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KMID : 0383820100690010048
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Tuberculosis and Respiratory Diseases
2010 Volume.69 No. 1 p.48 ~ p.51
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A Case of Pulmonary Sarcoidosis with Elevated Carcinoembryonic Antigen (CEA)
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Yang Mi-Yean
Ryu Yang-Seon
Ko Hee-Ja
Park Se-Kyung
Park Jong-Sook
Park Chun-Sik
Park Jae-Sung
Bak Sang-Hyen
Koh Eun-Seok
Park Jeong-Mi
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Abstract
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Sarcoidosis is a multi-systemic granulomatous disorder of unknown etiology. The characteristic pathological finding is the presence of non-caseating granulomas. The lungs are primarily affected, however other organs may be involved causing various symptoms and ambiguous laboratory findings can be present. There are a few reported cases of sarcoidosis with elevated tumor markers. We describe a 68-year-old woman presenting with sarcoidosis showing elevated serum carcinoembryonic antigen (CEA). The possibility of cancer arising from serum CEA such as gastrointestinal cancer, breast cancer and lung cancer was excluded. A transbronchial lung biopsy demonstrated a non-caseating granuloma without necrosis. As a result prescribed 30 mg prednisolone daily to the patient and serum CEA was decreased after 1 month of treatment. We report a case of pulmonary sarcoidosis with elevated serum CEA.
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KEYWORD
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Sarcoidosis, Pulmonary, Tumor Markers, Biological, Carcinoembryonic Antigen
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