Tuberculosis and Respiratory Diseases

  • 제62권4호
  • /
  • Pages.323-330
  • /
  • 2007
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

결핵성 흉막염으로 오인된 흉막 악성 중피종 3예

Three Cases of Malignant Pleural Mesothelioma Misdiagnosed as Tuberculous Pleurisy

  • 김기욱 (부산대학교 의과대학 내과학교실) ;
  • 김지은 (부산대학교 의과대학 내과학교실) ;
  • 조우성 (부산대학교 의과대학 내과학교실) ;
  • 이지석 (부산대학교 의과대학 내과학교실) ;
  • 박혜경 (부산대학교 의과대학 내과학교실) ;
  • 김윤성 (부산대학교 의과대학 내과학교실) ;
  • 이민기 (부산대학교 의과대학 내과학교실) ;
  • 이호석 (부산대학교 의과대학 흉부외과학교실) ;
  • 김영대 (부산대학교 의과대학 흉부외과학교실) ;
  • 이창훈 (부산대학교 의과대학 병리학교실)
  • Kim, Ki Uk (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Kim, Ji Eun (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Jo, Woo Sung (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Lee, Ji Seok (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Park, Hye Kyung (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Kim, Yun Seong (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Lee, Min Ki (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • I, Hoseok (Department of Thoracic Surgery, College of Medicine, Pusan National University) ;
  • Kim, Yeong Dae (Department of Thoracic Surgery, College of Medicine, Pusan National University) ;
  • Lee, Chang Hun (Department of Pathology, College of Medicine, Pusan National University)
  • 투고 : 2006.12.28
  • 심사 : 2007.03.08
  • 발행 : 2007.04.30
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초록

저자들은 흉수로 내원하여 결핵성 흉막염 진단 하에 항결핵약제로 치료 시작 후 호전이 없어 시행한 수술적 생검에서 흉막 악성 중피종으로 확진된 3예를 경험하였기에 국내 문헌 고찰과 함께 보고하는 바이다.

Malignant pleural mesothelioma(MPM) is an uncommon neoplasm which is originated from pleural mesothelial cells. The majority of MPM is associated with prior asbestos exposure. Patients often present with chest pain and dyspnea due to pleural effusion, which might be diagnosed with tuberculous pleurisy especially in Korea. MPM is well known for its poor prognosis with a median survival time of less than 12 months after diagnosis and no established standard treatment modality. We report 3 cases of MPM confirmed by video-assisted thoracoscopic biopsy first misdiagnosed as tuberculous pleurisy.

키워드

참고문헌

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