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이찬주 ( Chan Joo Lee ),최준정 ( Jun Jeong Choi ),전한호 ( Han Ho Jeon ),정경수 ( Kyung Soo Jung ),박병훈 ( Byung Hoon Park ),박선철 ( Seon Cheol Park ),신상윤 ( Sang Yun Shin ),정우영 ( Wou Young Chung ),변민광 ( Min Kwang Byu 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.5
Angiosarcoma is a rare but highly malignant tumorthat usually arises in the scalp or face of elderly males. Distant metastases favor the lung, liver, lymph nodes and skin. Metastatic pulmonary angiosarcoma commonly takes the form of a nodule but can sometimes appear as a thin-walled cyst. We report a case of 65 years-old male with a spontaneous pneumothorax, who underwent excision and radiotherapy for an angiosarcoma of the scalp 2 years ago. A chest CT scan revealed multiple cysts in the lung. The video-assisted thoracoscopic lung biopsy demonstrated subpleural cysts without tumor cells. A skin biopsy of the scalp showed an angiosarcoma. This case was diagnosed as a recurrence of an angiosarcoma with a supposed lung metastasis. This case suggests that a spontaneous pneumothorax in elderly people may be secondary to a pulmonary metastasis from an angiosarcoma of the scalp. (Tuberc Respir Dis 2008;64:374-378)
김지혜 ( Ji Hye Kim ),최지현 ( Ji Hyun Choi ),김준범 ( June Bum Kim ),김학주 ( Hak Ju Kim ),박향준 ( Hyang Joon Park ),이재승 ( Jae Seung Lee ),조옥자 ( Ok Ja Joh ),송계용 ( Kye Yong Song ),최준정 ( Jun Jeong Choi ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.4
Metastatic carcinoma of the penis is rare and in most cases is associated with primary malignancy of the pelvic organs with widespread metastasis. A 64-year-old man presented with a 2 month history of skin-colored papules on his penis. He also had a history of total gastrectomy and chemotherapy due to advanced gastric carcinoma. Skin biopsy from the lesion revealed atypical polygonal cells with hyperchromatic & pleomorphic nuclei in the dermis. Results of immunohistochemical staining showed a positive reaction of CK7, and a negative reaction of CK20, PSA, and CD68. We report herein a case of metastatic cancer of the penis from gastric carcinoma. (Korean J Dermatol 2010;48(4):306~309)
증례 : 혈액종양 ; 가돌리늄 기반 조영제 주입 후에 발생한 신성 전신 섬유화증 1예
홍민희 ( Min Hee Hong ),구향모 ( Hyang Mo Koo ),최준정 ( Jun Jeong Choi ),안정련 ( Jung Ryun Ahn ),전홍재 ( Hong Jae Chon ),김찬 ( Chan Kim ),이승태 ( Seung Tae Lee ) 대한내과학회 2010 대한내과학회지 Vol.78 No.1
신성 전신 섬유화증은 가돌리늄 제제에 노출된 신부전 환자에게서 나타날 수 있는 전신성 질환으로, 예후가 불량하며 특별한 치료방법이 없으므로 예방이 중요한 질환이다. 저자들은 국내에서 최초로 보고하는 바이다. Nephrogenic systemic fibrosis is a rare multisystemic disorder mainly affecting the skin and joints in patients with underlying renal insufficiency exposed to gadolinium-based contrast. We report a patient who had renal insufficiency caused by multiple myeloma and developed nephrogenic systemic fibrosis after exposure to gadolinium-based contrast for the first time in Korea. (Korean J Med 78:127-131, 2010)