해면정맥동내의 유표피종

• 영문명: Epidermoid Tumor within the Cavernous Sinus : Case Report
• 발행기관: 대한두개저학회
• 저자명: 김상용(Sang Yong Kim) 김승민(Seong Mim Kim) 김한규(Han Kyu Kim) 박문선(Moon Sun Park) 정승영(Seong Young Chung) 정성삼(Sung Sam Jung) 박기석(Ki Suk Park)
• 간행물 정보: 『대한두개저학회지』제5권 제1호, 33~37쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2010.06.30

영문 초록

Epidermoid tumor rarely arises within the cavernous sinus and produce clinical symptoms. This 21-year old man presents with 6-year history of headache, diplopia, and ptosis. An evaluation revealed a mass located in the right cavernous sinus and he underwent gamma knife radiosurgery. But the symptoms did not improved, and there was slight increase in size of mass in follow-up evaluation. So, he underwent operation, the tumor was near-totally removed after surgery, and histologic finding revealed an epidermoid tumor. The patient was discharged with no newly developed neurologic deficits. In later three years follow-up, there was no evidence of recurrence. Magnetic resonance imaging, especially diffusion-weighted image, is a valuable tool in diagnosis of intracerebral epidermoid tumors. Radiotherapy is known to be ineffective for epidermoid tumors. Surgical removal should be attempted, but a less aggressive surgical strategy should be considered if there is strong adherence between the tumor capsule and the brain parenchyme particularly in eloquent areas. Regular long term follow-up is necessary for evaluation of recurrence.

목차

Introduction

Case report

Discussion

Conclusion

키워드

Epidermoid tumor Cavernous sinus Magnetic resonance imaging