๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #39

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ™˜์ž ์ •๋ณด: 32 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ์ˆ˜๋‘์ฆ

์†Œ๊ฒฌ

CT

  • ๋‚ด๋ถ€ ๊ฑฐ์นœ ์„ํšŒํ™”๋ฅผ ๋™๋ฐ˜ํ•œ, ํ˜ผํ•ฉ ๋‚ญ์„ฑ ๋ฐ ๊ณ ํ˜• ์•ˆ์žฅ์ƒ๋ถ€ ์ข…๊ดด
  • ์ขŒ์ธก ์ธก๋‡Œ์‹ค ์ „๊ฐ์— ๋„๋‹ฌํ•˜๋Š” ์ขŒ์ธก ์ „๋‘ ์ ‘๊ทผ ๋‡Œ์‹ค ์…˜ํŠธ ์นดํ…Œํ„ฐ
  • ์šฐ์ธก ์ธก๋‡Œ์‹ค ์ „๊ฐ์˜ ๋น„๋Œ€์นญ์  ํ™•๋Œ€๋กœ, ์ฐจ๋ณ„์  ์…˜ํŠธ ๋ฐฐ์•ก์„ ๋‚˜ํƒ€๋‚ผ ์ˆ˜ ์žˆ์Œ

MRI

  • 3.5 x 2.3 x 4.2 cm ํฌ๊ธฐ์˜ ํ˜ผํ•ฉ ๋‚ญ์„ฑ ๋ฐ ๊ณ ํ˜• ์•ˆ์žฅ์ƒ๋ถ€ ์ข…๊ดด๋กœ, ๊ณ ํ˜• ์„ฑ๋ถ„์˜ ๊ณ ํ˜• ์กฐ์˜์ฆ๊ฐ• ๋ฐ ๋‚ญ์„ฑ ์„ฑ๋ถ„์˜ ๋ณ€์—ฐ๋ถ€ ์กฐ์˜์ฆ๊ฐ•์„ ๋ณด์ž„
  • ๋ช‡๋ช‡ ๋‚ญ์„ฑ ์„ฑ๋ถ„(ํŠนํžˆ ๊ฐ€์žฅ ์ „์ƒ๋ถ€ ๋‚ญ์ข…) ๋‚ด์˜ ๋‚ด์žฌ์  T1 ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„๋กœ, ๋ณ‘๋ณ€ ๋‚ด ์ถœํ˜ˆ ๋˜๋Š” ๋‹จ๋ฐฑ์งˆ์„ฑ ์ž”ํ•ด๋ฌผ์„ ๋‚˜ํƒ€๋‚ผ ์ˆ˜ ์žˆ์Œ
  • ์ข…๊ดด๊ฐ€ ์‹œ๊ต์ฐจ์— ์ ‘์ด‰ํ•˜์—ฌ ์ „๋ฐฉ ์ „์œ„์‹œํ‚ค๋ฉฐ ์‹œ์‚ญ์„ ๋ฒŒ๋ฆผ
  • ๋‡Œํ•˜์ˆ˜์ฒด๊ฐ€ ์ข…๊ดด์™€ ๋ณ„๊ฐœ๋กœ ๊ด€์ฐฐ๋จ

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

Suprasellar mass with coarse internal calcification (red arrow).

Suprasellar mass with coarse internal calcification (red arrow).

Multiple T2 hyperintense cystic components.

Multiple T2 hyperintense cystic components.

Intrinsic T1 signal hyperintensity within one of the larger superior cysts (red arrow).

Intrinsic T1 signal hyperintensity within one of the larger superior cysts (red arrow).

Solid enhancement of the solid components and peripheral enhancement of the cystic components.

Solid enhancement of the solid components and peripheral enhancement of the cystic components.

์ง„๋‹จ

๋ฒ•๋ž‘๋ชจ์„ธํฌํ˜• ๋‘๊ฐœ์ธ๋‘์ข…

์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”

์‚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”.

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