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기관지결석증에 대한 연구

Other Titles
 A Study on Broncholithiasis 
Authors
 이홍렬  ;  김세규  ;  장준  ;  김성규  ;  이원영  ;  정경영 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.48(3) : 353-360, 1995-03 
Journal Title
Korean Journal of Medicine(대한내과학회지)
ISSN
 1226-329X 
Issue Date
1995-03
Abstract
Objectives: Broncholithiasis is defined as a condition in which an concretion is present within a bronchus or a cavity in the lung communicating with a bronchus, It almost invariably represents the end stage of healing of granulomatous pulmonary diseases such as histioplasmosis or tuberculosis. Broncholiths are found with almost equal frequency in men and women, mostly in the fifth or sixth decade. Common symptoms are chronic cough, hemoptysis and sputum. Lithoptysis, which is pathognomic, is rare. The chest radiograph mostly shows calcified masses around the bronchi. In most cases, because of no significant symptoms or complication, observation may be the best course but bronchoscopic removal or surgical intervention are indicated in some instances. We report here the cases of broncholithiasis in which some clinical characteristics were observed. Methods: From January 1981 to December 1993, 13 patients with broncholithiasis had undergone the analysis for clinical manifestation, bronchoscopic fin- ding, treatment modality and follow-up status. Results : Broncholithiasis was distributed evenly from the fourth to the sixth decade and it developed in association with tuberculosis in 53.8%. Lithoptysis occurred in only 23.1% and calcification was found radiographically in 38.3%. Various positive findings, noted in all patients undergoing flexible bronchoscopy, included visualization of the broncholith, polypoid granulation tissue, stenotic or narrowed bronchi or blood clots. While 6 patients with conservative care only continued to have symptoms, an excellent result was evident in 3 of 7 patients in whom broncholith was removed after treatment or spontaneously. Conclusion: A clinical awareness of the manifestations of broncholithiasis will result in early diagnosis and treatment. As indicated, if the broncholith can be removed before irreversible distal bronchial and parenchymal damages occur, the long-term outlook for symptomatic relief is excellent.
Files in This Item:
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Appears in Collections:
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, Se Kyu(김세규)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
Chung, Kyung Young(정경영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186382
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