기관지 내시경으로 제거한 기관지 지방종 = An Endobronchial Lipoma Treated by Bronchoscopic Excision

다국어 초록 (Multilingual Abstract)

A 68-year-old man presented with partial atelectasis of the right middle lobe on chest X-ray. Computed tomography of the chest revealed a hypodense mass in the middle lobe. Bronchoscopy showed a round mass obstructing the right middle lobe bronchus, and a biopsy specimen revealed only chronic inflammation. The tumor was removed using rigid bronchoscopy, and a diagnosis of endobronchial lipoma was made. An endobronchial lipoma is a very rare benign tumor that may cause parenchymal lung damage due to bronchial obstruction and subsequent pneumonia. We report this case to emphasize the role of endoscopic treatment in the management of endobronchial lipoma. (Korean J Med 2011;80:337-342)

참고문헌 (Reference)

1 박찬범, "흉부컴퓨터 단층촬영으로 진단된 기관지내 지방종 -1례 보고-" 대한흉부외과학회 36 (36): 39-42, 2003

2 손지영, "우중하엽 폐허탈 및 폐쇄세기관지기질화 폐렴을 유발한 기관지 지방종 1예" 대한결핵및호흡기학회 65 (65): 313-317, 2008

3 문석환, "기도 내 양성 종양의 굴곡형 내시경하 절제술" 대한흉부외과학회 36 (36): 699-702, 2003

4 Jae-Chol Choi, "ThE Role of Endoscopic Surgery for Completely Obstructive Endobronchial Benign Tumor" 대한내과학회 21 (21): 15-19, 2006

5 Cockroft DW, "Endobronchial lipoma: two cases and review of the literature" 115 : 326-328, 1976

6 Muraoka M, "Endobronchial lipoma: review of 64 cases reported in Japan" 123 : 293-296, 2003

7 Raymond GS, "Endobronchial lipoma: helical CT diagnosis" 173 : 1716-, 1999

8 Mata JM, "Endobronchial lipoma: CT diagnosis" 15 : 750-751, 1991

9 Schraufnagel DE, "Endobronchial lipoma" 75 : 97-99, 1979

10 Cheu HW, "Endobronchial hamartoma treated by bronchoscopic excision" 86 : 1164-1165, 1993

11 Ortiz-Saracho J, "Endobronchial hamartoma resected by rigid bronchoscope" 7 : 445-446, 1993

12 Shah H, "Benign tumors of the tracheobronchial tree: endoscopic characteristics and role of laser resection" 107 : 1744-1751, 1995

13 Arrigoni MG, "Benign tumors of the lung: a ten-year surgical experience" 60 : 589-599, 1970

14 Nassiri AH, "A multicenter retrospective study investigating the role of interventional bronchoscopic techniques in the management of endobronchial lipomas" 75 : 79-84, 2008

15 Lee JM, "A case report of endobronchial lipoma" 30 : 116-118, 1997

16 Kim HJ, "A case of endobronchial lipoma causing middle lobe syndrome" 44 : 191-196, 1997

17 Chung SS, "A case of endobronchial lipoma causing left lung collapse" 55 : 415-419, 1998

18 Rokitansky C, "A Manual of Pathological Anatomy" Sydenham Society 1854