Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Imaging Diagnosis: Heartbase Tumor in a Dog

개의 심기저부 종양의 영상진단학적 특징

  • Chang, Jin-Hwa (Department of Veterinary Radiology, College of Veterinary Medicine, Seoul National University) ;
  • Jung, Joo-Hyun (Department of Veterinary Radiology, College of Veterinary Medicine, Seoul National University) ;
  • Yoon, Jung-Hee (Department of Veterinary Radiology, College of Veterinary Medicine, Seoul National University) ;
  • Choi, Min-Cheol (Department of Veterinary Radiology, College of Veterinary Medicine, Seoul National University)
  • 장진화 (서울대학교 수의과대학 수의방사선학과) ;
  • 정주현 (서울대학교 수의과대학 수의방사선학과) ;
  • 윤정희 (서울대학교 수의과대학 수의방사선학과) ;
  • 최민철 (서울대학교 수의과대학 수의방사선학과)
  • Published : 2008.02.29
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Abstract

A ten-year-old Yorkshire Terrier developed serious abdominal distension and respiratory distress. Radiography and ultrasonography revealed a hyperechoic mass around the aorta that was contiguous with the right atrium and main pulmonary artery. It was resulted in failure of the right side of the heart including tricuspid regurgitation, hepatomegaly with dilation of the hepatic vein and severe ascites due to a large, expansile mass. Computed tomography(CT) identified a large mass originating at the cardiac hilar region and spanning from the cranial vena cava to the caudal vena cava. The tumor had invaded the cranial vena cava, caudal vena cava, heart and pleural wall. A tentative diagnosis of chemodectoma was assigned to the tumor through a fine needle aspiration. This report focuses on the typical features of imaging diagnosis of heartbase tumors by radiography, ultrasonography and CT.

심한 복부팽만과 호흡 곤란 증세를 보이는 10살의 요크셔 테리어가 내원하였다. 방사선과 초음파 검사로 우심방과 주폐동맥에 인접한 대동맥 주위로 고에코성의 큰 종괴를 확인하였다. 확인된 종양은 심장 기저부 주위에 존재하는 확장성 종양으로 삼첨판 역류, 대량의 복수와 간정맥 확장을 동반한 간종대와 같은 우심 부전 소견을 보였다. 전산화단층촬영법으로 확인된 이 종괴는 전대정맥에서 후대정맥까지 위치한 심장 기저부 주위에 존재하는 크고 비균질성을 띤 종괴였다. 이 종괴는 전대정맥, 심장, 후대정맥 및 흉벽까지 침습되어 있었으며, 세침흡입술을 통한 잠정적인 진단은 Chemodectoma였다. 본 증례로 다양한 진단 영상학적 수단을 통한 심기저부 종양에 대한 특징 및 역할을 알 수 있었다.

Keywords

References

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