Abdominal Metastasis Arising from Musculoskeletal Sarcoma: CT Findings

골육종의 복부 전이의 전산화단층촬영 소견

  • Ko, Myung-Su (Department of Radiology, St.Vincent's Hospital, The Catholic University of Korea) ;
  • Kim, Jee-Young (Department of Radiology, St.Vincent's Hospital, The Catholic University of Korea) ;
  • Jung, Seung-Eun (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Jee, Won-Hee (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Baik, Jun-Hyun (Department of Radiology, St.Vincent's Hospital, The Catholic University of Korea)
  • 고명수 (가톨릭대학교 성빈센트병원 영상의학과) ;
  • 김지영 (가톨릭대학교 성빈센트병원 영상의학과) ;
  • 정승은 (가톨릭대학교 서울성모병원 영상의학과) ;
  • 지원희 (가톨릭대학교 서울성모병원 영상의학과) ;
  • 백준현 (가톨릭대학교 성빈센트병원 영상의학과)
  • Received : 2010.06.14
  • Accepted : 2010.07.02
  • Published : 2010.09.01

Abstract

Musculoskeletal sarcoma metastasizes to various sites in the body. The most common metastsis site is the lung, followed less frequently by the skeleton, brain, intra-abdominal organs, lymph node, and pleura. The metastasis of musculoskeletal sarcoma showed various manifestations, which was seen as a nonspecific finding. Metastatic lesions display similar and characteristic features, which include calcification of primary musculoskeletal sarcoma. These features may provide an important diagnostic clue when seen on CT findings. We present a review of the abdominal CT findings in 5 patients with calcified metastasis arising from musculoskeletal sarcoma.

근골격 육종은 폐로의 전이가 가장 흔하며 그 외로 드물게 폐 이외의 장기, 즉 골격계, 뇌, 복부 장기, 림프절, 흉막으로 전이된다. 전이성 병변은 다양하게 나타나나, 특징적인 소견은 없다. 원발성 종양에서 보이는 석회화 소견은 전이된 장기에서는 자주 보이지 않는다. 그러나 종양 기질의 석회화(기질의 석회화) 발견은 근골격 육종으로부터의 전이를 진단하는 데 있어 중요한 실마리가 될 수 있을 것이다. 이에 저자들은 근골격 육종의 복부 전이에 대한 기술과 원발 병소인 근골격 육종과 같은 특징적인 석회화를 가지고 있는 다양한 근골격 육종의 복부 전이의 전산화단층촬영 소견들을 보여 주고자 한다.

Keywords

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