Journal of Chest Surgery

  • 제42권6호
  • /
  • Pages.789-791
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  • 2009
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  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

이소성 간으로 오진된 좌폐 하엽의 결핵종

A Tuberculoma in the Left Lower Lobe of Lung That Was Erroneously Diagnosed as Ectopic Liver

  • 송동섭 (원광대학교 산본병원 흉부외과) ;
  • 한원철 (원광대학교 산본병원 병리학과)
  • Song, Dong-Seop (Department Thoracic and Cardivascular Surgery, Sanbon Medical Center, Wonkwang University) ;
  • Han, Weon-Cheol (Department Pathology, Sanbon Medical Center, Wonkwang University)
  • 발행 : 2009.12.05
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초록

폐의 결핵종은 드물지 않게 관찰되는 소견이다. 그러나, 폐의 이소성 간은 매우 드물다. 결핵종으로 보여지는 폐결핵은 방사선적 소견으로 진단이 가능하지만 확진은 항산균을 확인하거나 조직학적 소견으로 한다. 초음파하 세침 흡인 조직 검사로 이소성간으로 잘못 진단된 좌하엽의 결핵종 증례를 보고한다. 간의 정상적 변이에 대한 이해가 불필요한 침습적 시술을 예방할 수 있으리라 생각된다.

Tuberculoma of the lungs is not an uncommon finding, but an ectopic liver in the lung is extremely rare. Pulmonary tuberculosis presenting as tuberculoma can be diagnosed radiologically, but its definite diagnosis is established by confirmation of the acid-fast bacillus or the unique histology. We report here on a case of tuberculoma of the left lower lobe that was erroneously diagnosed as ectopic liver by ultrasono-guided fine needle aspiration biopsy. An understanding of the normal variants of the liver can prevent a patient from undergoing an unnecessary invasive procedure.

키워드

참고문헌

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