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종결 Case No. 240 2011-05-01~2011-05-31
출제자 : 최승홍 Hit : 440
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Period 2011-05-01~2011-05-31
Diagnosis
Clinical information F/15
C.C: Lt side facial palsy ( 4 MA)
Discussion Answer: Atypical melanocytoma


Arise form leptomeningeal melanocytes
0.06-0.1% of brain tumor
3 groups
Diffuse melanocytosis or melanomatosis
Melanocytoma (benign, atypical)
Malignant melanoma
Melanocytoma vs. Malignant melanoma
Mitotically more active (0-2% vs. 2-15%)
Cytologically more atypia (prominent red nucleoli)
Necrosis (absent vs. present)
CNS invasion
Prognosis
Diffuse melanocytosis : poor
Melanocytoma : few local recurrences, rare malignant transformation
- Malignant melanoma : highly aggressive and radioresistant
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