흉벽의 임파관종

Lymphangioma of the Chest Wall

  • 김영진 (아주대학병원 흉부외과) ;
  • 이철주 (아주대학병원 흉부외과) ;
  • 소동문 (아주대학병원 흉부외과) ;
  • 김정태 (아주대학병원 흉부외과) ;
  • 강준규 (아주대학병원 흉부외과) ;
  • 홍준화 (아주대학병원 흉부외과)
  • 발행 : 1999.09.01

초록

흉벽의 임파관종은 전 세계적으로 매우 드물게 보고 되어있다. 본원에서는 16세의 여자환자로 우측 상부 후측방 흉벽에 반복적으로 나타나는 거대 종괴를 주소로 내원한 임파관종 환자를 치험하였다. 진단은 이학 적 검사와 흉부 핵자기공명 촬영, 동위원소 임파관 촬영술을 실시하였으며 조직검사로 확진하였다. 치료는 외과적 완전 절제를 하였으며 술후 반복적 림프액의 유출로 수술부위에 vibramycin을 주사하였다.

Lymphangioma(or cystic hygroma) of the chest wall is rare case. We experienced one such case in a 16-year-old girl who complained of a large recurrent mass on her right upper post erolateral chest wall which had developed several years ago. The diagnosis was made following a physical examination, chest magnetic resonance imaging(MRI), and radio isotope (RI) lymphangiogrphy and was confirmed by a histopathological examination. We performed total excision of the lesion followed by a repeated sclerosing therapy with intralesional injection of Vibramycin.

키워드

참고문헌

  1. Laryngoscope v.99 Cystic hygroma-lymphangioma: a rare and still unclear entity Kennedy TL
  2. Am J Otolaryngol v.16 Lymphangioma presenting as a delayed posttraumatic expanding neck mass David K. Nosan;David S. Martin;John A. Stith
  3. Ann Plast Surg v.37 Cystic hygroma of the chest wall: A rare condition Marcos Ardenghy;Yoko Miura;Rodney Kovach;Julio Hochberg
  4. Surgery v.69 no.6 Cystic lymphangioma in children: Report of 32 cases including lesions at rare sites Shivdev Singh;M. L. Baboo;I. C. Pathak
  5. J Pediatr Surg v.9 no.2 Cystic hygroma in children: A report of 126 cases Ninh TN;Ninh TX
  6. Radiology v.162 no.3 Cystic hygroma in children: sonographic-pathologic correlations Sheth S;Nusbaum AR;Hutchings GM;Sanders RC
  7. Radiology v.170 Lymphangiomas in children: MR imaging Siegel MJ;Glazer HS;St. Amour TE(et al)