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만져지는 경부 종괴로 나타난 현성 스파르가눔증: 증례 보고 및 문헌고찰

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

  • 황민희 (경상대학교 의과대학 경상대학교병원 영상의학과) ;
  • 백혜진 (경상대학교 의과대학 창원경상대학교병원 영상의학과) ;
  • 이상민 (경상대학교 의과대학 경상대학교병원 영상의학과)
  • 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)
  • 투고 : 2019.05.26
  • 심사 : 2019.11.08
  • 발행 : 2020.09.01

초록

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.

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.

키워드

참고문헌

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