Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Primary Pul monary Carcinosarcorna -A case of report-

폐의 원발성 암육종 -1례 보고-

  • 안상구 (순천향대학교 천안병원 흉부외과) ;
  • 김재영 (순천향대학교 천안병원 흉부외과, 순천향대학교 의과대학 병리학교실)
  • Published : 1996.09.01
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Abstract

Pulmonary carcinosarcon!as are rare malignant tumors consisting of an admixture of epithelial and mas- enchymal elements of the type ordinarily seen in malignancies of adults. Compared with all pulmonary neoplasms it occurs with a frequency of 0.3% and has a strong association with smoking. Carcinosarcomas be divided into two clinicopathologic groups based on the locution of the lung: a solid parenchymal type and a central or endobronchial lesion Noninvasive diagnostic tests have a rather low yield in detecting carcinosarcoma. The most frequent metastatic sites are hilar and mediastinal Lymph nodes. Surgical resection is both diagnostic and the initial treatment. The prognosis is poor and average postoperative survival is 9 months. We report one case of pulmonary carcinosarcoma demonstrated by immunohlstochemical staining in a 61 year old male patient with a review of literatures.

폐의 암육종은 상피조직과 간염조직이 혼재하는 악성종양으로 전체 폐종양의 0.3%에 불과한 매우 희귀한 종양이며 흡연과 깊은 관계가 있는 질환이다. 폐에서의 위치에 따라 비교적 예후가 양호한 endobronchial type과 빠른 원격전이로 예후가 불량한 solid parenchymal type으로 분류된다. 비침습적 진단방법으론 발견이 어렵고 생검에 의해 종종 발견된다. 폐문과 종격동으로 전이를 잘하며 광범위 절제가 치료의 기본이고 항암제 요법을 병용하기도 한다. 암육종의 예후는 매우 불랑하여 술후 평균생존 기간은 9개월 정도이고 2년까지 생존율은 10% 미만인것으로 보고 된다.

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References

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