재발성 상안검농양으로 발현된 Pott’s puffy tumor 1예
A Case of Pott’s Puffy Tumor from Recurrent Upper Eyelid Abscess
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초록
목적: 재발성 상안검 농양으로 발현된 Pott’s puffy tumor 1예를 경험하였기에 이를 보고하고자 한다. 증례요약: 73세 남자 환자가 3개월간 지속된 재발성 좌측 상안검 농양을 주소로 내원하였다. 환자는 외상이나 전신적인 감염은 없었으며 과거력상 특이소견은 없었다. 내원 당시 최대교정시력은 우안 0.9, 좌안 0.5였고 안압은 정상이었다. 조영제를 사용한 안와 전산화단층촬영에서 11.3 × 12.6 × 10 mm 크기의 종양소견이 있었다. 종괴를 절제한 후 조직검사를 시행하였다. 병리조직 검사상 만성염증과 육아조직 소견을 보였으며 최종적으로 Pott’s puffy tumor로 진단되었다. 환자는 절제 생검 이후 특별한 불편감을 호소하지 않았으며 외래 경과관찰에서 수술 후 14개월까지 재발이나 새로운 병변은 관찰되지 않았다. 결론: 상안검 종괴를 평가할 때 드물지만 Pott’s puffy tumor가 있을 수 있으므로 감별진단에 이를 염두해 두어야 한다.
Abstract
Purpose: To report a case of Pott's puffy tumor from a recurrent upper eyelid abscess. Case summary: A 73-year-old male visited our clinic with recurrent upper eyelid abscess over the previous 3 months. The patient did not have any evidence of external injuries, systemic inflammations, or any other specific findings. The best corrected visual acuity was 0.9 in the right and 0.5 in the left eye with normal IOP. Enhanced CT revealed a focal low density mass (11.3 × 12.6 × 10 mm) with peripheral enhancement. An excisional biopsy was performed. Histopathologic examination revealed chronic inflammation and granulation tissue formation and the patient was diagnosed with Pott's puffy tumor. The patient experienced no discomfort after the excision biopsy. At the 14-month follow-up, there were no signs of recurrence. Conclusions: Although rare, Pott' puffy tumor should be considered in the differential diagnosis of upper eyelid mass.
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