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종결 Case No. 146 0000-00-00~0000-00-00
출제자 : 관리자 Hit : 294
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Period 0000-00-00~0000-00-00
Diagnosis
Clinical information 54세 여자. 두통과 어지러움으로 내원.
Discussion Ependymoma

Imaging findings:
• Heterogenously enhanced mass at 4th ventricle
• Internal cystic portion
• Plasticity


Reference: Ependymoma
• Slow growing tumor from ependymal cells
• WHO grade II or III
• Children >> Young adults, mean 4 years
• Location
– 2/3 infratentorial; 4th ventricle
– 1/3 supratentorial; periventricular WM
• 15% of posterior fossa tumor in chindren
– After PA, PNET-MB
• Imaging findings
– Plastic tumor; 4th ventricle 모양을 유지하면서 자란다
• 4th ventricle tumor extends into CPA/cisterna magna
• Indistinct interface with floor of 4th ventricle
– Heterogenous enhancement
– Ca++; common
– Cystic/hemorrhagic change

MR Prince and FS Chew
Ependymoma of the fourth ventricle
Am. J. Roentgenol., Dec 1991; 157: 1278.
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