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A Case after Gastric Cancer Surgery Exhibiting a CA19-9 False-positive Result due to Hyperglycemia
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- OKADA Tomomi
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
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- MATSUI Takanori
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
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- YAMADA Tomohiro
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
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- HIROTA Masashi
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
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- FUJIMITSU Yasunobu
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
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- KOJIMA Hiroshi
- Department of Gastroenterological Surgery, Aichi Cancer Center Aichi Hospital
Bibliographic Information
- Other Title
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- 高血糖によりCA19-9偽陽性を呈した胃癌術後の1例
- 症例 高血糖によりCA19-9偽陽性を呈した胃癌術後の1例
- ショウレイ コウケットウ ニ ヨリ CA19-9 ギ ヨウセイ オ テイシタ イガン ジュツゴ ノ 1レイ
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Description
A 40-year-old woman was diagnosed with gastric cancer and underwent laparoscopically assisted distal gastrectomy. During postoperative adjuvant chemotherapy, she exhibited a sharp rise in CA19-9 in a blood sample test about 4 months after surgery. Imaging did not show findings related to high CA19-9 levels, such as gastric cancer recurrence, other malignant diseases, or biliopancreatic abnormalities, and she was therefore placed under follow-up, but general malaise and dipsia intensified at about 8 months after surgery. Various tests revealed the presence of significant hyperglycemia resulting from type 1 diabetes. Later, as glycemic control improved, CA19-9 levels also normalized. As of the time of writing, 14 months since surgery, she has not shown a return to elevated tumor marker levels. Hyperglycemia is known to be one cause of a rise in CA19-9, and elevated CA19-9 levels after gastrectomy, which is prone to cause changes in blood sugar levels, require appropriate searching and treatment while also bearing the possibility of hyperglycemia-related false-positive results in mind.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (6), 1352-1355, 2015
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282679829137024
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- NII Article ID
- 130005116732
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030764383
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed
