Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Adenocarcinoma Presenting a Solitary Pulmonary Nodule That Showed No Growth Over 4 Years

4년간 크기가 일정한 고립성 폐결절이 선암으로 진단된 1예

  • Yoon, Byeong Kab (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Eun Ju (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Deok In (Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Kum Ho (Department of Internal Medicine, Inha University College of Medicine) ;
  • Ryu, Jeong Seon (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kwak, Seung Min (Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Hong Lyeol (Department of Internal Medicine, Inha University College of Medicine) ;
  • Cho, Jae Hwa (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Lucia (Department of Pathology, Inha University College of Medicine) ;
  • Lee, Kyeong Hee (Department of Radiology, Inha University College of Medicine) ;
  • Kim, Jeong Taek (Department of Thoracic and Cardiovascular Surgery, Inha University College of Medicine)
  • 윤병갑 (인하대학교 의과대학 내과학교실) ;
  • 김은주 (인하대학교 의과대학 내과학교실) ;
  • 김덕인 (인하대학교 의과대학 내과학교실) ;
  • 이금호 (인하대학교 의과대학 내과학교실) ;
  • 류정선 (인하대학교 의과대학 내과학교실) ;
  • 곽승민 (인하대학교 의과대학 내과학교실) ;
  • 이홍렬 (인하대학교 의과대학 내과학교실) ;
  • 조재화 (인하대학교 의과대학 내과학교실) ;
  • 김루시아 (인하대학교 의과대학 병리학교실) ;
  • 이경희 (인하대학교 의과대학 진단방사선과학교실) ;
  • 김정택 (인하대학교 의과대학 흉부외과학교실)
  • Received : 2005.04.27
  • Accepted : 2005.07.25
  • Published : 2005.09.30
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Abstract

A case of 51-year-old woman with a malignant solitary pulmonary nodule (SPN) that exhibited no growth over a period of 4 years is reported. Surgical wedge resection revealed an adenocarcinoma upon intra-operative frozen examination. The operation was completed with a right upper lobectomy and complete lymphadenectomy. The authors recommend an early surgical procedure for any SPNs due to risk factors for developing lung cancer.

4년간 크기가 변하지 않은 고립성 폐결절에서 폐암으로 진단된 51세 여자 증례를 보고하였다. 수술적 폐쐐기절제술을 시행받았고 수술장 동결조직검사에서 선암으로 진단하여 우상엽절제술과 완전 림프절절제술을 시행받았다. 저자들은 폐암으로 진행할 위험인자들이 있는 고립성 폐결절은 조기에 수술적 시술이 필요하다고 사료된다.

Keywords

References

  1. Asamura H, Nakayama H, Kondo H, Tsuchiya R, Shimosato Y, Naruke T. Lymph node involvement, recurrence, and prognosis in resected small, peripheral, non-small-cell lung carcinomas: are these carcinomas candidates for video-assisted lobectomy? J Thorac Cardiovasc Surg 1996;111:1125-34 https://doi.org/10.1016/S0022-5223(96)70213-1
  2. Lee CI, Lee SS, Won GT, Ahn KH, Lee SW, Baik SK, et al. The clinical study of the solitary pulmonary nodule. Korean J Med 1993;44:163-70
  3. Hollings N, Shaw P. Diagnostic imaging of lung cancer. Eur Respir J 2002;19:722-42 https://doi.org/10.1183/09031936.02.00280002
  4. Leef JL 3rd, Klein JS. The solitary pulmonary nodule. Radiol Clin North Am 2002;40:123-43 https://doi.org/10.1016/S0033-8389(03)00113-1
  5. Tan BB, Flaherty KR, Kazerooni EA, Iannettoni MD. The solitary pulmonary nodule. Chest 2003;123(Suppl): 89S-96S https://doi.org/10.1378/chest.123.1_suppl.89S
  6. Park JK, Sa YJ, Jung JI. Radiologic evaluation for differentiating benign from malignant solitary pulmonary nodule. Korean J Thorac Cardiovasc Surg 2003;36:943-51
  7. Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary pulmonary nodules: I. morphologic evaluation for differentiation of benign and malignant lesions. Radiographics 2000;20:43-58
  8. Yankelevitz DF, Henschke CI. Does 2-year stability imply that pulmonary nodules are benign? AJR Am J Roentgenol 1997;168:325-8
  9. Schrevens L, Lorent N, Dooms C, Vansteenkiste J. The role of PET scan in diagnosis, staging, and management of non-small cell lung cancer. Oncologist 2004;9:633-43 https://doi.org/10.1634/theoncologist.9-6-633
  10. Kim WJ, Yim JJ, Yoo CG, Kim YW, Shim YS, Han SK. Diagnostic efficacy of FDG-PET in solitary pulmonary nodule. Tuberc Respir Dis 1997;44:1263-70
  11. Yaegashi H, Urushihata K, Tsushim K, Hanaok M, Koizumi T, Fujimoto K, et al. A case of lung adenocarcinoma presenting a solitary, predominantly solid pulmonary nodule that showed slow growth over 7 years. Nihon Kokyuki Gakkai Zasshi 2004;42:509-12