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KMID : 0364020070400050380
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Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 5 p.380 ~ p.383
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Paragonimiasis with Simultaneous Multifocal Lesions
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Shin Dong-Il
Oh Tae-Yun
Jang Un-Ha
Kim Jung-Tae
Sohn Jin-Hee
Kim Kyoung-Min
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Abstract
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A 42-years-old man was referred to our department due to his hemoptysis. Chest CT showed a cavitary lung lesion in the apical segment of the RUL and an anterior mediastinal mass. The patient underwent wedge resection for the cavitary lesion and complete resection for the mediastinal mass. The pathologic finding was Paragonimus Westermani infestation in both the lung and thymus. The abdomen CT taken postoperatively showed an inflammatory mass involving the transverse colon and a small nodular lesion around the descending colon, which strongly suggested paragonimiasis. Postoperatively, the patient took Praziquantel for 2 days and he was discharged without any complications. There was no evidence of recurrence for the last 2 years.
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KEYWORD
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Mediastinal disease, Paragonimiasis, Thymus
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