• Title/Summary/Keyword: school of medicine

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Histopathologic Diagnosis of Pleural Metastasis of Renal Cell Carcinoma Using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

  • Kang, Yeh-Rim;Jhun, Byung-Woo;Jeon, Kyeong-Man;Koh, Won-Jung;Suh, Gee-Young;Chung, Man-Pyo;Kim, Ho-Joong;Kwon, O-Jung;Han, Joung-Ho;Um, Sang-Won
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.5
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    • pp.355-358
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    • 2011
  • Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a useful, safe diagnostic modality for evaluating mediastinal and hilar lymphadenopathy. We report a 51-year-old male who presented with a left renal mass and multiple pleural masses without lung parenchymal lesions. The pleural masses were thought to be metastatic tumors or malignant mesothelioma. The patient underwent two percutaneous needle biopsies of the pleural mass, but the specimens were insufficient for a histopathological diagnosis. Because one pleural mass was adjacent to the right main bronchus, we decided to perform EBUS-TBNA for the pleural mass. As a result, sufficient core tissue was obtained with no complications, and the histopathological findings were consistent with metastatic papillary renal cell carcinoma. To our knowledge, this is the first case of using EBUS-TBNA for a pleural mass.

Primary Pulmonary Malignant Melanoma: An Unexpected Tumor

  • Hwang, Kyo-Bum;Hwang, Ki-Eun;Jung, Jae-Wan;Oh, Su-Jin;Park, Mi-Jeong;Jeong, Young-Hoon;Choi, Keum-Ha;Jeong, Eun-Taik;Kim, Hak-Ryul
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.272-275
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    • 2015
  • Malignant melanoma occurs most frequently on the skin. However, it can also arise in other organs and tissues of the body. Primary pulmonary malignant melanoma is a very rare non-epithelial neoplasm accounting for 0.01% of all primary pulmonary tumors. The treatment of choice is surgical resection of the tumor with an oncologically adequate margin as in lobectomy or pneumonectomy. The prognosis of this condition is rather poor. Based on previous data, its 5-year survival is at least 10%. Here, we report a case of an 82-year-old woman whose primary pulmonary melanoma was detected incidentally.

A Case of Atypical Adenomatous Hyperplasia of Larger Than 2 cm

  • Park, Bo Mi;Cho, Min Ji;Lee, Hyun Seok;Park, Dong Il;Park, Myoung Rin;Kim, Ju Ock;Lee, Jeong Eun;Lee, Choong Sik;Jung, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.6
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    • pp.280-285
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    • 2013
  • Atypical adenomatous hyperplasia (AAH) has been considered to be a precursor lesion of bronchioloalveolar carcinoma (BAC) and pulmonary adenocarcinoma. It usually coexists with BAC and/or an adenocarcinoma. Chest computed tomography reveals multiple well-defined nodules with ground-glass opacity. Usually, AAH does not exceed 10 mm in size. AAH with extensive involvement on one side of the lung field or one that is larger than 2 cm has not been previously reported. We herein report a case of a 71-year-old nonsmoking female with lung AAH of larger than 2 cm.

Intravascular Lipoma of the Right Subclavian Vein (우측 빗장밑정맥에 발생한 혈관 내 지방종 1예)

  • Ryu, Sang Ryol;Park, Ji Young;Ryu, Yong Suc;Yu, Yeon Hwa;Yang, Dong Jin;Lee, Byoung Hoon;Kim, Sang-Hoon;Lee, Jae Hyung;Woo, Jeong Joo
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.2
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    • pp.154-157
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    • 2009
  • Lipomas are common soft tissue tumors that are located in the body tissues containing adipose tissues. However, lipomas arising from the walls of a vein are very rare. Intravascular lipomas have been described most commonly in association with the inferior vena cava. Intravascualar lipomas involving the subclavian vein are rare. We are reporting a case of an asymptomatic lipoma of the right subclavian vein, growing into the right brachiocephalic vein.

A Case of Possible Doxycycline-Resistant Scrub Typhus (Doxycycline 내성이 의심된 Scrub Tybhus)

  • Na, Dong Jib;Han, Sang Hoon;Moon, Kyung Min;Kim, Dong Jin;Lee, Yang Deok;Cho, Yong Seon;Han, Min Soo;Yoon, Hee Jung
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.6
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    • pp.545-548
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    • 2007
  • 쯔쯔가무시병은 추수 시기에 유행하는 대표적인 급성 열성질환으로 여전히 증가 추세에 있다. 의심되는 환자에게 Doxycycline 투여 후 급속한 해열이 질환의 독특한 특징이기도 한데 Doxycycline 투여 96시간 후에도 지속적인 고열과 근육통이 있었던 환자에게 Clarithromycin으로 변경 후 급속한 해열과 함께 증상이 호전된 증례를 보고한다.