Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Lung Cancer Obscured by Endobronchial Aspergilloma

기관지내 아스페르길루스종으로 오인된 폐암 1예

  • Ham, Hyun Seok (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Lee, Seung Jun (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Cho, Yu Ji (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Jeong, Yi Yeong (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Jeon, Kyoung Nyeo (Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University) ;
  • Kim, Ho Cheol (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Lee, Jong Deok (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Hwang, Young Sil (Department of Internal Medicine, College of Medicine, Gyeongsang National University)
  • 함현석 (경상대학교 의과대학 내과학교실) ;
  • 이승준 (경상대학교 의과대학 내과학교실) ;
  • 조유지 (경상대학교 의과대학 내과학교실) ;
  • 정이영 (경상대학교 의과대학 내과학교실) ;
  • 전경녀 (경상대학교 의과대학 진단방사선과학교실) ;
  • 김호철 (경상대학교 의과대학 내과학교실) ;
  • 이종덕 (경상대학교 의과대학 내과학교실) ;
  • 황영실 (경상대학교 의과대학 내과학교실)
  • Received : 2006.04.18
  • Accepted : 2006.06.23
  • Published : 2006.08.30
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Abstract

A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.

저자들은 종괴와 폐허탈로 내원한 환자에서 기관지내시경을 이용한 조직검사에서 기관지내 아스페르길루스종으로 진단되어 치료하였으나 종괴의 크기가 증가하여 시행한 경피적 폐생검을 통해 악성 폐종양으로 진단된 예를 경험하여 보고하는 바이다.

Keywords

References

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