• Tuberculosis and Respiratory Diseases
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• 제67권2호
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• pp.131-134
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• 2009

Pulmonary papillomas are rare benign epithelial neoplasms arising in bronchial surface epithelium. They are categorized by a variety of cell types including squamous, glandular, and mixed squamous and glandular type. Among them, glandular papilloma is extremely rare and has not been reported in Korea. The patient was a 52 year-old man presenting with a 4-months' history of recurrent hemoptysis. Bronchofiberoscopy revealed a whitish, glistening, and polypoid mass lesion at the proximal bronchus in the basal segment of the left lower lung. Bronchoscopic biopsy was performed; papillary fronds lined by ciliated or nonciliated pseudostratified columnar epithelium were noted on histologic findings. We present the first case of glandular papilloma in Korea. Two years later, the patient visited our hospital again due to hemoptysis. On follow-up bronchoscopy, a mass that had been found previously showed an increase in size.

• Tuberculosis and Respiratory Diseases
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• 제69권1호
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• pp.43-47
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• 2010

We report a case of Mycobacterium intracellulare pulmonary infection presenting as a solitary pulmonary nodule (SPN). A 35-year-old male was admitted due to a SPN in the right upper lobe which was detected on the chest radiography being examed due to recurrent cough for 1 year. The computed tomography (CT) revealed a spiculated nodule containing air-bronchogram, which was suspicious of malignancy. We performed transbronchial biopsy and the pathology showed granulomatous inflammation with caseous necrosis. Under the presumptive diagnosis of pulmonary tuberculosis, we started anti-tuberculous medication including isoniazid, rifampin, ethambutol, and pyrazinamide. In one month, however, the sputum culture was positive for Mycobacterium intracellulare. The follow-up chest CT showed slight aggravation of the previous lesions. Under the final diagnosis of Mycobacterium intracellulare pulmonary infection presenting as a solitary pulmonary nodule, we changed the regimen to rifampin, ethambutol, and clarithromycin. The follow-up chest CT after the completion of treatment, revealed resolution of the previous lesions.

• Tuberculosis and Respiratory Diseases
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• 제45권3호
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• pp.649-653
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• 1998

폐동정맥루를 보이는 환자의 40~60%에서 유전성 출혈성모세혈관확장증이 동반되어 나타나고, 유전성 출혈성 모세혈관 확장증 환자의 약 15% 정도에서 폐동정맥루가 관찰되므로 폐동정맥루 환자에서는 가족력에 대한 조사가 필요하다. 국내에서 폐동정맥루에 대한 보고는 상당수 있어 왔으나 가족력의 동반을 보고한 예는 없었다. 저자들은 객혈을 주소로 입원하여 폐동정맥루로 진단받고 wire coil spring을 이용하여 색전술을 시행한 23세 여자 환자 1예와 그 가족력을 소개하여 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제52권4호
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• pp.405-410
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• 2002

저자들은 37세 여자환자에서 반복적인 구강궤양 증상 외에 베체트병을 진단하는데 필요한 특별한 주증상이 없이 폐동맥류의 발현으로 용의형 베체트병에 의한 폐혈관합병증의 병발임을 알게된 본 증례를 통해, 드물지만 특별한 병력이 없이 폐동맥류가 발현된 환자에서 베체트병의 폐침범 가능성을 고려하여야 함을 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.584-588
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• 2004

수년간의 반복되는 객혈로 내원한 21세 여자환자에서 방사선학적 소견상 진균덩이가 의심되어 흉강경을 이용한 우하엽 절제술을 시행하였으며, 절제한 조직의 병리 조직학적 검사상 기관지 기원 낭내 발생한 국균종과 이에 동반된 방선균증으로 진단된 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제68권6호
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• pp.358-362
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• 2010

Intralobar pulmonary sequestration is a rare congenital lung anomaly. It is defined as a portion of nonfunctioning lung parenchyma that receives its blood supply from an anomalous systemic artery. Patients often present with chronic or recurrent pneumonia. A chest radiograph may show a cystic lesion with air-fluid levels in the lung base. A high index of suspicion is needed for a diagnosis. Surgical removal of a symptomatic intralobar pulmonary sequestration is generally the treatment of choice. Identifying the aberrant artery is a difficult problem when resecting a pulmonary sequestration. The thoracic and abdominal aortas are the most common origins for the abnormal blood supply. However, arterial supply from the celiac artery is quite rare. We present a case of intralobar pulmonary sequestration with the blood supply originating from the celiac artery.

• Tuberculosis and Respiratory Diseases
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• 제76권5호
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• pp.233-236
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• 2014

Catamenial hemoptysis is a rare condition, characterized by recurrent hemoptysis associated with the presence of intrapulmonary or endobronchial endometrial tissue. Therapeutic strategies proposed for intrapulmonary endometriosis with catamenial hemoptysis consist of medical treatments and surgery. Bronchial artery embolization is a well-established modality in the management of massive or recurrent hemoptysis, but has seldom been used for the treatment of catamenial hemoptysis. We report a case of catamenial hemoptysis associated with pulmonary parenchymal endometriosis, which was successfully treated by a bronchial artery embolization.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1286-1291
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• 1992

We have experienced 456 cases of spontaneous pneumothorax from January, 1981 to December, 1991 at the department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital. Of these, 102 cases were recurrent pneumothorax. These 102 cases were based on the retrospective clinical analysis, and the results were as follows: The ratio of male to female was 6.2: 1 in male predominance and the old aged patients, over 50 years old, occupied 46.8%a of all patients. Primary spontaneous pneumothorax was 43 cases[42.6%] and secondary spontaneous pneumothorax was 59 cases. The underlying pathology in secondary spontaneous pneumothorax was tuberculosis: 31 cases[30.4%], emphysema and chronic obstructive pulmonary disease: 27 cases[26.1%], Most frequent operative and pathologic findings in the primary and the secondary spontaneous pneumothorax was bullae and blebs at apex. The employed managements were only closed thoracostomy in 41 cases, open thoracot-omy in 61 cases. The operative procedures at thoracotomy were bullectomy or bullae ligation in 37 cases, bullae resection with wedge resection in 8 cases, bullae resection with segmentectomy in 6 cases, bullae resection with decortication in 3 cases, lobectomy in 5 cases, decortication in 2 cases. Complications were subcutaneous emphysema[5 cases], wound infection[1 case], and temporary pulmonary insufficiency[1 cases]

• Tuberculosis and Respiratory Diseases
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• 제56권3호
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• pp.302-307
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• 2004

저자들은 기존에 국내에서 보고된 3예와는 달리 만성적인 폐실질 손상이 없었던 환자에서 국균종과 ABPA가 합병되어 prednisone과 itraconazole 치료로 증상 및 검사상의 호전을 보였던 1예를 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제78권4호
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• pp.380-384
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• 2015

Systemic arterial supply from the descending thoracic aorta to the basal segment of the left lower lobe without a pulmonary arterial supply is a rare congenital anomaly within the spectrum of sequestration lung disease. The most common pattern of anomalous systemic artery to the lung arises from the descending thoracic aorta and feeds the basal segments of the left lower lobe. We report an extremely rare case of a 29-year-old woman who underwent a successful left upper lobectomy for the treatment of recurrent massive hemoptysis from anomalous bronchial arterial supply to the lingular segment of left upper lobe.