Page 46 - World Journal of Laparoscopic Surgery

Single-port Splenectomy for a Cyst with High CA 19-9
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CA 19-9 blood levels. For this reason, the current trend for these clinicAl significAnce
tumors with a CA 19-9 increase is the least invasive surgery instead
of laparotomic access given the benignity of the similar cases When facing this pathology, we must bear in mind that benign
reported with a CA 19-9 elevation. 5 epithelial and mesothelial cysts can produce an increase of CA 19-9
Differential diagnosis should be made with congenital cysts, blood levels, without indicating malignancy. So, we should try to
infection by parasites, cystic neoplasms of the tail of the pancreas, make a surgical intervention as less invasive as possible.
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and previous splenic trauma. There are described some cases of
9 references
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primary splenic cystadenocarcinomas and splenic lymphomas
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marsupialization or fenestration of the cyst, can also be performed. 4. Ito S, Gejyo F. Elevation of serum CA19-9 levels in benign diseases. Intern
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against encapsulated bacteria although, the incidence after 5. Ingle SB, Hinge Ingle CR, Patrike S. Epithelial cysts of the spleen: a
splenectomies has decreased due to vaccination against these minireview. World J Gastroenterol 2014;20(38):13899–13903. DOI:
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pathogens; however, this procedure presents some risks such 6. Terada T, Yasoshima M, Yoshimitsu Y, et al. Carbohydrate antigen 19-9
as intraoperative and postoperative hemorrhage and cystic producing giant epithelial cyst of the spleen in a young woman. J Clin
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subsequent splenectomy by a single port, which becomes a valid 11. Kenney CD, Hoeger YE, Yetasook AK, et al. Management of
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132 World Journal of Laparoscopic Surgery, Volume 12 Issue 3 (September–December 2019)