머리뼈에 발생한 다발성 뼈종의 치험례: 증례보고

Multiple Osteomas in the Skull Vault: Case Report

  • 이혁재 (성균관대학교 의과대학 성형외과학교실) ;
  • 신명수 (제주대학교 의과대학 성형외과학교실) ;
  • 박보영 (성균관대학교 의과대학 성형외과학교실) ;
  • 임소영 (성균관대학교 의과대학 성형외과학교실) ;
  • 변재경 (성균관대학교 의과대학 성형외과학교실) ;
  • 방사익 (성균관대학교 의과대학 성형외과학교실) ;
  • 오갑성 (성균관대학교 의과대학 성형외과학교실) ;
  • 문구현 (성균관대학교 의과대학 성형외과학교실)
  • Lee, Hyuck-Jae (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Shin, Myoung-Soo (Jeju National University School of Medicine) ;
  • Park, Bo-Young (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Lim, So-Young (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Pyon, Jai-Kyong (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Bang, Sa-Ik (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Oh, Kap-Sung (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Mun, Goo-Hyun (Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 투고 : 2011.04.26
  • 심사 : 2011.05.23
  • 발행 : 2011.07.10

초록

Purpose: Osteoma is one of the common benign tumors of the skull vault and facial skeleton. Although most of the osteomas cause no symptoms, forehead osteomas may lead to facial disfigurement. Osteoma usually happens in solitary lesion and multiple osteomas which don't combine with syndrome are very rare. We report an experience of treatment of non-syndromic multiple osteomas in the skull. Methods: A 54-year-old female patient visited due to the multiple palpable hard masses on her forehead in 2010. In 2002 of her first visit, masses started to appear on her forehead and she was diagnosed as the osteoma by excisional biopsy. She visited again because the mass size and number increased. In preoperative CT scanning, there were above 160 of osteomas, so surgery was planned. Enterogastroduodenoscopy and colonoscopy was conducted to rule out Gardener's syndrome, however there was no abnormality such as multiple polyposis. Results: Under general anesthesia, coronal approach was conducted. There were numerous osteomas in frontal and parietal bone. The multiple osteomas were removed by burring and the patient recovered without any postoperative complications. Conclusion: Multiple osteomas in the skull were rarely reported, although it can accompanied with Gardener's syndrome. We report a case of non-syndromic multiple osteomas in skull vault.

키워드

참고문헌

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