๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #32

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
ํ™˜์ž ์ •๋ณด: 64 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ํ‘œํ˜„์„ฑ ์‹ค์–ด์ฆ

์ฆ๋ก€ #32

์†Œ๊ฒฌ

CT

MRI

  • ์ขŒ์ธก ์ „๋‘์—ฝ์— ์œ„์น˜ํ•œ 3.4 x 3.3 x 3.2 cm ํฌ๊ธฐ์˜ T1 ์ €์‹ ํ˜ธ, T2 ๋“ฑ์‹ ํ˜ธ ์ข…๊ดด๋กœ, ์ƒ๋Œ€์  T1 ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ๋ฐ T2 ์‹ ํ˜ธ ์ €๊ฐ•๋„์˜ ํ…Œ๋‘๋ฆฌ๋ฅผ ๋™๋ฐ˜ํ•˜๋ฉฐ, ์ง€์ƒํ˜• ์กฐ์˜์ฆ๊ฐ• ๋Œ๊ธฐ ๋ฐ ์ขŒ์ธก ์ „๋‘์—ฝ ์ƒ๋ถ€์— ์œ„์„ฑ ์กฐ์˜์ฆ๊ฐ• ๋ณ‘๋ณ€์ด ๊ด€์ฐฐ๋จ
  • ๊ท ์งˆํ•œ ๋ฏธ๋งŒ์„ฑ ์กฐ์˜์ฆ๊ฐ• ๋ฐ ํ™•์‚ฐ ์ œํ•œ
  • ๊ด€๋ จ ์žํ™”์œจ ์ธ๊ณต๋ฌผ ์—†์Œ
  • ์ฃผ๋ณ€ ํ˜ˆ๊ด€์„ฑ ๋ถ€์ข… ๋ฐ ๊ตญ์†Œ ๋‡Œ๊ณ ๋ž‘ ์†Œ์‹ค, ์ขŒ์ธก ์ธก๋‡Œ์‹ค ์••๋ฐ•, 4 mm ์ขŒ-์šฐ ์ •์ค‘์„  ํŽธ์œ„๋ฅผ ์ดˆ๋ž˜ํ•˜๋Š” ์ข…๊ดด ํšจ๊ณผ
  • ํ•˜๋ฐฉ ํƒˆ์ถœ ๋˜๋Š” ์ˆ˜๋‘์ฆ ์—†์Œ

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Hyperattenuating mass on CT (red arrow) with surrounding vasogenic edema.

Hyperattenuating mass on CT (red arrow) with surrounding vasogenic edema.

Avid, diffuse corresponding enhancement (red arrow).

Avid, diffuse corresponding enhancement (red arrow).

Corresponding diffuse restricted diffusion (red arrows).

Corresponding diffuse restricted diffusion (red arrows).

์ง„๋‹จ

์›๋ฐœ์„ฑ ์ค‘์ถ”์‹ ๊ฒฝ๊ณ„ ๋ฆผํ”„์ข…(PCNSL)

์ฃผ์š” ์˜์ƒ ์†Œ๊ฒฌ

์ฃผ์š” ์˜์ƒ ํŠน์ง•์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ฐ๋ณ„์ง„๋‹จ

๊ฐ๋ณ„ ์ง„๋‹จ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ณ ์ฐฐ

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

ํ•ต์‹ฌ ํฌ์ธํŠธ

ํ•ต์‹ฌ ํŒ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

์ฐธ๊ณ ๋ฌธํ—Œ

  • Haldorsen IS, Espeland A, Larsson EM. Central nervous system lymphoma: characteristic findings on traditional and advanced imaging. AJNR Am J Neuroradiol 2011; 32(6): 984-992.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.