Diseases of the Colon & Rectum

, Volume 39, Issue 9, pp 1051–1054 | Cite as

Xanthogranulomatous cystitis as a cause of elevated carcinoembryonic antigen mimicking recurrent colorectal cancer

Report of a case
  • Agustin A. Garcia
  • Barbara D. Florentine
  • Anthony J. Simons
  • Eila C. Skinner
  • Lawrence W. Leichman
Case Reports


We report a case of xanthogranulomatous cystitis that developed in a patient with a history of colon cancer. While undergoing adjuvant chemotherapy with fluorouracil and levamisole, rising carcinoembryonic antigen (CEA) levels and the appearance of a pelvic mass, suspicious for recurrent cancer, were identified. Exploratory laparotomy demonstrated the presence of a benign condition of the bladder, xanthogranulomatous cystitis, which was resected by partial cystectomy. CEA levels have normalized. This is the first reported case of xanthogranulomatous cystitis producing an elevated CEA level.

Key words

Xanthogranulomatous cystitis Carcinoembryonic antigen Colon cancer recurrence 


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Copyright information

© American Society of Colon and Rectal Surgeons 1996

Authors and Affiliations

  • Agustin A. Garcia
    • 1
  • Barbara D. Florentine
    • 2
  • Anthony J. Simons
    • 3
  • Eila C. Skinner
    • 4
  • Lawrence W. Leichman
    • 1
  1. 1.Department of Medical OncologyUniversity of Southern California School of MedicineLos Angeles
  2. 2.Department of PathologyUniversity of Southern California School of MedicineLos Angeles
  3. 3.Department of SurgeryUniversity of Southern California School of MedicineLos Angeles
  4. 4.Department of UrologyUniversity of Southern California School of MedicineLos Angeles

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