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空洞을 形成한 放射線性肺炎의 1例報告

One Cases of Postradiation Pneumonia with Cavity Formation

최신의학 1963년 6권 10호 p.27 ~ 30
나수섭,
소속 상세정보
나수섭 (  ) - 가톨릭의과대학 내과학교실

Abstract


Postradiation pneumonia is a rather infrequent sequelae to irradiadation therapy applied in a postoperative case of breast cancer or esophagus cancer and it was first introduced to the medical literature in 1922 by Groove, Christie and Merritt.
This case was a 34-year old house-wife who had received irradiation treatment preceded by radical masterctomy of the left for cancer and the following findings were noted.
(1) Postradiation pneumonia was ushered in soon after completion of the radiation therapy(one week.).
(2) This case began with symptoms consisting of chills, cough, sputa, fever, and a cavity was later developed in the center, lasted over the period of two months despite the intensive treatment with antibiotics or adrenal steroids and subsequently made a satisfactory improvement.
(3) Diagnosis was based on the clinical course and aspiration biopsy of the lung as well as the sputum examination´s ruling out other causes.
(4) Adrenal steroids which by some are credited with good effects on the acute symptoms did not satisfy our expectation in this case.
(5) This is believed to be the first report on the case of postradiation pneumonia with cavity formation.

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