대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제83권2호
  • /
  • Pages.387-393
  • /
  • 2022
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

다수의 양측성 반고형결절들로 발현한 원발성 폐 악성 흑색종: 증례 보고

Primary Pulmonary Malignant Melanoma Presenting as Bilateral Multiple Subsolid Nodules: A Case Report

  • 소은규 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 노지영 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 정수연 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 강세리 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 최금하 (원광대학교 의과대학 원광대학교병원 병리과)
  • Eun Gyu Soh (Department of Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Ji Young Rho (Department of Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Sooyeon Jeong (Department of Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Se Ri Kang (Department of Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Keum Ha Choi (Department of Pathology, Wonkwang University Hospital, Wonkwang University School of Medicine)
  • 투고 : 2021.05.19
  • 심사 : 2021.06.09
  • 발행 : 2022.03.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

원발성 폐 악성 흑색종은 흑색종 중에서 굉장히 드문 유형이다. 원발성 폐 악성 흑색종의 방사선학적 소견은 비특이적이나 거의 항상 경계가 좋은 둥근 혹은 소엽상의 결절 혹은 종괴로 나타난다. 이에 저자들은 전산화단층촬영에서 다수의 양측성 반고형결절로 보여 레피딕 성장을 하는 원발성 폐선암으로 오인되었던 원발성 폐 악성 흑색종 환자 1예를 보고하고자 한다.

Primary pulmonary malignant melanoma is an extremely rare type of melanoma. The radiologic features of primary pulmonary malignant melanoma are nonspecific; however, it almost always presents as a well-demarcated round or lobulated solitary solid nodule or mass. Herein, we report the case of a 78-year-old male with primary pulmonary malignant melanoma that was mistaken for primary pulmonary adenocarcinoma with lepidic growth and was seen as bilateral multiple subsolid nodules on CT.

키워드

과제정보

This study was supported by Wonkwang University in 2021.

참고문헌

  1. Markovic SN, Erickson LA, Rao RD, Weenig RH, Pockaj BA, Bardia A, et al. Malignant melanoma in the 21st century, part 1: epidemiology, risk factors, screening, prevention, and diagnosis. Mayo Clin Proc 2007;82:364-380
  2. Paliogiannis P, Fara AM, Pintus G, Abdel-Rahman WM, Colombino M, Casula M, et al. Primary melanoma of the lung: a systematic review. Medicina (Kaunas) 2020;56:576
  3. Borghesi A, Tironi A, Michelini S, Scrimieri A, Benetti D, Maroldi R. Two synchronous lung metastases from malignant melanoma: the same patient but different morphological patterns. Eur J Radiol Open 2019;6:287-290
  4. Kang MJ, Kim MA, Park CM, Lee CH, Goo JM, Lee HJ. Ground-glass nodules found in two patients with malignant melanomas: different growth rate and different histology. Clin Imaging 2010;34:396-399
  5. Mizuuchi H, Suda K, Kitahara H, Shimamatsu S, Kohno M, Okamoto T, et al. Solitary pulmonary metastasis from malignant melanoma of the bulbar conjunctiva presenting as a pulmonary ground glass nodule: report of a case. Thorac Cancer 2015;6:97-100
  6. Okita R, Yamashita M, Nakata M, Teramoto N, Bessho A, Mogami H. Multiple ground-glass opacity in metastasis of malignant melanoma diagnosed by lung biopsy. Ann Thorac Surg 2005;79:e1-e2
  7. Shin NY, Hong YJ, Kim AH, Shim HS, Nam JE, Lee HJ, et al. Diffuse interstitial infiltrative lung metastasis of malignant melanoma: a case report. Korean J Radiol 2011;12:252-255
  8. Feng Y, Zhao J, Yang Q, Xiong W, Zhen G, Xu Y, et al. Pulmonary melanoma and "crazy paving" patterns in chest images: a case report and literature review. BMC Cancer 2016;16:592
  9. Filippini A, Zorzi F, Bna' C, Arnaboldi A, Sabatini T. Dark sputum: an atypical presentation of primary pulmonary malignant melanoma. Respir Med Case Rep 2015;15:118-120
  10. Borghesi A, Farina D, Michelini S, Ferrari M, Benetti D, Fisogni S, et al. Pulmonary adenocarcinomas presenting as ground-glass opacities on multidetector CT: three-dimensional computer-assisted analysis of growth pattern and doubling time. Diagn Interv Radiol 2016;22:525-533