접형골에 발생한 원발성 골육종 1예 - 증례보고 -

Primary Osteosarcoma of the Sphenoid Bone - Case Report -

  • 양근진 (대구가톨릭대학교 의과대학 신경외과학교실) ;
  • 김문철 (대구가톨릭대학교 의과대학 신경외과학교실) ;
  • 정훈 (대구가톨릭대학교 의과대학 신경외과학교실) ;
  • 이상평 (대구가톨릭대학교 의과대학 신경외과학교실) ;
  • 최기환 (대구가톨릭대학교 의과대학 신경외과학교실) ;
  • 여형태 (대구가톨릭대학교 의과대학 신경외과학교실)
  • Yang, Geun Jin (Department of Neurosurgery, School of Medicine, Catholic University of Taegu) ;
  • Kim, Mun Chul (Department of Neurosurgery, School of Medicine, Catholic University of Taegu) ;
  • Chung, Hoon (Department of Neurosurgery, School of Medicine, Catholic University of Taegu) ;
  • Lee, Sang Pyung (Department of Neurosurgery, School of Medicine, Catholic University of Taegu) ;
  • Choi, Gi Hwan (Department of Neurosurgery, School of Medicine, Catholic University of Taegu) ;
  • Yeo, Hyung Tae (Department of Neurosurgery, School of Medicine, Catholic University of Taegu)
  • 투고 : 1999.07.12
  • 심사 : 1999.09.20
  • 발행 : 2000.05.28

초록

Osteosarcoma is the most frequently encountered primary malignant tumor of the bone. But primary osteosarcoma of the skull(POS) is rare. The author presents a case of skull neoplasm identified as osteogenic sarcoma. A twentyseven-years-old male patient was admitted because of painful swelling at left temporal and zygomatic area with impairment of extraocular movement. Chest film and long bone series showed no evidence of abnormality. Skull films revealed round irregular bony destructive area at the left pterional area. CT and MRI revealed expansile destruction of the left sphenoid bone, lateral orbital wall and temporal bone within the hemorrhagic mass lesions which showed wall enhancement. Histologic examination confirmed a rare variant of osteosarcoma of the telangiectatic type.

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