caa a22 4500 475753143 CHVBK 20180406123530.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s005950070048 doi (NATIONALLICENCE)springer-10.1007/s005950070048 Adenocarcinoma of the ileum producing carbohydrate antigen 19-9: Report of a case [Elektronische Daten] [Yuzuru Hara, Tsuneo Kawasaki, Eiichi Yabata, Toukichi Gen, Masanori Kikuchi, Takehisa Iwai] We report herein the case of an 81-year-old woman found to have small intestinal carcinoma producing carbohydrate antigen (CA)192-9, in whom recurrence on the abdominal wall was strongly suspected 4 months after resection. She presented to our hospital with acute abdominal pain with severe anemia. Marked serum elevation of CA19-9 to 164.8U/ml suggested a progression to malignancy. A fluorography using an ileus tube revealed an abnormal mucosal pattern. An exploratory laparotomy showed an incomplete annular constrictive Borrmann type 2 tumor, located approximately 190 cm from Treitz's ligament, without any signs of peritoneal or hepatic metastases. Histological examination confirmed a diagnosis of papillotubular adenocarcinoma without metastases of the regional lymph nodes. CA19-9 antigenicity was detected in the cytoplasm and on the surface of the cancer cells, using the monoclonal CA19-9 antibody, NS19-9. In this report, we demonstrate the CA19-9 productivity and distribution of the cancer tissues in relation to their prognosis. Springer-Verlag, 2000 Carbohydrate antigen 19-9 nationallicence Small intestinal cancer nationallicence Lewis antigen nationallicence Hara Yuzuru First Medical Section of Medical Division, Fuchu Prison, 4-10 Harumi, 183-8523, Fuchu, Japan aut Kawasaki Tsuneo Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut Yabata Eiichi Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut Gen Toukichi Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut Kikuchi Masanori Department of Pathology, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut Iwai Takehisa First Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan aut Surgery Today Springer-Verlag 30/10(2000-10-01), 928-931 0941-1291 30:10<928 2000 30 595 https://doi.org/10.1007/s005950070048 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070048 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hara Yuzuru First Medical Section of Medical Division, Fuchu Prison, 4-10 Harumi, 183-8523, Fuchu, Japan aut NATIONALLICENCE 700 1- Kawasaki Tsuneo Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut NATIONALLICENCE 700 1- Yabata Eiichi Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut NATIONALLICENCE 700 1- Gen Toukichi Department of Surgery, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut NATIONALLICENCE 700 1- Kikuchi Masanori Department of Pathology, Toride Kyodo General Hospital, 2-1-1 Hongo, Toride, 302-0022, Ibaraki, Japan aut NATIONALLICENCE 700 1- Iwai Takehisa First Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/10(2000-10-01), 928-931 0941-1291 30:10<928 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer