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중년여성에서 뇌전이암으로 오인되었던 역형성 신경절교종: 증례보고

Rapidly Growing Anaplastic Ganglioglioma Mimicking Brain Metastasis in a Middle-Aged Woman: A Case Report

  • 박주용 (인하대학교병원 영상의학과) ;
  • 이하영 (인하대학교병원 영상의학과) ;
  • 박인서 (인하대학교병원 병리과) ;
  • 김은영 (인하대학교병원 신경외과) ;
  • 임명관 (인하대학교병원 영상의학과) ;
  • 강영혜 (인하대학교병원 영상의학과) ;
  • 김준호 (인하대학교병원 영상의학과) ;
  • 조순구 (인하대학교병원 영상의학과)
  • Park, Ju Yong (Department of Radiology, Inha University Hospital) ;
  • Lee, Ha Young (Department of Radiology, Inha University Hospital) ;
  • Park, In Suh (Department of Pathology, Inha University Hospital) ;
  • Kim, Eun Young (Department of Neurosurgery, Inha University Hospital) ;
  • Lim, Myung Kwan (Department of Radiology, Inha University Hospital) ;
  • Kang, Young Hye (Department of Radiology, Inha University Hospital) ;
  • Kim, Jun Ho (Department of Radiology, Inha University Hospital) ;
  • Cho, Soon Gu (Department of Radiology, Inha University Hospital)
  • 투고 : 2017.07.06
  • 심사 : 2017.09.07
  • 발행 : 2018.02.01

초록

역형성 신경절교종은 매우 드문 악성종양으로 주로 소아나 젊은 성인에서 발생하는 것으로 알려져 있으나, 치료방법이나 임상경과에 대한 연구가 많이 이루어지지 않았다. 이에, 저자들은 고리모양 조영증강을 보이고 2개월 동안 빠른 크기 증가를 보여 뇌전이암으로 오인되었던 표재성 전두엽 병변으로 나타난 68세 여자환자의 천막상부 역형성 신경절교종의 증례를 보고하고자 한다.

Anaplastic gangliogliomas (AGGs), the malignant counterpart of gangliogliomas, are classified as grade III tumors by the World Health Organization. Although, the clinical course and optimal treatment of AGGs are not well understood, they often result in worse local control rate and shorter survival. The authors describe the magnetic resonance imaging findings of a middle-aged woman with supratentorial AGG, that manifested as a rapidly growing cystic mass which mimicked metastasis. The authors suggest that AGG may be considered as a possible diagnosis for a rapidly growing peripheral enhancing mass in the brain, especially when it is superficially located.

키워드

참고문헌

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