부신에 발생한 신경초종 -1예 보고-
Schwannoma of the Adrenal Gland -A case report-
전용찬, 성순희, 이삼열,
소속 상세정보
전용찬 ( )
연세대학교 의과대학 병리학교실
성순희 ( )
연세대학교 의과대학 병리학교실
이삼열 ( )
연세대학교 의과대학 병리학교실
KMID : 0357919930270040424
Abstract
신경초종은 신경초세포에서 유래하는 양성종양으로서 뇌신경, 말초신경, 자율신경이 분포
하는 어느 곳에서도 생길 수 있다. 체간보다는 두경부와 사지에 호발하고 위나 골등의 내부
장기에도 발생할 수 있지만 부신에 발생한 신경초종은 지금까지 4예가 보고되어 있을 뿐이
며, 우리나라에서는 아직 부신의 신경초종에 대한 보고가 없기에 저자들이 경험한 1예를 보
고하고자 한다.
#초록#
Retroperitoneum is often the site of occurrence of schwannoma, but reports on
schwannoma of the adrenal gland is exceptional and only 4 cases have been documented
in the literature.
This report is to add one such case occurred in a 53 year-old male who had anorexia,
nausea and indigestion for one month. Whole body bone scan and abdominal CT scan
resealed a 10 ㎝ sifted solid mass at upper pole of the left kidney. Under the impression
of renal cell carcinoma, an operation was performed. The tumor was well encapsulated
and appeared not to involve the kid nay. The cut surfaces were light yellow and
seemed to be composed of several hard lobules with areas of mucoid, cystic and calcific
changes. No adrenal gland was identified grossly. But microscopically, the tumor was
found to be partly surrounded by a small portion of adrenal cortical tissue. Histologically
the tumor was a typical schwannoma with Verocay bodies, although modified in some
extents by mucoid degeneration, cystic change, hyaline change and focal calcification. It
is worthwhile to remember that the retroperitoneal schwannoma commonly had a huge
size, sometimes involving the adjacent structures. (Korean J Pathol 1993; 27: 424∼426)
키워드
Schwannoma; Retroperitoneum; Adrenal gland;
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