Tuberculosis and Respiratory Diseases

  • 제61권2호
  • /
  • Pages.157-161
  • /
  • 2006
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

기관지내 아스페르길루스종으로 오인된 폐암 1예

A Case of Lung Cancer Obscured by Endobronchial Aspergilloma

  • 함현석 (경상대학교 의과대학 내과학교실) ;
  • 이승준 (경상대학교 의과대학 내과학교실) ;
  • 조유지 (경상대학교 의과대학 내과학교실) ;
  • 정이영 (경상대학교 의과대학 내과학교실) ;
  • 전경녀 (경상대학교 의과대학 진단방사선과학교실) ;
  • 김호철 (경상대학교 의과대학 내과학교실) ;
  • 이종덕 (경상대학교 의과대학 내과학교실) ;
  • 황영실 (경상대학교 의과대학 내과학교실)
  • Ham, Hyun Seok (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Lee, Seung Jun (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Cho, Yu Ji (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Jeong, Yi Yeong (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Jeon, Kyoung Nyeo (Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University) ;
  • Kim, Ho Cheol (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Lee, Jong Deok (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Hwang, Young Sil (Department of Internal Medicine, College of Medicine, Gyeongsang National University)
  • 투고 : 2006.04.18
  • 심사 : 2006.06.23
  • 발행 : 2006.08.30
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초록

저자들은 종괴와 폐허탈로 내원한 환자에서 기관지내시경을 이용한 조직검사에서 기관지내 아스페르길루스종으로 진단되어 치료하였으나 종괴의 크기가 증가하여 시행한 경피적 폐생검을 통해 악성 폐종양으로 진단된 예를 경험하여 보고하는 바이다.

A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.

키워드

참고문헌

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