혈관육종의 낭성 폐전이에 의한 기흉 1예
A Case of Pneumothorax Caused by Cystic Lung Metastasis of Angiosarcoma
김영삼 (연세대학교)
김세규 (연세대학교)
장준 (연세대학교)
김성규 (연세대학교)
박무석 (연세대학교)
최준정 (연세의대)
전한호 (연세의대)
정경수 (연세의대)
박병훈 (연세의대)
박선철 (연세의대)
신상윤 (연세의대)
정우영 (연세의대)
변민광 (연세의대)
문지애 (연세의대)
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- 조회수
초록
혈관육종은 매우 드문 악성종양으로 고령 남자의 두피나 얼굴에 주로 발생하며, 폐로 전이되는 경우가 있다. 폐전이의 경우 객혈, 기흉 등의 호흡기계 증상을 일으킬 수 있다. 저자들은 혈관육종의 폐전이가 낭성변화를 일으켜 기흉 및 혈흉을 초래한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
- keywords
- Angiosarcoma, Cyst, Lung metastasis, Pneumothorax
Abstract
Angiosarcoma is a rare but highly malignant tumorthat usually arises in the scalp or face of elderly males. Distant metastases favor the lung, liver, lymph nodes and skin. Metastatic pulmonary angiosarcoma commonly takes theform of a nodule but can sometimes appear as a thin-walled cyst. We report a case of 65 years-old male with a spontaneous pneumothorax, who underwent excision and radiotherapy for an angiosarcoma of the scalp 2 years ago. A chest CT scan revealed multiple cysts in the lung. The video-assisted thoracoscopic lung biopsy demonstrated subpleural cysts without tumor cells. A skin biopsy of the scalp showed an angiosarcoma. This case was diagnosed as a recurrence of an angiosarcoma with a supposed lung metastasis. This case suggests that a spontaneous pneumothorax in elderly people may be secondary to a pulmonary metastasis from an angiosarcoma of the scalp.
- keywords
- Angiosarcoma, Cyst, Lung metastasis, Pneumothorax
참고문헌
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