원발성 척수임파종 -증례 보고-
Primary Intramedullary Spinal Cord Lymphoma -Case Report-
소속 상세정보
지용철/Yong Cheol Ji
김영백/박승원/황성남/권정택/민병국/최덕영/석종식/Young Baeg Kim/Seung Won Park/Sung Nam Hwang/Jung Taek Kwon/Byung Kuk Min/Duck Young Choi/Jong Sik Suk
KMID : 0359819990280040570
Abstract
서론
현재 보고되어진 원발성 중추신경계 임파종은 모두 비호지킨성 임파종(non-Hodkin's
lymphoma, NHL)로 전체 NHL의 0.7%에서 2% 정도에서 보고되고 있으며 호지킨성 임파종
은 한례도 없었다. 또한 척수 종양중 원발성 척수임파종은 극히 드문 질환으로 현재까지 11
례가 보고되고 있다. 저자 등은 경추부 척추강 협착증에 의한 중심성 척수 증후군(central
cord syndrome)으로 혼동되었던 원발성 척수내 임파종을 경험하였기에 문헌보고와 함께 이
를 보고하고자 한다.
#초록#
The authors report a primary intramedullary spinal cord lymphoma in a 49-year-old
man who presented with right arm pain. voiding difficulty and progressive walking
difficulty. Preoperative cervical spinal CT and MRI studies were highly suggestive of
spinal stenosis with compressive myelopathy but histopathological study of the specimen
after surgery revealed spinal cord lymphoma. As no tumorous lesion was found other
than the spinal cord, he was given 6000 rad of radiation under the diagnosis of primary
CNS lymphoma. The neurologic deficits improved partially after the surgery but delete
right arm pain persisted. One year later, follow up studies showed neither local nor
systemic tumor recurrence.
키워드
Spinal cord; Primary CNS lymphoma; Surgery; Radiation;
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