• Journal of Chest Surgery
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• 제32권11호
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• pp.1060-1063
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• 1999

Amyloidosis is a rare disease which is characterized by the deposition of a histochemically specific substance called amyloid in many tissue bodies, and causes various symptoms according to the organs involved. Amyloid is usually recognized by its staining reaction with Congo red stain. Primary pulmonary amyloidosis is very rare. Nodular pulmonary amyloidosis is an uncommon entity that usually manifests itself as an asymptomatic incidental finding on the chest roentgenogram and is misdiagnosed as lung cancer or pulmonary tuberculosis.

• 대한세포병리학회지
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• 제11권2호
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• pp.99-102
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• 2000

Pulmonary amyloid deposition generally occurs with concurrent primary systemic amyloidosis. Localized forms of pulmonary amyloidosis are rare and appear most frequently as an incidental finding on chest radiographs. We present a case of nodular pulmonary amyloid tumor suggested by fine needle aspiration cytology(FNAC) and confirmed by histology examination with the polarizing light microscopy. A 41-year-old woman presented with ill-defined nodules. In the middle and lower lobes of both lungs. FNAC of the nodules revealed waxy, acellular amorphous fragments. Thoracotomy for diagnosis may be avoided by FNAC diagnosis of this unusual lesion.

• Tuberculosis and Respiratory Diseases
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• 제78권4호
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• pp.385-389
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• 2015

Amyloidosis is defined as the presence of extra-cellular deposits of an insoluble fibrillar protein, amyloid. The pulmonary involvement of amyloidosis is usually classified as tracheobronchial, parenchymal nodular, or diffuse alveolar septal. A single nodular lesion can mimic various conditions, including malignancy, pulmonary tuberculosis, and fungal infection. To date, only one case of nodular pulmonary amyloidosis has been reported in Korea, a case involving multiple nodular lesions. Here, we report and discuss the case of a patient having single nodular amyloidosis.

• Journal of Chest Surgery
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• 제49권3호
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• pp.218-220
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• 2016

We report a case of inadvertent hoarseness after surgery for primary pulmonary amyloidosis. A 55-year-old male was transferred to our facility due to a lung mass. Chest computed tomography revealed a solitary pulmonary nodule. Positron emission tomography-computed tomography showed fluorodeoxyglucose uptake in the main mass and in the mediastinal lymph nodes. To confirm the pathology of the mass, wedge resection and thorough lymph node dissection were performed via video-assisted thoracic surgery (VATS). No complications except for hoarseness were observed; hoarseness developed soon after surgery and lasted for 3 months. The main mass was diagnosed as amyloidosis, but this was not found in the lymph nodes. In conclusion, VATS wedge resection for peripheral amyloidosis is a feasible and safe procedure. However, mediastinal lymph node dissection is not recommended unless there is evidence of a clear benefit.

• Tuberculosis and Respiratory Diseases
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• 제44권6호
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• pp.1426-1432
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• 1997

Sj$\ddot{o}$gren's syndrome(SS) is a chronic inflammatory disorder characterized by lymphocytic infiltration of lacrimal and sailvary glands, which results in dry eyes and dry mouth. SS may exist as a primary condition or as a secondary condition in association with connective tissue disease such as rheumatoid arthritis, systemic lupus erythematosus, or progressive systemic sclerosis. We experienced a patient with primary SS who developed multiple bullae, nodular type of pulmonary amyloidosis and lymphocytic interstitial peumonitis. We believe this to be the first reported case of SS acompanied by these three types pulmonary manifestations at the same time.

• Tuberculosis and Respiratory Diseases
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• 제76권6호
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• pp.292-294
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• 2014

Primary tracheal amyloidosis (PTA) can lead to airway obstructions, and patients with severe PTA should undergo bronchoscopic interventions in order to maintain airway patency. Focal airway involvements with amyloidosis can only be treated with mechanical dilatation. However, the PTA with diffused airway involvements and concomitant cartilage destructions requires stent placement. Limited information regarding the usefulness of silicone stents in patients with PTA has been released. Therefore, we report a case of diffused PTA with tracheomalacia causing severe cartilage destruction, which is being successfully managed with bronchoscopic interventions and silicone stent placements.

• Tuberculosis and Respiratory Diseases
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• 제42권2호
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• pp.250-255
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• 1995

미만성 기관기관지형 유전분증은 폐를 침범하는 유전분증 중에서 기침, 호흡곤란, 혈담 및 반복되는 폐렴 등의 증상을 일으키고 기관지경 검사에서 기관 및 여러 기관지에 종괴를 형성하는 질환이다. 저자들은 58세 여자 환자에서 발생한 미만성 기관기관지형 유전분증을 기관지경하 생검으로 진단하고 전기조작술을 시행하여 기관지협착을 성공적으로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제52권2호
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• pp.174-178
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• 2002

기침 및 호흡곤란 주소로 내원한 43세 남자 환자에서 흉부 전산화 단층촬영 및 기관지경하 생검으로 다른 장기의 침범 없이 폐에만 국한된 미만성 기관기관지형 유전분증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제49권3호
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• pp.365-371
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• 2000

유전분증은 비정상적인 섬유성 형태의 단백질이 세포 외 조직에 침착하는 질환이고, 원발성 폐유전분증은 매우 드물게 보고되고 있다. 원발성으로 발생한 경우 기관기관지형은 기도폐쇄를 일으킬 경우에 외과적 절제술이나 레이저 치료술로 치료를 해야하고 미만성 폐포격막형인 경우 호흡부전과 객혈 등으로 예후가 나쁘지만, 결절성인 경우에는 대부분 예후가 좋은 편이나, 드물게는 호흡곤란, 중증 객혈, 및 호흡부전을 일으킬 수 있으며 단일 결절일 때는 악성 종양과의 감별 및 치료적 방법으로 수술적 절제가 필요할 수도 있다. 저자들은 타 장기의 침윤이 없이 폐에만 단독으로 침범한 원발성 다발성 결절성 유전분증 1예를 조직검사를 통하여 확진 후 문헌 고찰과 함께 보고하는 바이다.

• 고신대학교 의과대학 학술지
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• 제33권2호
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• pp.200-207
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• 2018

Tracheobronchopathia osteoplastica (TO) is a rare benign disease in which the anterior inner wall of the tracheobronchus changes because of abnormal chondrogenesis or ossification, while the posterior wall of the trachea is spared. The etiology is not clearly understood, but may relate with chronic infection, inflammation, and trauma. In some case studies, it has also been reported to be accompanied by other chronic diseases such as atrophic rhinitis and amyloidosis. However, Coexistence of TO and tuberculosis has rarely been reported, and has never been reported in Korea. Here, we report a case of a 70-year-old male patient who complained of hemoptysis and whose case was diagnosed as TO and pulmonary tuberculosis through bronchoscopy with bronchial washing and biopsy.