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電算化斷層撮影術上 高密度로 보이는囊性頭蓋咽頭腫 : 1 例報告
成圭寶,李相吉,李旺烈,李承魯 한양대학교 의과대학 1983 한양의대 학술지 Vol.3 No.2
Characteristic computed tomographic (CT) findings of typical craniopharyngioma regarded as calcification, cyst formation, and contrast enhancement of solid portion. But recently, atypical lesions are reported including high density in cystic area. Hyperdense area in CT is largely due to the high concentration of intracystic protein. Recently we experienced 1 case of surgically proved dense cystic craniopharyngioma and reported with a brief review of the literatures.
박철완,김광명,오석전,김남규,정환영,이항,이승노,이명자 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.4
The author analyzed 15 children with medulloblastoma confirmed histopathologically at the Department of Neurosurgery of the Hanyang University Hospital from Jan. 1981 to Jan. 1989. The results were as followings : 1) The mean age of incidence was 9.3 years and male to female ratio was 2 : 1. 2) The most common symptoms were those of increased intracranial pressure noted in all cases(100.0%), cerebellar symptoms and signs in 7 cases(46.7%) and the brain stem symptoms and signs in 2 cases(13.3%). The symptom duration varied from 7 to 180 days with a mean of 60 days. 3) In the majority of patients(12 cases, 80.0%), tumor was located in the midline on the computed tomographic scanning of the brain and as less typical features of the medulloblastoma, calcification and cystic or necrotic zone within the tumor mass occurred in 5 cases(33.3%) and in 6 cases(40.0%) respectively, suggesting higher frequency than observed in other articles. 4) The tumors with calcification within tumor mass were larger in size and presented with longer symptom duration than those without calcification. And tumors with cystic or necrotic zone within tumor mass were larger in size and presented with shorter symptom duration than those without such lesions. 5) Among 8 cases managed with various degree of surgical resections and full doses of postoperative radiotherapy, spinal metastasis occurred in 1 case(12.5%) at 26 months after the operation. 6) In conclusion, aggressive therapeutic approach with combined modalities, utilizing radical resection of the tumor, scheduled postoperative radiotherapy and chemotherapy, seemed to exert benificial influence on the outcome, with no evidence of disease in 4 out of 6 cases during the follow up period of 8 to 27 months.