A Case of Pulmonary Sarcoidosis with Elevated Carcinoembryonic Antigen (CEA).

Tuberculosis and Respiratory Diseases

article

Yang, Mi Yean¹  Ryu, Yang Seon¹  Ko, Hee Ja¹  Park, Se Kyng¹  Park, Jong Sook¹  Park, Chun Sik¹  Park, Jae Sung²  Bak, Sang Hyen²  Ko, Eun Suk³  Park, Jeong Mi⁴ 

[1] Division of Pulmonology & Allergy, Department of Internal Medicine, Departments of Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine;Departments of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine;Departments of Pathology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine;Departments of Nuclear Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine

关键词: Sarcoidosis;    Pulmonary;    Tumor Markers;    Biological;    Carcinoembryonic Antigen;   

DOI  :  10.4046/trd.2010.69.1.48

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Sarcoidosis is a multi-systemic granulomatous disorder of unknown etiology. The characteristic pathological finding is the presence of non-caseating granulomas. The lungs are primarily affected, however other organs may be involved causing various symptoms and ambiguous laboratory findings can be present. There are a few reported cases of sarcoidosis with elevated tumor markers. We describe a 68-year-old woman presenting with sarcoidosis showing elevated serum carcinoembryonic antigen (CEA). The possibility of cancer arising from serum CEA such as gastrointestinal cancer, breast cancer and lung cancer was excluded. A transbronchial lung biopsy demonstrated a non-caseating granuloma without necrosis. As a result prescribed 30 mg prednisolone daily to the patient and serum CEA was decreased after 1 month of treatment. We report a case of pulmonary sarcoidosis with elevated serum CEA.

【 授权许可】

CC BY-NC