폐와 간의 동시성 원발성 중복암
Synchronous Double Primary Cancers of Lung and Liver
이진화 (이화여자대학교)
천은미 (이화여자대학교)
김유경 (이화여자대학교)
안재호 (이화여자대학교)
류연주 (이화여자대학교)
이정경 (이화여자대학교)
성순희 (이화여자대학교)
장중현 (이화여자대학교)
김태헌 (이화여자대학교)
심윤수 (이화의대)
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초록
최근 평균수명의 연장과 진단 및 치료 방법의 발달로 원발성 중복암의 발견율이 높아지고 있다. 폐와 간에 발생한 중복암, 특히 동시성 중복암에 대한 보고는 매우 드물다. 저자 등은 만성기침을 호소하는 73세 남자에서 폐의 편평상피세포암을 진단한 후, 복부초음파에서 간 종괴를 발견하여 폐암의 전이를 의심하였으나 FDG-PET에 간 전이가 없어서 초음파 유도로 간 생검을 시행한 결과 간세포암을 진단하여, 폐와 간의 동시성 중복암을 경험하였기에 문헌고찰과 더불어 보고한다.
- keywords
- Double primary cancer, Lung cancer, Hepatocellular carcinoma., Double primary cancer, Lung cancer, Hepatocellular carcinoma.
Abstract
Although reports of multiple primary malignant tumors have increased recently, cases of synchronous double primary tumors of lung and liver are rare. A 73-year-old man suffered from chronic cough. His chest x-ray showed segmental atelectasis of the right upper lobe. Bronchoscopy revealed a mass occluding the orifice of the anterior segmental bronchus of the right upper lobe, and a biopsy showed a squamous cell carcinoma. A synchronous hepatic mass was found by ultrasonography. However, F18-FDG-PET showed no evidence of a distant metastasis. The liver biopsy revealed a hepatocellular carcinoma. A right upper lobe lobectomy and a sleeve resection were performed for the lung cancer, and radiofrequency ablation was performed for the hepatocellular carcinoma. (Tuberc Respir Dis 2007; 62: 318-322)
- keywords
- Double primary cancer, Lung cancer, Hepatocellular carcinoma., Double primary cancer, Lung cancer, Hepatocellular carcinoma.
참고문헌
Engin K. Cancers in multiple primary sites. Int Surg 1994,
(2005) Clinical analysis of multiple primary malignancies in the digestive system: a hospital-based study,
a survey of the literature and statistical study. Am J Cancer 1932,
Baggenstoss AH. Multiple primary malignant neoplasms. II. Tumors of different tissues or organs. Cancer 1961,
Mersheimer WL. Multiple primary cancer. Thirty patients with three or more primary cancers. Am J Surg 1975,
(1999) Clinical analysis of 65 multiple primary cancer cases,
relative risk in New Mexico's triethnic population. Cancer 1977,
et al. Multiple primary cancers associated with lung cancer. J Korean Cancer Assoc 1994,
Juhasz J. Secondary malignant tumors accompanied by primary hepatocellular carcinoma. Acta Hepatogastroenterol 1979,
Chen TJ. Hepatocellular carcinoma associated with second primary malignancy. Liver 1987,
(1995) Clinical study on hepatocellular carcinoma with extrahepatic malignancies,
Chien CS. Hepatocellular carcinoma and hepatitis B virus. A prospective study of 22 707 men in Taiwan. Lancet 1981, Lin CC
et al. Hepatitis B and primary hepatocellular carcinoma in a European population. Lancet 1978,
(2003) Clinicopathologic characteristics of hepatocellular carcinoma with extrahepatic malignancy,
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