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원발성 악성기관종양의 임상적 고찰

Other Titles
 A Clinical Review of Primary Tracheal Carcinoma 
Authors
 류정선  ;  조현명  ;  양동규  ;  이홍렬  ;  김세규  ;  장준  ;  안철민  ;  신계철  ;  김성규  ;  이원영 
Citation
 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환), Vol.44(4) : 766-775, 1997 
Journal Title
 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환) 
ISSN
 0378-006 
Issue Date
1997
Abstract
BACKGROUND: Primary malignant tumors of the trachea are extremely rare entities and account for a mere 0.1 percent of all malignancies of the respiratory tract Because of vague localizing signs, symptoms and a usually negative routine chest film, the patients with tracheal tumors are often treated for asthma or chronic obstructive pulmonary disease for considerable period of time before correct diagnosis. METHODS: We Have made a review of the 17 cases of primary tracheal tumors in recent 15 years. We reviewed the clinical features including history of smoking arid respiratory symptoms, the official readings of initial routine chest film, the cytologic examination of sputum, the time of delay in diagnosis, and the response according to the therapeutic modalities. RESULTS: Eight out of 9 patients with squamous cell carcinoma(SCC) were above 50 years old, five out of 6 patients with adenoid cystic carcinoma(ACC) were below 50 years old. The most common location of primary tracheal tumors was the upper one-third of trachea in 8 cases(47%). The most frequent symptoms were dyspnea in 13/17 cases(76%) and then strider or wheezing, cough, and sputum in order. The routine chest roentgenographic examinations wore not helpful to diagnose tracheal carcinoma and the cytologic examinations of sputums were helpful to diagnose tracheal carcinoma in only one case with adenocarcinoma. The mean times of delay in diagnosis of patients with SCC and ACC were S months and 24.9 months respectively. We bad bronchial asthma in 8 cases(47%) and tracheal tumors in 4 cases(23%) as initial clinical impression CONCLUSION: We would like to perform more comprehensive diagnostic too]s(high KVP technique, the fibroptic bronchoscopic examination, chest CT scan etc.) in patients who had the suggestive points for the tracheal tumors(1. unexplained hemoptysis or hoarsness, 2. inspiratory wheezing or stridor, 3. wax arid waning of dyspnea according to changes of position. 4. progressive asthmatics unresponsive to antiasthmatic therapy) and radical resection of tumor or external radiation therapy with curative aim as possible.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Chul Min(안철민)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177475
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