DOI QR코드

DOI QR Code

호산구성 염증을 동반한 기관지 협착이 폐암으로 오인된 증례 1예

Mass-forming Eosinophilic Infiltration Involving the Central Airway: A Case Report of Endobronchial Involvement of Eosinophilic Inflammation Mimicking Bronchogenic Malignancy

  • 홍원정 (차의과학대학교 내과학교실) ;
  • 박치영 (차의과학대학교 내과학교실) ;
  • 고은정 (차의과학대학교 내과학교실) ;
  • 조상호 (차의과학대학교 병리학교실) ;
  • 정소영 (차의과학대학교 내과학교실) ;
  • 정혜철 (차의과학대학교 내과학교실)
  • Hong, Won-Jung (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Park, Chi Young (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Ko, Eun-Jung (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Cho, Sang-Ho (Department of Pathology, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Chong, So Young (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Jeong, Hye-Cheol (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University)
  • 투고 : 2014.05.27
  • 심사 : 2014.06.27
  • 발행 : 2014.12.01

초록

We report a very unusual case of endobronchial involvement of eosinophilic inflammation. A 58-year-old woman visited our clinic complaining of cough. A chest computed tomography scan showed a poorly enhancing mass compressing both main bronchi in the subcarinal area. Bronchoscopy also showed stenosis of the two main bronchi with irregular mucosal thickening. A bronchoscopic endobronchial mucosal biopsy revealed eosinophilic inflammation without evidence of malignancy. The subcarinal mass disappeared after systemic steroid treatment. This is the first report of mass-forming eosinophilic infiltration involving the central airway mimicking primary lung cancer.

키워드

참고문헌

  1. Jeong YJ, Kim KI, Seo IJ, et al. Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview. Radiographics 2007;27:617-637. https://doi.org/10.1148/rg.273065051
  2. Matsushima H, Takayanagi N, Kurashima K, et al. Multiple tracheobronchial mucosal lesions in two cases of Churg- Strauss syndrome. Respirology 2006;11:109-112. https://doi.org/10.1111/j.1440-1843.2006.00795.x
  3. Hara J, Nishi K, Demura Y, et al. Chronic eosinophilic pneumonia with endobronchial involvement. J Bronchology Interv Pulmonol 2011;18:285-287. https://doi.org/10.1097/LBR.0b013e318222a05d
  4. Niimi A, Amitani R, Ikeda T, Kubo Y, Tanaka E, Kuze F. Inflammatory bronchial polyps associated with asthma: resolution with inhaled corticosteroid. Eur Respir J 1995;8:1237-1239. https://doi.org/10.1183/09031936.95.08071237
  5. O'Donnell AE, Tsou E, Awh C, Fallat ME, Patterson K. Endobronchial eosinophilic granuloma: a rare cause of total lung atelectasis. Am Rev Respir Dis 1987;136:1478-1480. https://doi.org/10.1164/ajrccm/136.6.1478
  6. Loukides S, Karameris A, Lachanis S, Panagou P, Kalogeropoulos N. Eosinophilic granuloma of the lung presenting as an endobronchial mass. Monaldi Arch Chest Dis 2000;55:208-209.