Tuberculosis and Respiratory Diseases
- 제50권2호
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- Pages.245-251
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- 2001
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
신장평활근종증을 동반한 폐임파관평활근종증 1례
A Case of Lymphangioleiomyomatosis with Renal Angiomyolipoma
- 강순복 (중앙대학교 내과) ;
- 박성진 (중앙대학교 내과) ;
- 이상훈 (중앙대학교 내과) ;
- 정도영 (중앙대학교 내과) ;
- 유지훈 (중앙대학교 내과) ;
- 김재열 (중앙대학교 내과) ;
- 박인원 (중앙대학교 내과) ;
- 최병휘 (중앙대학교 내과) ;
- 손동섭 (중앙대학교 흉부외과) ;
- 김미경 (중앙대학교 해부병리과)
- Kang, Soon-Bock (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Park, Sung-Jin (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Lee, Sang-Hoon (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Jung, Do-Young (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Yoo, Ji-Hoon (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Kim, Jae-Yeol (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Park, In-Won (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Choi, Byoung-Whui (Department of Internal Medicine Chung Ang University College of Medicine) ;
- Son, Dong-Sub (Department of Chest surgery Chung Ang University College of Medicine) ;
- Kim, Mee-Kyung (Department of Pathology Chung Ang University College of Medicine)
- 발행 : 2001.02.28
초록
저자들은 신장의 혈관근지방종을 동반한 폐임파관평활근종증 1예를 경험하였기에 폐임파관평활근종증에 대한 문헌고찰과 함께 보고하는 바이다.
Recently we have experienced one case of pulmonary lymphangioleiomyomatosis(LAM). A 49 year-old woman visited the outpatient department complaining of longstanding dyspnea, which was aggravated by exercise. Although the chest PA film showed nothing more than a slight increase in interstitial marking, a lung HRCT revealed multiple cystic lesions of a similar size that were scattered through out the whole field in both lungs. An abdominal CT detected an angiomyolipoma located in the midbody of the left kidney. Video-assisted thoracic surgery(VATS) was performed for the pathologic diagnosis. On gross examination of the biopsy lung, a pulmonary LAM was confirmed by a finding of smooth muscle proliferation in the interstitum of the lung. After the final diagnosis, oral medroxyprogesterone was prescribed and she is presently in a stable condition.