Epithelioid sarcoma presenting as pulmonary cysts with cancer antigen 125 expression

KIKUCHI, Eiki; KINOSHITA, Ichiro; YAMAZAKI, Koichi; ITOH, Tomoo; SHIMIZU, Tadamichi; SHIMIZU, Hiroshi; NISHIMURA, Masaharu

Epithelioid sarcoma presenting as pulmonary cysts with cancer antigen 125 expression

KIKUCHI, Eiki; KINOSHITA, Ichiro; YAMAZAKI, Koichi et al.

Respirology, 2006, 11(6), 826-829

Permalink : https://hdl.handle.net/2115/30276

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/30276
タイトル	Epithelioid sarcoma presenting as pulmonary cysts with cancer antigen 125 expression
その他のタイトル	A Case of Pulmonary Metastasis of Epithelioid Sarcoma Presenting as Pulmonary Cysts with CA125 Expression
著者	KIKUCHI, Eiki ; KINOSHITA, Ichiro ; YAMAZAKI, Koichi ; ITOH, Tomoo ; SHIMIZU, Tadamichi ; SHIMIZU, Hiroshi ; NISHIMURA, Masaharu
著者名 KIKUCHI, Eiki
著者名 KINOSHITA, Ichiro
著者名 YAMAZAKI, Koichi
著者名 ITOH, Tomoo
著者名 SHIMIZU, Tadamichi
e-Rad_Researcher 00146672 著者名 SHIMIZU, Hiroshi
著者名 NISHIMURA, Masaharu
言語	英語
キーワード	epithelioid sarcoma
	pulmonary metastasis
	pulmonary cyst
	pneumothorax
	immunohistochemistry
	CA125
発行日	2006-11
出版者	Blackwell Publishing
収録物名	Respirology
巻(号)	11(6)
ページ	826-829
抄録	A 39-year-old Japanese woman presented with a swollen right hand and a right-sided pneumothorax. Chest CT revealed bilateral multiple pulmonary thin-walled cysts measuring ≤1 cm in diameter and small nodules. An initial skin biopsy led to a misdiagnosis of metastatic adenocarcinoma, as tumour cells were positive for cytokeratin, epithelial membrane antigen, carcinoembryonic antigen and cancer antigen 125. However, chemotherapy proved ineffective, and the skin biopsy was repeated. A final diagnosis of epithelioid sarcoma (ES) was made. Open lung biopsy showed that the pulmonary nodules represented metastases of ES. Although the pulmonary cyst walls did not contain tumour cells, bronchiolar wall adjacent to the cysts had been infiltrated by tumour cells. These findings suggested that pulmonary cysts, a rare form of pulmonary metastases from soft tissue sarcomas, had developed through a ball-valve effect of metastatic tumour in small airways. However, presence of cancer antigen 125 hindered obtaining a correct diagnosis of ES.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The definitive version is available at www.blackwell-synergy.com
PISSN	1323-7799
EISSN	1440-1843
関連情報	PMID 17052316
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1111/j.1440-1843.2006.00925.x