접형동, 사골동의 비강형 자연살해/T 세포 림프종에 의한 안와첨증후군 1예
Orbital Apex Syndrome with Nasal Type Natural Killer(NK)/T-cell Lymphoma of Sphenoid and Ethmoid Sinus
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목적: 접형동과 사골동의 비강형 NK/T-세포 림프종에 의한 안와첨증후군을 경험하였기에 이를 보고하고자 한다. 증례요약: 내원 1달 전부터 발생한 우안 시력 감소와 내원 3일 전부터 발생한 우측 눈꺼풀처짐, 안구 주위 통증 및 안구운동 장애를주소로 61세 남자 환자가 내원하였다. 자기공명영상과 전산화 단층촬영에서 우측 접형동과 사골동에 경계가 불분명한 음영이 관찰되어 병변에 대한 절개 생검 및 감압술을 시행하였다. 수술 후 우안 시력 및 우측 눈꺼풀처짐, 안구 주위 통증, 안구운동 장애가 호전되었으며, 조직검사에서 비강형 NK/T-세포 림프종으로 진단되어 방사선 치료 및 항암 화학 요법을 시행하였다.
Abstract
Purpose: To report a case of nasal-type NK/T cell lymphoma occurring in the sphenoid and ethmoid sinuses of an orbital apex syndrome patient. Case summary: A 61-year-old male patient visited our hospital for the impairment of vision in the right eye for the previous month, and for right-side blepharoptosis, pain around the eyeball, and limitation of extraocular movement in the right eye for three days earlier. In MRI (magnetic resonance image) and CT (computed tomography), shades with vague boundaries were observed in the right sphenoid and ethmoid sinuses, and open biopsy and decompression were performed for the lesions. After the surgery, the vision of the right eye increased, and improvement was observed in the right blepharoptosis, the pain around the eyeball, and in the limitation of motility of the extraocular muscle in the right eye. The patient was diagnosed with nasal type NK/T cell lymphoma in biopsy, and radiotherapy and chemotherapy were performed.
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