A Case of Leiomyoma of the trachea

기관에 발생한 평활근종 1예

  • Kim, Chi-Hong (Department of Internal Medicine, Catholic University Medical College) ;
  • Choi, Young-Mi (Department of Internal Medicine, Catholic University Medical College) ;
  • Lee, Suk-Young (Department of Internal Medicine, Catholic University Medical College) ;
  • Kwon, Soon-Seog (Department of Internal Medicine, Catholic University Medical College) ;
  • Kim, Young-Kyoon (Department of Internal Medicine, Catholic University Medical College) ;
  • Kim, Kwan-Hyoung (Department of Internal Medicine, Catholic University Medical College) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, Catholic University Medical College) ;
  • Song, Jeong-Sup (Department of Internal Medicine, Catholic University Medical College) ;
  • Park, Sung-Hak (Department of Internal Medicine, Catholic University Medical College)
  • 김치홍 (가톨릭대학교 의과대학 내과학교실) ;
  • 최영미 (가톨릭대학교 의과대학 내과학교실) ;
  • 이숙영 (가톨릭대학교 의과대학 내과학교실) ;
  • 권순석 (가톨릭대학교 의과대학 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 내과학교실) ;
  • 김관형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실)
  • Published : 1993.10.31

Abstract

Leiomyoma of the trachea is a very rare tumor, and the tracheal tumor is frequently misdiagnosed and treated as bronchial asthma. We report here a case of leiomyoma of the trachea which was successfully resected. A 40-year-old woman has sufferred from a repeated episode of asthmatic attack for two years. Intensive therapy for asthma had no beneficial effect on her respiratory symptoms, and wheezing and stridor did not disappear. Chest CT and bronchoscopy revealed a pedunculated mass on the trachea just above the carina. Wedge resection of the trachea and right main stem bronchus including the tumor and end-to-end anastomosis was performed. The result of the pathologic examination of the tumor was tracheal leiomyoma. Her postoperative course was uneventful and postoperative bronchoscopic findings showed clear healing of the anastomosis site.

저자들은 최근 기관지 천식의 진단하에 치료를 받았으나 호전이 없던 40세 여자 환자에서 흉부 전산화 단층촬영 및 굴곡성 기관지경 검사로 기관내의 종양을 확인하고 수술적 제거로 확진, 완치된 기관에 발생한 평활근종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

Acknowledgement

Supported by : 가톨릭 중앙의료원