The Korean Journal of Medicine

  • 제85권4호
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  • Pages.401-405
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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재발성 췌장암으로 항암화학요법을 시행한 환자에서 발생한 복부 방선균증

A Case of Actinomycosis in a Patient Treated with Chemotherapy Due to Recurrent Pancreatic Cancer

  • 조인래 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 이승우 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 조중현 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 조동후 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 한민석 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 박정엽 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소) ;
  • 송시영 (연세대학교 의과대학 내과학교실 소화기내과, 소화기병 연구소)
  • Cho, In Rae (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Yi, Seung Woo (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Jo, Jung Hyun (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Joh, Dong Hoo (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Han, Min Seok (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Park, Jeong Youp (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine) ;
  • Song, Si Young (Division of Gastroenterology, Department of Internal Medicine and Yonsei Institute of Gastroenterology, Yonsei University College of Medicine)
  • 투고 : 2012.08.14
  • 심사 : 2012.10.15
  • 발행 : 2013.10.01
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 재발성 췌장암으로 인해 고식적 항암화학치료를 받고 있던 46세 남자 환자에서 복부 전산화 단층 촬영상 암종의 재발로 의심되는 종괴 형태로 발생한 복부의 방선균증의 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

A 46-year-old male patient with recurrent pancreatic cancer was admitted with a newly developed abdominal mass. The patient had a history of diabetes and underwent total pancreatectomy with partial gastrectomy followed by adjuvant concurrent chemoradiation therapy and palliative chemotherapy. Abdominal CT scan during palliative chemotherapy showed an abdominal wall mass. We performed excisional biopsy for diagnosis. Histological examination revealed actinomycosis of the abdominal wall. The patient was treated with penicillin G. This case showed that actinomycosis can occur in a patient receiving chemotherapy and may mimic cancer recurrence. Therefore, when evaluating a newly developed abdominal mass in patients who are receiving chemotherapy or radiotherapy, the probability of actinomycotic infection must also be considered, especially in patients with a history of surgery and diabetes mellitus.

키워드

참고문헌

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피인용 문헌

  1. Mediastinal Actinomycosis Mimicking Mediastinal Lymph Node Metastasis in a Patient with Locally Advanced Pancreatic Cancer vol.92, pp.3, 2017, https://doi.org/10.3904/kjm.2017.92.3.303