CEA상승을 보이는 폐 유육종증의 1예

• Published in: Tuberculosis and respiratory diseases Vol. 69; no. 1; pp. 48 - 51
• Main Authors: 양미연, 유양선, 고희자, 박세경, 박종숙, 박춘식, 박재성, 백상현, 고은석, 박정미, Yang, Mi-Yean, Ryu, Yang-Seon, Ko, Hee-Ja, Park, Se-Kyng, Park, Jong-Sook, Park, Chun-Sik, Park, Jae-Sung, Bak, Sang-Hyen, Ko, Eun-Suk, Park, Jeong-Mi
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01.07.2010
• Subjects: 내과학; Carcinoembryonic Antigen; Sarcoidosis, Pulmonary; Tumor Markers, Biological
• ISSN: 1738-3536; 2005-6184

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.