Amyloidoma of Retroperitoneal Lymph Nodes: A Case Report

후복막강 임파절의 아밀로이드종: 증례 보고

  • Kim, Wee-Kyoung (Department of Radiology, College of Medicine, Hanyang University) ;
  • Song, Soon-Young (Department of Radiology, College of Medicine, Hanyang University) ;
  • Cho, On-Koo (Department of Radiology, College of Medicine, Hanyang University) ;
  • Koh, Byung-Hee (Department of Radiology, College of Medicine, Hanyang University) ;
  • Kim, Yong-Soo (Department of Radiology, College of Medicine, Hanyang University Guri Hospital) ;
  • Jung, Woo-Kyoung (Department of Radiology, College of Medicine, Hanyang University Guri Hospital) ;
  • Kim, Min-Yeong (Department of Radiology, College of Medicine, Hanyang University Guri Hospital) ;
  • Park, Moon-Hyang (Department of Pathology, Hanyang University Hospital, College of Medicine)
  • 김위경 (한양대학교 의과대학 영상의학과) ;
  • 송순영 (한양대학교 의과대학 영상의학과) ;
  • 조온구 (한양대학교 의과대학 영상의학과) ;
  • 고병희 (한양대학교 의과대학 영상의학과) ;
  • 김용수 (한양대학교 의과대학 구리병원 영상의학과) ;
  • 정우경 (한양대학교 의과대학 구리병원 영상의학과) ;
  • 김민영 (한양대학교 의과대학 구리병원 영상의학과) ;
  • 박문향 (한양대학교 의과대학 병리과)
  • Published : 2011.03.01

Abstract

Herein we report a case of retroperitoneal amyloidoma in a 56-year-old man and to describe its imaging findings and pathologic features. Abdomen computed tomography showed multiple nodular masses with amorphous calcifications in the retroperitoneum. On histologic review, these masses were composed of extensive nodular deposition of irregularly shaped amorphous eosinophilic material that was strongly positive on Congo red staining and apple green birefringence under polarizing microscopy, which is diagnostic for amyloidosis.

56세 남자 환자의 후복막강 아밀로이드종 증례의 영상학적, 병리학적 소견을 기술하고자 한다. 증례에서, 복부 CT 상에서는 후복막강에 무정형의 석회화를 동반한 다수의 결절성 덩어리들로 나타났다. 조직학적으로는 이러한 덩어리들에 불규칙한 형태로 무정형의 호산구성 물질로 이루어진 광범위한 결절성 침착이 있었고 이들은 콩고레드염색에서 양성으로, 편광 현미경하에서 녹색의 이중 굴절로 나타나 아밀로이드증이 확진되었다.

Keywords

References

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