Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Thymic Carcinoma Presenting Two Independent Nodules: Case Report

2개의 독립 결절로 발현한 흉선암종: 증례 보고

  • Hong, Nu-Rhee (Department of Radiology, Korea University Hospital, Korea University College of Medicine) ;
  • Lee, Ki-Yeol (Department of Radiology, Korea University Hospital, Korea University College of Medicine) ;
  • Kim, Je-Hyeong (Department of Internal Medicine, Korea University Hospital, Korea University College of Medicine) ;
  • Jung, Ki-Hwan (Department of Internal Medicine, Korea University Hospital, Korea University College of Medicine) ;
  • Je, Bo-Kyoung (Department of Radiology, Korea University Hospital, Korea University College of Medicine)
  • 홍누리 (고려대학교 안산병원 영상의학과) ;
  • 이기열 (고려대학교 안산병원 영상의학과) ;
  • 김제형 (고려대학교 안산병원 호흡기내과) ;
  • 정기환 (고려대학교 안산병원 호흡기내과) ;
  • 제보경 (고려대학교 안산병원 영상의학과)
  • Received : 2009.09.03
  • Accepted : 2010.03.25
  • Published : 2010.09.01
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Abstract

Thymic carcinoma is a rare malignant neoplasm of the thymus arising in the thymic epithelium and has a higher frequency of local invasion and metastasis than other subtypes of thymic epithelial tumors. Thymic carcinoma is usually demonstrated as a large, irregular mass located in the anterior mediastinum and commonly contain a necrotic or cystic component. We report atypical CT findings and multicentricity in a case of thymic carcinoma presenting two small nodules in the anterior mediastinum.

흉선암종(Thymic carcinoma)은 흉선의 상피세포에서 기원하는 드문 악성 종양으로 흉선상피종양(thymic epithelial tumor)의 다른 아형에 비해 주변 조직으로의 침습이나 전이를 잘하는 것으로 알려져 있다. 대부분 전종격동에 위치하는 크기가 크고 불규칙한 윤곽을 가지는 종괴로 나타나며 내부에 괴사성 혹은 낭성 성분을 흔히 포함한다. 본 증례는 전종격동에 크기가 작은 결절로 나타난 흉선암종으로 비전형적인 흉부 전산화단층촬영 소견을 보이며 흉선 내에 2개의 병변이 서로 떨어져 다발성으로 생겼다는 점에서 문헌고찰과 함께 보고한다.

Keywords

References

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