대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제85권1호
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  • Pages.77-94
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  • 2024
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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전이성 척추 종양의 영상 소견: 고령 환자의 단일병소를 중심으로 한 감별 질환

Imaging Findings of Spinal Metastases with Differential Diagnosis: Focusing on Solitary Spinal Lesion in Older Patients

  • 박선영 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 윤민아 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 이민희 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 이상훈 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 정혜원 (울산대학교 의과대학 서울아산병원 영상의학과)
  • Sun-Young Park (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Min A Yoon (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Min Hee Lee (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sang Hoon Lee (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hye Won Chung (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2023.12.15
  • 심사 : 2024.01.18
  • 발행 : 2024.01.01
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초록

고령의 환자에서 척추에 단일 병소의 병변을 만나게 되면 골전이를 가장 먼저 염두하게 된다. 골전이는 어느 부위든 가능하지만 척추체에서 가장 많이 발생한다. 그러나 항상 골전이에 전형적인 영상 소견을 보이지 않을 수도 있고 단일 병소로 발견하게 되면 다른 모방하는 병변과 감별이 어려울 수 있다. 그러면 원발암의 진단 및 치료가 늦어지게 된다. 본 종설에서는 골전이의 영상검사 및 임상지침에 대해서 살펴보고 골전이 외에도 고령 환자에서 척추에 단일 병소로 생길 수 있는 다양한 질환들의 영상 소견 및 감별 포인트에 대해서 알아보고자 한다.

If a solitary spinal lesion is found in an older patient, bone metastasis can be primarily considered as the diagnosis. Bone metastasis can occur anywhere, but it mostly occurs in the vertebral body and may sometimes show typical imaging findings, presenting as a single lesion. Therefore, differentiating it from other lesions that mimic bone metastases can be challenging, potentially leading to delayed diagnosis and initiation of primary cancer treatment. This review provides an overview of imaging findings and clinical guidelines for bone metastases and discusses its differences from other diseases that can occur as solitary spinal lesions in older patients.

키워드

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