Korean J Med.  2001 Apr;60(4):393-397.

True cyst of the spleen with high level of CA19-9 in cystic fluid

Affiliations
  • 1Department of Internal Medicine, Gyeongsang National University College of Medicine, Chinju, Korea.
  • 2Department of General Surgery, Gyeongsang National University College of Medicine, Chinju, Korea.
  • 3Gyeongsang Institute of Cancer Research, Gyeongsang National University College of Medicine, Chinju, Korea.
  • 4Dr. Kim's Medical Clinic, Chinju, Korea. ojlee@nongae.gsnu.ac.kr

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.

Keyword

Spleen, Cyst; CA19-9, Tumor marker; Splenic disease

MeSH Terms

Abdomen
Abdominal Pain
Adult
Epidermal Cyst
Epithelial Cells
Female
Humans
Rare Diseases
Spleen*
Splenic Diseases
Ultrasonography
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