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신상윤 ( Sang Yun Shin ),김범경 ( Beom Kyung Kim ),박병훈 ( Byung Hoon Park ),박선철 ( Seon Cheol Park ),박준철 ( Jun Chul Park ),손명균 ( Myoung Kyun Soon ),이승률 ( Seung Yul Lee ),임의 ( Eui Im ),전한호 ( Han Ho Jeon ),정경수 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.4
Fibrosing mediastinitis is a rare disease that is characterized by the proliferation of dense fibrous tissue of the mediastinum. The pathogenesis of fibrosing mediastinitis is unknown in most cases. However, histoplasmosis, tuberculosis, autoimmune disease, radiation therapy, and other idiopathic fibroinflammatory diseases have been implicated in some cases. Most clinical features are related to an obstruction or compression of the mediastinal structure. Fibrosing mediastinitis is often progressive and occurs diffusely throughout the mediastinum. We encountered a case of fibrosing mediastinitis of a very focal lesion without evidence of mediastinal involvement. The condition was confirmed by biopsy and graft bypass surgery was performed because of SVC syndrome. (Tuberc Respir Dis 2007; 63: 387-391)