A case of Asbestosis, Pleural Effusion and Lung Cancer Caused by Long-Term Occupational Asbestos Exposure

석면분진폭로에 의하여 석면폐증과 늑막삼출액 폐암이 합병된 1예

  • Jung, Jang-Young (Department of Occupational Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Ahn, Hyeong-Sook (Department of Occupational Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Kim, Jee-Won (Department of Occupational Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Kim, Kyung-Ah (Department of Occupational Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Yun, Im-Goung (Department of Occupational Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Kim, Han-Wook (Department of Internal Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Choi, Young-Mee (Department of Internal Medicine, St Mary Hospital, Catholic University Medical College) ;
  • Song, Jeong-Sup (Department of Internal Medicine, St Mary Hospital, Catholic University Medical College)
  • 정장영 (가톨릭대학교 의과대학 직업병과) ;
  • 안형숙 (가톨릭대학교 의과대학 직업병과) ;
  • 김지원 (가톨릭대학교 의과대학 직업병과) ;
  • 김경아 (가톨릭대학교 의과대학 직업병과) ;
  • 윤임중 (가톨릭대학교 의과대학 직업병과) ;
  • 김한욱 (가톨릭대학교 의과대학 내과학교실) ;
  • 최영미 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실)
  • Published : 1994.12.31

Abstract

Asbestos is widely used in the textile, asbestos cement, construction products, friction material, paper products, insulation products, chemical and plastic products because of its heat resistance, flexibility, tensile strength, and texturability. It is now generally recognized that longterm and excessive inhalation of asbestos dust causes asbestosis, lung cancer, malignant mesothelioma and malignancies in other organs such as cancer of gastrointestinal tract, leukemia, lymphoma. Although eighty thousand tons of asbestos has been annually consumed since 1979 in korea, it has not been reported asbestos and lung cancer by asbestos dust so far, while a case of mesothelioma was officially diagnosis as a occupational disease at 1993. We experienced firstly a case of asbestosis and lung cancer caused simultanously by occupational asbestos exposure 11 years, which was confirmed by chest x-ray, pulmonary function test, chest CT and HRCT, bronchoalveolar lavage, and gallium scan. And so We present a case of asbestosis, pleural effusion and lung cancer with a review literature.

저자들은 최근 석면분진에 11년간 폭로된 직업력이 있으며 작업중단 5년후 약3개월간의 호흡곤란을 주소로 입원하여 흉부X-선, 폐기능검사, 전산화단층촬영, 기관지경검사 및 석면소체검사, Gallium scan을 통하여 석면폐증, 늑막삼출액과 폐암으로 진단된 1예를 경험하였기에 문헌조사와 함께 이를 보고하는 바이다.

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