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Intestinal Research 2007;5(2):196-199.
Published online December 30, 2007.
A Case of Pulmonary Tuberculosis Misdiagnosed as Lung Metastases after Curative Resection of Early Colon Cancer
Chang Joon Kim, Dong Il Park, Sung Keun Park, Jung Ho Park, Chong Il Sohn, Woo Kyu Jeon, Young-Ho Kim, Sun-Young Lee
Department of Internal Medicine, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan UniversitySchool of Medicine, Department of Internal Medicine, Konkuk University Hospital†, Seoul, Korea
조기 대장암의 근치 절제술 후 폐전이로 오인된 폐결핵 1예
김창준, 박동일, 박성근, 박정호, 손정일, 전우규, 김영호, 이선영
성균관대학교 의과대학 강북삼성병원 내과학교실, 삼성서울병원 내과학교실
Abstract
Early colon cancer can be cured by endoscopic mucosal resection (EMR). However, the possibility of complete resection depends on the depth of cancer invasion. Ten percent of cancers invading the submucosal layer are associated with local lymph node metastasis. Therefore, colon cancers confirmed to invade the submucosal layer after EMR require surgical resection. We treated a woman with adenocarcinoma at the hepatic flexure with submucosal invasion diagnosed after piecemeal EMR. Subsequent right hemicolectomy with lymph node dissection revealed no residual cancer. However, after 21 months, multiple pulmonary nodules were incorrectly diagnosed as pulmonary metastases, based on the radiological findings. The final diagnosis of pulmonary tuberculosis was made after lung metastasectomy. (Intest Res 2007;5:196-199)
Key Words: Endoscopy, Colonic Neoplasms, Neoplasm Metastasis, Tuberculosis, Pulmonary
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