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Ann Thorac Surg 1993;55:511-513
© 1993 The Society of Thoracic Surgeons
Second Department of Surgery and First Department of Pathology, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyusyu, Japan
Accepted for publication April 21, 1992.
* Address reprint requests to Dr Okabayashi, Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health Japan, 1-1, Iseigaoka, Yahatanishi-Ku, Kitakyusyu, 807, Japan.
A rare case of a giant pulmonary hamartoma with a high production of carbohydrate antigen (CA) 19-9 is presented. A 43-year-old woman with complaints of cough, fever, and chest pain was diagnosed as having a posterior mediastinal tumor with pneumonia. The serum CA 19-9 level was high. A thoracotomy revealed an intrapulmonary solid mass with a histologic diagnosis of cartilaginous hamartoma with no evidence of malignancy. The CA 19-9 concentration in the mucus of the tumor was high, and postoperatively the serum CA 19-9 level returned to normal. The CA 19-9 could be immunohistochemically demonstrated on the surface of the tumor.
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