폐 대 폐 전이 암종으로 오인한 다발성 비정형 샘 증식증 - 1예 보고 -
Multiple Atypical Adenomatous Hyperplasia Mimicking Lung to Lung Metastasis- A Case Report -
배성화, 정경재, 배종엽,
소속 상세정보
배성화 ( Bae Sung-Hwa )
대구가톨릭대학교 의과대학 내과학교실
정경재 ( Jung Kyung-Jae )
대구가톨릭대학교 의과대학 방사선과학교실
배종엽 ( Bae Jong-Yup )
대구가톨릭대학교 의과대학 병리학교실
KMID : 0357920050390030203
Abstract
Atypical adenomatous hyperplasia (AAH) is regarded as a precancerous lesion in the multistep process for carcinogenesis of pulmonary adenocarcinoma. AAH is found in up to 25% of the lung tissue adjacent to cancer, particularly adenocarcinoma and also in 2-4% of autopsy cases. Until now, its main clinical significance is that some tumor recurrences are the lesions that have progressed from undetected AAH or they are newly developed cancers arising from AAH during the follow-up after the resection of adenocarcinoma. We present here the case of a 58-year-old woman having a large main adenocarcinoma with multiple small AAHs that mimicked lung-to-lung metastasis. AAH should be considered in the differential diagnosis of multiple small nodules during the preoperative evaluation and also during the follow-up of lung cancer patients.
키워드
Atypical adenomatous hyperplasia;Metastasis;Lung
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