Skip to main content
Log in

Pulmonary sequestration with high levels of tumor markers tending to be misdiagnosed as lung cancer

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 62-year-old man with hemoptysis and an abnormal shadow on chest roentgenogram was diagnosed as having anomalous systemic arterial supply to the normal basal segment of the left lower lobe. The preoperative serum carbohydrate antigen 19–9 and carcinoembryonic antigen levels were 73.8 units/ml and 10.8 ng/ml, respectively. Histopathological examination confirmed that the lesion was an intralobar pulmonary sequestration without air connection. There was no malignant finding in the resected specimen. The serum values of tumor markers returned to their approximate normal ranges after lower lobectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Pryce DM Lower accessory pulmonary artery with intralobar sequestration of lung: A report of seven cases. J Pathol 1946; 58: 457–67.

    Article  CAS  Google Scholar 

  2. Sade RM, Clouse M, Ellis FH Jr. The spectrum of pulmonary sequestration. Ann Thorac Surg 1974; 18: 644–58.

    Article  PubMed  CAS  Google Scholar 

  3. Bell-Thomson J, Missier P, Sommers SC Lung carcinoma arising in bronchopulmonary sequestration. Cancer 1979; 44: 334–9.

    Article  PubMed  CAS  Google Scholar 

  4. Juettner FM, Pinter HH, Friehs GB, Hoefler H. Bronchial carcinoid arising in intralobar bronchopulmonary sequestration with vascular supply from the left gastric artery. Case report. J Thorac Cardiovasc Surg 1985; 90: 25–8.

    PubMed  CAS  Google Scholar 

  5. Gatzinsky P, Olling S A case of carcinoma in intralobar pulmonary sequestration. Thorac Cardiovasc Surg 1988; 36: 290–1.

    Article  PubMed  CAS  Google Scholar 

  6. Yagyu H, Adachi H, Furukawa K, Nakamura H, Sudoh A, Oh-ishi S, et al. Intralobar pulmonary sequestration presenting increased serum CA19–9 and CA125. Intern Med 2002; 41: 875–8.

    PubMed  Google Scholar 

  7. Nakamura H, Katsumi T, Nagata S, Saito M, Konaka C, Kato H. A resected case of intralobar pulmonary sequestration with increased serum tumor markers, CA19–9, CA125 and NCC-ST-439 (Eng abstr). Nihon Kyobu Shikkan Gakkai Zasshi 1997; 35: 1425–9.

    PubMed  CAS  Google Scholar 

  8. Sekiya M, Chiba A, Ienaga H, Ueki J, Hasunuma K, Takahashi H, et al. Intralobar pulmonary sequestration presenting increased serum CEA, CA 19–9, and CA 125, and associated with asymptomatic pulmonary aspergillosis (Eng abstr). Nihon Kokyuki Gakkai Zasshi 1999; 37: 433–7.

    PubMed  CAS  Google Scholar 

  9. Hessel EA 2nd, Boyden EA, Stamm SJ, Sauvage LR. High systemic origin of the sole artery to the basal segments of the left lung: Finding, surgical treatment, and embryologic interpretation. Surgery 1970; 67: 624–32.

    PubMed  Google Scholar 

  10. Wan IY, Lee TW, Sihoe AD, Ng CS, Yim AP Video-assisted thoracic surgery lobectomy for pulmonary sequestration. Ann Thorac Surg 2002; 73: 639–40.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Matsuoka, H., Nohara, H. Pulmonary sequestration with high levels of tumor markers tending to be misdiagnosed as lung cancer. Jpn J Thorac Caridovasc Surg 54, 117–119 (2006). https://doi.org/10.1007/BF02744874

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02744874

Key words

Navigation