Paravertebral Epithelioid Hemangioendothelioma Associated with Ivory Vertebra: A Case Report

상아 척추와 동반된 척추 주위 상피양혈관내피종: 증례 보고

  • Hong, Su-Jin (Department of Radiology, Dankook University Hospital) ;
  • Lee, Jee-Young (Department of Radiology, Dankook University Hospital) ;
  • Kim, You-Me (Department of Radiology, Dankook University Hospital) ;
  • Kim, Young-Jin (Department of Neurosurgery, Dankook University Hospital) ;
  • Kim, Dong-Hun (Department of Pathology, Hallym University Sacred Heart Hospital) ;
  • Suh, Kyung-Jin (Department of Radiology, Dongguk University Gyeongju Hospital)
  • 홍수진 (단국대학교병원 영상의학과) ;
  • 이지영 (단국대학교병원 영상의학과) ;
  • 김유미 (단국대학교병원 영상의학과) ;
  • 김영진 (단국대학교병원 신경외과) ;
  • 김동훈 (한림대학교 성심병원 병리과) ;
  • 서경진 (동국대학교 경주병원 영상의학과)
  • Published : 2011.11.01

Abstract

Epithelioid hemangioendotheliomas (EHE) are uncommon and unpredictable vascular tumors that originate in skin, soft tissue, visceral organs, and bones. EHE occurring in the spine has been mostly reported as an osteolytic lesion. To the best of our knowledge, paravertebral EHE with sclerotic bone changes has not been reported in the literature. Here, we report a case of paravertebral EHE accompanied by adjacent sclerotic bone changes in the imaging findings on radiography, CT and magnetic resonance, as well as surgical and pathologic findings.

상피양혈관내피종은 피부, 연부조직, 내장기관 그리고 뼈에서 기원하는 드물고 예상하기 힘든 혈관 종양이다. 지금까지 척추에 생기는 상피양혈관내피종은 대부분 골융해성 병변으로 보고되어 왔으며, 저자들이 아는 한 주위 뼈에 경화성 변화를 동반하는 척추 주위 상피양혈관내피종은 지금까지 문헌에 보고된 바가 없었다. 이에 저자들은 인접한 뼈에 경화성 변화를 동반한 척추 주위 상피양혈관내피종의 단순방사선, CT, magnetic resonance의 영상 소견과 수술적, 병리학적 소견을 증례 보고하고자 한다.

Keywords

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