
Epithelial Cells;
Female;
Humans;
Rare Diseases;
Spleen*;
Splenic Diseases;
Ultrasonography
- From:Korean Journal of Medicine
2001;60(4):393-397
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nonparasitic true splenic cyst is a rare disease and the epidermoid cyst accounts for the majority of the cases. And the epidermoid cyst producing CA19-9 is extremely rare. We present a case of true splenic cyst with high cystic fluid CA19-9 level. A 26-year-old woman complained left upper quadrant abdominal pain. Abdominal ultrasonography and CT depicted a 17 x 13 cm sized cystic lesion in the left upper abdomen. The aspirated cystic fluid showed high concentration of CA19-9, but serum CA19-9 level was normal. Spleen with huge unilocular cyst was removed surgically. The cyst was lined with single layered cuboidal epithelial cells and negative for immunohistochemical staining with anti-CA19-9 antibody.
