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유아에서 발생한 요추부의 비정형 유기형/간상 종양 증례

Atypical Teratoid/Rhabdoid Tumor of Lumbar Spine in an Infant: A Case Report

  • 송호석 (인제대학교 일산백병원 영상의학과) ;
  • 김용훈 (인제대학교 일산백병원 영상의학과) ;
  • 이지영 (인제대학교 일산백병원 영상의학과) ;
  • 장선희 (인제대학교 일산백병원 병리과) ;
  • 손문준 (인제대학교 일산백병원 신경외과)
  • Song, Hosuk (Department of Radiology, Inje University, Ilsan Paik Hospital) ;
  • Kim, Yonghoon (Department of Radiology, Inje University, Ilsan Paik Hospital) ;
  • Lee, Jiyoung (Department of Radiology, Inje University, Ilsan Paik Hospital) ;
  • Chang, Sunhee (Department of Pathology, Inje University, Ilsan Paik Hospital) ;
  • Sohn, Moonjun (Department of Neurological Surgery, Inje University, Ilsan Paik Hospital)
  • 투고 : 2017.09.09
  • 심사 : 2017.11.23
  • 발행 : 2018.06.01

초록

척추의 비정형 유기형/간상 종양은 보통 뇌에서 보고되는 드문 종양이다. 간상 세포로 구성되어 있으며 높은 악성도를 가지고 있다. 비정형 유기형/간상 종양은 중추 신경계, 간, 신장, 복부 및 연조직과 같은 전신에 나타난다. 그 중에서도 척추의 비정형 유기형/간상 종양은 드물며, 특히 요추부에 발생하는 비정형 유기형/간상 종양은 매우 드물어 현재까지 몇 케이스만이 보고되었다. 우리는 16개월 소년에서 발생한 요추의 비정형 유기형/간상 종양 증례를 보고한다.

Atypical teratoid/rhabdoid tumor (AT/RT) of spine usually reported to develop in the brain, while it rarely manifest in the spine. It consists of rhabdoid cells and is highly malignant. AT/RT appears at various sites throughout the body, such as in the central nervous system, liver, kidneys, abdomen, and soft tissues. Among them, spinal AT/RT is rare, and AT/RT of lumbar spine is extremely rare; only a few cases have been reported. We present the case of an AT/RT of lumbar spine in a 16-month-old boy.

키워드

참고문헌

  1. Yang CS, Jan YJ, Wang J, Shen CC, Chen CC, Chen M. Spinal atypical teratoid/rhabdoid tumor in a 7-year-old boy. Neuropathology 2007;27:139-144 https://doi.org/10.1111/j.1440-1789.2007.00752.x
  2. Agrawal A, Bhake A, Cincu R. Giant lumbar paraspinal atypical teratoid/rhabdoid tumor in a child. J Cancer Res Ther 2009;5:318-320 https://doi.org/10.4103/0973-1482.59906
  3. Dhir A, Tekautz T, Recinos V, Murphy E, Prayson RA, Ruggieri P, et al. Lumbar spinal atypical teratoid rhabdoid tumor. J Clin Neurosci 2015;22:1988-1989 https://doi.org/10.1016/j.jocn.2015.06.007
  4. Chao MF, Su YF, Jaw TS, Chiou SS, Lin CH. Atypical teratoid/rhabdoid tumor of lumbar spine in a toddler child. Spinal Cord Ser Cases 2017;3:16026 https://doi.org/10.1038/scsandc.2016.26
  5. Beckwith JB, Palmer NF. Histopathology and prognosis of Wilms tumors: results from the first national Wilms' tumor study. Cancer 1978;41:1937-1948 https://doi.org/10.1002/1097-0142(197805)41:5<1937::AID-CNCR2820410538>3.0.CO;2-U
  6. Rorke LB, Packer RJ, Biegel JA. Central nervous system atypical teratoid/rhabdoid tumors of infancy and childhood: definition of an entity. J Neurosurg 1996;85:56-65 https://doi.org/10.3171/jns.1996.85.1.0056
  7. Moeller KK, Coventry S, Jernigan S, Moriarty TM. Atypical teratoid/rhabdoid tumor of the spine. AJNR Am J Neuroradiol 2007;28:593-595
  8. Biegel JA, Tan L, Zhang F, Wainwright L, Russo P, Rorke LB. Alterations of the hSNF5/INI1 gene in central nervous system atypical teratoid/rhabdoid tumors and renal and extrarenal rhabdoid tumors. Clin Cancer Res 2002;8:3461-3467
  9. Packer RJ, Biegel JA, Blaney S, Finlay J, Geyer JR, Heideman R, et al. Atypical teratoid/rhabdoid tumor of the central nervous system: report on workshop. J Pediatr Hematol Oncol 2002;24:337-342 https://doi.org/10.1097/00043426-200206000-00004
  10. Tekautz TM, Fuller CE, Blaney S, Fouladi M, Broniscer A, Merchant TE, et al. Atypical teratoid/rhabdoid tumors (ATRT): improved survival in children 3 years of age and older with radiation therapy and high-dose alkylator-based chemotherapy. J Clin Oncol 2005;23:1491-1499 https://doi.org/10.1200/JCO.2005.05.187

피인용 문헌

  1. Pediatric primary spinal atypical teratoid rhabdoid tumor: a case series and review of the literature vol.24, pp.3, 2018, https://doi.org/10.3171/2019.4.peds19113
  2. Pediatric primary spinal atypical teratoid rhabdoid tumor: a case series and review of the literature vol.24, pp.3, 2018, https://doi.org/10.3171/2019.4.peds19113
  3. Atypical Teratoid/Rhabdoid Tumor of the Conus Medullaris vol.55, pp.4, 2018, https://doi.org/10.1159/000509165