The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Intracardiac Thymic Carcinoma Presenting as Congestive Hepatopathy

울혈성 간병증으로 발현한 심장내 흉선암종 1예

  • Hwang, Jin Tae (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Min Hee (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chang, Ki Jun (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chang, Hyo Jeong (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Yu, Sung In (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Yuh, Young Jin (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hyun Jung (Department of Pathology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 황진태 (인제대학교 의과대학 상계백병원 내과) ;
  • 김민희 (인제대학교 의과대학 상계백병원 내과) ;
  • 장기준 (인제대학교 의과대학 상계백병원 내과) ;
  • 장효정 (인제대학교 의과대학 상계백병원 내과) ;
  • 유성인 (인제대학교 의과대학 상계백병원 내과) ;
  • 유영진 (인제대학교 의과대학 상계백병원 내과) ;
  • 김현정 (인제대학교 의과대학 상계백병원 병리과)
  • Published : 2012.11.01
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Abstract

Thymic carcinoma is a rare but aggressive epithelial neoplasm with a strong propensity for early local invasion and widespread metastasis. It is common for thymic carcinomas to invade the lungs, pericardium, and great vessels. However, invasion of thymic carcinoma into the right atrium, right ventricle, mediastinum, and superior vena cava is very rare. There have been sporadic reports on intracardiac thymic carcinomas globally and only one case report in South Korea to date. We herein report a case of intracardiac thymic carcinoma presenting as right-sided heart failure with congestive hepatopathy.

흉선암종은 흉선 기원의 상피세포 종양으로, 주변림프절전이나 원격전이를 보이는데, 폐나 심장막, 혈관 등에 침범 할 수 있다. 하지만 흉선암종이 우심방, 우심실, 상대정맥내로 침범하여 우심부전 및 울혈성 간병증을 유발하는 경우는 매우 드물다. 우심방내로 침범한 흉선종은 전 세계적으로 산발적인 몇몇 보고만 있을 뿐이고, 국내에서도 1예만 보고되어 있다. 저자들은 심장내 흉선암종이 우심부전 및 울혈성 간병증을 보인 1예를 경험하여 보고하는 바이다.

Keywords

References

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