Spontaneous Rupture of Idiopathic Thymic Abscess with a Markedly Increased CA-125 Level
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概要
- 論文の詳細を見る
We report a rare case of spontaneous rupture of idiopathic thymic abscess into the pleural cavity. A 64-year-old woman was admitted to hospital with pleuritic retrosternal chest pain. Chest roentgenograms disclosed a small amount of bilateral pleural effusion, the examination of which exposed a sterile serous exudate with a markedly increased CA-125 level. Chest computed tomography revealed a large anterior mediastinal cystic mass with bilateral pleural effusions. Following complete resection of the mass, the histological examination revealed cavitary lesion with necrotic thymic tissue and inflammatory infiltrate surrounded by fibrous wall. The immunohistochemical staining for CA-125 displayed strong positivity at the Hassalls corpuscles. Cyst fluid also revealed a highly elevated CA-125 level. Her serum CA-125 concentration two months after surgery had fallen to 28 IU/L. She is now doing well without recurrence of the cyst five months after surgery.
著者
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Kang Yun
Department Of Chemical Engineering Hiroshima University
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KIM Sang
Department of Anesthesiology and Pain Medicine, Chosun University Medical School
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KIM Seong
Department of Agricultural Chemistry, The University of Tokyo
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Sir Jung-Ju
Department of Internal Medicine, Cardiovascular Center, Inje University Seoul Paik Hospital, Inje University
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Sir Jung-Ju
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Choi Suk-Koo
Department of Internal Medicine, Cardiovascular Center, Inje University Seoul Paik Hospital, Inje University
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Cho Wook-Hyun
Department of Internal Medicine, Cardiovascular Center, Inje University Seoul Paik Hospital, Inje University
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Cho Wook-Hyun
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Kang Yun
Department of Pathology, Inje University, College of Medicine, Seoul Paik Hospital
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Nah Jong-Chun
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Lee Bora
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Kwak Cheol-Hoon
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Park Sung-Won
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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Lee Hye-Kyung
Department of Pathology, Inje University, College of Medicine, Seoul Paik Hospital
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Ku Bon-Il
Department of Chest Surgery, Inje University, College of Medicine, Seoul Paik Hospital
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Kim Sang
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital
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