신장이식 환자에서 발생한 다발성 Kaposi육종 - 1예 보고 -
Multiple Kaposi’s Sarcoma in the Renal Transplant Patient - A case report -
대한병리학회지 1999년 33권 11호 p.1097 ~ 1101
고재경, 이연수, 정은선, 강석진, 김병기, 김선무,
소속 상세정보
고재경 ( Koh Jae-Kyung )
가톨릭대학교 의과대학 임상병리학교실
이연수 ( Lee Yeon-Soo )
가톨릭대학교 의과대학 임상병리학교실
정은선 ( Jung Eun-Sun )
가톨릭대학교 의과대학 임상병리학교실
강석진 ( Kang Seok-Jin )
가톨릭대학교 의과대학 임상병리학교실
김병기 ( Kim Byung-Kee )
가톨릭대학교 의과대학 임상병리학교실
김선무 ( Kim Sun-Moo )
가톨릭대학교 의과대학 임상병리학교실
KMID : 0357919990330111097
Abstract
The Kaposi’s sarcoma, which was found in an immunosuppressed patient of renal transplantation, may have been developed by long term use of immunosuppressant agent after the renal transplantation. The case was a 29-year-old woman who was diagnosed as chronic renal failure in 1988, and since then, she had been on CAPD until May, 1997. After the renal transplantation in May 1997, the patient has been prescribed cyclosporin and prednisone as immunosuppressant agent. In June 1997, she showed clinical symptom of Kaposi’s sarcoma with multiple papules and nodules in the skin and viscera, such as ureter, urinary bladder, stomach, duodenum and subcutaneous tissue of the chest. Multiple excisional biopsies were carried out in the skin, ureter, urinary bladder, stomach and duodenum. All of excisional biopses indicated nodular stages with extensive proliferation of spindle shaped, somewhat pleomorphic cells which have slit-like vascular spaces, proliferation of small vessels, and extravasation of erythrocytes. These lesions nearly diminished after sytemic chemotherpy, excision and discontinuity of immunosuppressive agents.
키워드
Kaposi’s sarcoma;Renal transplantation
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