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경피적 흉부 생검 이후에 발생한 전이성 폐 법랑모세포종의 종양 파종

Tumor Seeding after Percutaneous Transthoracic Needle Biopsy of Metastatic Pulmonary Ameloblastoma

  • 박혜미 (화순전남대학교병원 영상의학과) ;
  • 김윤현 (전남대학교병원 영상의학과) ;
  • 임효순 (화순전남대학교병원 영상의학과) ;
  • 기소연 (화순전남대학교병원 영상의학과) ;
  • 이효재 (화순전남대학교병원 영상의학과) ;
  • 이종은 (전남대학교병원 영상의학과) ;
  • 정원기 (화순전남대학교병원 영상의학과)
  • Hye Mi Park (Department of Radiology, Chonnam National University Hwasun Hospital) ;
  • Yun Hyeon Kim (Department of Radiology, Chonnam National University Hospital) ;
  • Hyo Soon Lim (Department of Radiology, Chonnam National University Hwasun Hospital) ;
  • So Yeon Ki (Department of Radiology, Chonnam National University Hwasun Hospital) ;
  • Hyo-jae Lee (Department of Radiology, Chonnam National University Hwasun Hospital) ;
  • Jong Eun Lee (Department of Radiology, Chonnam National University Hospital) ;
  • Won Gi Jeong (Department of Radiology, Chonnam National University Hwasun Hospital)
  • 투고 : 2020.09.07
  • 심사 : 2020.10.29
  • 발행 : 2021.07.01

초록

경피적 흉부 생검은 폐 병변을 병리학적으로 진단하는 데 있어서 필수적인 최소 침습 시술이다. 매우 드물기는 하지만 흉막과 흉벽에 종양의 파종이 경피적 흉부 생검의 합병증으로 생길 수 있다. 유방은 흉곽의 앞쪽에 위치하기 때문에 경피적 흉부 생검 시 흉곽의 앞쪽에서 접근할 때 바늘이 유방을 지나는 것을 피할 수 없는 경우가 있다. 이에 저자들은 유방의 만져지는 종괴로 내원한 51세 여성에서 경피적 흉부 생검 경로를 따라 생긴 전이성 폐 법랑모세포종의 파종을 경험하였기에 영상 소견과 함께 증례 보고한다.

Percutaneous transthoracic needle biopsy (PTNB) is a minimally-invasive procedure that is an indispensable tool for evaluating pulmonary lesions. Though extremely rare, tumor seeding of the pleura and chest wall can occur as a complication. Given that the breast is located anterior to the thorax, needle tracking through the breast is inevitable when PTNB is performed using the anterior approach. We describe tumor seeding of metastatic pulmonary ameloblastoma in the pectoralis muscle layer of the breast along the needle track of PTNB in a 51-year-old female presenting with a palpable lump in the right breast.

키워드

참고문헌

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