다기관 침범을 동반한 거대 폐 모세포종
A Case of Huge Pulmonary Blastoma With Multiorgan Invasion
김소리 (전북대학교)
박성주 (전북대학교)
이양근 (전북대학교)
민경훈 (전북대학교)
이흥범 (전북대학교)
이용철 (전북대학교)
이가영 (전북의대)
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초록
폐모세포종은 폐종양으로 매우 드물게 나타나며 드물게 간, 흉외 림프절, 심장으로 전이된다고 보고되고 있다. 본 저자들은 복부의 팽만감과 통증 및 호흡곤란을 주소로 내원한 환자에서 간과 폐의 거대 종괴를 발견하였고, 조직 검사를 통하여 간, 횡격막, 심장 등 다발성 침범을 동반한 폐모세포종으로 진단받은 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
- keywords
- Pulmonary blastoma, Lung cancer, Metastasis.증례, Pulmonary blastoma, Lung cancer, Metastasis.증례
Abstract
A pulmonary blastoma is a rare malignant tumor of the lung that is composed of epithelial and mesenchymal elements and resembles the structure of an embryonic lung. Pulmonary blastomas have a very poor prognosis and make up 0.25 to 0.5 percent of all primary malignant lung tumors. A pulmonary blastoma usually manifests as a solitary parenchymal mass or nodule and multiple subpleural mass with effusion on chest X-ray and computed tomography. We encountered a very rare case of pulmonary blastoma in a 52 years old male. He complained of abdominal pain, fullness, and dyspnea. The radiology examination revealed a huge lung mass invading the mediastinum, heart, diaphragm, and liver. The percutaneous needle biopsies were performed, and this tumor was diagnosed as a pulmonary blastoma. We report a biopsy confirmed case of a huge pulmonary blastoma invading multiple organs. (Tuberc Respir Dis 2007; 62: 149-153)
- keywords
- Pulmonary blastoma, Lung cancer, Metastasis.증례, Pulmonary blastoma, Lung cancer, Metastasis.증례
참고문헌
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