식도 얼기형 신경집종 -1예 보고-

Esophageal Plexiform Schwannoma -A case report-

  • 장재석 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박기성 (대구가톨릭대학교 의과대학 흉부외과학교실)
  • Jang, Jae-Seok (Department of Thoracic and Cardiovascular Surgery, School of Medicine, The Catholic University of Daegu) ;
  • Park, Ki-Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, The Catholic University of Daegu)
  • 발행 : 2006.11.05

초록

39세 남자 환자가 건강검진에서 발견된 식도 점막하 종양을 주소로 내원하였다. 술 전 검사에서 평활근종으로 추정되어 눈종양적출술로 완전 절제를 시행하였다. 술 후 조직, 면역조직화학염색 등의 병리학적 진단으로 얼기형 신경집종으로 확진되었다. 얼기형 신경집종은 얼기형 또는 다결절 형태를 가지며 신경집종의 한 변형으로 매우 드물다. 본 논문은 식도에 드물게 생기는 얼기형 신경집종의 증례로, 다수의 관련된 논문과 함께 치험을 보고하는 바이다.

A 39-year-old man presented with a esophageal submucosal tumor on regular check up examination. Preoperative exams showed the typical submucosal tumor as leiomyoma and operative procedure was enucleation for complete resection. Postoperative pathologic diagnosis including histologic and immunohistochemical study was compatible with plexiform schwannoma. Plexiform schwannoma is one of the least common variant of schwannoma that typically shows a plexiform or multinodular pattern. To our knowledge, there is rare case report of plexiform schwannoma originating in the esophagus and we report ore case with related literature.

키워드

참고문헌

  1. Harkin J, Arrington JH, Reed RJ, et al. Benign plexiform schwannoma: a lesion distinct from plexiform neurofibroma [abstract]. J Neropathol Exp Neurol 1978;37:622
  2. Woodruff JM, Marshall ML, Godwin TA, et al. Plexiform (multinodular) schwannoma: a tumor simulationg the plexiform neurofibroma. Am J Surg Pathol 1983;7:691-7 https://doi.org/10.1097/00000478-198310000-00009
  3. Kao GF, laskin WB, Olsen TG. Solitary cutaneous plexiform neurilemmoma (schwannoma): a clinicopathologic, immunohistochemical, and ultrastructural study of 11 cases. Mod Pathol 1989;2:20-6
  4. Agaram NP, Prakash S, Antonescu R. Deep-seated plexiform schwannoma: a pathologic study of 16 cases and comparative analysis with the superficial variety. Am J Surg Pathol 2005;29:1042-8 https://doi.org/10.1097/01.pas.0000146006.46468.ef
  5. Iida A, Imamura Y, Katayama K, et al. Plexiform schwannoma of the small intestine: report of a case. Surg Today 2003;33:940-3 https://doi.org/10.1007/s00595-003-2610-7
  6. Cokelaere K, Sciot R, Geboes K. Esophageal plexiform schwannoma. Int J Surg Pathol 2000;8:353-7 https://doi.org/10.1177/106689690000800419
  7. Hirose T, Scheithauer BW, Sano T. Giant plexiform schwannoma: report of two cases with soft tissue and visceral involvement. Mod Pathol 1997;11:1075-81
  8. Ishida T, Kuroda M, Motoi T, et al. Phenotypic diversity of nerofibromatosis 2: association with plexiform schwannoma. Histopathology 1998;32:264-70 https://doi.org/10.1046/j.1365-2559.1998.00336.x