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Danen C, Leschke T, Bassi D, Sharma R. First Report of Retroperitoneal Mucinous Cystadenoma in a Patient with Hirsutism. Clin Med Res 2020; 18:27-32. [PMID: 31582418 PMCID: PMC7153794 DOI: 10.3121/cmr.2019.1488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 07/18/2019] [Accepted: 08/05/2019] [Indexed: 11/18/2022]
Abstract
Primary retroperitoneal mucinous cystadenomas (PRMC) are rare benign neoplasms with only 55 documented cases in the English literature so far. A 19-year-old female exhibited hirsutism and was found to have a cystic mass measuring 5.8 cm × 3.9 cm × 5.8 cm in the left retroperitoneum. During subsequent work up, a high pre-operative value of dehydroepiandrosterone sulfate (DHEA-S) was noted. The patient was referred to surgical oncology and underwent an uneventful laparoscopic cystectomy. Pathology classified the cyst as PRMC. Post-operatively, the patient's DHEA-S levels normalized, though there was no appreciable decrease in the patient's hirsutism in the short-term follow-up. The origin of PRMC is uncertain. Due to their unknown biological potential, surgical resection is usually recommended. To the best of our knowledge, this is the first report documenting a PRMC and elevated levels of androgens in conjunction with hirsutism.
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Affiliation(s)
- Ciera Danen
- Department of General Surgery, Marshfield Clinic, Marshfield, Wisconsin, USA
| | - Thomas Leschke
- Department of General Surgery, Marshfield Clinic, Marshfield, Wisconsin, USA
| | - Deepa Bassi
- Department of Pathology, Marshfield Clinic, Marshfield, Wisconsin, USA
| | - Rohit Sharma
- Department of General Surgery, Marshfield Clinic, Marshfield, Wisconsin, USA
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2
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Costa WL, Mantoan H, Brito RH, Ribeiro HSC, Diniz AL, Godoy AL, Farias IC, Begnami MDFS, Soares FA, Coimbra FJF. Pancreatic mucinous cystadenoma with serum CA 19-9 over 1,000,000 U/mL: a case report and review of the literature. World J Surg Oncol 2015; 13:78. [PMID: 25888888 PMCID: PMC4345029 DOI: 10.1186/s12957-015-0476-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Accepted: 01/21/2015] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND The diagnosis of pancreatic cystic neoplasms has become more accurate recently. In some cases, however, doubt remains regarding the lesion's malignant potential. CA 19-9 has long been identified as a reliable biomarker in differentiating pancreatic benign and malignant lesions, especially in non-jaundiced patients. CASE REPORT AND DISCUSSION We report a case of a young female who presented with a mucinous lesion in the tail of the pancreas and a serum CA 19-9 over 1,000,000 U/mL. She was taken to surgery and had a distal pancreatectomy and splenectomy. Pathology reports showed only a mucinous cystadenoma. After 1 year of follow-up, her serum CA 19-9 was normal. Following that, the work-up in these lesions, the role of the biomarker in pancreatic adenocarcinoma and in the differentiation between benign and malignant lesions is discussed.
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Affiliation(s)
- Wilson L Costa
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - Henrique Mantoan
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - Rafael Horácio Brito
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - Héber S C Ribeiro
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - Alessandro L Diniz
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - André Luís Godoy
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | - Igor Correia Farias
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
| | | | | | - Felipe J F Coimbra
- Department of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente 211, Liberdade, CEP 01501-900, São Paulo, Brazil.
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Rossi A, Forzano L, Romanello I, Ambrosini G, Iuri V, Marchesoni D. Comparison of pelvic masses score (PMS) and Risk of Malignancy Index (RMI 3) in the evaluation of pelvic masses. EUR J GYNAECOL ONCOL 2014; 35:421-424. [PMID: 25118484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE Ovarian cancer is the fourth cause of death from cancer in women worldwide and the majority of its diagnoses is made in an advanced stage of the disease. Several sonographic scoring systems have been created for a better preoperative discrimination between benign and malignant pelvic masses. The aim of this study was to evaluate the performances of the Risk of the Malignancy Index 3 (RMI 3) and the Pelvic Masses Score (PMS). MATERIALS AND METHODS This retrospective study was performed in 55 women admitted to the department of Obstetrics and Gynecology of University of Udine for surgical exploration of pelvic masses between 2009 and 2012. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for both the scores. RESULTS PMS showed a sensitivity of 100%, a specificity of 93.8%, a PPV of 70%, and a NPV of 100%, while RMI 3 yielded a sensitivity of 85%, a specificity of 91%, a PPV of 60%, and a NPV of 97.8%. CONCLUSION The authors found that, in discriminating between benign and malignant pelvic disease, the PMS method was more reliable than RMI3. PMS is a simple scoring system which can be used in clinical practice.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- CA-125 Antigen/blood
- Carcinoma, Endometrioid/blood
- Carcinoma, Endometrioid/diagnostic imaging
- Carcinoma, Endometrioid/pathology
- Cystadenocarcinoma, Serous/blood
- Cystadenocarcinoma, Serous/diagnostic imaging
- Cystadenocarcinoma, Serous/pathology
- Cystadenoma, Mucinous/blood
- Cystadenoma, Mucinous/diagnostic imaging
- Cystadenoma, Mucinous/pathology
- Cystadenoma, Serous/blood
- Cystadenoma, Serous/diagnostic imaging
- Cystadenoma, Serous/pathology
- Female
- Humans
- Membrane Proteins/blood
- Middle Aged
- Ovarian Cysts/blood
- Ovarian Cysts/diagnostic imaging
- Ovarian Cysts/pathology
- Ovarian Neoplasms/blood
- Ovarian Neoplasms/diagnostic imaging
- Ovarian Neoplasms/pathology
- Predictive Value of Tests
- ROC Curve
- Retrospective Studies
- Risk Assessment
- Sensitivity and Specificity
- Teratoma/blood
- Teratoma/diagnostic imaging
- Teratoma/pathology
- Ultrasonography
- Young Adult
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Grubor NM, Colovic RB, Atkinson HD, Micev MT. Giant biliary mucinous cystadenoma of the liver. Ann Hepatol 2013; 12:979-983. [PMID: 24114831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Biliary mucinous cystadenomas (BMC) of the liver are rare benign cystic tumors, however an estimated 20% undergo malignant transformation. They have recently been redefined as mucinous cystic neoplasms in the 2010 WHO classification. The preferred treatment is through radical resection, as there are high recurrence rates with other treatment modalities; however this is often not possible in patients with bilobar or giant cysts, and liver transplantation may be indicated. We present a patient with a giant biliary mucinous cystadenoma of the liver and discuss the management with reference to the literature. A 47 year-old woman presented with a 6-week history of moderate epigastric discomfort on a background of 12 months of symptom-free abdominal distension. A giant cystic bilobar tumor of the liver measuring 22 x 23 x 17 cm was diagnosed and characterised by ultrasound scan and magnetic resonance imaging. Serum bilirubin, alkaline phosphatase and gamma-glutamyl transpeptidase were elevated, though other laboratory data including tumor markers (CEA, aFP, CA19-9) were within normal limits. Total excision of the cyst was not possible due to its size and position, and the patient underwent cyst drainage, a sub-total cyst excision and omentoplasty. Histology confirmed a benign biliary mucinous cystadenoma with an ovarian stroma. Though the patient remained clinically well, routine post-operative computed tomography (CT) surveillance showed an 11 cm recurrent cyst at 6 months. A partial cyst resection with close follow-up, regular CA19-9 serology and ultrasound/CT imaging, may be a reasonable alternative for bilobar or giant cysts. However should any features pathognomonic of malignancy develop, then a liver transplantation is indicated.
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Affiliation(s)
- Nikica Mirko Grubor
- First Surgical Clinic, Clinical Center of Serbia, Belgrade University. School of Medicine, Koste Todorovica 6, Belgrade 11000, Serbia
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Dong L, Cui H, Li XP, Sun LF, Chang XH, Liang XD, Zhu HL. [Clinical value of serum CA19-9, CA125 and CP2 in mucinous ovarian tumor: a retrospective study of 273 patients]. Zhonghua Fu Chan Ke Za Zhi 2008; 43:5-8. [PMID: 18366923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To evaluate the diagnostic and prognostic value of serum CA19-9, CA125 and CP2 in mucinous ovarian tumors. METHODS In this retrospective study, the serum CA19-9, CA125 and CP2 levels of 273 hospitalized patients with ovarian tumors of either mucinous or non-mucinous type were analyzed. RESULTS (1) CA19-9 had the biggest area under curve (AUC) in mucinous tumors followed with CA125 while CA125 and CP2 had bigger AUC in non-mucinous tumor. (2) For the diagnosis of mucinous tumors, CA19-9 and CA125 combination showed a greatly increased sensitivity compared with CA19-9 or CA125 alone (93.8% versus 75.0% and 66.7%, P<0.05) with no significant improvement of the specificity (P>0.05). For the diagnosis of non-mucinous tumors, CA125 and CP2 combination showed an increased sensitivity compared with CA125 or CP2 alone (85.0% versus 80.7%, P>0.05, 85.0% versus 70.6%, P<0.05) with no significant improvement of the specificity (P>0.05). (3) Seventy percent of tumor marker-positive patients could undergo cytoreductive surgery. Compared with those who could not undergo cytoreductive surgery, they were more likely to have normal tumor marker two months after surgery (P<0.05) and longer interval to re-elevation of tumor markers (P>0.05), with lower recurrence and death rate (P<0.05). All of the 20 tumor marker-negative patients could have cytoreductive surgery with only 10% recurrence. (4) CA19-9 increased mainly in recurrent mucinous tumor, while CA125 increased dominantly in recurrent non-mucinous tumor. (5) The survival rate of CA125 and CP2 positive patients was much lower than CA125 and CP2 negative patients (P<0.05), while the survival rate was similar between CA19-9 positive and CA19-9 negative patients. CONCLUSIONS CA19-9 is a sensitive index for diagnosis of mucinous ovarian tumors. Combination of CA19-9 with CA125 can improve the sensitivity of diagnosis and postoperative monitoring of mucinous ovarian tumors. Combination of CA125 with CP2 is more valuable in the diagnosis of non-mucinous ovarian tumors.
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Affiliation(s)
- Li Dong
- Gynecologic Oncology Center, Peking University People's Hospital, Beijing 100044, China
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Tokumura A, Kume T, Fukuzawa K, Tahara M, Tasaka K, Aoki J, Arai H, Yasuda K, Kanzaki H. Peritoneal fluids from patients with certain gynecologic tumor contain elevated levels of bioactive lysophospholipase D activity. Life Sci 2007; 80:1641-9. [PMID: 17367815 DOI: 10.1016/j.lfs.2006.12.041] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2006] [Revised: 11/13/2006] [Accepted: 12/12/2006] [Indexed: 11/28/2022]
Abstract
Levels of lysophosphatidic acid (LPA), an important phospholipid mediator, in serum and ascitic fluid from ovarian cancer patients were shown to be higher than those from healthy women and from patients with other type of cancer, respectively. Although LPA in human serum seems mainly to be generated by lysophospholipase D (lysoPLD), the source and pathway for LPA in the ascitic fluid remain still obscure. In this study, we examined whether lysoPLD activity producing bioactive LPA in human peritoneal fluid was significantly elevated under pathological statuses. Lysophospholipase D activity in human peritoneal fluids was measured by quantifying choline released from exogenous lysophosphatidylcholine on their incubation at 37 degrees C. We also compared the activity of lysoPLD in sera from patients with different gynecologic diseases. We found relatively high lysoPLD activity in peritoneal fluids from patients with ovarian cancer, dermoid cyst or mucinous cystadenoma, whereas there were no significant differences in the serum lysoPLD activity among clinical groups and healthy subjects. The lysoPLD in the peritoneal fluid was found to have similar substrate specificity and metal ion requirement to those of serum lysoPLD, that has been identified as autotaxin, a tumor cell-motility stimulating protein. Our results suggest that increased lysoPLD activity in peritoneal fluid from patients with certain gynecologic tumors might be relevant to its potential of tumor progression.
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Affiliation(s)
- Akira Tokumura
- Department of Health Chemistry, Institute of Health Biosciences, University of Tokushima Graduate School, 1-78-1 Shomachi, Tokushima, Japan.
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Ramírez Plaza CP, Ruiz López M, Santoyo Santoyo J, Iaria M, Suárez Muñoz MA, Jiménez Hernández M, Pérez Daga JA, Fernández Aguilar JL, Bondía Navarro JA, de la Fuente Perucho A. [Biliary cystadenoma with mesenchymal stroma "ovarian-like" and high levels of CA19.9]. Rev Esp Enferm Dig 2005; 96:588-9. [PMID: 15449993 DOI: 10.4321/s1130-01082004000800011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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8
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Bassi C, Salvia R, Gumbs AA, Butturini G, Falconi M, Pederzoli P. The value of standard serum tumor markers in differentiating mucinous from serous cystic tumors of the pancreas: CEA, Ca 19-9, Ca 125, Ca 15-3. Langenbecks Arch Surg 2002; 387:281-5. [PMID: 12447553 DOI: 10.1007/s00423-002-0324-8] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2002] [Accepted: 08/26/2002] [Indexed: 11/25/2022]
Abstract
BACKGROUND Differentiating between mucinous cystic tumors (MCTs) and serous cystic tumors (SCTs) can be a troubling diagnostic dilemma in pancreatology: when SCTs present in their macro-oligocystic form they must be resected because MCT cannot be ruled out, and some tumors considered benign are actually MCTs, which delays diagnosis and places patients at increased risk. Examination of preoperative serum tumor markers may help improve preoperative diagnosis. MATERIALS AND METHODS The tumor markers CEA, Ca 19-9, Ca 125, and Ca 15-3 were examined in 157 patients with SCTs or MCTs. RESULTS Positive CEA marker status is an indicator of an MCT, although sensitivity is low at 17%. Using three serum tumor markers (CEA, Ca 19-9, and Ca 125), 27% of MCTs were found to have two or more markers positive, compared to none for the SCTs. Sensitivity decreases to 13% for differentiating benign MCTs from benign SCTs but specificity remains 100%. CONCLUSIONS In the differential diagnosis of SCTs vs. MCTs no reliable serum tumor marker exists which can diagnose SCTs and spare some patients unnecessary operations. Nonetheless, positive CEA serum marker status and or the presence of more than two positive serum markers (CEA, Ca 19-9, or Ca 125) indicates the presence of an MCT and can prevent delay in diagnosis.
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MESH Headings
- Adult
- Aged
- Biomarkers, Tumor/blood
- CA-125 Antigen/blood
- CA-19-9 Antigen/blood
- Carcinoembryonic Antigen/blood
- Cystadenocarcinoma, Mucinous/blood
- Cystadenocarcinoma, Mucinous/diagnosis
- Cystadenocarcinoma, Mucinous/surgery
- Cystadenocarcinoma, Serous/blood
- Cystadenocarcinoma, Serous/diagnosis
- Cystadenocarcinoma, Serous/surgery
- Cystadenoma, Mucinous/blood
- Cystadenoma, Mucinous/diagnosis
- Cystadenoma, Mucinous/surgery
- Cystadenoma, Serous/blood
- Cystadenoma, Serous/diagnosis
- Cystadenoma, Serous/surgery
- Diagnosis, Differential
- Female
- Humans
- Male
- Middle Aged
- Mucin-1/blood
- Pancreatic Neoplasms/blood
- Pancreatic Neoplasms/diagnosis
- Pancreatic Neoplasms/surgery
- Reproducibility of Results
- Sensitivity and Specificity
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Affiliation(s)
- Claudio Bassi
- Endocrine and Pancreatic Unit, Surgical and Gastroenterological Department, Hospital G.B. Rossi, University of Verona, Piazzale L.A. Scuro, Italy.
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Abstract
Despite recent advances in imaging procedures, the correct diagnosis of cystic lesions of the pancreas is lacking in about one third of cases. Cyst fluid analysis can help in the differential diagnosis, particularly in patients with unilocular or paucilocular lesions, thus precluding unjustified resection in patients with benign cystic lesions of the pancreas. Although use of cystic fluid marker analysis is helpful in several situations, it is crucial to carefully evaluate the clinical context with appraisal of patient's demographics, clinical symptoms, and morphologic data. A multidisciplinary approach is advised and should improve the overall diagnostic performance and lead to better management strategies in patients presenting with such tumors of the pancreas.
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MESH Headings
- Antigens, Tumor-Associated, Carbohydrate/analysis
- Biomarkers, Tumor/analysis
- CA-19-9 Antigen/analysis
- Carcinoembryonic Antigen/analysis
- Cyst Fluid/chemistry
- Cystadenocarcinoma, Mucinous/blood
- Cystadenocarcinoma, Mucinous/diagnosis
- Cystadenoma, Mucinous/blood
- Cystadenoma, Mucinous/diagnosis
- Cystadenoma, Serous/blood
- Cystadenoma, Serous/diagnosis
- Diagnosis, Differential
- Discriminant Analysis
- Humans
- Mucin-1/analysis
- Pancreatic Cyst/blood
- Pancreatic Cyst/diagnosis
- Pancreatic Neoplasms/blood
- Pancreatic Neoplasms/diagnosis
- Papilloma, Intraductal/blood
- Papilloma, Intraductal/diagnosis
- Reproducibility of Results
- Sensitivity and Specificity
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Affiliation(s)
- Pascal Hammel
- Federation Médico-Chirurgicale d Hépato-Gastroentérologie Hôpital Beaujon (AP-HP), 92118 Clichy, France.
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10
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Christidis C, Perniceni T, Levy P, De Parades V, Bougaran J, Gayet B. [Biochemical and tumoral markers in a case of epidermoid cyst of an accessory spleen: be careful of the interpretation!]. Gastroenterol Clin Biol 2000; 24:367-76. [PMID: 10804349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
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Shimizu T, Shimizu M, Kawaguchi K, Yomura W, Ihara Y, Matsumoto T. Mucinous cystadenoma of the appendix with raised serum carcinoembryonic antigen concentration: clinical and pathological features. J Clin Pathol 1997; 50:613-4. [PMID: 9306947 PMCID: PMC500083 DOI: 10.1136/jcp.50.7.613] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A case of mucinous cystadenoma mimicking ovarian cancer is reported. Serum carcinoembryonic antigen (CEA) concentration was raised, and computed tomography of the abdomen and pelvis demonstrated a long oval shaped cystic mass measuring 9 cm in length on the right anterior side of the uterus. Because of possible right ovarian cancer, laparotomy was performed and the mass was found to be a mucinous cystadenoma of the appendix. This case indicates that mucinous cystadenoma of the appendix may show an unusual presentation including its location as well as the high serum CEA, mimicking ovarian cancer. Therefore, gynaecologists as well as gastroenterologists should consider its possibility as a differential diagnosis of the right adnexal mass in a patient without previous appendectomy.
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Affiliation(s)
- T Shimizu
- Shimizu Women's Clinic, Takarazuka, Japan
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12
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Abstract
BACKGROUND This study was performed to evaluate the utility of serum and cyst fluid analysis for enzymes (amylase and lipase) and tumor markers (carcinoembryonic antigen, CA 19-9, CA 125, and CA 72-4) in the differential diagnosis of cystic pancreatic lesions. METHODS Serum and cyst fluid were obtained from 48 patients with pancreatic cysts (21 pseudocysts, 14 mucinous cystic neoplasms, 6 ductal carcinomas, and 7 serous cystadenomas), observed between 1989 and 1994. RESULTS Serum CA 19-9 levels were significantly higher in ductal carcinomas (all > 100 U/mL) and mucinous cystic neoplasms (P < 0.05). CA 72-4 cyst fluid levels were significantly higher in mucinous cystic tumors (P < 0.005), with 95% specificity and 80% sensitivity in detecting mucinous or malignant cysts. A combined assay of serum CA 19-9 and cyst fluid CA 72-4 correctly identified 19 of 20 (pre-) malignant lesions (95%), with only 1 false-positive result (3.6%). Cytology showed a sensitivity of 48% and specificity of 100%. CONCLUSIONS Any pancreatic cyst with high serum CA 19-9 values, positive cytology, or high CA 72-4 in the fluid should be considered for resection.
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MESH Headings
- Adenocarcinoma/blood
- Adenocarcinoma/metabolism
- Amylases/analysis
- Amylases/blood
- Antigens, Tumor-Associated, Carbohydrate/analysis
- Antigens, Tumor-Associated, Carbohydrate/blood
- Biomarkers, Tumor/analysis
- Biomarkers, Tumor/blood
- CA-125 Antigen/analysis
- CA-125 Antigen/blood
- CA-19-9 Antigen/analysis
- CA-19-9 Antigen/blood
- Carcinoembryonic Antigen/analysis
- Carcinoembryonic Antigen/blood
- Cystadenocarcinoma, Mucinous/blood
- Cystadenocarcinoma, Mucinous/metabolism
- Cystadenoma, Mucinous/blood
- Cystadenoma, Mucinous/metabolism
- Cystadenoma, Serous/blood
- Cystadenoma, Serous/metabolism
- Diagnosis, Differential
- Exudates and Transudates/chemistry
- Exudates and Transudates/enzymology
- Female
- Humans
- Lipase/analysis
- Lipase/blood
- Male
- Pancreatic Cyst/blood
- Pancreatic Cyst/diagnosis
- Pancreatic Cyst/metabolism
- Pancreatic Ducts
- Pancreatic Neoplasms/blood
- Pancreatic Neoplasms/diagnosis
- Pancreatic Neoplasms/metabolism
- Pancreatic Pseudocyst/blood
- Pancreatic Pseudocyst/metabolism
- Sensitivity and Specificity
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Affiliation(s)
- C Sperti
- Department of Surgery, University of Padua, Italy
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13
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FREIESLEBEN E, KISSMEYER-NIELSEN F, CHRISTENSEN J, JENSEN KG, KNUDSEN EE. Excessive Content of Blood-Group Substance in Serum from Patients with Ovarian Cysts. Vox Sang 1961; 6:304-11. [PMID: 13701684 DOI: 10.1111/j.1423-0410.1961.tb03167.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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