Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A case of Tumoral 'Pneumonia' Caused by Prostatic Adenocarcinoma

전이성 전립선암에서 발생한 종양성 폐렴

  • Seo, Ki-Hyun (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine) ;
  • Hwang, Hyen-Gyu (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine) ;
  • Park, Seung-Chul (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine) ;
  • Park, Kwan-Seok (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine) ;
  • Moon, Seung-Hyug (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University, Collage of Medicine)
  • 서기현 (순천향대학교 의과대학 내과학교실) ;
  • 황헌규 (순천향대학교 의과대학 내과학교실) ;
  • 박승철 (순천향대학교 의과대학 내과학교실) ;
  • 박관석 (순천향대학교 의과대학 내과학교실) ;
  • 문승혁 (순천향대학교 의과대학 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실)
  • Published : 1999.02.28
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Abstract

The lung is one of the most frequent sites of metastasis for extrathoracic tumors. Certain malignancies show a particular tendency to metastasize to lung, and in 15 to 25% of these cases, lung involvement is the only manifestation of metastatic disease. The most common presentation is the form of multiple bilateral nodules or masses of varying sizes. Lymphangitic metastasis is comprising 6 to 8% of all pulmonary metastasis. A striking variant of parenchymal involvement occures when dyscohesive tumor cells fill alveoli to produce a tumoral pneumonia. Carcinomatous lymphangitis of prostate origin is infrequent and usually carries a poor prognosis, and tumoral pneumonia of it is extremely rare. We report herein a case of prostate carcinoma metastasizing to lung, simulates atypical pneumonia, and disclosed by acute chest illness.

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