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이상국 ( Sang Kook Lee ),이상훈 ( Sang Hoon Lee ),김송이 ( Song Yee Kim ),이우경 ( Woo Kyung Lee ),신동호 ( Dong Ho Shin ),방우대 ( Woo Dae Bang ),노송미 ( Song Mi Noh ),심효섭 ( Hyo Sup Shim ),박병훈 ( Byung Hoon Park ),이경종 ( 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.2
We report a case of Caplan`s Syndrome, which presented as multiple pulmonary nodules. A 58-year-old male was admitted to hospital due to multiple pulmonary nodules. In addition, the patient presented with multiple arthritis, and dyspnea on exertion. Rheumatoid arthritis had been diagnosed 35 years ago. The patient had worked as a stonemason for 20 years. Computed Tomography (CT) revealed numerous well-defined tiny nodules scattered in both lungs, which was suspicious of miliary tuberculosis or malignancy. The patient was started on antituberculous medications and referred to our hospital. First, a transbronchial lung biopsy was performed, which showed no evidence of granuloma. It was our opinion that the biopsy was insufficient, and a follow-up video-associated thoracoscopy was performed. The pathological report determined necrotizing granulomatous inflammation and silicosis on background. According to imaging studies, pathologic reports, and clinical symptoms, we concluded that the patient had Caplan`s syndrome. We controlled his rheumatic medications, and instructed him to avoid exposure to hazardous dust.
박세호 ( Se Ho Park ),김승일 ( Seung Il Kim ),박병우 ( Byeong Woo Park ),박형석 ( Hyung Seok Park ),이준상 ( Jun Sang Lee ),이종석 ( Jong Seok Lee ),노송미 ( Song Mi Noh ),구자승 ( Ja Seung Koo ),김민정 ( Min Jung Kim ),김은경 ( E 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.2
유방의 과립세포 종양은 드물게 발생하는 양성 종양으로 말초 신경의 신경섬유초 세포에서 기원하는 것으로 알려져 있다. 과립세포종양의 임상적, 영상의학적 소견은 유방의 악성 종양 소견과 유사하여 양성 종양임에도 불구하고 악성 종양으로 오인되기 쉽다. 저자들은 갑상선 기능 항진증으로 추적 관찰 중인 54세 여자의 우측 유방에서 중심 침생검과 면역조직화학 염색으로 진단된 과립세포종양 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Granular cell tumor (GCT) of the breast is an uncommon, usually benign tumor originating from Schwann cells of peripheral nerves. Clinical and radiological findings of GCTs are similar to those of malignant tumors, and GCTs of the breast are often confused with breast cancer clinically or radiologically. We experienced 1 case of GCT diagnosed by core needle biopsy and immunohistochemical staining in the right breast of 54-year-old woman with Graves`s disease and report the case with a review of the literature.