[Case of carcinoembryogenic antigen-producing renal pelvic cancer].
A 58-year-old man with a chief complaint of exertional dyspnea was admitted to our hospital. One year earlier, he had visited another hospital for the evaluation of gross hematuria, and had undergone right nephro-ureterectomy with a diagnosis of right renal pelvic cancer. Blood chemistry revealed an elevated level of carcinoembryogenic antigen (CEA) (134.5 ng/ml). Computed tomographic scans showed multiple metastases to the liver and sternum. No primary lesion was detected, and immuno-histochemical findings of the specimen were CEA-positive. Thus, we diagnosed this case as CEA-producing renal pelvic cancer. Chemotherapy was ineffective. The patient committed suicide 10 months after admission.
Oida
Tomoyuki
T
Department of Urology, Takeda Hospital.
Horii
Yasuki
Y
Higashi
Yoshihito
Y
Uchida
Junji
J
D014408:Biomarkers, Tumor / Q000032:analysis*; D002272:Carcinoembryonic Antigen / Q000032:analysis* / Q000096:biosynthesis*; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis* / Q000378:metabolism / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000378:metabolism / Q000473:pathology*; D007682:Kidney Pelvis; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D013249:Sternum; D013405:Suicide; D013899:Thoracic Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D014057:Tomography, X-Ray Computed
D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen