The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

An Endobronchial Lipoma Treated by Bronchoscopic Excision

기관지 내시경으로 제거한 기관지 지방종 1예

  • Choi, Seung-Hwa (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Kang, Ji-Young (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Joo, Young-Bin (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Kim, Seung-Kyoung (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Mo, Eun-Yeong (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Lee, Sang-Haak (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, The Catholic University of Korea School of Medicine)
  • 최승화 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지영 (가톨릭대학교 의과대학 내과학교실) ;
  • 주영빈 (가톨릭대학교 의과대학 내과학교실) ;
  • 김승경 (가톨릭대학교 의과대학 내과학교실) ;
  • 모은영 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실)
  • Published : 2011.03.01
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Abstract

A 68-year-old man presented with partial atelectasis of the right middle lobe on chest X-ray. Computed tomography of the chest revealed a hypodense mass in the middle lobe. Bronchoscopy showed a round mass obstructing the right middle lobe bronchus, and a biopsy specimen revealed only chronic inflammation. The tumor was removed using rigid bronchoscopy, and a diagnosis of endobronchial lipoma was made. An endobronchial lipoma is a very rare benign tumor that may cause parenchymal lung damage due to bronchial obstruction and subsequent pneumonia. We report this case to emphasize the role of endoscopic treatment in the management of endobronchial lipoma.

본 저자들은 단순 흉부 방사선 검사에서 우중엽의 부분허탈 소견을 주소로 내원한 68세 무증상의 환자에서 굴곡성 기관지 내시경과 흉부 전산화 단층촬영 소견 등을 고려할 때 폐실질의 폐손상이 동반되지 않은 유경성의 양성 종양으로 생각되었다. 경직성 기관지 내시경을 이용하여 기관지 종양 제거술을 성공적으로 시행하였으며 조직 검사에서 기관지 지방종으로 진단하였다. 폐에서 아주 드물게 발생하는 것으로 알려진 기관지 지방종의 국내 보고된 치료 방법은 대부분 수술적 종양 절제 방법이었다. 그러나 본 증례에서는 경직성 기관지 내시경을 이용한 기관지 종양 제거술이 성공적으로 시행되었기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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