흉추부 경막내 고립성 섬유종 = 증례 보고

국문 초록 (Abstract)

섬유종은 중피성 결체조직에서 기원한 종양으로 드물지만 흉막에 주로 발생하며 연부조직이나 기타 상기도, 복막, 후복막, 골막, 두개내 등에서 발생할 수 있다. 최근 고립성 섬유종이 중추신경계에서 발생된 보고가 있으나 경막내 고립성 섬유종의 발생은 드물며 국내에는 이러한 보고가 없다. 이에 저자들은 제 7-8 흉추부에 발생한 경막내 고립성 섬유종 1예에 대하여 수술적 치료를 시행하여 우수한 결과를 얻었으며, 면역조직검사상 vimentin 양성, CD34에 약양성, S-100 단백, 알파 민무늬근의 actin, desmin에는 음성의 결과를 보여 경막내 고립성 섬유종으로 진단되었다.

다국어 초록 (Multilingual Abstract)

A fibrous tumor is a rare tumor that arises mainly in the visceral pleura but can occur in many locations throughout the body including the soft tissue, upper respiratory tract, peritoneum, retroperitoneum, periosteum, and intracranial portion. Recently, a solitary fibrous tumor was found in the central nervous system. However, the incidence of an intradural solitary fibrous tumor is quite low and there are no domestic reports of such cases. We report a case of intradural extramedullary solitary fibrous tumor of the thoracic spine. A favorable clinical result was obtained using surgical treatment. The immunohistological findings revealed the tumor to be reactive to vimentin and CD34 but negative to the S-100 protein, alpha smooth muscle actin and desmin.

목차 (Table of Contents)

• 증례 보고
• 고찰
• 참고문헌
• 국문초록

참고문헌 (Reference)

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2 "Solitary fibrous tumours of the meninges: case series and literature review" 54 : 57-69, 2001

3 "Solitary fibrous tumors in the central nervous system. A clinicopathologic review of 18 cases and comparison to meningeal hemangiopericytomas" 127 : 432-439, 2003

4 "Solitary fibrous tumor: histolo-gical and imunohistochemical spectrum of benign and malig-nant variants presenting at different sites" 26 : 440-449, 1995

5 "Solitary fibrous tumor of the thoracic spinal cord" 45 (45): 371-374, 2005

6 "Solitary fibrous tumor of the spinal cord" 21 : 477-483, 1997

7 "Solitary fibrous tumor of the meninges: a lesion distinct from fibrous meningioma: a clinicopathologic and imunohistochemical study" 106 : 217-224, 1996