Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Giant Hydronephrosis due to a Ureteral Stone, and Elevated Serum Levels of CA 19-9
Ryushi SHUDOTetsuya SAITOKuniyasu TAKAHASHIKazutoshi HORITAKatsuaki WAKUIchiya HONMATakashi SATO
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1999 Volume 38 Issue 11 Pages 887-891

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Abstract

CA 19-9 is a widely used tumor marker. However, an elevation in serum CA 19-9 can occur in some patients with benign disorders such as cholecystolithiasis in the absence of tumor. We treated a case of acquired ureteral stone-induced giant hydronephrosis with markedly elevated serum CA 19-9 values. After nephrectomy, the serum CA 19-9 level returned to normal. No malignant cells were found in the tissues of the resected kidney. Localization of CA 19-9 was confirmed by immunohistochemical staining of the renal pelvic mucosa. A detailed case report is presented with a review of the literature.
(Internal Medicine 38: 887-891, 1999)

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© The Japanese Society of Internal Medicine
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