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성인에서 발생한 중배엽성 신종의 폐전이 1예

Other Titles
 A Case of Lung Metastasis of Mesoblastic Nephroma in Adulthood 
Authors
 문진욱  ;  김길동  ;  장준  ;  김성규  ;  김세규  ;  김영삼  ;  이재혁  ;  정상윤  ;  박무석  ;  정재호  ;  한창훈  ;  신동환 
Citation
 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환), Vol.55(4) : 402-407, 2003 
Journal Title
 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환) 
ISSN
 0378-0066 
Issue Date
2003
MeSH
Mesoblastic nephroma ; Lung metastasis
Keywords
Mesoblastic nephroma ; Lung metastasis
Abstract
Mesoblastic nephroma is a neoplasm of the kidney which is characterized by interlacing bundles of spindle mesenchymal cells. It is usually diagnosed during the first six months of life and is mostly benign. Incidence in adults is exceedingly rare. In most cases, only total excision is required without postoperative adjuvant therapy, and the rare cases of local recurrence have usually been related to incomplete removal. However, mesoblastic nephroma may behave aggressively, in contrast to a congenital mesoblastic nephroma. Several cases of metastatic mesoblastic nephroma have been previously described. We report herein a case of a 42-year-old woman with mesoblastic nephroma which recurred as a large metastatic lung mass seven years after the nephrectomy. The patient presented with chest wall discomfort for four days. Seven years previously, total nephrectomy had been performed because of a right renal tumor which had been diagnosed as a mesoblastic nephroma. There had been no evidence of recurrence for five years, after which she discontinued follow-up. On readmission two years later, chest X-ray and CT scan revealed a large lung mass in the left upper lobe. It was completely excised and the pathologic examination was identical with that of the original renal tumor. Synovial sarcoma was excluded because the fusion transcripts of the SYT-SSX fusion gene associated with the t(X;18) translocation were negative. The final diagnosis was a lung metastasis of mesoblastic nephroma and the patient remained free of disease for 7 months postoperatively.
Files in This Item:
T200301917.pdf Download
DOI
OAK-2003-00090
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kil Dong(김길동)
Kim, Sung Kyu(김성규)
Kim, Se Kyu(김세규)
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Moon, Jin Wook(문진욱)
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Shin, Dong Hwan(신동환)
Lee, Jae Hyuk(이재혁)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
Jung, Sang Youn(정상윤)
Chung, Jae Ho(정재호)
Hahn, Chang Hoon(한창훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113250
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