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경추체 전방에 발생한 골연골종으로 인한 연하곤란: 증례 보고

Dysphagia Caused by Osteochondroma of the Cervical Vertebral Body: A Case Report

  • Min, Hak-Jin (Department of Orthopedic Surgery, Seoul Medical Center) ;
  • Kim, Jin-Soo (Department of Orthopedic Surgery, Seoul Medical Center) ;
  • Kim, Jong-Ho (Department of Orthopedic Surgery, Seoul Medical Center)
  • 투고 : 2012.03.12
  • 심사 : 2012.06.01
  • 발행 : 2012.06.30

초록

56세 여자 환자로 약 8주 전부터 시작된 연하곤란과 2주 전부터 발생한 발성 장애를 주소로 내원하였다. 방사선 및 연하 검사상 제 4-5 경추체 전방에 위치한 종괴로 인한 식도 및 후인두 후벽의 압박 소견이 관찰되었다. 수술적 치료로 종괴의 완전 절제를 시행하였고 술 후 임상 증상에서 완전히 회복되었다. 본 증례는 골연골종이 비교적 발생이 드문 경추체 전방에 발생하여 연하 곤란 및 발성 장애를 유발한 예로 저자들은 문헌고찰과 더불어 보고하는 바이다.

A 56 year-old female presented with dysphagia 8 weeks ago and newly developed dysphonia 2 weeks ago. The radiology study and swallowing difficulty evaluation study revealed the esophagus and the posterior wall of the laryngopharynx to be severely compressed by the mass of the anterior $4^{th}$ and $5^{th}$ vertebral body of cervical spine. En bloc excisional biopsy of the bony mass was performed, which completely resolved the clinical symptoms. We report a rare case of osteochondroma occurring at the anterior portion of cervical spine leading to dysphasia and dysphonia with a review of relevant literature.

키워드

참고문헌

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피인용 문헌

  1. Cervical osteophytosis and spine posture: contribution to swallow disorders and symptoms vol.26, pp.6, 2012, https://doi.org/10.1097/moo.0000000000000488