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한민수,강홍모,유지홍,Han, Min-Soo,Kang, Hong-Mo,Yoo, Jee-Hong 대한결핵및호흡기학회 1998 Tuberculosis and Respiratory Diseases Vol.45 No.1
A 64-year-old male was admitted due to weight loss of 5kg during a month. Chest X-ray showed two large, lobulated masses on both lower lobe. Chest CT showed ill-defined, multilobulated mass on left lower lobe and irregular, relatively homogenous mass with air-bronchogram on right lower lobe. Left lower lobectomy and right lower lobectomy was performed sequentially with three months interval. Microscopic findings showed squamous cell carcinoma of both mass. It was thought that this patient had synchronous double primary lung cancer.
이세원 ( Sei Won Lee ),유지홍 ( Jee-Hong Yoo ),박명재 ( Myung Jae Park ),김은경 ( Eun Kyung Kim ),윤호일 ( Ho Il Yoon ),김덕겸 ( Deog Kyeom Kim ),이창훈 ( Chang Hoon Lee ),박용범 ( Yong Bum Park ),박주헌 ( Joo Hun Park ),황용일 ( 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.4
Chronic obstructive pulmonary disease (COPD) is a substantially under-diagnosed disorder, and the diagnosis is usually delayed until the disease is advanced. However, the benefit of early diagnosis is not yet clear, and there are no guidelines in Korea for doing early diagnosis. This review highlights several issues regarding early diagnosis of COPD. On the basis of several lines of evidence, early diagnosis seems quite necessary and beneficial to patients. Early diagnosis can be approached by several methods, but it should be confirmed by quality-controlled spirometry. Compared with its potential benefit, the adverse effects of spirometry or pharmacotherapy appear relatively small. Although it is difficult to evaluate the benefit of early diagnosis by well-designed trials, several lines of evidence suggest that we should try to diagnose and manage patients with COPD at early stages of the disease.