종격동에 발생한 결합조직형성 소원형세포 종양 - 1예 보고-

Desmoplastic Small Round Cell Tumor of the Mediastinum -A case report -

  • 김정원 (울산대학교 의과대학 울산대학교병원 흉부외과) ;
  • 차희정 (울산대학교 의과대학 울산대학교병원 병리과) ;
  • 박상규 (울산대학교 의과대학 울산대학교병원 소아과) ;
  • 정종필 (울산대학교 의과대학 울산대학교병원 흉부외과) ;
  • 신제균 (울산대학교 의과대학 울산대학교병원 흉부외과) ;
  • 박창률 (울산대학교 의과대학 울산대학교병원 흉부외과)
  • Kim, Jeong-Won (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cha, Hee-Jeong (Department of Diagnostic Pathology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Sang-Kyu (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jung, Jong-Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Shin, Je-Kyoun (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Chang-Ryul (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 발행 : 2007.02.05

초록

결합조직형성 소원형세포 종양(desmoplastic small round cell tumor)은 최근에 발생 빈도가 증가하는 추세인 희귀한 종양으로 주로 복강 내에서 발생하는 것으로 알려져 있다. 저자들은 15세 여자 화자의 종격동에 발생한 결합조직형성 소원형세포 종양에 대해 적극적인 항암화학요법, 수술, 방사선치료 및 자가 말초혈 조혈모세포 이식 등의 복합요법으로 만족스러운 결과를 얻었기에 이를 국내 최초로 보고하고자 한다.

Desmoplastic small round cell tumor (DSRCT) is rare and a recently described, poorly differentiated malignant tumor and it usually presents with widespread intra-abdominal involvement. We report a case of DSRCT arising form the mediastinum which was treated with multimodality anticancer therapy in 15 year-old girl.

키워드

참고문헌

  1. Gerald WL, Rosai J. Case 2 desmoplastic small cell tumor with divergent differentiation. Pediatr Pathol 1989;9:177-83 https://doi.org/10.3109/15513818909022347
  2. Gerald WL, Miller HK, Battifora H, Miettinen M, Silva EG, Rosai J. Intra-abdominal desmoplastic small round-cell tumor. Report of 19 cases of a distinctive type of high-grade polyphenotypic malignancy affecting young individuals. Am J Surg Pathol 1991;15:499-513 https://doi.org/10.1097/00000478-199106000-00001
  3. Park DH, Kim KH, Lee ES, Yoo JY, Chin SY. Desmoplastic small round cell tumor: radiologic findings. J Korean Radiol Soc 1998;38:843-7 https://doi.org/10.3348/jkrs.1998.38.5.843
  4. Gil A, Gomez Portilla A, Brun EA, Sugarbaker PH. Clinical perspective on desmoplastic small round-cell tumor. Oncology 2004;67:231-42 https://doi.org/10.1159/000081323
  5. Kushner BH, LaQuaglia MP, Wollner N, et al. Desmoplastic small round-cell tumor: prolonged progression-free survival with aggressive multimodality therapy. J Clin Oncol 1996;14:1526-3 https://doi.org/10.1200/JCO.1996.14.5.1526
  6. Lal DR, Su WT, Wolden SL, Loh KC, Modak S, La Quaglia MP. Results of multimodal treatment for desmoplastic small round cell tumors. J Pediatr Surg 2005;40:251-5 https://doi.org/10.1016/j.jpedsurg.2004.09.046
  7. Ostoros G, Orosz Z, Kovacs G, Soltesz I. Desmoplastic small round cell tumour of the pleura: a case report with unusual follow-up. Lung Cancer 2002;36:333-6 https://doi.org/10.1016/S0169-5002(01)00469-X
  8. Ju MJ, Lee KM, Lee HK, Chung DK. Intra-abdominal desmoplastic small round cell tumor diagnosed by lymph node biopsy: a case report. Korean J Pathol 1995;29:698-701