신세포암의 폐 전이와 원발성 폐암이 혼동된 1예
A Case of Primary Lung Cancer Mistaken for Pulmonary Metastasis of Renal Cell Carcinoma
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
폐 종괴를 처음 발견하였을 때는 예후와 치료 방법이 달라질 수 있기 때문에 원발성 종양에 대한 고려, 영상학적 소견, 임상소견을 충분히 고려하여 원발성 폐암인지, 전이성 폐암인지에 대한 구별이 필요하다. 저자들은 신세포암으로 우측 신장 절제술을 받은 62세 남자가 특이 증상 없는 컴퓨터단층촬영 상의 양측 각각 26 mm, 4 mm 크기의 종괴로 내원하여 시행한 조직 검사에서 우측 폐에서 원발성 편평상피세포암 진단 후 우측 우상측 폐엽 절제술 시행 및 그 후 좌상측 폐 종괴의 조직검사 통해 신세포암의 전이가 발견된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Renal cell carcinoma (RCC) is rare relative to other urological cancers, but relatively common overall among males. Even when primary tumors are successfully removed by surgery, metastases are often noted within a few years. On the other hand, masses found at other sites in patients with RCC may represent different primary cancers. We present the case of a 63-year-old man with a right lung mass and a left lung nodule who underwent radical right nephrectomy for RCC. We found no local recurrence of RCC in the abdomen. Despite treatment for RCC, the right lung mass increased in size. We performed a lung needle biopsy and diagnosed primary lung cancer. Postoperatively, the remaining left lung nodule also increased in size. It was diagnosed as an RCC metastasis upon biopsy and removed by wedge resection. The patient was treated with everolimus after the second surgery.
참고문헌 (10)
- Siegel R, "Cancer statistics, 2013", CACancer J Clin, 63, pp.11~30 (2013)
- Park S, "Renal cell neoplasms: recent advances", Ewha Med J, 37, pp.16~25 (2014)
- Janzen RM, "Obscure gastrointestinal bleeding from an ampullary tumour in a patient with a remote history of renal cell carcinoma:a diagnostic conundrum", Can J Gastroenterol, 12, pp.75~78 (1998)
- Malhotra G, "Bronchoalveolar carcinoma of lung masquerading as iodine avid metastasis in a patient with minimally invasive follicular carcinoma of thyroid", Clin Nucl Med, 33, pp.26~29 (2008)
- Rustagi T, "Duodenal bleeding from metastatic renal cell carcinoma", Case Rep Gastroenterol, 5, pp.249~257 (2011)
- Gupta K, "Epidemiologic and socioeconomic burden of metastatic renal cell carcinoma (mRCC): a literature review", Cancer Treat Rev, 34, pp.193~205 (2008)
- Russo P, "Renal cell carcinoma: presentation, staging, and surgical treatment", Semin Oncol, 27, pp.160~176 (2000)
- Piltz S, "Long-term results after pulmonary resection of renal cell carcinoma metastases", Ann Thorac Surg, 73, pp.1082~1087 (2002)
- Jung DC, "Pulmonary metastasis from renal cell carcinoma: characterization using contrastenhanced CT attenuation value measurements", J Comput Assist Tomogr, 33, pp.54~57 (2009)
- Jaklitsch MT, "The American Association for Thoracic Surgery guidelines for lung cancer screening using low-dose computed tomography scans for lung cancer survivors and other high-risk groups", J Thorac Cardiovasc Surg, 144, pp.33~38 (2012)