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Apparent Sparganosis Presenting as a Palpable Neck Mass: A Case Report and Review of Literature

만져지는 경부 종괴로 나타난 현성 스파르가눔증: 증례 보고 및 문헌고찰

  • Minhee Hwang (Department of Radiology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Hye Jin Baek (Department of Radiology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine) ;
  • Sang Min Lee (Department of Radiology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
  • 황민희 (경상대학교 의과대학 경상대학교병원 영상의학과) ;
  • 백혜진 (경상대학교 의과대학 창원경상대학교병원 영상의학과) ;
  • 이상민 (경상대학교 의과대학 경상대학교병원 영상의학과)
  • Received : 2019.05.26
  • Accepted : 2019.11.08
  • Published : 2020.09.01

Abstract

Sparganosis is an uncommon human parasitic infection caused by plerocercoid cysts of the genus Spirometra. Sparganosis of the neck is a rare condition, thus making it difficult to diagnose. It is often initially misdiagnosed as a lymphadenopathy or a soft tissue tumor. Herein, we describe a rare case of apparent sparganosis presenting as a palpable mass in the left neck of a 53-year-old female patient. Imaging studies played a key role in the diagnosis. In this case report, we emphasize that sparganosis should be considered in the differential diagnosis of a palpable superficial mass. We also stress the importance of meticulous radiological review in the context of appropriate clinical suspicion.

스파르가눔증은 스피로메트라 아속의 유충 감염에 의해 발생하는 드문 기생충 질환이다. 경부 스파르가눔증은 드문 질환이기 때문에 림프절 병증이나 연부 조직 종양으로 오인되어 진단이 어려울 수 있다. 저자들은 영상 소견이 진단에 중요한 역할을 하였던 53세 여성 환자의 현성 경부 스파르가눔증의 증례를 보고한다. 이 증례 보고를 통해 저자들은 만져지는 경부 종물이 있을 때 스파르가눔증을 감별진단으로 고려해야 하며, 정확한 진단을 위해서는 스파르가눔증에 대한 임상적 의심 및 영상의학적 소견에 대한 이해가 중요함을 강조하고자 한다.

Keywords

References

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