Journal of Korean Neurosurgical Society
- 제29권8호
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- Pages.1069-1073
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
시신경에 발생한 전이성 선세포암 - 증 례 보 고 -
Metastatic Adenocarcinoma of Optic Nerve - A Case Report -
- 김진용 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
- 박상근 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
- 김한성 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
-
신형식
(인제대학교 의과대학 상계백병원 신경외과학교실)
;
- 황용순 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
- 김상진 (인제대학교 의과대학 상계백병원 신경외과학교실)
- Kim, Jin Yong (Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital) ;
- Park, Sang Keun (Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital) ;
- Kim, Han Sung (Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital) ;
-
Shin, Hyung Shik
(Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital)
;
- Hwang, Yong Soon (Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital) ;
- Kim, Sang Jin (Department of Neurosurgery, College of Medicine, Inje University, Sanggye Paik Hospital)
- 투고 : 1999.06.28
- 심사 : 1999.09.14
- 발행 : 2000.08.28
초록
Although the most commonly encountered orbital tumor is metastatic tumor, adenocarcinoma of stomach metastasized to the optic nerve is rarely reported. The authors discuss a rare case of metastatic adenocarcinoma of left optic nerve with a review of literature. A 44-year-old man presented with decreased visual acuity of left eye for 3 months. Neurologic examination revealed left optic neuropathy. On MR imaging, a homogenously wellenhanced mass surrounding left optic nerve around optic canal was noticed. The X-rays and the whole body bone scan sho-wed multiple bony metastasis. Subtotal removal was performed via combined subfrontal and pterional approach and metastatic adenocarcinoma from the stomach was confirmed histologically. Postoperative course was uneventful, but there was no improvement of visual acuity.