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Korean J Crit Care Med > Volume 19(2); 2004 > Article
Korean Journal of Critical Care Medicine 2004;19(2): 139-142.
증례 : 49세 여자 환자에서 객혈로 발현한 폐의 선천성 낭성 선종양 기형 -증례 보고-
김재일, 오범진, 송문희, 윤재필, 김성혜, 도경현, 고윤석
울산대학교 의과대학 서울아산병원 내과학교실, *응급의학교실, +방사선과학교실
Congenital Cystic Adenomatoid Malformation of the Lung Presenting as Hemoptysis in 49-year-old Woman: A Case Report
Jae Il Kim, Bum Jin Oh, Moon Hee Song, Jae Pil Yun, Sung Hye Kim, Kyung Hyun Do, Younsuck Koh
1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yskoh@amc.seoul.kr
2Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
3Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
ABSTRACT
Congenital cystic adenomatoid malformation (CCAM) is a rare congenital disorder of pulmonary development that usually presenting as a respiratory distress in the neonatal period. Presentation in adulthood is rare and only 40 cases of CCAM in adulthood have been reported in literatures. A 49-year-old woman presented with hemoptysis. Postero anterior chest radiograph showed an air-fluid level in right upper lobe. A computed tomographic (CT) scan of the chest showed multilocular thick-walled cystic lesions in right upper lobe. A CT angiography showed cystic lesions with normal bronchial artery supply in right upper lobe, which were consistent with CCAM. A complete surgical resection of the right upper lobe was performed confirming a type 2 CCAM according to the expanded Stocker's classification.
Key Words: Congenital cystic adenomatoid malformation; Congenital malformation
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