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조주연 ( Joo Yeon Cho ),이현경 ( Hyun Kyung Lee ),이성순 ( Sung Soon Lee ),이혜경 ( Hye Kyung Lee ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),김주인 ( Joo In Kim ),최수전 ( Soo Jeon Choi ),염호기 ( Ho Kee Yum ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.5
Acute fibrinous and organizing pneumonia (AFOP) is a histological pattern consisting of prominent intra-alveolar fibrin and organizing pneumonia, with out hyaline membranes or prominent eosinophilia. The clinical manifestations of AFOP resemble those of acute lung injury such as acute interstitial pneumonia (AIP). However, the classic histological patterns of AFOP differ from diffuse alveolar damage (DAD), bronchiolitis obliterans with organizing pneumonia (BOOP) or acute eosinophilic pneumonia (AEP). The characteristic intra-alveolar fibrin ball and lack of classic hyaline membrane are the predominant histological features of AFOP. Although some reports suggest that its clinical course is less catastrophic than DAD, the clinical entity that distinguishes AFOP from DAD has not been established. We present a case of pathologically demonstrated AFOP in a 79-year-old man. The radiological findings of our case were similar to those of DAD, presented with diffuse bilateral lung infiltrations. However, despite the rapid development of respiratory failure, the patient had a better response and outcome to steroid therapy than what would be expected for DAD. (Tuberc Respir Dis 2006; 61: 479-483)
기관지내시경 검사상 우연히 발견된 무증상의 기관지 과립세포종 2예
강은희,이성홍,나영숙,최태영,남궁준,정병오,이혁표,김주인,염호기,최수전,조혜제,이혜경,Kang, Eun-Hee,Lee, Sung-Hong,Na, Young-Sook,Choi, Tae-Young,NamGung, June,Jeoung, Byung-Oh,Lee, Hyuk-Pyo,Kim, Joo-In,Yum, Ho-Kee,Choi, Soo-Jeon,Cho, Hye 대한결핵및호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.1
저자들은 타질환으로 입원중 기관지내시경검사상 우연히 발견된 과립세포종 2예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granular cell tumor(formerly named to be granular cell myoblastoma) was first described by Abrikossoff in 1926 and is a rare tumor thought to be of Schwann cell origin. It can occur at any soft tissue of the body, but most cases are found at the tongue, skin, breast and GI tract Only 6% of them occur in respiratory system. We report two cases of asymptomatic granular cell tumor of the bronchus that were detected incidentally by bronchoscopy. One patient had aspiration pneumonia, the other had immotile cilia syndrome. The former patient was simply observed and bronchoscopic extirpation of the tumor was done in the latter patient.