산전초음파에서 종격동 종괴 소견을 보인 폐분리증 1예
A case of pulmonary sequestration mimicking mediastinal mass detected by prenatal ultrasonography
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
폐분리증은 기관지폐 앞창자 기형의 드문 형태로 정상적인 기관-기관지 나무로부터 분리되어 있어 기능을 하지 못하는 폐실질 조직으로 정의하며 체순환으로부터 혈액공급을 받는 특징을 가진다. 폐분리증은 초음파상에서 초음파 반향이 증가된 종괴로 관찰되며, 도플러상에서 대동맥에서 종괴로 가는 혈액공급을 확인하게 되는 경우 폐분리증의 진단이 용이해 진다. 저자들은 임신 21주에 산전초음파상 종격동 종괴로 관찰되었으며, 출생 이후 흉강경을 이용한 종괴 절제술을 통해 병리학적으로 종격동에 위치한 폐분리증으로 확진된 1예를 경험하였기에 간단한 문헌고찰과 함께 국내에서 최초로 보고하는 바이다.
Abstract
Pulmonary sequestration is a developmental anomaly of broncho-pulmonary foregut with nonfunctioning parenchymal tissue, which usually supplied by systemic circulation. Pulmonary sequestration is detected by ultrasonography as a homogeneous echogenic mass and also by Doppler blood flow from systemic circulation to the mass. Pulmonary sequestration is classified into intralobar type and extralobar type. Extralobar type accounts for only 15~25% of the cases and it is subdivided into intrathoracic forms, which are most commonly found and extrathoracic type, which includes intraabdominal, retroperitoneal, or mediastinal masses. We report a rare case of prenatal detection of mediastinal mass with a brief review of literatures, which was confirmed to be a pulmonary sequestration by surgical mass excision after birth.
참고문헌 (17)
- Gomez L, "Fetal retroperitoneal pulmonary sequestration with an atypical vascular pattern", Prenat Diagn, 29, pp.290~291 (2009)
- Kestenholz PB, "Thoracoscopic treatment of pulmonary sequestration", Eur J Cardiothorac Surg, 29, pp.815~818 (2006)
- Pryce DM, "Lower accessory pulmonary artery with intralobar sequestration of the lung: report of cases", J Pathol, 58, pp.457~467 (1946)
- Bromley B, "Fetal lung masses: prenatal course and outcome", J Ultrasound Med, 14, pp.927~936 (1995)
- Becmeur F, "Pulmonary sequestrations; prenatal ultraound diagnosis, treatment and outcome", J Pediatr Surg, 33, pp.492~496 (1998)
- Carrasco R, , J Thorac Cardiovasc Surg, 123, pp.188~189 (2002)
- Laje P, "Intraabdominal pulmonary sequestration: A case series and review of the literature", J Pediatr Surg, 41, pp.1309~1312 (2006)
- Corbett HJ, "Pulmonary sequestration", Paediatr Respir Rev, 5, pp.59~68 (2004)
- Chan Y, "Pulmonary sequestration presenting as a prenatally detected suprarenal lesion in a neonate", J Pediatr Surg, 35, pp.1367~1369 (2000)
- 김재우, "산전 초음파로 발견된 복강내 외엽형 폐분리증", 대한외과학회지, 54, pp.911~914 (1998)
- Sepulveda W, "Perinatal imaging in bronchopulmonary sequestration", J Ultrasound Med, 28, pp.89~94 (2009)
- Adzick NS, "Fetal surgery for lung lesions, congenital diaphragmatic hernia, and sacrococcygeal teratoma", Semin Pediatr Surg, 12, pp.154~167 (2003)
- Davenport M, "Current outcome of antenally diagnosed cystic lung disease", J Pediatr Surg, 39, pp.549~556 (2004)
- Savic B, "Lung sequestration: report of seven cases and review of 540 published cases", Thorax, 34, pp.96~101 (1979)
- Louie HW, "Pulmonary sequestration: 7-year experience at UCLA", Am Surg, 59, pp.801~805 (1993)
- Cavoretto P, "Prenatal diagnosis and outcome of echogenic fetal lung lesions", Ultrasound Obstet Gynecol, 32, pp.769~783 (2008)
- 강은지, "태아수종을 동반한 폐분리증: 흉-양막강 단락술을통한 성공적인 태아 치료 1예", Korean Journal of Obstetrics and Gynecology, 48(11), pp.2687~2693 (2005), 대한산부인과학회