Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case of Pneumocytoma(Sclerosing Hemangioma) with Lymph Node Metastasis. -A Case Report

림프절 전이를 동반한 폐세포종(경화성 혈관종) - 1례 보고 -

  • 정경영 (연세대학교 의과대학 흉부외과학교실) ;
  • 김길동 (연세대학교 의과대학 흉부외과학교실) ;
  • 임상현 (연세대학교 의과대학 흉부외과학교실)
  • Published : 1997.05.01
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Abstract

A case of pneumocytoma(so-called sclerosing hemangioma) with regional Iymph node metastasis is reported. A round lesion in the right hilar region was incidentally found in a 29-year-old man. He underwent right upper lobectomy and Iymph nodes dissection with preoperative impression of bronchogenic adenocarcinoma. The tumor was well circumscribed with characteristic histological feature of sclerosing hemangioma. Several Iymph nodes contained metastatic deposits of proliferating pale cells with formation of glandular spaces. A Ithough pneu ocytoma is said to be benign, quite rare cases apparently show metastatic potential.

경화성 혈관종으로 흔히 부르는 폐세포종(pneumocytoma)은 간혹 다발성으로 발생한 예가 보고되나 림 프절로 전이된 예는 문헌상 세계적으로 1예만이 보고되었다. 연세의대 흉부외과에서는 29세의 남자에서 우연히 발견된 우측 폐문부 폐종괴를 수술전 폐암(선암) 진 단하에 우상엽폐절제술 및 림프절박리술을 시행한 결과, 조직병리검사상 림프절 전이를 동반한 폐세포종 을 경험하였다. 폐세포종은 양성 종양으로 알려져 있으나 매우 드문 경우에서 전이할 수 있음을 보였다.

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References

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