½ÉÀå ÀüÀÌµÈ Àç¹ß¼º ÀڱðæºÎ¾Ï 4·ÊÀÇ ÀÓ»óÀû Ư¼º¿¡ °üÇÑ ¿¬±¸
Clinical Characteristics of 4 Cases with Recurrent Cervical Cancer Showing Cardiac Metastasis
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¾ç¼öÁø(Yang Su-Jin) - ¿øÀڷº´¿ø »êºÎÀΰú
ÀÌÁ¾¼º(Lee Jong-Seong) - ¿øÀڷº´¿ø »êºÎÀΰú
ÀÌÀç±Ô(Lee Jae-Kyu) - ¿øÀڷº´¿ø »êºÎÀΰú
À¯»ó¿µ(Ryu Sang-Young) - ¿øÀڷº´¿ø »êºÎÀΰú
±èÁ¾ÈÆ(Kim Jong-Hoon) - ¿øÀڷº´¿ø »êºÎÀΰú
¹Ú»óÀ±(Park Sang-Yoon) - ¿øÀڷº´¿ø »êºÎÀΰú
ÀÌÀǵ·(Lee Eui-Don) - ¿øÀڷº´¿ø »êºÎÀΰú
ÀÌ°æÈñ(Lee Kyung-Hee) - ¿øÀڷº´¿ø »êºÎÀΰú
Abstract
¸ñÀû : ÀڱðæºÎ¾ÏÀÇ ½ÉÀå ÀüÀÌ´Â ¸Å¿ì µå¹°¾î ±× ÀÓ»óÀû Ư¼º°ú ¿¹Èĸ¦ ¾Ë¾Æº¸°íÀÚ ÇÏ¿´´Ù.
¿¬±¸¹æ¹ý : 1990³â 1¿ùºÎÅÍ 1999³â 5¿ù±îÁö º» ¿øÀڷº´¿ø »êºÎÀΰú¿¡¼ ÀڱðæºÎ¾ÏÀÇ ½ÉÀå ÀüÀÌ·Î Áø´ÜµÈ 4¸íÀÇ È¯ÀÚ¸¦ ´ë»óÀ¸·Î ÇÏ¿´´Ù. ȯÀÚÀÇ Àǹ« ±â·ÏÀ» ÅëÇÏ¿© ÀÓ»óÀû Ư¼ºÀ» »ìÆ캸¾ÒÀ¸¸ç ¼½Å ¹× Àüȸ¦ ÅëÇÏ¿© ȯÀÚÀÇ »ýÁ¸¿©ºÎ¸¦ È®ÀÎÇÏ¿´´Ù.
°á°ú : ÃÑ 5370¸íÀÇ ÀڱðæºÎ¾Ï ȯÀÚ Áß ½ÉÀå ÀüÀÌ°¡ 0.07%À̾ú°í, Æò±Õ ¿¬·ÉÀº 49¼¼ ¿´À¸¸ç, º´±âºÐÆ÷´Â º´±â II±â°¡ 2·Ê, I±â ¹× III±â°¡ °¢°¢ 1·Ê·Î, º´±â II±âÀÇ È¯ÀÚ°¡ ÀüüÀÇ 50%·Î °¡Àå ¸¹¾Ò´Ù. ÃÖÃÊ ÀڱðæºÎ¾Ï Áø´ÜÈÄ ½ÉÀå ÀüÀ̹߰߱îÁöÀÇ ±â°£Àº Æò±Õ 27°³¿ù(range 14-42)·Î ¸ðµÎ 4³â À̳»¿¡ ¹ß°ßµÇ¾ú´Ù. ½ÉÀå ÀüÀÌ Áø´Ü½Ã ¸ðµç ȯÀÚ¿¡¼ Áõ»óÀÌ ³ªÅ¸³µÀ¸¸ç È£Èí °ï¶õ ¹× ¾È¸é ºÎÁ¾ÀÌ 2·Ê·Î °¡Àå ¸¹¾Ò°í, 4·Ê ¸ðµÎ¿¡¼ ½É¸· »ïÃâ¼Ò°ßÀ» È®ÀÎÇÏ°í ½É¸· »ïÃâ¾×ÀÇ ÃµÀÚ¸¦ ÅëÇÏ¿© ¼¼Æ÷º´¸®ÇÐÀûÀ¸·Î Áø´ÜµÇ¾ú´Ù. ½ÉÀå ÀüÀÌ°¡ ´Ù¸¥ Àå±âÀÇ Àç¹ßÀÌ ¾øÀÌ ½ÉÀå¿¡¸¸ ±¹ÇÑµÈ °æ¿ì´Â ¾ø¾úÀ¸¸ç, 4·Ê ¸ðµÎ¿¡¼ ÁÂÃø ¼â°ñ»ó ¸²ÇÁÀý ÀüÀÌ°¡ È®ÀεǾú°í ±âŸ Æó½ÇÁú, Á¾°Ýµ¿ ¸²ÇÁÀý, ȤÀº ´ëµ¿¸Æ ÁÖÀ§ ¸²ÇÁÀý ÀüÀÌ°¡ È®ÀεǾú´Ù.
°á·Ð : º» ¿¬±¸¿¡¼ ½ÉÀå ÀüÀÌµÈ Àç¹ß¼º ÀڱðæºÎ¾ÏÀº ±× ºóµµ°¡ ±ØÈ÷ ³·À¸¸ç ªÀº »ýÁ¸±â°£À» º¸¿©ÁÖ¾úÁö¸¸ ½É¸· õÀÚ ¹× ½É¸· À¯Âø¼ú°ú Àû±ØÀûÀÎ Ç×¾ÏÈÇпä¹ý, ¹æ»ç¼± ¿ä¹ýÀ¸·Î »ýÁ¸À²À» Çâ»ó½Ãų ¼ö ÀÖÀ¸¸®¶ó »ç·áµÈ´Ù.
Background : The presence of cardiac metastasis from cervical cancer is very rare. Due to the rarity of this condition, clinical characteristics of the patients with cardiac metastasis from cervical carcinoma is not well known. This study is to
investigate the clinical profiles and outcomes of patients with cardiac metastasis from the carcinoma of the uterine cervix.
Materials and Methods : From Jan. 1990 to May 1999, 4 patients with cardiac metastasis from cervical cancer during the
course of the disease were registered in Korea Cancer Center Hospital. The clinical characteristics of these patients were reviewed retrospectively.
Results : Mean age of patients was 49 years, and median interval from initial diagnosis to recurrence was 27 months. Histologically, all 4 cases were squamous cell type carcinoma. The stage distribution is two patients with FIGO stage II, one with stage I and one with stage III. Clinical symptoms of patients were dyspnea and facial edema in 2 patients, facial edema in one patients, and dyspneas only in one patient. All patients were confirmed histologically by pericardiocentesis. Synchronous metastatic lesions were supraclavicular lymph node, lung parenchyme and paraaortic, mediastinal lymph node. Following pericardiocentesis or pericardiodesis, all patients were improved clinically and survived for mean interval of 5.3 months.
Conclusion : The patients with pericardial metastasis from cervical carcinoma showed a short survival time, but could be managed by pericardiocentesis or pericardiodesis with improvement of clinical symptoms.
Å°¿öµå
ÀڱðæºÎ¾Ï, ½ÉÀå ÀüÀÌ
Cervical cancer, Cardiac metastasis
KMID :
0358420000430061056
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
Histologically, all 4 cases were squamous cell type carcinoma. The stage distribution is two patients with FIGO stage II, one with stage I and one with stage III. Clinical symptoms of patients were dyspnea and facial edema in 2 patients, facial edema in one patients, and dyspneas only in one patient.