• Journal of Chest Surgery
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• 제29권4호
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• pp.458-460
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• 1996

경피적 폐생검술은 폐 및 늑막 질환의 진단에 보편적으로 흔히 시행되며 이에 의한 합병증의 발생 빈도는 매우 낮다. 이중 매우 드물지 만 치명적 일 수 있는 합병증 중의 하나는 경피적 폐생검술 후 바늘의 경로를 통한 암세포의 흉벽으로의 전이이다. 환자는 59세 된 여자로 편평상퍼 세포 폐암으로 진단되어 우측폐 상엽절제술을 시행한 후 외래 추적 관찰 6개월째 수술 전 시행한 경피적 폐생검 부위에 종괴가 촉지되어 폐암의 흉벽 전이로 판단하고종 괴를 포함하여 주변 근육들과 함께 확대 절제하였고 이후 방사선 치료 및 항암제 치료를 병 행하였다. 본 인제대학교 의과대학 흉부외과학교실 상계 백병 원에서는 1 례의 폐암 환자에서 경피적 폐생검술 후 암세포가 흉벽으로 전이되 어 외과적으로 치험하였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제70권5호
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• pp.423-427
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• 2011

Epithelioid sarcomas are rare soft tissue sarcomas with a high tumor grade and high local recurrence and metastasis rates. Although the lung is the most common site of metastasis, endobronchial metastasis hasn't been reported yet. We now report a case of epithelioid sarcoma with endobronchial metastasis. A 28-year-old man had recurrent pneumothorax and underwent wedge resection. He presented at our hospital with hemoptysis, dyspnea, and chest pain. Chest computed tomography revealed left pneumothorax, multiple lung nodules and endobronchial lesions at the right lower basal lobe. Bronchoscopy showed a hemorrhagic mass obstructing the bronchus of the right lower basal lobe. Magnetic resonance imaging revealed multiple nodular lesions in the left thigh muscles. The bronchoscopic biopsy of the endobronchial lesion and the muscle biopsy of the thigh showed the same feature epithelioid sarcoma. This is the first case report of an epithelioid sarcoma with endobronchial metastasis that was diagnosed by bronchoscopic biopsy.

• Journal of Chest Surgery
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• 제46권4호
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• pp.316-318
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• 2013

Thoracoscopic needle aspiration is a good alternative for a centrally-located solitary pulmonary nodule (SPN) suspected of being lung cancer without severe pleural adhesion. The authors report the technique of thoracoscopic needle aspiration biopsy in a SPN just in the medial aspect of the truncus anterior pulmonary artery and the right upper lobe bronchus.

• Journal of Chest Surgery
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• 제24권6호
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• pp.631-635
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• 1991

Spontaneous pneumothorax is a rare manifestation of primary lung cancer and it is even more rare as an initial manifestation. Recently we have experienced three cases of lung cancer presenting initially as spontaneous pneumothorax. These three cases involved 2 men and one woman with an average age of 70 years [66 - 74years]. Lung cancer was discovered by explothoracotomy in two cases and by endoscopic biopsy in one case. In pathologic cell types, the one was alveolar cell carcinoma and the others were squamous cell carcinoma. We report these three cases of primary lung cancer presenting initially as spontaneous pneumothorax with review of the literatures.

• Tuberculosis and Respiratory Diseases
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• 제57권5호
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• pp.476-479
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• 2004

철폐증은 철분진을 장기간 흡입하여 발생하는 질환으로, 진단은 환자의 용접등의 철분진에 대한 노출력과 흉부 방사선 소견과 함께 폐내 철분진의 축적을 확인한다. 저자들은 기관지 폐포 세척술 및 경피적 폐생검술을 시행하여 철폐증을 진단한 1예를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제26권9호
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• pp.705-709
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• 1993

The mediastinoscopy was a well known useful diagnostic tool for detection of certain mediastinal tumors ,mediastinal lymph nodes invasion by bronchogenic carcinoma and metastatic cancer. A total of 33 cases of mediastinoscopies were reviewed, which were experienced at Chon Buk National University Hospital from August,1980 to October 1991. Mediastinoscopy was performed through anterior or parasternal approach in 18 cases, cervical approach in 14 cases and both in 1 case. In 12 cases which were used for preoperative stagig of lung cancer, 10 cases[83.3%] had the positive biopsy results at mediastinal nodes. In 11 cases for diagnosis of lymph nodes and masses with unknown lung lesion, small cell carcinoma revealed in 3 cases,squamous cell carcinoma in 2 , adenocarcinoma in 1 case and the others were had the negative biopsy results. In 10 cases for diagnosis of mediastinal tumors, lymphoma revealed in 2 cases, malignant thymoma in 2, sarcoidosis in 2, tuberculous granuloma in 1, mesothelioma in 1, metastatic cancer with unknown origin in 1 case. Thoracotomy was performed in 3 cases of lung cancers, 2 patients with negative biopsy results in preoperative staging and 1 patient with subcarinal lymph node involvement only. Bleeding complications during mediastinoscopy were developed in 2 cases, managed by anterior mini-thoracotomy.

• 대한영상의학회지
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• 제84권1호
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• pp.311-317
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• 2023

컴퓨터단층촬영 유도 경피적 바늘 생검은 폐 이상 진단에 중요한 역할을 하며, 안전하고 효과적이지만 기흉, 출혈, 객혈, 공기 색전증 및 종양 파종과 같은 합병증의 위험이 있다고 알려져 있다. 그러나 시술 후 발생한 기종에 대한 증례 보고는 드물다. 저자들은 원발성 폐암의 경피적 바늘 생검 직후 발생한 기종 2예를 보고하고자 한다. 시술 후 단기 추적검사 컴퓨터단층 촬영에서 바늘 경로를 따라 새로 생긴 결절의 경우 혈종으로 찬 기종을 의심해야 한다.

• Tuberculosis and Respiratory Diseases
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• 제71권3호
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• pp.216-220
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• 2011

Respiratory bronchiolitis-associated interstitial lung disease is one of the smoking-related interstitial lung diseases. Histopathologically, it shows respiratory bronchiolitis, which is characterized by the accumulation of pigmented macrophages within the respiratory bronchioles, accompanying peribronchiolar inflammation. Clinically, it is presented with respiratory symptoms such as a cough, sputum and dyspnea on exertion. It is well known that the incidence of malignancy in interstitial lung disease is high, but in respiratory bronchiolitis-associated interstitial lung disease the report of accompanying malignancy is rare. Here we report a case of a 60-year-old male heavy smoker presented with a cough, sputum and clubbing finger. A chest computed tomography (CT) of the patient did not show any shadow suspected of malignancy, but adenocarcinoma was found on a transbronchial lung biopsy and on a surgical lung biopsy with respiratory bronchiolitis-associated interstitial lung disease.

• Journal of Chest Surgery
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• 제26권6호
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• pp.463-469
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• 1993

From May 1986 to May 1992, 72 patients were diagnosed and operated for primary lung cancer, among them 65 patients were clinically evaluated at the department of Thoracic & Cardiovascular Surgery, Masan Koryo General Hospital. 1. There were 52 males 13 females[M:F=4:1], and 5th, 6th decade of life[72%] was peak incidence. 2. The preoperative diagnosis and its positive rate were sputum cytology 35%, bronchoscopy 47%, pleural effusion cytology 80%, and pleural biopsy 50%. 3. The classification histologic types were squamous cell cancer 71%, adenocarcinoma 17%, undifferentiated cell carcinoma 4.6%, and staging classification were Stage I 31%, Stage II 22%, Stage IIIa 26%, and Stage IIIb 20%. 4. The operative methods were lobectomy 52%, pneumonectomy 36%, and open biopsy 12%, and operability was 89%, resectability was 88%. 5. The postoperative complications developed 13 patients[22%], and operative mortality was 5%. 6. The overall actuarial survival rate was 1year 70%, 2year 42%, 3year 32%, 4year 26%, and 5year 22%, according to Stage 5year survival rate was Stage I 37%, Stage II 22%, Stage IIIa 3year 12%, Stage IIIb 2year 23%. And according to operative method lobectomy 23%, pneumonectomy 19%.

• Journal of Chest Surgery
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• 제25권7호
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• pp.707-710
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• 1992

Percutaneous needle aspiration has been widely used in the diagnosis of pulmonary lesions, because it is a fairly simple procedure with good diagnostic accuracy and low complication rate. Among its complications, the spread of malignant cells along the needle tract is rare but serious one. We report a case of chest wall implantation of lung cancer after the percutaneous fine needle aspiration biopsy. A 57-year-old man had undergone a right upper lobectomy for squamous cell carcinoma [T2N0M0] of the lung, 3 months after the operation, a growing mass, located far from the previous thoracotomy incision, developed on the right anterior chest wall where the diagnostic thin needle biopsy had been performed before the lobectomy. A wide excision of the chest wall mass was performed, and permanent histology showed squamous cell carcinoma as noted before.