대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제85권5호
  • /
  • Pages.960-964
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  • 2024
  • /
  • 1738-2637(pISSN)
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  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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부비장에 발생한 대장암의 단일 원격 전이: 증례 보고

Metastasis of Colon Cancer to the Accessory Spleen: A Case Report

  • 박소현 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 임상혁 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 진수지 (순천향대학교 의과대학 부천병원 병리과) ;
  • 이지은 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 이민희 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 최서연 (성균관대학교 의과대학 삼성서울병원 영상의학과)
  • Sohyun Park (Department of Radiology, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine) ;
  • Sanghyeok Lim (Department of Radiology, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine) ;
  • Susie Chin (Department of Pathology, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine) ;
  • Ji Eun Lee (Department of Radiology, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine) ;
  • Min Hee Lee (Department of Radiology, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine) ;
  • Seo-Youn Choi (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2023.12.16
  • 심사 : 2024.03.20
  • 발행 : 2024.10.01
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초록

비장은 매우 드물게 원격 전이가 발생하는 고형 장기이다. 특히 현재까지 영어로 보고된 부비장으로의 원격 전이는 난소암, 이행상피암, 유방암 및 자궁암육종에서 진단된 4예로, 영상 소견이 제시된 증례는 이행상피암과 자궁암육종의 전이 증례뿐이었다. 이에 저자들은 58세 남성 환자의 부비장에 발생한 대장암의 원격 전이의 영상 소견을 보고하고 악성 종양의 병력이 있는 환자에게서 비장의 침범 없이 부비장에 나타난 단일 병변에 대해 원격 전이의 가능성에 대해 강조하고자 한다.

Distant metastasis to the spleen is extremely rare. To the best of our knowledge, metastasis to the accessory spleen based on pathological findings has only been reported in four patients in the English literature, including one each of ovarian cancer, transitional cell carcinoma, breast cancer, and uterine carcinosarcoma after surgery. Furthermore, among these reported cases, only two reports (one each of transitional cell carcinoma and uterine carcinosarcoma) presented imaging findings. In this study, we report a case of colon cancer metastasis to the accessory spleen without involvement of the spleen in a 58-year-old male patient, providing imaging findings. This case emphasized the importance of considering the possibility of metastasis to the accessory spleen in patients with malignancy.

키워드

과제정보

This work was supported by the Soonchunhyang University Research Fund.

참고문헌

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