CEA상승을 보이는 폐 유육종증의

• Published in: Tuberculosis and respiratory diseases Vol. 69; no. 1; pp. 48 - 51
• Main Authors: 양미연, Mi Yean Yang, 유양선, Yang Seon Ryu, 고희자, Hee Ja Ko, 박세경, Se Kyng Park, 박종숙, Jong Sook Park, 박춘식, Chun Sik Park, 박재성, Jae Sung Park, 백상현, Sang Hyen Bak, 고은석, Eun Suk Ko, 박정미, Jeong Mi Park
• Format: Journal Article
• Language: Korean
• Published: 대한결핵 및 호흡기학회 30.07.2010
• Subjects: Biological; Carcinoembryonic Antigen; Pulmonary; Sarcoidosis; Tumor Markers
• 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.