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Case Report
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Korean J Med. 2015;88(6):719-723. Published online June 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.6.719
- 원격 전이를 동반한 상악동소세포암 1예
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하소영1, 안호정1, 조강원1, 유창영2, 조정해3, 김성환4, 김훈교1
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1가톨릭대학교 의과대학 성빈센트병원 내과
2가톨릭대학교 의과대학 성빈센트병원 병리과
3가톨릭대학교 의과대학 성빈센트병원 이비인후과
4가톨릭대학교 의과대학 성빈센트병원 방사선종양과
- A Case of Small Cell Carcinoma of the Maxillary Sinus with Distant Metastasis
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Soyoung Ha1, Ho-Jung An1, Kangwon Cho1, Changyoung Yoo2, Jung-Hae Cho3, Sung-Hwan Kim4, Hoon-Kyo Kim1
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1Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
2Department of Pathology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
3Department of Otorhinolaryngology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
4Department of Radiation Oncology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
- Corresponding author: Hoon-Kyo Kim ,Tel: +82-31-249-7127, Fax: +82-31-255-8203, Email: miongsok@catholic.ac.kr
- Received: March 27, 2014; Revised: May 20, 2014 Accepted: August 28, 2014.
- 부비동에서 기원한 소세포암은 매우 드문 질환으로 부비동염으로 오인될 수 있어 주의가 필요하다. 조직검사와 함께 전신적 검사를 실시하여 원격전이 유무를 감별해야 하고 공격적이고 빠른 진행을 고려할 때 전신항암치료 및 방사선치료를 우선적으로 고려해야 한다. 저자들은 59세 남자에서 원격 전이를 동반한 상악동에서 기원한 소세포암을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :소세포암; 상악동
- Abstract
- Primary small cell carcinoma of the paranasal sinuses is extremely rare. It is aggressively locally invasive, with high recurrence and metastatic rates. A combination of systemic chemotherapy and locoregional treatment, such as radiotherapy, is currently recommended based on the treatment of small cell carcinoma of lung. We report a case of small cell carcinoma originating from the maxillary sinus with distant metastasis at the time of diagnosis. The patient had a good initial therapeutic response to etoposide-cisplatin chemotherapy, but the cancer progressed after the sixth cycle of chemotherapy and the prognosis was poor.
Keywords :Maxillary sinus, Carcinoma, Small cell
