Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis

폐실질내 다발성 낭종으로 발현한 기관지기원낭

  • Choi, Kyoung A (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Koh, Won-Jung (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Kyung Soo (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Han, Joungho (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Kwhanmien (Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 최경아 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 고원중 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 이경수 (성균관대학교 의과대학 내과학교실, 삼성서울병원 영상의학과) ;
  • 한정호 (성균관대학교 의과대학 내과학교실, 삼성서울병원 병리과) ;
  • 김관민 (성균관대학교 의과대학 내과학교실, 삼성서울병원 흉부외과)
  • Received : 2006.11.29
  • Accepted : 2006.12.21
  • Published : 2007.01.30
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Abstract

Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

기관지기원낭은 대체로 방사선학적으로 종격동이나 폐실질내에 얇고 균일한 벽을 지닌 경계가 분명한 타원형의 종괴나 낭포로 발견되며 증상 유무에 관계없이 완전 절제를 하는 것이 추천된다. 본 증례는 젊은 성인에서 객혈을 동반한 폐실질내 기관지기원낭으로 수술하였던 예로 비전형적으로 다발성 낭종의 형태로 발견되었기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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