Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제29권3호
  • /
  • Pages.186-190
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  • 2003
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

신장 이식 환자에서 발생한 구강내 카포시 육종; 증례 보고

KAPOSI'S SARCOMA OF THE ORAL CAVITY IN RENAL TRANSPLANTED PATIENT; A CASE REPORT

  • 정종철 (가천의과대학교 길병원 구강악안면외과) ;
  • 최세훈 (가천의과대학교 길병원 구강악안면외과) ;
  • 송민석 (가천의과대학교 길병원 구강악안면외과) ;
  • 전창훈 (가천의과대학교 길병원 구강악안면외과) ;
  • 김현민 (가천의과대학교 길병원 구강악안면외과) ;
  • 정동해 (가천의과대학교 길병원 해부병리과)
  • Jeong, Jong-Cheol (Dept. of Oral and Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Choi, Se-Hoon (Dept. of Oral and Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Song, Min-Soek (Dept. of Oral and Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Jun, Chang-Hun (Dept. of Oral and Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Kim, Hyun-Min (Dept. of Oral and Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Jeong, Dong-Hae (Dept. of Pathology, Gachon Medical School, Gil Medical Center)
  • 발행 : 2003.06.30
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초록

본과에서는 신장 이식자에서 매우 드물게 발현되는 구강내의 카포시 육종을 경험하였으며 이와 같이 장기 이식 후 면역 억제제를 투여하는 환자에서 구강내 카포시 육종의 발현시에는 전신적으로 이환된 경우가 많으므로 특별한 주의를 요하리라 사료된다.

Kaposi's sarcoma was first descrided by Kaposi in 1872 as an idiopathic multiple hemorrhagic sarcoma. Its clinical features revealed to be erythematous red or purple macule started out, and developing into palpable dome-shaped nodules. Etiology is not defined to detail at present. Kaposi's sarcoma is classified to 4 categories; Classical, African, Epidemic and Transplant type. Epidemic or AIDS categories is found approximately 20 % of all AIDS and has strong predilection for head and neck region. The first case of Kaposi's sarcoma observed in patients with kidney transplants was reported in 1969. Kaposi's sarcoma now accounts for 5% of all tumors associated with transplanted patients and alteration of the immunosuppression may have played a key role in these recipients. The most common site of Kaposi's sarcoma in transplanted patients are extremities but rare in head and neck area. We report a case of Kaposi's sarcoma on the hard palate in the kidney transplantation patient.

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참고문헌

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