근치적 신절제술 후 7년만에 기관지내 전이로 발견된 신세포암 1예

A Case of Endobronchial Metastasis from Renal Cell Carcinoma 7 Years after Nephrectomy

  • 김도현 (국민건강보험공단 일산병원 내과) ;
  • 김선혜 (국민건강보험공단 일산병원 내과) ;
  • 김동환 (국민건강보험공단 일산병원 내과) ;
  • 나형중 (국민건강보험공단 일산병원 내과) ;
  • 이주현 (국민건강보험공단 일산병원 내과) ;
  • 이선민 (국민건강보험공단 일산병원 내과) ;
  • 김정주 (국민건강보험공단 일산병원 내과) ;
  • 기정혜 (국민건강보험공단 일산병원 병리과)
  • Kim, Do Hyun (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Kim, Sun Hye (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Kim, Dong Hwan (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Na, Hyoung Jung (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Lee, Ju Hyun (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Lee, Sun Min (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Kim, Chong Ju (Department of Internal Medicine, National Health Iinsurance Corporation Ilsan Hospital) ;
  • Kie, Jeong Hae (Department of Pathology, National Health Iinsurance Corporation Ilsan Hospital)
  • 투고 : 2006.08.23
  • 심사 : 2006.09.20
  • 발행 : 2006.11.30

초록

신세포암은 원발 부위의 수술적 절제를 하더라도 전이를 자주하는 질환으로 이에 따라 5년간의 추적조사가 권장되고 있다. 본 증례에서는 신세포암으로 신적출술 이후 통상적인 5년간의 추적조사기간동안 전이가 발견되지 않았으나, 7년후 폐렴으로 내원하여 조사중에 발견한 신세포암의 기관지내 전이를 수술적인 방법으로 제거하여서 보고하는 바이다.

A distant metastasis from a renal cell carcinoma is quite common after a radical nephrectomy. For this reason, a5 year scheduled follow up is recommended. However, a distant metastasis 5 years after the resection is quite rare. We encountered an endobronchial metastasis from a renal cell carcinoma that was discovered 7 years after the radical nephrectomy, and did not present during the 5 year scheduled follow up regimen. We report this case with a review of the literatures.

키워드

참고문헌

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