대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제81권2호
  • /
  • Pages.459-464
  • /
  • 2020
  • /
  • 1738-2637(pISSN)
  • /
  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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부신의 원발성 평활근육종의 영상 소견: 증례 보고

Imaging Findings of Primary Adrenal Leiomyosarcoma: A Case Report

  • 윤혜란 (한국원자력의학원 원자력병원 영상의학과) ;
  • 박동희 (한국원자력의학원 원자력병원 영상의학과)
  • Hye Ran Yoon (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Dong Hee Park (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 투고 : 2019.07.16
  • 심사 : 2019.10.14
  • 발행 : 2020.03.01
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초록

평활근육종은 주로 자궁근육층, 후복막강에서 발생하는 악성질환으로 일차성으로 부신에서 발생하는 경우는 매우 드물다. 영상 소견이 비특이적이므로 부신에서 보일 수 있는 여러 종양과의 감별이 어렵다. 저자들은 좌상복부 통증을 주소로 촬영한 CT 상 좌측 부신 종괴가 발견되고, 2년 동안 1 cm 이상 크기가 증가하여 부신절제술을 받은 후 병리조직검사에서 평활근육종으로 진단된 증례를 영상 소견을 중심으로 보고하고자 한다.

Leiomyosarcoma is a malignant tumor that typically originates from either the uterus or the retroperitoneum. Furthermore, primary adrenal leiomyosarcoma is an extremely rare condition. Owing to its radiological non-specificity, differentiating leiomyosarcoma from other tumor types in the adrenal gland is difficult. We report the imaging findings of a primary adrenal leiomyosarcoma in a patient who presented with left upper quadrant abdominal pain, which increased by more than 1 cm in diameter in two years. Primary adrenal leiomyosarcoma was diagnosed considering the subsequent surgical and histopathologic findings.

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참고문헌

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