The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Renal Metastasis from a 1-cm Squamous Cell Carcinoma of the Lung Masquerading as Renal Cell Carcinoma

신세포암으로 오인한 1 cm 크기의 원발성 편평상피세포 폐암의 신전이 1예

  • Shin, Ik-Sang (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Jung, Duk-Eun (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Hwang, Ki-Eun (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Yang, Sei-Hoon (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Jeong, Eun-Taik (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Choi, Keum-Ha (Department of Pathology, Wonkwang University School of Medicine) ;
  • Kim, Hak-Ryul (Department of Internal Medicine, Wonkwang University School of Medicine)
  • 신익상 (원광대학교 의과대학 내과학교실) ;
  • 정덕은 (원광대학교 의과대학 내과학교실) ;
  • 황기은 (원광대학교 의과대학 내과학교실) ;
  • 양세훈 (원광대학교 의과대학 내과학교실) ;
  • 정은택 (원광대학교 의과대학 내과학교실) ;
  • 최금하 (원광대학교 의과대학 병리학교실) ;
  • 김학렬 (원광대학교 의과대학 내과학교실)
  • Published : 2011.01.01
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Abstract

Symptomatic renal metastasis from a primary lung malignancy elsewhere in the body is an uncommon feature in disseminated cancer. We report a case of a 1-cm primary squamous cell carcinoma (SCC) of the lung with renal metastasis initially misdiagnosed as primary renal cell carcinoma in a 65-year-old man who presented with left lower quadrant pain.

신장 종괴를 처음 발견하였을 때는 예후와 치료 방법이 달라질 수 있기 때문에 원발성 종양에 대한 고려, 영상학적 소견, 임상 소견을 충분히 고려하여 원발성 신장암인지, 전이암인지에 대한 구별이 필요하다. 저자들은 65세 남자가 좌측 하복부 통증을 주소로 내원하여 좌측 신세포암 의심하에 신 적출술을 시행하여 조직 검사에서 전이성 편평상피세포암으로 진단 후 우측 폐하부에 1 cm 크기의 폐결절 조직 검사결과 원발성 폐암이 발견된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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