늑골에 발생한 연골점액유사 섬유종 -1예 보고-

Chondromyxoid Fibroma of the Rib Report of one case -

  • 이재욱 (순천향대학교 의과대학 흉부외과학교실) ;
  • 임재웅 (순천향대학교 의과대학 흉부외과학교실) ;
  • 원용순 (순천향대학교 의과대학 흉부외과학교실) ;
  • 고은석 (순천향대학교 의과대학 병리학교실) ;
  • 신화균 (순천향대학교 의과대학 흉부외과학교실)
  • Lee, Jae-Wook (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University) ;
  • Lim, Jae-Ung (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University) ;
  • Won, Yong-Soon (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University) ;
  • Kor, Eun-Suk (Department of Pathology, College of Medicine, Soonchunhyang University) ;
  • Shin, Hwa-Kyun (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University)
  • 발행 : 2005.11.01

초록

연골점액유사 섬유종은 뼈에 발생하는 드문 양성 종양으로 양성 골종양의 $2\%$ 미만을 차지한다. 연골점액유사 섬유종은 무릎부위의 경골 근위부와 대퇴골 원위부에 가장 호발하며 골반, 비골, 발꿈치 뼈, 늑골에서는 드물게 발생한다. 내원 1달 전부터 시작된 좌측 7번째 늑골부위의 부종과 간헐적으로 지속된 경한 동통으로 내원한 54세 남자가 방사선 검사상 양성 늑골 종양 진단 하에 늑골 절제술을 시행 받았으며 조직 검사상 늑골에 발생한 연골점액유사 섬유종으로 최종 진단되었고 현재까지 재발이나 별다른 증상 없이 외래 추적 중으로 이에 보고하는 바이다.

Chondromyxoid fbroma (CMF) is a rare, benign tumor of the bone that represents fewer than $2\%$ of all benign tumors of bone. CMF is most often found in the long tubular bones, especially the tibia and femur near the knee joint. Less common sites included the pelvis, fibula, calcaneus and rib. A 54-year-old male patient presented to us with history of swelling and mild, intermittent local pain without any rise in overlying skin temperature in lateral portion of left 7th rib for one-month duration, which was diagnosed as benign rib tumor by plain chest X-ray and CT scan, and treated successfully by excision of rib with good result. Pathologic diagnosis of this tumor was CMF. Without any medical therapy, there was no evidence of recurrence after operation. We report this case and follow-up of the patient.

키워드

참고문헌

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