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종양 내 구불구불한 동맥류성 혈관 확장을 보이는 자궁 육종의 폐전이: 증례 보고

Pulmonary Metastasis Originated from Uterine Sarcoma, Presenting as Multiple Nodules with Tortuous, Serpentine, Aneurysmal, Dilated Intratumoral Vessels: A Case Report

  • 장현지 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 김성수 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 박희선 (충남대학교 의과대학 충남대학교병원 호흡기내과) ;
  • 이정은 (충남대학교 의과대학 충남대학교병원 호흡기내과) ;
  • 김진환 (충남대학교 의과대학 충남대학교병원 영상의학과)
  • Jang, Hyeon Ji (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Song Soo (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Park, Hee Sun (Division of Pulmonology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Lee, Jeong Eun (Division of Pulmonology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Jin Hwan (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 투고 : 2017.06.29
  • 심사 : 2017.11.11
  • 발행 : 2018.04.01

초록

악성 종양으로부터의 폐전이는 다양한 범위의 영상학적 소견을 보인다. 폐전이의 몇 가지 특징들에서는 종양의 원발 위치를 유추할 수 있는 것으로 알려져 있다. 저자들은 흉부 전산화단층촬영에서 다수의 전이성 폐 결절 내부에 구불구불하게 늘어난 혈관들을 보이는, 독특한 양상의 자궁 육종 폐전이 1예를 경험하였기에 이를 보고하고자 한다.

Pulmonary metastases present a wide spectrum of radiological findings, some of which have been known to be useful for analogizing the possible origin or site of primary tumors. In the present report, we describe a unique case of pulmonary metastasis manifesting on chest computed tomography as multiple nodules with tortuous, serpentine, aneurysmal, dilated, inner intratumoral vessels. The metastasis originated from uterine sarcoma.

키워드

참고문헌

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