치은으로 전이된 소세포 폐암 1예

A Case of Small Cell Lung Cancer Metastasis to the Gingiva

  • 이규승 (충남대학교 의과대학 내과학교실) ;
  • 이연선 (충남대학교 의과대학 내과학교실) ;
  • 권선중 (충남대학교 의과대학 내과학교실) ;
  • 안진영 (충남대학교 의과대학 내과학교실) ;
  • 김명훈 (충남대학교 의과대학 내과학교실) ;
  • 박희선 (충남대학교 의과대학 내과학교실) ;
  • 강동원 (충남대학교 의과대학 내과학교실) ;
  • 김근화 (충남대학교 의과대학 내과학교실) ;
  • 정성수 (충남대학교 의과대학 내과학교실) ;
  • 송규상 (충남대학교 의과대학 조직 병리과학교실) ;
  • 김주옥 (충남대학교 의과대학 내과학교실) ;
  • 김선영 (충남대학교 의과대학 내과학교실)
  • Lee, Kyu-Seung (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Lee, Yun-Seon (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Kwon, Seon-Jung (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Ahn, Jin-Young (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Kim, Myung-Hoon (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Park, Hee-Sun (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Kang, Dong-Won (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Kim, Geun-Hwa (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Jeong, Seong-Su (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Song, Kyu-Sang (Department of Pathology, College of Medicine, Chungnam National University) ;
  • Kim, Ju-Ock (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Kim, Sun-Young (Department of Internal Medicine, College of Medicine, Chungnam National University)
  • 발행 : 2001.07.30

초록

폐암의 치은에의 전이는 매우 드물게 발생되는 질환으로 아직 국내보고는 없었다. 흉부 전산화단층촬영 및 조직검사를 통하여 치은으로 전이된 소세포 폐암으로 진단되어 항암화학요법과 방사선 치료를 받았으나 1년 후 사망한 증례를 경험하였기에 보고하는 바이다.

The incidence of lung cancer and its mortality rate are increasing in Korea. At the time of diagnosis, 40% patients of lung cancer patients had metastatic lesions. The common metastatic sites are the contralateral lung, bone, liver, adrenal gland and the brain. Metastasis to oral mucosa is rarely encountered in lung cancer and metastasis to the gingiva is more uncommon. Approximately 1% of malignant carcinomas in the oral cavity are the result of metastases, and 10-25% of metastatic cancers originate from lung cancer. Clinically metastatic gingival lesions are benign including hemangioma, pyogenic granuloma, giant-cell granuloma or a peripheral fibroma. Often metastases to the gingiva are diagnosed too late and by the time they are detected, they have metastases to other organs. Here we report a case of small cell lung carcinoma that had metastased to the gingiva with review of relevant literature.

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