재발성 측두엽 배태이형성성 신경상피종
A Case of Recurrent Dysembryoplastic Neuroepithelial Tumor in the Temporal Lobe
정택근, 이정교, 김정훈, 김덕수, 고태성, 강신광, 권병덕,
소속 상세정보
정택근 ( Chung Tag-Geun )
울산대학교 의과대학 서울중앙병원 신경외과학교실
이정교 ( Lee Jung-Kyo )
울산대학교 의과대학 서울중앙병원 신경외과학교실
김정훈 ( Kim Jeong-Hoon )
울산대학교 의과대학 서울중앙병원 신경외과학교실
김덕수 ( Kim Deok-Soo )
울산대학교 의과대학 서울중앙병원 신경외과학교실
고태성 ( Ko Tae-Sung )
울산대학교 의과대학 서울중앙병원 신경외과학교실
강신광 ( Kang Shin-Kwang )
울산대학교 의과대학 서울중앙병원 병리학교실
권병덕 ( Kwun Byung-Duk )
울산대학교 의과대학 서울중앙병원 신경외과학교실
KMID : 0877220010050020186
Abstract
A boy since 6 years of his age who have had complex partial seizure was referred to our Department in March 1998. The left anterior temporal lobectomy with the resection of the head and body of hippocampus and gross total tumor removal was also performed in April 1998. He has been seizure free and stable about 3 years postoperatively. In January 2001, he revisited us due to headache, nausea, and vomiting from one week before. MRI revealed recurrence of the tumor, and a partial removal of the tumor was performed. Nine months from the second operation, the tumor recurred again and the thrid operation was followed. The pathologic findings were dysembryoplastic neuroepithelial tumor (DNT) in all three cases and no evidences of anaplastic changes were found in two recurrent cases. In general, DNT is known to be a disease that rarely transforms into the malignant, postoperative adjuvant radio-or chemotherapy is unnecessary even after partial resection of the tumor. However, in our case, there were two episodes of recurrence after the total resection. Here, we report the first case of recurrent DNT even after the total resection within three years in our knowledge.
키워드
배태이형성성 신경상피종; 재발; 역형성변화
Dysembryoplastic neuroepithelial tumor (DNT); Recurrence; Anaplastic change
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