Intralobar pulmonary sequestration with high level of serum CEA; report of a case
Noriyuki, T.; Okumichi, T.; Kimura, A.; Koga, R.; Murai, H.; Ubagai, T.; Takeshima, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 59(6): 508-511
2006
ISSN/ISBN: 0021-5252 PMID: 16780075 Document Number: 605178
We reported a case of intralobar pulmonary sequestration with a high level of the serum CEA. A 53-year-old woman whose chief complaint was cough was admitted to our hospital. Enhanced chest computed tomography (CT) revealed the mass in the left lower lung, lymph-nodes swelling, and the aberrant artery. Magnetic resonance angiography (MRA) conformed the aberrant artery from the descending aorta. The level of serum CEA elevated at 9.6 ng/ml. Left lower lobectomy was performed. A diagnosis of intralobar pulmonary sequestration (Pryce type II) was established in this case. Histopathologically, the peribronchial epithelial cells in pulmonary sequestration showed weak positive for anti-CEA monoclonal antibody. Postoperative course was uneventful and the serum CEA level was 3.5 ng/ml in the normal range at the postoperative 17th day.