๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #11

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ™˜์ž ์ •๋ณด: 22 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๋‘ํ†ต

์†Œ๊ฒฌ

CT

  • ์šฐ์ธก ์†Œ๋‡Œ ๋ฐ˜๊ตฌ ์ƒ๋ถ€์˜ ๊ฒฝ๊ณ„๊ฐ€ ๋ถˆ๋ถ„๋ช…ํ•œ ๊ณ ์Œ์˜ ์ข…๊ดด
  • ์ฃผ๋ณ€ ์‹ค์งˆ ๋ถ€์ข…
  • ์ œ4๋‡Œ์‹ค ์••๋ฐ•๊ณผ ์†Œ๋‡Œ ํŽธ๋„์˜ ๋Œ€๊ณต ํ•˜๋ฐฉ 13 mm ๋ณ€์œ„๋กœ ์ธํ•œ ์ข…๊ดด ํšจ๊ณผ
  • ๊ฒฝ๋ฏธํ•œ ํ์‡„์„ฑ ์ˆ˜๋‘์ฆ ์†Œ๊ฒฌ

MRI

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

T2/FLAIR hyperintense mass in the superior aspect of the right cerebellar hemisphere and vermis (red arrows).

T2/FLAIR hyperintense mass in the superior aspect of the right cerebellar hemisphere and vermis (red arrows).

Mild corresponding patchy enhancement (red arrow).

Mild corresponding patchy enhancement (red arrow).

Internal nodular areas of restricted diffusion (red arrows).

Internal nodular areas of restricted diffusion (red arrows).

Nodular focus of restricted diffusion along the interhemispheric fissure (red arrows), which is concerning for a leptomeningeal tumor deposit.

Nodular focus of restricted diffusion along the interhemispheric fissure (red arrows), which is concerning for a leptomeningeal tumor deposit.

FLAIR signal hyperintensity in a right occipital sulcus (red arrow), which may also relate to leptomeningeal tumor dissemination.

FLAIR signal hyperintensity in a right occipital sulcus (red arrow), which may also relate to leptomeningeal tumor dissemination.

์ง„๋‹จ

์ˆ˜๋ชจ์„ธํฌ์ข… - SHH ํ™œ์„ฑํ™”(TP53 ์•ผ์ƒํ˜•) ๋˜๋Š” Group 4 ๊ฐ€๋Šฅ์„ฑ ๋†’์Œ

๊ฐ๋ณ„์ง„๋‹จ

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

ํ•ต์‹ฌ ํฌ์ธํŠธ

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

์ฐธ๊ณ ๋ฌธํ—Œ

์‚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.