title: Nonelevation of serum CA 19-9 level in a true nonparasitic splenic cyst.
abstract: The diagnosis and management of true nonparasitic splenic cysts has markedly changed in recent years. The use of serum CA 19-9 has been increasingly advocated for diagnosis, while the advent of minimally invasive surgery has radically altered surgical management. We present the first case of a true nonparasitic splenic cyst in which serum CA 19-9 was not elevated. Treatment was by laparoscopic cyst decapsulation utilising the endoscopic Ligasure.
authors.affiliation: Department of Surgery, Dewsbury and District Hospital, Mid-Yorkshire NHS Trust, Halifax Road, Dewsbury, West Yorkshire, WF13 4HS. rich.pinder@doctors.org.uk
authors.forename: Richard M
authors.initials: RM
authors.lastname: Pinder
authors.forename: Rachel
authors.initials: R
authors.lastname: Thomas
authors.forename: Phillip J
authors.initials: PJ
authors.lastname: Lyndon
authors.forename: Keith S
authors.initials: KS
authors.lastname: Chapple
mesh_terms: D000293:Adolescent; D018395:CA-19-9 Antigen / Q000097:blood*; D003560:Cysts / Q000097:blood / Q000175:diagnosis* / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010272:Parasitic Diseases / Q000175:diagnosis*; D013158:Splenic Diseases / Q000097:blood / Q000175:diagnosis* / Q000601:surgery*
chemical_list: D018395:CA-19-9 Antigen