Abstract
Urothelial carcinoma usually presents with hematuria, but cases of multiple lymphadenopathy with elevated S-pancreas-1 antigen (SPan-1) levels have not been reported. A 62-year-old Japanese man with lymphadenopathies was diagnosed with an adenocarcinoma of unknown origin and transferred to our hospital for further diagnosis. Serum carbohydrate antigen 19-9 and SPan-1 levels were extremely elevated. Uroplakin III immunostaining was positive in the inguinal lymph node, and cystoscopy revealed the presence of invasive urothelial carcinoma. Treatment with cisplatin and gemcitabine promoted a complete metabolic response for > 4 years. The detection of uroplakin III and serum SPan-1 might help diagnose urothelial carcinoma.
Original language | English |
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Pages (from-to) | 279-284 |
Number of pages | 6 |
Journal | Acta medica Okayama |
Volume | 73 |
Issue number | 3 |
Publication status | Published - 2019 |
Keywords
- Carbohydrate antigen 19-9
- Chemotherapy
- S-pancreas-1 antigen
- Uroplakin III
- Urothelial carcinoma
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)