대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제78권4호
  • /
  • Pages.284-288
  • /
  • 2018
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

종양 내 구불구불한 동맥류성 혈관 확장을 보이는 자궁 육종의 폐전이: 증례 보고

Pulmonary Metastasis Originated from Uterine Sarcoma, Presenting as Multiple Nodules with Tortuous, Serpentine, Aneurysmal, Dilated Intratumoral Vessels: A Case Report

  • 장현지 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 김성수 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 박희선 (충남대학교 의과대학 충남대학교병원 호흡기내과) ;
  • 이정은 (충남대학교 의과대학 충남대학교병원 호흡기내과) ;
  • 김진환 (충남대학교 의과대학 충남대학교병원 영상의학과)
  • Jang, Hyeon Ji (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Song Soo (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Park, Hee Sun (Division of Pulmonology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Lee, Jeong Eun (Division of Pulmonology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Jin Hwan (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 투고 : 2017.06.29
  • 심사 : 2017.11.11
  • 발행 : 2018.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

악성 종양으로부터의 폐전이는 다양한 범위의 영상학적 소견을 보인다. 폐전이의 몇 가지 특징들에서는 종양의 원발 위치를 유추할 수 있는 것으로 알려져 있다. 저자들은 흉부 전산화단층촬영에서 다수의 전이성 폐 결절 내부에 구불구불하게 늘어난 혈관들을 보이는, 독특한 양상의 자궁 육종 폐전이 1예를 경험하였기에 이를 보고하고자 한다.

Pulmonary metastases present a wide spectrum of radiological findings, some of which have been known to be useful for analogizing the possible origin or site of primary tumors. In the present report, we describe a unique case of pulmonary metastasis manifesting on chest computed tomography as multiple nodules with tortuous, serpentine, aneurysmal, dilated, inner intratumoral vessels. The metastasis originated from uterine sarcoma.

키워드

참고문헌

  1. Davis SD. CT evaluation for pulmonary metastases in patients with extrathoracic malignancy. Radiology 1991;180: 1-12 https://doi.org/10.1148/radiology.180.1.2052672
  2. Seo JB, Im JG, Goo JM, Chung MJ, Kim MY. Atypical pulmonary metastases: spectrum of radiologic findings. Radiographics 2001;21:403-417 https://doi.org/10.1148/radiographics.21.2.g01mr17403
  3. Daly BD, Cheung H, Gaines PA, Bradley MJ, Metreweli C. Imaging of alveolar soft part sarcoma. Clin Radiol 1992;46: 253-256 https://doi.org/10.1016/S0009-9260(05)80165-5
  4. Choi JI, Goo JM, Seo JB, Kim HY, Park CK, Im JG. Pulmonary metastases of alveolar soft-part sarcoma: CT findings in three patients. Korean J Radiol 2000;1:56-59 https://doi.org/10.3348/kjr.2000.1.1.56
  5. Shah SH, Jagannathan JP, Krajewski K, O'Regan KN, George S, Ramaiya NH. Uterine sarcomas: then and now. AJR Am J Roentgenol 2012;199:213-223 https://doi.org/10.2214/AJR.11.7287
  6. Tirumani SH, Deaver P, Shinagare AB, Tirumani H, Hornick JL, George S, et al. Metastatic pattern of uterine leiomyosarcoma: retrospective analysis of the predictors and outcome in 113 patients. J Gynecol Oncol 2014;25:306-312 https://doi.org/10.3802/jgo.2014.25.4.306
  7. Sahdev A, Sohaib SA, Jacobs I, Shepherd JH, Oram DH, Reznek RH. MR imaging of uterine sarcomas. AJR Am J Roentgenol 2001;177:1307-1311 https://doi.org/10.2214/ajr.177.6.1771307
  8. Ueda M, Otsuka M, Hatakenaka M, Sakai S, Ono M, Yoshimitsu K, et al. MR imaging findings of uterine endometrial stromal sarcoma: differentiation from endometrial carcinoma. Eur Radiol 2001;11:28-33 https://doi.org/10.1007/s003300000541
  9. Kreibich M, Siepe M, Kroll J, Hohn R, Grohmann J, Beyersdorf F. Aneurysms of the pulmonary artery. Circulation 2015; 131:310-316 https://doi.org/10.1161/CIRCULATIONAHA.114.012907
  10. Nguyen ET, Silva CI, Seely JM, Chong S, Lee KS, Muller NL. Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography. AJR Am J Roentgenol 2007;188:W126-W134 https://doi.org/10.2214/AJR.05.1652