Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Intermediate Grade Bronchial Mucoepidermoid Carcinoma and Review in Korean Cases

중간등급의 기관지 점액표피양 암종 1예와 국내 보고에 대한 고찰

  • Cha, Sung Chul (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Kim, Si Woo (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Cho, Yoo Jin (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Park, Sung Kyoon (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Park, Hyun Keun (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Kim, Jong Sang (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Kwak, Jae Wook (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Yoo, Moon Bin (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Cho, Hye Jae (Department of Pathology, Seoul Adventist Hospital) ;
  • Lee, Jae Jin (Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital)
  • Received : 2008.06.02
  • Accepted : 2008.06.30
  • Published : 2008.07.30
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Abstract

Bronchial mucoepidermoid carcinoma is uncommon, representing 0.2% of all lung tumors. The disease usually presents with symptoms of airway obstruction and recurrent pneumonia. It is commonly classified into two grades in Korea, low and high. We report a case of a bronchial mucoepidermoid carcinoma in a 40-year-old woman who complained of symptoms of an upper respiratory infection. The histological grade after a bronchoscopic biopsy was intermediate. A left upper lobectomy was performed as treatment. The TNM stage of this case was IA (T1N0M0). In addition, 25 cases of bronchial mucoepidermoid carcinoma from 1984 in Korea are also reviewed from the viewpoint of the relationship between the histological grade, TNM stage and clinical course of the tumor.

기관지에서 발생하는 점액표피양 암종은 폐에서 발생하는 암종의 0.2%를 차지할 정도로 드물다. 주로 기관지 폐쇄에 의한 증상이나 반복적인 폐렴의 임상양상을 보인다. 조직학적인 기준에 따라서 일반적으로 저등급과 고등급으로 나누어지고 예후도 다르다. 저자들은 반복되는 기침과 열을 주소로 내원한 40세 여성에서 발생한 흔하지 않은 중간등급의 기관지 점액상피양 암종 1예를 경험하였기에 문헌고찰과 함께 보고하고 현재까지 국내에 보고된 자료들을 바탕으로 조직학적인 등급과 TNM stage에 따른 임상경과의 차이를 보고하는 바이다.

Keywords

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