Tuberculosis and Respiratory Diseases

  • 제63권2호
  • /
  • Pages.173-177
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  • 2007
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

전이암으로 오인된 다원성(multifocal) 결핵 1예

A Case of Multifocal Tuberculosis Mimicking Metastatic Malignancy

  • 조인정 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 임소연 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 천은미 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 류연주 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 이진화 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심윤수 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 장중현 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심성신 (이화여자대학교 의학전문대학원 진단영상의학과교실) ;
  • 배정호 (이화여자대학교 의학전문대학원 이비인후과교실)
  • Cho, In Jeong (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Im, So Yeon (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Chun, Eun Mi (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Ryu, Yon Ju (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Lee, Jin Hwa (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Sim, Yun Su (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Jang, Jung Hyun (Department of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Shim, Sung Shin (Department of Radiology, Dongdaemun Hospital, Ewha Womans University, School of Medicine) ;
  • Bae, Jung Ho (Department of Otorhinolaryngology, Dongdaemun Hospital, Ewha Womans University, School of Medicine)
  • 투고 : 2007.05.03
  • 심사 : 2007.07.04
  • 발행 : 2007.08.30
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초록

저자들은 FDG-PET과 전산화 단층 촬영에서 인두, 복부, 흉부에 악성 종양이 의심되는 소견이 보여 점막 표피모양 암종으로 오인된 복강내 결핵, 인두 결핵, 기관지 결핵이 동반된 환자를 조직 검사를 통하여 결핵으로 진단하였고, 이 환자에게 항 결핵제 투여의 치료를 통하여 추적 전산화 단층 촬영에서 호전 경과를 보인 1예를 경험하였기에 이를 보고하는 바이다.

Tuberculosis remains as a major public health problem worldwide. In addition to classic pulmonary tuberculosis, tuberculosis may sometimes present atypically. In the case of atypical tuberculosis, the unusual sites and properties that mimic other diseases can lead to a misdiagnosis and therapeutic delay. Abdominal and pharyngeal tuberculosis are uncommon extrapulmonary manifestations of tuberculosis. To the best of our knowledge, a combination of abdominal and pharyngeal tuberculosis with endobronchial tuberculosis has not been reported. We report a case of concurrent abdominal and pharyngeal tuberculosis in a patient with chronic endobronchial tuberculosis mimicking a metastatic malignancy on computed tomography and FDG-PET.

키워드

참고문헌

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