Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Intranodal Schwannoma Mimicking a Gastrointestinal Stromal Tumor of the Stomach: A Case Report

위의 위장관 기질성 종양과 비슷한 소견의 임파절내 신경초종: 증례 보고

  • Nam, Kyung-Bum (Department of Radiology, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • NamKung, Sook (Department of Radiology, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Kim, Heung-Cheol (Department of Radiology, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Kim, Hae-Sung (Department of General Surgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Ryu, Byoung-Yoon (Department of General Surgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Choi, Young-Hee (Department of Pathology, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital)
  • 남경범 (한림대학교 의과대학 춘천성심병원 영상의학과학교실) ;
  • 남궁숙 (한림대학교 의과대학 춘천성심병원 영상의학과학교실) ;
  • 김흥철 (한림대학교 의과대학 춘천성심병원 영상의학과학교실) ;
  • 김해성 (한림대학교 의과대학 춘천성심병원 외과학교실) ;
  • 류병윤 (한림대학교 의과대학 춘천성심병원 외과학교실) ;
  • 최영희 (한림대학교 의과대학 춘천성심병원 해부병리과학교실)
  • Published : 2011.10.01
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Abstract

A 66-year-old-woman is presented with intranodal schwannoma of the retroperitoneum. Ultrasonography (US) and computed tomography (CT) results demonstrated a large encapsulated mass with internal cystic or necrotic portions in the gastrosplenic space. The tumor abutted the greater curvature of the gastric body and slightly indented the proximal small bowel loops on a small bowel series. The observations suggested a gastrointestinal stromal tumor. The mass was surgically proven to be a retroperitoneal tumor and histopathologically intranodal ancient schwannoma.

66세 여자 환자에서 발생한 후복막강 임파절내 신경초종의 증례를 보고하고자 한다. 초음파와 CT에서는 위와 비장 사이에 위치하고 피막에 싸여있으며 내부에 낭종 혹은 괴사 소견을 동반한 경계가 좋은 커다란 연부조직 종괴로 보였다. 소장조영술에서는 종괴에 의해 위체부의 대만곡이 밀리고 위점막 주름이 일부 펴져 있었으며 공장의 근위부를 약간 밀고 있는 소견을 보여 영상학적으로 위체부에서 발생한 위장관 기질성 종양으로 진단하였다. 개복술을 통해 후복막강 종괴로 확인되었고 조직학적으로 임파절내 신경초종으로 확진되었다.

Keywords

References

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