A Case of Renal Cell Carcinoma Presented with Chest Wall Metastasis

전흉벽와 피하조직내 종괴로 발현한 원발성 신장암 1예

  • Song, Chan-Ho (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Choi, Hyung-Seok (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Sheen, Dong-Hyuk (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Yang, Sang-Seok (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Lee, Jee-Youn (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Han, Yoon-Ju (Department of Internal Medicine, Kangnam General Hospital, Public Corporation) ;
  • Yun, Ku-Sub (Department of Diagnostic Radiology, Kangnam General Hospital, Public Corporation) ;
  • Kim, Ki-Chool (Department of Thoracic Surgery, Kangnam General Hospital, Public Corporation) ;
  • Choi, Shin-Eun (Department of Anatomical Pathology, Kangnam General Hospital, Public Corporation)
  • 송찬호 (지방공사 강남병원 내과) ;
  • 최형석 (지방공사 강남병원 내과) ;
  • 신동혁 (지방공사 강남병원 내과) ;
  • 양상석 (지방공사 강남병원 내과) ;
  • 이지연 (지방공사 강남병원 내과) ;
  • 한윤주 (지방공사 강남병원 내과) ;
  • 윤구섭 (지방공사 강남병원 진단방사선과) ;
  • 김기출 (지방공사 강남병원 흉부외과) ;
  • 최신은 (지방공사 강남병원 해부병리과)
  • Published : 2000.01.30

Abstract

The appearance of a tumor in the chest wall is rare compared to that in any other part of the body. It can be classified into benign and malignant types and can be located in the rib, clavicle, sternum, cartilage and soft tissues. Tumors that are metastatic are commonly located in the lung, breast, bone and pleura. But, the soft tissue mass of anterior chest wall is rarely metastasized from a distant organ that is not confined to the thoracic cavity. This and thus has rarely been described. A 68-year-old man was admitted to our hospital with a chief complaint of resting dyspnea. A huge non-tender mass of about $10{\times}15$ cm in size was visible on his left lower anterior chest wall. We pathologically confirmed that the mass was a metastatic renal cell carcinoma of clear cell type by incision biopsy. Through an incision biopsy, the mass was pathologically confirmed as a metastatic renal cell carcinoma of the clear cell type.

저자들은 안정시 호흡곤란을 주소로 내원하였고 흉벽에 종괴가 있었던 68세 남자환자에서 조직학적 검사상 전형적인 투명세포형의 원발성 신장암으로 진단된 1 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords