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急性结石性胆囊炎伴CA199异常升高1例
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Abstract:
急性结石性胆囊炎是胆囊管梗阻及细菌感染导致的炎症，普外科常见急腹症之一。糖类抗原199 (carbohydrate antigen 199, CA199)是在消化系统恶性肿瘤中发现的一种肿瘤相关抗原，也是目前对胰腺癌敏感性最高的肿瘤标记物。某些良性疾病也会引起不同程度的CA199值升高，但合并CA199异常升高非常罕见，容易导致误诊，现报道1例我院收治的急性结石性胆囊炎合并CA199异常升高病例资料。
Acute calculous cholecystitis is an inflammation caused by cystic duct obstruction and bacterial infection, which is one of the common acute abdominal diseases in general surgery. Glycochain anti-gen 199 (CA199) is a tumor-associated antigen found in digestive malignancies and is currently the most sensitive tumor marker for pancreatic cancer. Some benign diseases may also cause increased CA199 value to varying degrees, but the combination of abnormal increase of CA199 is very rare, which is easy to lead to misdiagnosis. Now we report the data of one case of acute calculous chole-cystitis combined with abnormal increase of CA199 treated in our hospital.
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