[A patient with bronchial asthma and mucoid impaction who presented with a high concentration of carcinoembryonic antigen in serum].
We encountered a patient with bronchial asthma and mucoid impaction who presented with a high concentration of carcinoembryonic antigen (CEA) in serum. The patient was a 46-year-old woman. One year after resection of a uterine myoma and an ovarian cyst, examination of serum revealed a high concentration of CEA (24.1 ng/ml). Further examination revealed no evidence of malignant disease, but an abnormal shadow was seen on a chest X-ray film, and was thought to be compatible with mucoid impaction. Fiberoptic bronchoscopy revealed mucoid impaction in the right lower-lobe bronchus. The concentration of CEA in bronchoalveolar lavage fluid was also high (6100 ng/ml). Lavage was done five times and the impaction was removed completely. The concentrations of CEA in serum and in bronchoalveolar lavage fluid decreased to 3.4 ng/ml and 621.9 ng/ml, respectively.
Matsuo
K
K
Department of Internal Medicine, Okayama Red Cross General Hospital, Japan.
Araki
M
M
Watanabe
Y
Y
Hiraki
S
S
D000328:Adult; D001249:Asthma / Q000150:complications* / Q000276:immunology; D018893:Bronchoalveolar Lavage; D001992:Bronchoalveolar Lavage Fluid / Q000276:immunology*; D002272:Carcinoembryonic Antigen / Q000097:blood*; D005260:Female; D006801:Humans; D009093:Mucus / Q000378:metabolism*; D011655:Pulmonary Embolism / Q000276:immunology*
D002272:Carcinoembryonic Antigen