Tuberculosis and Respiratory Diseases

  • 제70권4호
  • /
  • Pages.347-351
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  • 2011
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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악성 흉선종으로 오인된 결핵성 심낭농양 1예

A Case of Tuberculous Pericardial Abscess Mimicking Thymic Carcinoma

  • 박지영 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 박승아 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 안영환 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 장길수 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 김소연 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 안정선 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 홍은영 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 임수영 (한림대학교 성심병원 호흡기-알레르기내과) ;
  • 김건일 (한림대학교 성심병원 흉부외과) ;
  • 서진원 (한림대학교 성심병원 해부병리과) ;
  • 박성훈 (한림대학교 성심병원 호흡기-알레르기내과)
  • Park, Ji-Young (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Park, Seung-Ah (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • An, Young-Hwan (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Jang, Gil-Su (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Kim, So-Yeon (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • An, Jeung-Sun (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Hong, Eun-Young (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Lim, Soo-Young (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Kim, Kun-Il (Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital) ;
  • Seo, Jin-Won (Department of Pathology, Hallym University Sacred Heart Hospital) ;
  • Park, Sung-Hoon (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital)
  • 투고 : 2011.01.18
  • 심사 : 2011.03.24
  • 발행 : 2011.04.30
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초록

We report here an unusual case of pericardial tuberculoma that was misdiagnosed as thymic carcinoma on an imaging study. A 48-year-old woman was referred for evaluation of an anterior mediastinal mass. Computed tomography (CT) scans of the chest displayed cystic masses mimicking thymic carcinoma at the anterior mediastinum. Pericardiotomy and surgical drainage of the cystic masses were done, and pathologic examination of the excised pericardial specimen showed a chronic granulomatous inflammation with necrosis, compatible with tuberculosis. Acid-fast bacilli were also identified in the specimen. After treatment with anti-tuberculosis drugs and steroids, the patient showed clinical improvement. Although tuberculous pericarditis usually presents as pericardial effusion or constrictive pericarditis, it can also present as a pericardial mass mimicking thymic carcinoma on CT. Therefore, we suggest that tuberculous pericardial abscess should be included in the differential diagnosis of a mediastinal mass in Korea, with intermediate tuberculosis prevalence.

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참고문헌

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