흉벽에 발생한 다형성 초자화 혈관 확장 종양 - 1예 보고 -

Pleomorphic Hyalinizing Angiectatic Tumor of the Chest Wall - A case report -

  • 조정수 (인하대학교 의과대학 흉부외과학교실) ;
  • 김광호 (인하대학교 의과대학 흉부외과학교실) ;
  • 윤용한 (인하대학교 의과대학 흉부외과학교실) ;
  • 김정택 (인하대학교 의과대학 흉부외과학교실) ;
  • 백완기 (인하대학교 의과대학 흉부외과학교실) ;
  • 김원홍 (인하대학교 의과대학 영상의학교실) ;
  • 박인서 (인하대학교 의과대학 해부병리학교실)
  • Cho, Jung-Soo (Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, College of Medicine, Inha University) ;
  • Kim, Kwang-Ho (Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, College of Medicine, Inha University) ;
  • Yoon, Yong-Han (Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, College of Medicine, Inha University) ;
  • Kim, Joung-Taek (Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, College of Medicine, Inha University) ;
  • Baek, Wan-Ki (Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, College of Medicine, Inha University) ;
  • Kim, Won-Hong (Department of Diagnostic Radiology, Inha University Hospital, College of Medicine, Inha University) ;
  • Park, In-Suh (Department of Pathology, Inha University Hospital, College of Medicine, Inha University)
  • 발행 : 2008.04.05

초록

다형성 초자화 혈관 확장 종양은 경미한 악성종양의 특성을 가지며 주로 하지의 표재성 연조직에 발생하는 매우 회귀한 종양으로 알려져 있다. 조직학적으로 확장된 혈관 주위에 비 활동성 유사분열의 판(sheet)과 다발(fascicle)로 이루어지면서, 혈철소(hemosiderin)가 점점이 박혀 있는 방추형의 다형성 세포로 이루어진 종양세포로 구성되며, 유사분열이 거의 없는 것이 그 특징적 소견으로 알려져 있다. 저자들은 우측 전 흉부의 종괴 촉지를 주소로 내원한 50세 남자환자에서 상기 질환을 치험하였기에 문헌 고찰과 더불어 보고하는 바이다.

Pleomorphic hyalinizing angiectatic tumor (PHAT) is a rare, low grade soft tissue neoplasm of an unknown histogenesis. It is characterized by sheets of mitotically inactive oval and pleomorphic cells, mono- and multi-nucleated giant cells, intranuclear cytoplasmic inclusions and prominent clusters of thin-walled ectatic vessels with perivascular hyalinization. We have experienced a 50 years old male patient who had a palpable mass in his right anterior lower chest wall. The mass was excised and it was confirmed as PHAT. He has been well 2 years postoperatively without recurrence.

키워드

참고문헌

  1. Smith MEF, Fisher C, Weiss SW. Pleomorphic hyalinizing angiectatic tumor of soft parts. A low-grade neoplasm resembling neurilemoma. Am J Surg Pathol 1996;20: 21-29 https://doi.org/10.1097/00000478-199601000-00002
  2. Folpe AL, Weiss SW. Pleomorphic hyalinizing angiectatic tumor. Analysis of 41 cases supporting evolution from a distinctive precursor lesion. Am J Surg Pathol 2004;28: 1417-1425 https://doi.org/10.1097/01.pas.0000141406.02581.fb
  3. Fukunaga M, Ushigome S. Pleomorphic hyalinizing angiectatic tumor of soft parts. Pathol Int 1997;47:784-788 https://doi.org/10.1111/j.1440-1827.1997.tb04458.x
  4. Chu YC, Chou SK, Park IS, Han HS, Han JY, Kim JM. Pleomorphic hyalinizing angiectatic tumor of soft parts. -a case report-. Korean J Pathol 2002;36:195-198
  5. Fujiwara M, Yuba Y, Wada A, Ozawa T, Tanaka T. Pleomorphic hyalinizing angiectatic tumor of soft parts: report of a case and review of the literature. J Dermat 2004;31:419-423 https://doi.org/10.1111/j.1346-8138.2004.tb00696.x
  6. England DM, Hochholzer L, McCarthy MJ. localized benign and malignant fibrous tumors of the pleura: A clinicopathologic review of 223 cases. Am J Surg Pathol 1989;13:640-658 https://doi.org/10.1097/00000478-198908000-00003
  7. Dei Tos AP, Seregard S, Calonje E, Chan JKC, Fletcher CDM. Giant cell angiofibroma: A distinctive orbital tumor in adults. Am J Surg Pathol 1995;19:1286-1293 https://doi.org/10.1097/00000478-199511000-00009