Tuberculosis and Respiratory Diseases

  • 제65권4호
  • /
  • Pages.313-317
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  • 2008
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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

우중하엽 폐허탈 및 폐쇄세기관지기질화 폐렴을 유발한 기관지 지방종 1예

A Case of Endobronchial Lipoma Causing Right Middle and Lower Lobes Collapse and Bronchiolitis Obliterans-organizing Pneumonia

  • 손지영 (연세대학교 의과대학 내과학교실) ;
  • 정지예 (연세대학교 의과대학 내과학교실) ;
  • 하유정 (연세대학교 의과대학 내과학교실) ;
  • 홍수정 (연세대학교 의과대학 내과학교실) ;
  • 정민규 (연세대학교 의과대학 내과학교실) ;
  • 정문재 (연세대학교 의과대학 내과학교실) ;
  • 서용성 (연세대학교 의과대학 내과학교실) ;
  • 문지애 (연세대학교 의과대학 내과학교실) ;
  • 변민광 (연세대학교 의과대학 내과학교실) ;
  • 박병훈 (연세대학교 의과대학 내과학교실) ;
  • 문진욱 (연세대학교 의과대학 내과학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김상겸 (연세대학교 의과대학 병리학교실) ;
  • 정경영 (연세대학교 의과대학 흉부외과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실)
  • Son, Ji Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Ji Ye (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Ha, You Jung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Hong, Soo Jung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Min Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Moon Jae (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seo, Yong Sung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon, Ji Ae (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Byun, Min Kwang (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Byung Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon, Jin Wook (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Moo Suk (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Young Sam (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Sang Kyum (Department of Pathology, Yonsei University College of Medicine) ;
  • Chung, Kyung Young (Department of Cardiovascular and Thoracic Surgery, Yonsei University College of Medicine) ;
  • Kim, Se Kyu (Department of Internal Medicine, Yonsei University College of Medicine)
  • 투고 : 2008.07.23
  • 심사 : 2008.08.12
  • 발행 : 2008.10.30
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초록

저자들은 기침, 우측 흉부 불쾌감을 주소로 내원한 58세 남자 환자에서 기관지내시경 육안 소견상 양성 종양이 의심 되었으나 조직 검사상 지방종을 확진하지 못하였고 악성 종양을 배제할 수 없는 상황에서 종괴에 의한 우중엽과 우하엽의 허탈 및 폐쇄성 폐렴 때문에 수술적 치료를 시행하였으며, 수술 결과 기관지 지방종에 의한 폐허탈과 함께 폐쇄세기관지기질화 폐렴이 발생한 예가 있어 보고하는 바이다.

Lipoma is a common neoplasm in soft tissues. However, an intrapulmonary lipoma is a rare benign tumor. Patients with a bronchial lipoma might have a malignant potential related to their smoking history due to the case reports of lung cancer accompanied with lipoma. Endobronchial lipoma can cause irreversible parenchymal lung damage if not diagnosed and treated early. Therefore, it should initially be treated by fiberoptic bronchoscopy or surgery depending on the status of distal parenchymal lung damage. Bronchiolitis obliterans with organizing pneumonia (BOOP) is a pathological syndrome that is defined by the presence of buds of granulation tissue consisting of fibroblasts and collagen within the lumen of the distal air spaces. BOOP is caused by drug intoxication, connective tissue disease, infection, obstructive pneumonia, tumors, or an unknown etiology. We encountered a 58 year-old male patient with endobronchial lipoma, causing the collapse of the right middle and lower lobes, and BOOP due to obstructive pneumonia.

키워드

참고문헌

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