Adenocarcinoma Surrounding Emphysema Mimicking Cavitary Pneumonia

공동성 폐렴으로 오인된 폐기종을 둘러싼 선암

  • Moon, Soo-Young (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Yoo, Jee-Hong (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Kim, Kyung-Yup (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Choi, Hye Sook (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Choi, Cheon Woong (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Park, Myung Jae (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Kang, Hong Mo (Department of Respiratory and Critical Care Medicine, College of Medicine, Kyung Hee University) ;
  • Kwak, Young Tae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University) ;
  • Kim, Dae Hyun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University) ;
  • Kim, Gou Young (Department of Pathology, College of Medicine, Kyung Hee University)
  • 문수영 (경희대학교 의과대학 내과학교실) ;
  • 유지홍 (경희대학교 의과대학 내과학교실) ;
  • 김경엽 (경희대학교 의과대학 내과학교실) ;
  • 최혜숙 (경희대학교 의과대학 내과학교실) ;
  • 최천웅 (경희대학교 의과대학 내과학교실) ;
  • 박명재 (경희대학교 의과대학 내과학교실) ;
  • 강홍모 (경희대학교 의과대학 내과학교실) ;
  • 곽영태 (경희대학교 의과대학 흉부외과학교실) ;
  • 김대현 (경희대학교 의과대학 흉부외과학교실) ;
  • 김교영 (경희대학교 의과대학 병리학교실)
  • Received : 2007.05.03
  • Accepted : 2007.08.17
  • Published : 2007.08.30

Abstract

Adenocarcinoma presenting as a solitary mass with a cavity in chest computed tomogram is rare. A few reports have suggested an association between lung cancer and emphysema. We report a case of adenocarcinoma surrounding pulmonary emphysema that mimicked fungal pneumonia. This case highlights the need for cliniclians to be aware of the potential development of lung cancer in patients with emphysema.

폐선암이 공동성 종괴로 발현하는 것은 드문 것으로 알려져 있다. 그리고 폐기종이 폐암발생과 연관이 있다는 보고들이 있었다. 저자들은 방사선 검사에서 공동성 종괴를 가진 진균성폐렴으로 오인된, 폐기종 병변을 둘러싸고 진행한 폐선암을 경험하였다. 이 증례와 관련되어 문헌 고찰을 하였으며, 폐기종이 있는 환자에서 폐암이 잘 발생할 수 있다는 것을 알아야 할 것이다.

Keywords

References

  1. Greco RJ, Steiner RM, Goldman S, Cotler H, Patehefsky A, Cohn HE. Bronchioloalveolar cell carcinoma of the lung. Ann Thorac Surg 1986;41:652-6 https://doi.org/10.1016/S0003-4975(10)63082-2
  2. Dinkel E, Mundinger A, Schopp D, Grosser G, Hauenstein KH. Diagnostic image in metastatic lung disease. Lung 1990;168:S1129-36 https://doi.org/10.1007/BF02718253
  3. Dodd GD, Boyle JJ. Excavating pulmonary metastases. Am J Roentgenol Radium Ther Nucl Med 1001;85:277-93
  4. Watts MA, Klayton RJ, Munzel TL. Bullous emphysema and carcinoma of the lung: case report. Mil Med 1982;147:320,3
  5. Goldstein MJ, Snider GL, Liberson M, Poske RM Bronchogenic carcinoma and giant bullous disease. Am Rev Respir Dis 1968;97:1062-70
  6. Stoloff IL, Kanofsky P, Magilner L. The risk of lung cancer in males with bullous disease of the lung. Arch Environ Health 1971;22:163-7 https://doi.org/10.1080/00039896.1971.10665827
  7. Ogawa D, Shiota Y, Marukawa M, Hiyama J, Mashiba H, Yunoki K, et al. Lung cancer associated with pulmonary bulla. case report and review of literature. Respiration 1999;66:555-8 https://doi.org/10.1159/000029436
  8. Freant LJ, Joseph WL, Adkins PC. Scar carcinoma of the lung. Fact or Fantasy? Ann Thorac Surg 1974;17:531-7 https://doi.org/10.1016/S0003-4975(10)65693-7