대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제82권6호
  • /
  • Pages.1606-1612
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  • 2021
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  • 1738-2637(pISSN)
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  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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뼈 전이로 오인될 수 있는 흉강 외 악성 종양으로 인한 비대성 골관절증의 초기 영상 소견

Early Imaging Findings of Hypertrophic Osteoarthropathy Mimicking Bone Metastasis from Extrathoracic Malignancy

  • 황지연 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 차장규 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 윤유성 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 문아림 (순천향대학교 의과대학 부천병원 병리과)
  • Ji Yeon Hwang (Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Jang Gyu Cha (Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Yu Sung Yoon (Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Ahrim Moon (Department of Pathology, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 투고 : 2020.08.24
  • 심사 : 2020.11.07
  • 발행 : 2021.11.01
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초록

비대성 골관절증은 곤봉지, 근막골형성 및 윤활막 삼출액을 특징으로 하는 증후군이다. 이차성 비대성 골관절증은 대부분의 경우 흉부 내 악성 종양과 연관이 있으나, 드물게 흉강 외 악성 종양에 의해 발생할 수 있다. 이에 우리는 유방암의 과거력이 있는 환자에서 발생한 비대성 골관절증의 초음파, 전산화단층촬영, 자기공명영상 및 뼈 신티그래피의 초기 영상의학적 소견에 대해 서술하고자 한다. 악성 종양으로 오인된 본 증례의 모호한 임상 및 영상 소견은 독자에게 흥미롭고 유익할 것으로 생각된다.

Hypertrophic osteoarthropathy (HOA) is a syndrome characterized by digital clubbing, periosteal bone formation, and synovial effusions. Secondary HOA is associated with intrathoracic malignancy in most cases; however, in rare cases, HOA can be caused by extrathoracic conditions. We report early ultrasound, computed tomography, magnetic resonance imaging, and bone scintigraphy findings of HOA in a patient with breast cancer. Its ambiguous clinical and imaging findings that mimicked malignant conditions are particularly interesting and informative.

키워드

참고문헌

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