Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Carcinosarcoma which Metastasize to Pelvic Cavity After Left Pneumonectomy

골반강내로 전이되어 발견된 수술적 치료후 재발한 폐암육종 1예

  • Jung, In-Su (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College) ;
  • Kim, Young-Jee (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College) ;
  • Kim, Chung-Hyeon (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College) ;
  • Kim, Si-Min (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College) ;
  • Lee, Sang-Moo (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College) ;
  • Ahn, Young-Soo (Department of Pulmonology, Nowon Eulji Hospital, Eulji Medical College)
  • 정인수 (을지의과대학, 노원을지병원, 호흡기내과) ;
  • 김영지 (을지의과대학, 노원을지병원, 호흡기내과) ;
  • 김충현 (을지의과대학, 노원을지병원, 호흡기내과) ;
  • 김시민 (을지의과대학, 노원을지병원, 호흡기내과) ;
  • 이상무 (을지의과대학, 노원을지병원, 호흡기내과) ;
  • 안영수 (을지의과대학, 노원을지병원, 호흡기내과)
  • Published : 2001.11.30
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Abstract

Pulmonary carcinosarcoma(Sarcomatoid carcinoma of the lung) is a rare pulmonary malignancy, which is defined as having an admixture of both carcinomatous and sarcomatous components. Pulmonary carcinosarcoma occurs most frequently in males between 50 and 80 years of age. It predominantly affects the upper lobe and/or the principal bronchi, and is associated with a history of smoking. Here, we report a case of pulmonary carcinosarcoma with a left lobe atelectasis due to an endobronchial mass in a 56-year-old male. After a left pneumonectomy, the pathologic stage was IIb ($T_3N_0M_0$). Four months later, an abdominal mass was observed and exploratory laparotomy revealed metastases of the pulmonary carcinosarcoma to the pelvic cavity.

저자들은 56세 남자 환자에서 기관지내 종괴로 좌폐의 무기폐를 초래하여 폐암으로 진단된 뒤 복부 전산화 단층 촬영, 골주사 사진 등에서 전이된 소견이 없어 폐절제술을 시행받고 퇴원했다가, 수개월 후 재발한 뒤 골반강내로 전이되어 결국 사망을 초래한 면역조직화학적으로 확진된 폐암육종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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