흉부 자기 공명 영상에서 악성 소견을 보인 종격동 신경집종의 수술적 치료 : 1예 보고

Surgical Treatment of Mediastinal Schwannoma Showing Malignant Potentiality on Chest Magnetic Resonance Imaging Study : A Case Report

  • 김연수 (인제대학교 의과대학 일산백병원 흉부외과학 교실) ;
  • 박경택 (인제대학교 의과대학 일산백병원 흉부외과학 교실) ;
  • 류지윤 (인제대학교 의과대학 일산백병원 흉부외과학 교실) ;
  • 김창영 (인제대학교 의과대학 일산백병원 흉부외과학 교실) ;
  • 장우익 (인제대학교 의과대학 일산백병원 흉부외과학 교실) ;
  • 장선희 (인제대학교 의과대학 일산백병원 해부병리학 교실)
  • Kim, Yeon-Soo (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Park, Kyoung-Taek (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Ryoo, Ji-Yoon (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Chang-Young (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Chang, Woo-Ik (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Chang, Sun-Hee (Department of Anatomical Pathology, Ilsan Paik Hospital, College of Medicine, Inje University)
  • 발행 : 2008.12.30

초록

Nerogenic tumor of various histologic types may arise in the posterior mediastinum. Mediastinal schwannoma is a frequent paraspinal neurogenic tumor, but malignant mediastinal schwannoma is rare tumor which is derived from Schwann cells. Although there are some reports dealing with approach for screening patients with symptoms suggesting malignancy and the imaging criteria for distinguishing malignant from benign schwannoma but the results are not clearly defined. We present a case of hugh mediastinal schwannoma which was taken for malignancy in imaging studies because of its invasiveness.

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