Kong FW, Wang WM, Gong L, Wu W, Zhang M. Extralobar pulmonary sequestration with elevated serum neuron-specific enolase: A case report and review of the literature.
Medicine (Baltimore) 2020;
99:e22574. [PMID:
33019470 PMCID:
PMC7535688 DOI:
10.1097/md.0000000000022574]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
Pulmonary sequestration (PS) presenting with elevated serum tumor markers is rare, and it might be misdiagnosed as malignancy.
PATIENT CONCERNS
A 26-year-old asymptomatic male patient was admitted because the x-ray showed an intrathoracic lesion. Meanwhile, the serum neuron-specific enolase (NSE) was elevated. Three-dimensional computed tomography angiography revealed an isolated feeding vessel arising from the aorta.
DIAGNOSES
Extralobular PS was confirmed by computed tomography angiography and postoperative pathological staining.
INTERVENTIONS
Two-port thoracoscopic resection of the sequestrated lobe was performed.
OUTCOMES
The serum NSE decreased to within the normal range and persisted during the follow up of 10 months.
LESSONS
A thorough work-up should be considered for the PS patients presenting with abnormal serum NSE. Detailed knowledge regarding the relationship between NSE and PS necessitates further studies.
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