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고립성 폐결절의 악성 및 양성 감별진단에 Thallium - 201 폐스캔의 가치
김창호(Chang Ho Kim),한춘덕(Chun Duk Han),차승익(Seung Ick Cha),박재용(Jae Yong Park),정태훈(Tae Hoon Jung) 대한내과학회 1995 대한내과학회지 Vol.49 No.5
Objectives: The clinical usefulness of thallium-201 lung scintigraphy as noninvasive method in distinguishing pulmonary malignant lesisons from benign conditions had been reported. We are aimed to evaluate the clinical usefulness of thallium-201 lung scintigraphy in patients with solitary pulmonary nodule or mass. Methods: Planar thallium-201(201TI) lung scintigraphies were obtained 1hour after injection of 2mCi of 201TI in 38 patients with solitary pulmonary nodule or mass found on chest radiograph, which were confirmed by histological or bacteriologic methods. And we compared differences of uptake between malignant and benign lesions. Results: Abnormal focal accumulations were demonstrated in 20cases of 25primary malignant neoplasms and in H cases of 13benign conditions. No definite uptake was seen in 5cases of malignant lesions. Positive abnormal uptake was observed in pneumonia and lung abscess as well as active pulmonary tuberculosis, whereas inactive pulmonary tuberculosis, demonstrated no uptake. After medical treatment in patients with benign disease and increased focal uptake, follow-up scintigraphy with 201TI showed disapperence of previous abnormal accumulations. Conclusion: These results suggest that both primary lung cancer and benign inflammatory lesions can show uptake of 201TI and, although thallium-201 lung scintigraphy may be helpful in the evaluation of tuberculous activity, it is not useful in distinguishing malignant lesions from benign conditions.
미만성 범세기관지염(Diffuse panbronchiolitis) 2예
차승익,한춘덕,김창호,김연재,이영석,박재용,정태훈 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.3
미만성 범세기관지염은 주로 일본, 한국, 중국 등지에서 발생하는 만성 염증성 호흡기질환으로 임상적으로는 기관지천식, 만성기관지염, 폐기종, 기관지확장증, 간질성폐질환 등과 감별진단이 필요하다. 임상소견, 방사선 사진 소견 및 폐기능검사 성적 등으로 임상적인 진단이 가능하지만 확진을 위해서는 폐조직검사가 필요하다. 저자들은 임상적으로 의심되었고 개흉술을 통한 폐조직생검으로 확진된 미만성 범세기관지염 2예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Diffuse panbronchiolitis(DPB) is a chronic inflammatory lung disease, characterized by chronic cough, copious sputum and exertional dyspnea. Bilateral small nodular shadows often associated with f hyperinflation of the lungs, are seen on chest x-ray films. Morphologically the disease is composed of respiratory bronchiolitis and peribronchiolitis which are diffusely disseminated throughout the bilateral lungs, especially in the lower lobes. In 1966, the disease was first described in Japan. Although it is prevalent in Japan, but it is known to be rare out of Japan. Only a few cases have been reported in our country. We report 2 cases of DPB confirmed by open lung biopsy.