고령에서 발견된 신경아세포종 1예
A Case of Neuroblastoma in Old Age
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저자들은 전신쇠약과 체중감소를 주소로 내원한 84세 고령여자 환자에서 우측 신장에서 기원한 신경아세포종을 진단하고 우측 신장 완전 적출술 시행 후 14개월간의 외래 추적관찰을 하고 있으나, 종양의 재발이나 전이의 소견이 관찰되지 않았다. 국내 보고 중 최고령이며 드문 신장에서 기원한 신경아세포종으로 이에 증례를 문헌고찰과 함께 보고하는 바이다.
Abstract
Neuroblastoma originates in the sympathetic division of the autonomic nervous system, and is the most common extracranial solid malignancy in children; rarely developing in adults. Generally this primitive neuronal malignancy develops during fetal development or in early childhood. However, we have cared for one elderly patient with neuroblastoma. The 84-year-old woman suffered from several symptoms, such as general weakness, weight loss, and hematuria. Her abdominopelvic computed tomography showed an 8.5 × 8 cm mass, which originated from the right kidney. Pathological examination by explorative laparotomy indicated neuroblastoma. She was treated by radical nephrectomy. One year later, there has been no recurrence or solid organ metastasis, and the patient has been in good clinical condition.
참고문헌 (10)
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