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홍순찬,김영채,이옥재,정운태,조중현,정을조 대한내과학회 2001 대한내과학회지 Vol.60 No.4
Nonparasitic true splenic cyst is a r are disease and the epidermoid cyst account s for the majority of the cases. And the epidermoid cyst producing CA19-9 is extremely rare. We present a case of true splenic cyst with high cystic fluid CA19- 9 level. A 26-year-old woman complained left upper quadrant abdominal pain. Abdominal ultrasonography and CT depicted a 17×13 cm sized cystic lesion in the left upper abdomen. The aspirated cystic fluid showed high concentration of CA19-9, but serum CA19-9 level was normal. Spleen with huge unilocular cyst was removed surgically. The cyst was lined with single layered cuboidal epithelial cells and negative for immunohistochemical staining with anti-CA19-9 antibody.(Korean J Med 60:393- 397, 2001)