• Journal of Chest Surgery
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• 제30권10호
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• pp.1044-1047
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• 1997

폐모세포종은 매우 드문 원발성 폐 종양으로 종괴를 구성하는 선상구조나 간엽조직 성분이 미분화된 태생기때 조직으로 구성되어 있는 종양으로 주로 성인 및 소아에서 발생한다. 본교실에서는 단순 흉부 사진에서 우측폐 하엽에 약 5Cm크기의 이상음영을 보이는 31세 남자에 발생한 폐모세포종 1례를 경험하고 이를 보고하고자한다. 수술전 임상 진단은 원발성 페종양으로 생각되었다. 수술 소견상 직경 6$\times$5$\times$4cm 크기의 단단하고 등근 종괴가 우측폐중엽에 국한되어 있었으며 부분적으로 폐상엽, 심막과 횡격막에 부착되었다. 우측 폐중됩 절제술 및 폐상엽 부분절제와 광범위한 임파절 절제를 동반하여 부분적으로 심막과 횡격막을 절제하였다. 병리조직학적으로 이상성 폐모세포종으로 진단되었다. 이상성 폐모세포종의 예후는 분화가 좋은 태아 선암종에 비해 나쁘며 외과적 절제술 이외에 특별한 치료는 없다. 폐모세포종의 임상적 경과 및 예후와 상세한 분류를 위해서는 가능한한 많은 증례를 수집할 필요가 있다고 생각된다.

• Tuberculosis and Respiratory Diseases
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• 제76권3호
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• pp.131-135
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• 2014

Low-grade endometrial stromal sarcoma (ESS) is an uncommon gynecologic malignancy of mesodermal origin. Pulmonary metastasis of low-grade ESS can occur years and decades after the treatment of the primary disease. Low-grade ESS is frequently mistaken as benign uterine neoplasm like uterine leiomyoma, which can potentially lead to a misdiagnosis. We present a case of a 42-year-old woman with low-grade ESS, that initially presented as an incidental lung mass with multiple pulmonary nodules, seven years after an uterine myomectomy. A $6.9{\times}5.8cm-sized$ intrapelvic mass suspected of uterine origin was discovered while searching for potential extrathoracic primary origin. A pelviscopy and simultaneous thoracoscopic lung biopsy were conducted for pathologic diagnosis. Finally, the diagnosis was confirmed as low-grade ESS with lung metastasis based on the histopathologic examination with immunohistochemical stain, which was showed positive for CD10 and hormone receptor markers (estrogen and progesterone receptors) in both pelvic and lung specimens.

• Tuberculosis and Respiratory Diseases
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• 제45권6호
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• pp.1284-1289
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• 1998

저자들은 59세 여자환자에서 조직학적으로 면역학적으로 이상성 활막육종의 형태를 가진 원발성 폐육종 1예를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.180-189
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• 2015

Accurate lymph node staging of lung cancer is crucial in determining optimal treatment plans and predicting patient outcome. Currently used lymph node maps have been reconciled to the internationally accepted International Association for the Study of Lung Cancer (IASLC) map published in the seventh edition of TNM classification system of malignant tumours. This article provides computed tomographic illustrations of the IASLC nodal map, to facilitate its application in day-to-day clinical practice in order to increase the appropriate classification in lung cancer staging.

• Journal of Chest Surgery
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• 제33권4호
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• pp.338-341
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• 2000

Renal transplant recipients who received immunosuporessive agent are in high risk of development Kaposi's sarcoma. In Korea a few report of Kaposi's sarcoma has been pubilshed but any report of intrathoracic Kaposi's sarcoma provedn by open lung biopsy has not been pulbilshed until now. We report a case of intrathoracic Kaposi's sarcoma developed in a 25 year old Korean man, who had been operated renal transplantation due to end stage renal disease and received cyclosporine and prednisolone as immunosuppessive agent, without any other organ involvment and was proven by open lung biopsy. Although discontinuation of immunosuppressive agent, temporary symptomatic and radilolgic improvement were observed, he died 11 days later after open lung biopsy because of intractable resiratory failure.

• Journal of Chest Surgery
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• 제32권11호
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• pp.1052-1056
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• 1999

The pulmonary sarcomatoid carcinoma is a rare malignant tumor, which is composed of an admixture of carcinomatous and sarcomatous components, and accounts for 0.3% of all pulmonary neoplasms. Clinicopathological features are often related to anatomical location: central endobronchial type and peripheral parenchymal type. Noninvasive diagnostic test had a low yield in detection sarcomatoid carcinoma. Metastasis to the regional lymph nodes and to distant organ is common. The prognosis is poor and the median survival is about 15 months. We report two cases of pulmonary sarcomatoid carcinoma with review of literatures.

• 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.

• Journal of Chest Surgery
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• 제32권11호
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• pp.1057-1059
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• 1999

Lymphangioleiomyomatosis(LAM) is defined as an abnormal proliferation of smooth muscles in the lung tissue throughout lymphatics, vascular and bronchial structure. A 52-year-old postmenopausal woman was admitted to our hospital for recurrent pneumothorax. She was treated for medroxyprogesterone by LAM 1 month ago. We performed operation of pulmonary partial resection and pleurodesis. The patient is receiving continuous medroxyprogesterone and Leuplin administration, and currently, 6 months after the operation, is still showing good results.

• Journal of Chest Surgery
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• 제20권3호
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• pp.574-577
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• 1987

So-called sclerosing hemangioma of the lung is a rare benign neoplasm of uncertain histiogenesis, with a complex but characteristic histologic appearance. We experienced a typical lesion of pulmonary sclerosing hemangioma clinically and histologically, which was removed from the right lower lobe of 22-year-old male and was reviewed by Darryl Carter at Yale University. We discussed histiogenesis, microscopic features and prognosis of the sclerosing hemangioma.

• Journal of Chest Surgery
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• 제34권5호
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• pp.430-433
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• 2001

폐에 발생하는 원발성육종은 모든 연령측에서 매우 드물고 종야잉 꽤 커질 때 까지 증상이 없는 경우가 있다. 갑작스런 흉통을 주소로 내원한 50세 여자는 자발성 혈흉을 동반한 폐종양이 발견되어 수술을 시행하였다. 수술은 우상엽절제술과 임파절곽청술을 시행하였고 술후 병리조직학적 검사에서 섬유육종으로 진단되었다.