• Tuberculosis and Respiratory Diseases
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• 제55권5호
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• pp.526-530
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• 2003

기관지성 낭종은 보통 단순 흉부 사진상 폐실질이나 종격동 내에 얇고 때끄러운 벽을 가지며 경계가 뚜렷한 원형의 종괴 흑은 낭포로 발견되고 보통 Hounsfield Number 0-20의 음영을 가진다. 본 증례는 단순 흉부 방사선 소견 상 폐실질내 경계가 불분명한 종괴로 보이고 CT상 Hounsfield Number 26의 연조직 음영을 보여 폐암을 배제하기 위하여 수술까지 하였던 경우였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제55권6호
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• pp.636-642
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• 2003

저자들은 기침, 호흡곤란 등의 호흡기 증세와 발열, 체중감소 등의 전신증상이 있으면서 흉부 방사선 소견상 폐렴이 의심되었으나 광범위 항생제에 반응이 없이 빠르게 진행하는 환자에서 개흉 폐생검을 통해 NK/T 세포 림프종을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제41권6호
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• pp.658-662
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• 1994

저자등은 종격동에서 늑막삼출액과 함께 종물이 있는 소견을 보였던 환자에서 세포진검사 및 면역화학적 검사를 통하여 평활근육종으로 진단된 1예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제45권1호
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• pp.191-196
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• 1998

Follicular bronchitis/bronchiolitis is pathologically characterized by peribronchiolar lymphoid follicles, which is one of reactive pulmonary lymphoid disorders. It is associated with 1) the result of infections such as mycoplasma, chlamydia etc., 2) immunodeficiency syndromes, 3) connective tissue diseases such as rheumatoid arthritis and Sjogren's syndrome and 4) local or systemic hypersensitivity reaction. And it can be also developed without obvious causes and associated diseases(idiopathic). Radiologically it represents as bilateral interstitial patterns of pulmonary infiltrates. In this case, a 49 year-old woman was presented with intermittent cough and sputum. On chest X-ray and CT, $5\times4$ cm sized mass in right upper lobe and paratracheal lymphadenopathies were detected, by which lung malignancy was suspected. Bronchoscopy, trans bronchial lung biopsy and transthoracic needle aspiration showed non-specific findings only. After right upper lobectomy, we could confirm a case of follicular bronchiolitis which presented as an unusual mass-like radiologic finding.

• Tuberculosis and Respiratory Diseases
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• 제46권3호
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• pp.409-413
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• 1999

Malignant melanoma develops from the melanocyte and the most common primary site is skin, followed by mucosa and retina. Even though any other tissue where melanocytes reside could be the primary site of the malignant melanoma, the one developed in the mediastinum is rarely reported. We experienced a patients of 54 years old woman whose initial symptom was progressive dyspnea for one month, and proved to have the anterior mediastinal mass with pleural effusion and the small mass in the abdominal soft tissue. The needle aspiration biopsy from the mediastinal mass showed the consistent findings with malignant melanoma. We concluded the mediastinum was the primary site of the malignant melanoma of this patient because we couldn't find any other evidence of primary tumor in skin, oral and gastrointestinal mucosa, and retina. She has been treated with combined chemotherapy with dacarbazine, cisplatin and vinblastine. Her symptom was improved after chemotherapy and follow up chest CT after three cycles of chemotherapy showed the decreased tumor size in the mediastinum.

• Tuberculosis and Respiratory Diseases
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• 제45권4호
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• pp.870-875
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• 1998

방선균과 아스페르질루스종 각각은 비교적 흔한 질환이나 폐의 동일 병변에서 방선균과 아스페르질루스가 혼합 감염된 예는 보고 된 바가 없는데 최근 객혈로 내원한 62세 여자 환자의 고립성 폐결절에서 방선균파 아스페르질루스의 혼합 감염을 확인하였기에 보고 하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제67권3호
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• pp.244-248
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• 2009

Primary myelofibrosis is characterized by replacement of bone marrow with fibrotic tissue and the development of extramedullary hematopoiesis. Extramedullary hematopoiesis primarily involves the spleen and liver, but can also occur in the lungs. We report the case of an 80-year-old male who was admitted for evaluation of a lung mass and persistent thrombocytopenia. A percutaneous needle aspiration from the mass in the right lower lung showed myelopoietic cells with fatty tissue. A bone marrow biopsy revealed a hypercellular marrow with an increased number of atypical megakaryocytes. The final diagnosis was a prefibrotic stage of primary myelofibrosis leading to extramedullary hematopoiesis in the lung.

• Tuberculosis and Respiratory Diseases
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• 제40권6호
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• pp.709-713
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• 1993

저자들은 최근 폐에 발생한 다발성 결절을 전산화 단층 유도하 경피적 세침 생검으로 진단하고, 스테로이드 요법으로 완치된 염증성 가종양 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제38권1호
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• pp.65-69
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• 1991

Primary liposarcoma of the mediastinum is a very rare and relatively slow growing tumor. Since the original description by Pallase and Roubier in 1916, there have been about 55 reported cases in world literature until 1985. Recently, we experienced one case of a primary mediastinal liposarcoma with malignant effusion. A 51-year-old man complained of dyspnea and chest discomfort. The chest plain films and computerized tomogram showed a huge mass of the posterior mediastinal space. The needle aspiration biopsy was done in the huge mass and the histologic examination revealed mediastinal round-cell type liposarcoma. Patient refused surgery or chemotherapy after establishing the diagnosis. About 6 months later, the metastatic pleural effusion was noted. After discharge, he was lost to follow up since then. The clinical and therapeutic features of the previously reported cases of primary liposarcoma arising in the mediastinum have been reviewed. Surgery may served to establish a tissue diagnosis, to relieved the patient's symptoms and result occasionally in a cure but radiotherapy or chemotherapy is ineffctive.

• Tuberculosis and Respiratory Diseases
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• 제48권1호
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• pp.103-106
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• 2000

종격동 지방육종 자체가 드문 질환이기 때문에 의심하는 것이 중요하며 빠른 진단과 완전한 외과적 절제와 부가적 치료가 환자의 치료성적을 좌우하는 가장 중요한 인자임을 알아야 할 것이다. 연세대학교 의과대학 흉부외과학교실에서는 완전 절제가 가능하였던 거대한 원발성 종격동 지방육종 l예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다.