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A Case of Cholangiocarcinoma Suspected by Continuous Elevation of CA 19-9 after Surgery of Xanthogranulomatous Cholecystitis / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 404-409, 2010.
Article in Korean | WPRIM | ID: wpr-12839
ABSTRACT
Xanthogranulomatous cholecystitis (XGC) is an unusual and destructive inflammatory process that is characterized by thickening of the gallbladder (GB) wall with a tendency to adhere to neighboring organs. XGC is often mistaken for GB carcinoma, and the frequency of the coexistence of these two lesions is approximately 10%. Therefore, in case of severe XGC, there is chance of either overlooking the carcinoma or other significant lesions. CA 19-9 is commonly measured in the serum of patients with hepatobiliary malignancies. Although CA 19-9 can be elevated in benign conditions such as cholestasis, pancreatitis, tuberculosis, thyroid disease etc., malignancy should be considered at first in setting of its significant and persistent elevation. We report a case of a 62-year-old man who showed continuously rising level of CA19-9 over 2000 U/mL after cholecystectomy for xanthogranulomatous cholecystitis and finally was diagnosed as cholangiocarcinoma by short-term follow up.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Bile Duct Neoplasms / Bile Ducts, Intrahepatic / Xanthomatosis / Tomography, X-Ray Computed / Cholecystitis / Cholangiocarcinoma / CA-19-9 Antigen / Positron-Emission Tomography / Granuloma Limits: Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Bile Duct Neoplasms / Bile Ducts, Intrahepatic / Xanthomatosis / Tomography, X-Ray Computed / Cholecystitis / Cholangiocarcinoma / CA-19-9 Antigen / Positron-Emission Tomography / Granuloma Limits: Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2010 Type: Article