๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #34

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
ํ™˜์ž ์ •๋ณด: 19 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๊ฒฝ๋ จ

์ฆ๋ก€ #34

์†Œ๊ฒฌ

CT

  • ์šฐ์ธก ๋‚ด์ธก ์ธก๋‘์—ฝ์˜ ์ €์Œ์˜ ์ข…๊ดด, ์ฒœ๋ง‰ ์ ˆํ”์„ ํ†ตํ•ด ํ•˜๋ฐฉ์œผ๋กœ ๋Œ์ถœ
  • ์ƒ์‘ํ•˜๋Š” ์„ํšŒํ™” ์—†์Œ

MRI

  • ์šฐ์ธก ๋‚ด์ธก ์ธก๋‘์—ฝ(ํ•ด๋งˆ ๋ฐ ํ•ด๋งˆ๊ณ์ด๋ž‘ ์นจ๋ฒ”)์— ์ค‘์‹ฌ์„ ๋‘” ์†Œ์—ฝ์ƒ T1 ์ €์‹ ํ˜ธ๊ฐ•๋„, T2 ๊ณ ์‹ ํ˜ธ๊ฐ•๋„ ์ข…๊ดด, ํฌ๊ธฐ 4.5 x 4.3 x 3 cm
  • ์ข…๊ดด๊ฐ€ ์ฒœ๋ง‰ ์ ˆํ”์„ ํ†ตํ•ด ํ•˜๋ฐฉ์œผ๋กœ ๋Œ์ถœํ•˜์—ฌ ์†Œ๋‡Œ ์ƒ์—ฐ๊ณผ ์ ‘์ด‰
  • FLAIR์—์„œ ๋ถˆ์™„์ „ํ•œ ๋‚ด๋ถ€ ์‹ ํ˜ธ ์–ต์ œ
  • ์ƒ์‘ํ•˜๋Š” ํ™•์‚ฐ ์ œํ•œ์ด๋‚˜ ์กฐ์˜ ์ฆ๊ฐ• ์—†์Œ
  • ์ฃผ๋ณ€ ์‹ค์งˆ ๋ถ€์ข… ์—†์Œ
  • ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์ด ๊ตญ์†Œ ์ข…๊ดด ํšจ๊ณผ
  • 1.4 cm ์†ก๊ณผ์ฒด ๋‚ญ์ข…

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

Solid mass in the medial right temporal lobe (red arrow), which bulges inferiorly through the tentorial notch (yellow arrow). Note that there is partial internal signal suppression on FLAIR compared to T2. Incidental pineal cyst (blue arrow).

Solid mass in the medial right temporal lobe (red arrow), which bulges inferiorly through the tentorial notch (yellow arrow). Note that there is partial internal signal suppression on FLAIR compared to T2. Incidental pineal cyst (blue arrow).

์ง„๋‹จ

IDH ๋ณ€์ด ์„ฑ์ƒ์„ธํฌ์ข…

๊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

  • Larsen J, Wharton SB, McKevitt F, Romanowski C, Bridgewater, C, Zaki H, Hoggard N. โ€˜Low grade gliomaโ€™: an update for radiologists. Br J Radiol 2017; 90: 20160600.

    • ์‚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.