Tuberculosis and Respiratory Diseases

  • 제62권3호
  • /
  • Pages.237-240
  • /
  • 2007
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

폐의 융모상피암 1예

A Case of Pulmonary Choriocarcinoma

  • 박세미 (연세대학교 의과대학 내과학교실) ;
  • 양우인 (연세대학교 의과대학 내과학교실) ;
  • 문지애 (연세대학교 의과대학 내과학교실) ;
  • 변민광 (연세대학교 의과대학 내과학교실) ;
  • 정우영 (연세대학교 의과대학 내과학교실) ;
  • 최상봉 (연세대학교 의과대학 내과학교실) ;
  • 정재희 (연세대학교 의과대학 내과학교실) ;
  • 강신명 (연세대학교 의과대학 내과학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 조남훈 (연세대학교 의과대학 병리학교실) ;
  • 조상호 (연세대학교 의과대학 병리학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실)
  • Park, Semi (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yang, Woo In (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon, Ji Ae (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Byun, Min Kwang (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Woo Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Choi, Sang Bong (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Jae Hee (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kang, Shin Myung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Moo Suk (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Young Sam (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Cho, Nam Hoon (Department of Pathology, Yonsei University College of Medicine) ;
  • Cho, Sang Ho (Department of Pathology, Yonsei University College of Medicine) ;
  • Kim, Sung Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Se Kyu (Department of Internal Medicine, Yonsei University College of Medicine)
  • 투고 : 2006.11.29
  • 심사 : 2006.12.28
  • 발행 : 2007.03.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 39세 남자 환자에서 부검을 통해 폐의 융모상피암종을 확인하였으나 고환과 같은 생식선 또는 성선 이외(extragonad) 부위에서의 암종 존재 유무를 확인하지 못하여 원발성인지 혹은 전이성인지를 구분하지 못한 폐의 융모상피암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Pulmonary choriocarcinoma is a very rare tumor in men. Herrein, the case of a pulmonary choriocarcinoma in 39-year-old man, and whether it had a primary nature, is reported. He denied any prior medical illness, but was admitted to our hospital with a history of a cough, and progressive dyspnea and hemoptysis 2 and 1 week duration, respectively. Chest radiographs on admission revealed a huge lung mass, 10 cm in diameter, in the left upper lung field, with left pleural effusion. Although biopsies using several diagnostic methods for the pathological confirmation were attempted, the pathology was not confirmed. Finally, the patient died after 2 months of regression. An autopsy of the lung was then performed.

키워드

참고문헌

  1. Chen F, Tatsumi A, Numoto S. Combined choriocarcinoma and adenocarcinoma of the lung occurring in a man: case report and review of the literature. Cancer 2001;91:123-9 https://doi.org/10.1002/1097-0142(20010101)91:1<123::AID-CNCR16>3.0.CO;2-3
  2. Arslanian A, Pischedda F, Filosso PL, Di Marzio P, Oliaro A, Fraire F, et al. Primary choriocarcinoma of the lung. J Thorac Cardiovasc Surg 2003;125:193-6 https://doi.org/10.1067/mtc.2003.121
  3. Rossi G, Valli R, Rivasi F, Longo L. Does primary pulmonary choriocarcinoma really exist? Chest 2003;123:313 https://doi.org/10.1378/chest.123.1.313
  4. Ikura Y, Inoue T, Tsukuda H, Yamamoto T, Ueda M, Kobayashi Y. Primary choriocarcinoma and human chorionic gonadotrophin-producing giant cell carcinoma of the lung: are they independent entities? Histopathology 2000;36:17-25 https://doi.org/10.1046/j.1365-2559.2000.00789.x
  5. Rhee YK, Kim JH, Kim WH, Ha CY, You KH, Jang DS. Primary choriocarcinoma of the lung. Kor J Intern Med 1987;2:269-73 https://doi.org/10.3904/kjim.1987.2.2.269
  6. Ko KS, Bae IH, Cho IS, Rhee KJ, Kim SY. A case of primary choriocarcinoma of the lung. Kor J Med 1990;39:569-75
  7. Chang SW, Park JO, Lee KY, Lee WA, Ryu JW, Park SS, et al. Rapidly progressed primary choriocarcinoma of the lung. Kor J Thorac Cardiovasc Surg 2004;37:805-8
  8. Yamamoto S, Tanaka H, Takeo H, Yasuda K, Mastukuma S. Primary pulmonary choriocarcinoma combined with adenocarcinoma. Pathol Int 2006;56: 402-7 https://doi.org/10.1111/j.1440-1827.2006.01977.x
  9. Tsai JR, Chong IW, Hung JY, Tsai KB. Use of urine pregnancy test for rapid diagnosis of primary pulmonary choriocarcinoma in a man. Chest 2002; 121:996-8 https://doi.org/10.1378/chest.121.3.996
  10. Ino K, Mitsui T, Nomura S, Kikkawa F, Mizutani S. Complete remission of gestational choriocarcinoma with choroidal metastasis treated with systemic chemotherapy alone: case report and review of literature. Gynecol Oncol 2001;83:601-4 https://doi.org/10.1006/gyno.2001.6415
  11. Okur E, Halezeroglu S, Somay A, Atasalihi A. Unusual intrathoracic location of a primary germ cell tumour. Eur J Cardiothorac Surg 2002;22:651-3 https://doi.org/10.1016/S1010-7940(02)00390-1
  12. Balagopal P, Pandey M, Chandramohan K, Somanathan T, Kumar A. Unusual presentation of choriocarcinoma. World J Surg Oncol 2003;1:4 https://doi.org/10.1186/1477-7819-1-4
  13. Shintaku M, Hwang MH, Amitani R. Primary choriocarcinoma of the lung manifesting as diffuse alveolar hemorrhage. Arch Pathol Lab Med 2006;130:540-3