후종격동에 발생한 비기능성 부신경절종(Paraganglioma) 1례

A Case of Nonfunctioning Paraganglioma of the Posterior Mediastinum

  • 문영철 (영남대학교 의과대학 내과학교실) ;
  • 유성근 (영남대학교 의과대학 내과학교실) ;
  • 박혜정 (영남대학교 의과대학 내과학교실) ;
  • 신경철 (영남대학교 의과대학 내과학교실) ;
  • 이충기 (영남대학교 의과대학 내과학교실) ;
  • 정진홍 (영남대학교 의과대학 내과학교실) ;
  • 이관호 (영남대학교 의과대학 내과학교실) ;
  • 김미진 (영남대학교 의과대학 병리학교실) ;
  • 이정철 (영남대학교 의과대학 흉부외과학교실)
  • Mun, Yeung Chul (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Yu, Sung Keun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Hye Jung (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Shin, Kyeong Cheol (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Choong Ki (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Chung, Jin Hong (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Kwan Ho (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Mi Jin (Department of Pathology, College of Medicine, Yeungnam University) ;
  • Lee, Jung Cheul (Department of Cardiovascular and Thoracic Surgery, College of Medicine, Yeungnam University)
  • 발행 : 2000.12.30

초록

저자들은 객혈을 주증상으로 내원한 34세 남자에게서 전산화단층촬영과 진단적 흉강경검사를 통해 후종격동내 병소를 확인한 후, 종괴절제술을 시행함으로써 조직학적 및 임상적으로 비기능성 부신경절종으로 진단한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Paraganglioma is a tumor from the extra adrenal paraganglion system and is rarely observed in the mediastinum. The authors experienced a case of nonfunctioning paraganglioma of the posterior mediastinum. The patient was 34-years-old male in whom abnormal mass lesion was nites in chest radiograph with hemoptysis. His blood pressure and serologic examination were within normal range upon admission to our hospital. Chest CT revealed a tumor in the left lower lobe. Diagnostic thoracoscopy was performed and diagnosed a posterior mediastinal mass. Surgical resection was them performed. Posterior mediastinal mass was removed successfully and histological examination of the surgical specimen diagnosed paraganglioma. He received radiotherapy after surgery and was followed up. Related literature are reviewed.

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