DOI QR코드

DOI QR Code

Atypical Appearance and Location of Subependymomas: A Report of Two Cases

비전형적인 모양과 위치를 보이는 상의하세포종: 2개의 증례 보고

  • Lee, Jee Hyeon (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Eun Soo (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Yul (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Kwanseop (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kwon, Mi Jung (Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Song, Joon-Ho (Department of Neurosurgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • 이지현 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 김은수 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 이열 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 이관섭 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 권미정 (한림대학교 의과대학 성심병원 병리과) ;
  • 송준호 (한림대학교 의과대학 성심병원 신경외과)
  • Received : 2018.03.28
  • Accepted : 2018.06.15
  • Published : 2018.11.01

Abstract

Subependymomas are rare benign central nervous system tumor which account of 0.7% of all intracranial tumors. Subependymomas show characteristic MR findings according to their location. However, sometimes atypical findings could be found. In addition, subependymomas can occur very rarely in the spinal cord. We report two cases of pathologically confirmed subependymoma, one of which shows atypical appearances in spite of their intraventicular location and the other of which shows rare case of spinal intramedullary subependymoma. We review the clinical symptoms and radiologic findings of two cases.

상의하세포종은 드문 중추신경계 종양으로 두개내 발생하는 종양의 0.7%를 차지한다. 두개내 상의하세포종은 위치에 따라 특징적인 MR 소견을 보여주는데 가끔 비전형적인 소견도 존재할 수 있다. 또한 매우 드물게는 척수내에 발생하기도 한다. 우리는 각각 뇌실내 위치에도 불구하고 비전형적인 소견을 보인 경우와 드물게 척수 내에 나타난 상의하세포종의 경우, 두 가지 조직학적으로 확진된 상의하세포종 증례를 소개하고 그 임상적 증상과 영상학적 소견에 대해 고찰하려고 한다.

Keywords

References

  1. Tacconi L, Johnston FG, Thomas DG. Subependymoma of the cervical cord. Clin Neurol Neurosurg 1996;98:24-26 https://doi.org/10.1016/0303-8467(95)00074-7
  2. Toi H, Ogawa Y, Kinoshita K, Hirai S, Takai H, Hara K, et al. Bamboo leaf sign as a sensitive magnetic resonance imaging finding in spinal subependymoma: case report and literature review. Case Rep Neurol Med 2016;2016:9108641
  3. Boykin FC, Cowen D, Iannucci C, Wolf A. Subependymal glomerate astrocytomas. J Neuropathol Exp Neurol 1954;13:30-49 https://doi.org/10.1097/00005072-195401000-00006
  4. Abdel-Aal AK, Hamed MF, Al Naief NS, Vattoth S, Bag A. Unusual appearance and presentation of supratentorial subependymoma in an adult patient. J Radiol Case Rep 2012;6:8-16
  5. Nishio S, Morioka T, Mihara F, Fukui M. Subependymoma of the lateral ventricles. Neurosurg Rev 2000;23:98-103
  6. Kremer P, Zoubaa S, Schramm P. Intramedullary subependymoma of the lower spinal cord. Br J Neurosurg 2004;18:548-551 https://doi.org/10.1080/02688690400012608
  7. Yadav RK, Agarwal S, Saini J, Sharma NK. Imaging appearance of subependymoma: a rare tumor of the cord. Indian J Cancer 2008;45:33-35 https://doi.org/10.4103/0019-509X.40645
  8. Jang WY, Lee JK, Lee JH, Kim JH, Kim SH, Lee KH, et al. Intramedullary subependymoma of the thoracic spinal cord. J Clin Neurosci 2009;16:851-853 https://doi.org/10.1016/j.jocn.2008.09.008
  9. Zenmyo M, Ishido Y, Terahara M, Yamamoto T, Tanimoto A, Komiya S, et al. Intramedullary subependymoma of the cervical spinal cord: a case report with immunohistochemical study. Int J Neurosci 2010;120:676-679 https://doi.org/10.3109/00207454.2010.509894
  10. Wu Z, Iwanami A, Yasuda A, Mikami S, Toyama Y, Nakamura M. Intramedullary cervicothoracic subependymoma: report of three cases and review of the literature. J Orthop Sci 2015;20:927-934 https://doi.org/10.1007/s00776-014-0585-4