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증례 : 호흡기 ; 전신마취하 경직성 기관지 내시경으로 치료한 과오종 1예
반희정 ( Hee Jung Ban ),지수영 ( Su Young Chi ),오인재 ( In Jae Oh ),김규식 ( Kyu Sik Kim ),주진영 ( Jin Yung Ju ),권용수 ( Yong Soo Kwon ),김유일 ( Yu Il Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.3
기관지 내 과오종은 조직학적으로는 양성이나 기관지 폐쇄나 객혈 등을 야기하여 폐실질 조직 손상을 일으킬 수 있는 잠재적으로 위험한 종양이므로 비가역적인 손상이 발생하기 전에 적절한 치료가 필요한데, 숙련된 의료진에 의한 경직성 기관지 내시경적 종양절제술이 안전하고 효과적으로 이용될 수 있어 문헌고찰과 함께 보고하는 바이다. A 54-year-old man presented with a cough, sputum, and fever. His chest X-ray showed atelectasis in the right middle lobe. Computed tomography revealed obstruction of the bronchus intermedius by an endobronchial tumor. The first bronchoscopic biopsy specimens suggested lipoma. We resected the tumor via rigid bronchoscopy under general anesthesia and the final pathology report revealed a cartilaginous hamartoma. Subsequently, he has been followed for more than 1 year without recurrence. (Korean J Med 77:349-352, 2009)
김영일 ( Young Il Kim ),지수영 ( Su Young Chi ),반희정 ( Hee Jung Ban ),주진영 ( Jin Yung Ju ),권용수 ( Yong Soo Kwon ),오인재 ( In Jae Oh ),김규식 ( Kyu Sik Kim ),김유일 ( Yu Il Kim ),김영철 ( Young Chul Kim ),임성철 ( Sung Chul 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5
Factitious hemoptysis is the bleeding type of Munchausen`s syndrome, and this describes a group of patients who intentionally produce symptoms. Because factitious hemoptysis is a very rare manifestation of hemoptysis, it generally passes unnoticed. We report here on a case of factitious hemoptysis in a 15-year-old boy who presented with hemoptysis. During his three hospitalizations, we conducted many diagnostic procedures, including chest CT, laryngoscopy, bronchoscopy and bronchial arteriography, yet we failed to find the definitive cause of the patient`s hemoptysis. He kept on complaining of repetitive hemoptysis and seizure-like activity. His father discovered that he had collected his blood into the specimen cup via an intravenous line. After we removed the intravenous line, he did not show blood to us again. We suggest that factitious hemoptysis should be considered in the differential diagnosis of hemoptysis of an unclear bleeding focus, and especially when the patient has a bizarre hospital course or unusual behavior. We also include a review of the relevant literature. (Tuberc Respir Dis 2008;65:396-399)
김희경 ( Hee Kyung Kim ),반희정 ( Hee Jung Ban ),지수영 ( Su Young Chi ),채동렬 ( Dong Ryeol Chae ),조계중 ( Gye Jung Cho ),임정환 ( Jung Hwan Lim ),주진영 ( Jin Yung Ju ),권용수 ( Yong Soo Kwon ),오인재 ( In Jae Oh ),김규식 ( Kyu 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.2
A sarcoidosis is a multisystemic granulomatous disorder that has a predilection for pulmonary involvement, and the common radiological findings for the disease are bilateral nodular or reticulonodular patterns. Pseudoalveolar sarcoidosis is a rare presentation of sarcoidosis. The radiological finding is an alveolar pattern that involves or compresses the alveoli by clustered interstitial granuloma. A 58-year-old man was admitted due to incidental findings of a unilateral consolidative lesion as seen on chest radiography. A chest computed tomography (CT) examination showed multiple bronchoalveolar consolidations that were suspicious of a malignancy. However, a percutaneous needle biopsy revealed non-caseating granuloma with an asteroid body that was compatible with sarcoidosis. After one month, the consolidative lesions improved without any treatment. (Tuberc Respir Dis 2008;64:149-152)