RT Journal Article SR Electronic T1 Alpha-fetoprotein producing pulmonary blastoma in a patient with systemic sclerosis: pathogenetic analysis JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1185 OP 1187 DO 10.1183/09031936.98.11051185 VO 11 IS 5 A1 Kasuga, I A1 Miyamoto, D A1 Ichinose, Y A1 Chimangul, W A1 Minemura, K A1 Utsumi, K A1 Yonemaru, M A1 Serizawa, H A1 Ebihara, Y A1 Toyama, K YR 1998 UL http://erj.ersjournals.com/content/11/5/1185.abstract AB We describe a rare case of pulmonary blastoma complicated with systemic sclerosis. The serum alpha-fetoprotein level was elevated at presentation and the biopsied tumour stained positively against anti-alpha-fetoprotein antibody. The alpha-fetoprotein produced autonomously by tumour cells was of yolk-sac origin. Although the pathogenesis of pulmonary blastoma has not been clarified, we suggest that this pulmonary blastoma is a type of yolk-sac tumour.