손가락에 발생한 아교질섬유종: 증례 보고

Collagenous Fibroma (Desmoplastic Fibroblastoma) of the Finger: A Case Report

  • 성영제 (동국대학교 의과대학 영상의학교실) ;
  • 구준범 (동국대학교 의과대학 영상의학교실)
  • Sung, Young-Jae (Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine) ;
  • Koo, Joon-Bum (Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine)
  • 발행 : 2011.01.01

초록

아교질섬유종은 근래에 이르러 기술된 드문 양성 연조직종양으로 피부밑조직 또는 근육에서 발생한다. 저자들은 손가락에 발생한 아교질섬유종 한 예를 보고하고자 한다. 54세 남자 환자가 손가락의 무통이며, 느리게 자라는 종괴를 주소로 내원하였다. 본 증례의 종괴는 T1 강조영상에서 등신호강도, T2 강조영상에서 저신호강도를 보였으며, 조영증강 시 일부분은 조영증강되지 않았다. 이 종괴에 대해서 수술적 절제를 시행하였고, 조직학적으로 아교질섬유종으로 확진되었다.

Collagenous fibroma is a recently described, rare, benign, soft tissue tumor that arises in the subcutaneous tissue or muscle. We report here on a case of a collagenous fibroma of the finger. A 54-year-old man was admitted to our hospital with a painless, slow-growing mass in the finger. On magnetic resonance imaging (MRI), the mass showed iso-signal intensity on the T1-weighted image, low signal intensity on the T2-weighted image and focal non-enhancing areas on the contrast-enhanced T1-weighted image. The lesion was totally removed by surgical excision and it was pathologically confirmed to collagenous fibroma.

키워드

참고문헌

  1. Evans HL. Desmoplastic fibroblastoma: a report of seven cases. Am J Surg Pathol 1995;19:1077-1081 https://doi.org/10.1097/00000478-199509000-00012
  2. Nielsen GP, O'Connell JX, Dickersin GR, Rosenberg AE, Collagenous fibroma (desmoplastic fibroblastoma): a report of seven cases. Mod Pathol 1996;9:781-785
  3. Miettinen M, Fetsch JF. Collagenous fibroma (desmoplastic fibroblastoma): a clinicopathologic analysis of 63 cases of distinctive soft tissue lesion with stellate-shaped fibroblasts. Hum Pathol 1998;29:676-682 https://doi.org/10.1016/S0046-8177(98)90275-1
  4. Hasegawa T, Shimoda T, Hirohashi S, Hizawa K, Sano T. Collagenous fibroma (desmoplastic fibroblastoma): report of four cases and review of the literature. Arch Pathol Lab Med 1998;12:455-460
  5. Farina Fong, Edward Odell, Ricard Simo. Collagenous fibroma (desmoplastic fibroblastoma) of the neck presenting with neurological symptoms. Head and Neck Pathol 2009;3:47-50 https://doi.org/10.1007/s12105-008-0098-6
  6. Shuto R, Kiyosue H, Hori Y, Miryake H, Kawano K, Mori H. CT and MR imaging of desmoplastic fibroblastoma. Eur Radiol 2002;12:2474-2476 https://doi.org/10.1007/s00330-001-1217-x
  7. Osipov V, Carrera GF. Collagenous fibroma (desmoplastic fibroblastoma) with vertebral body erosion. Sarcoma 2009;2009:682-687
  8. Ahn M, Osipov V, Harris GJ. Collagenous fibroma (desmoplastic fibroblastoma) of the lacrimal gland. Opthal Plast Reconstr Surg 2009;25:250-252 https://doi.org/10.1097/IOP.0b013e3181a14660
  9. Walker KR, Bui-Mansfield LT, Gering SA, Ranlett RD. Collagenous fibroma (desmoplastic fibroblastoma) of the shoulder. AJR Am J Roentgenol 2004;183:1766 https://doi.org/10.2214/ajr.183.6.01831766