Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Vertebra Plana Caused by a Giant Cell Tumor: A Case Report and Literature Review

거대세포종으로 인한 척추 편평: 증례 보고

  • Cha, Jang-Gyu (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Shin, Won-Han (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital) ;
  • Park, Kwan-Woong (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital) ;
  • Kim, Hee-Kyung (Department of Pathology, Soonchunhyang University Bucheon Hospital) ;
  • Park, Jai-Soung (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Lee, Hae-Kyung (Department of Radiology, Soonchunhyang University Bucheon Hospital)
  • 차장규 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 신원한 (순천향대학교 의과대학 부천병원 신경외과) ;
  • 박관웅 (순천향대학교 의과대학 부천병원 신경외과) ;
  • 김희경 (순천향대학교 의과대학 부천병원 병리과) ;
  • 박재성 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 이혜경 (순천향대학교 의과대학 부천병원 영상의학과)
  • Received : 2009.12.10
  • Accepted : 2010.03.05
  • Published : 2010.06.01
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Abstract

We report here on the case of a 19-year-old woman who presented with progressive weakness of the lower extremities. The radiographs and CT showed vertebra plana of the first thoracic vertebral body. The mass had low signal intensity on the T1-weighted MR image and intermediate signal intensity on the T2-weighted MR image, and this low signal intensity extended to the spinal canal. Histological examination revealed a giant cell tumor (GCT). MR imaging is the imaging modality of choice for helping to distinguish spinal GCT from other spinal tumors by defining the extent and characteristic signal intensity of the tumor.

점진적으로 악화하는 하지의 쇠약감을 호소하는 19세 여자 환자의 증례를 보고한다. 단순사진과 CT 사진에서 첫번째 흉추의 척추 편평소견이 보였다. 이 종괴는 MR 검사에서 척추관까지 침범하며 T1 저신호강도로 및 T2 강조 영상에서는 중등도 신호강도로 보였다. 조직학적 검사에서 이 종괴는 거대세포종으로 확진되었다. MR 영상은 침범 정도와 특징적인 신호강도를 보여줌으로써 거대 세포종과 다른 척추종양과 감별에 도움을 주는 최선의 영상검사이다.

Keywords

References

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