대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제65권1호
  • /
  • Pages.77-80
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  • 2011
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  • 1738-2637(pISSN)
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  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

다수의 장기를 침범한 염증거짓종양: 증례 보고

Multisystemic Organ Involvement by an Inflammatory Pseudotumor: A Case Report

  • 김우정 (동아대학교 의과대학 영상의학과학교실) ;
  • 권희진 (동아대학교 의과대학 영상의학과학교실) ;
  • 조진한 (동아대학교 의과대학 영상의학과학교실) ;
  • 오종영 (동아대학교 의과대학 영상의학과학교실) ;
  • 남경진 (동아대학교 의과대학 영상의학과학교실) ;
  • 하동호 (동아대학교 의과대학 영상의학과학교실)
  • Kim, Woo-Jeong (Department of Radiology, College of Medicine, Dong-A University) ;
  • Kwon, Hee-Jin (Department of Radiology, College of Medicine, Dong-A University) ;
  • Cho, Jin-Han (Department of Radiology, College of Medicine, Dong-A University) ;
  • Oh, Jong-Yeong (Department of Radiology, College of Medicine, Dong-A University) ;
  • Nam, Kyung-Jin (Department of Radiology, College of Medicine, Dong-A University) ;
  • Ha, Dong-Ho (Department of Radiology, College of Medicine, Dong-A University)
  • 발행 : 2011.07.01
⟨ 이전 논문 다음 논문 ⟩

초록

염증거짓종양은 특별한 원인 없이 발생하는 양성 연조직 종양으로 매우 드물게 다양한 장기를 침범할 수 있다. 저자들은 성인에서 간, 췌장, 담관, 신장 및 신우, 복강 및 종격동 내 림프절, 기관지를 동시에 침범하여 악성 림프종으로 오인하였으나, 조직검사와 함께 임상적으로 염증거짓종양으로 진단된 1예의 영상 소견을 문헌 고찰과 함께 보고한다.

Inflammatory pseudotumors are benign soft tissue tumors that in rare cases can also manifest in multiple organs. We report here on the radiologic findings of a case of inflammatory pseudotomor mimicking malignant lymphoma involving the liver, pancreas, common bile duct, kidney, renal pelvis and lymph nodes of the abdomen and mediastinum, as well as the bronchus in an adult.

키워드

참고문헌

  1. Narla LD, Newman B, Spottswood SS, Narla S, Kolli R. Inflammatory pseudotumor. Radiographics 2003;23:719-729 https://doi.org/10.1148/rg.233025073
  2. Walsh SV, Evangelista F, Khettry U. Inflammatory myofibroblastic tumor of the pancreaticobiliary region: morphologic and immunocytochemical study of three cases. Am J Surg Pathol 1998;22:412-418 https://doi.org/10.1097/00000478-199804000-00004
  3. Difiore JW, Goldblum JR. Inflammatory myofibroblastic tumor of the small intestine. J Am Coll Surg 2002;194: 502-506 https://doi.org/10.1016/S1072-7515(02)01118-3
  4. Voss SD, Kruskal JB, Kane RA. Chronic inflammatory pseudotumor arising in the hepatobiliary-pancreatic system: progressive multisystemic organ involvement in four patients. AJR Am J Roentgenol 1999;173:1049-1054 https://doi.org/10.2214/ajr.173.4.10511176
  5. Lopez-Tomassetti Fernandez EM, Luis HD, Malagon AM, Gonzalez IA, Pallares AC. Recurrence of inflammatory pseudotumor in the distal bile duct: lessons learned from a single case and reported cases. World J Gastroenterol 2006;12:3938-3943 https://doi.org/10.3748/wjg.v12.i24.3938
  6. Kamisawa T, Funata N, Hayashi Y, Tsuruta K, Okamoto A, Amemiya K, et al. Close relationship between autoimmune pancreatitis and multifocal fibrosclerosis. Gut 2003;52: 683-687 https://doi.org/10.1136/gut.52.5.683
  7. Park SB, Cho KS, Kim JK, Lee JH, Jeong AK, Kwon WJ, et al. Inflammatory pseudotumor (myoblastic tumor) of the genitourinary tract. AJR Am J Roentgenol 2008;191:1255-1262 https://doi.org/10.2214/AJR.07.3663
  8. Toosi MN, Heathcote J. Pancreatic pseudotumor with sclerosing pancreato-cholangitis: is this a systemic disease? Am J Gastroenterol 2004;99:377-382 https://doi.org/10.1111/j.1572-0241.2004.04075.x
  9. Slavotinek JP, Bourne AJ, Sage MR, Freeman JK. Inflammatory pseudotumour of the pancreas in a child. Pediatr Radiol 2000;30:801-803 https://doi.org/10.1007/s002470000331
  10. Levy S, Sauvanet A, Diebold MD, Marcus C, Da Costa N, Thiefin G. Spontaneous regression of an inflammatory pseudotumor of the liver presenting as an obstructing malignant biliary tumor. Gastrointest Endosc 2001;53:371-374 https://doi.org/10.1016/S0016-5107(01)70422-1