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종결 Case No. 338 2014-06-01~2014-06-30

출제자 : 최승홍 Hit : 297

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Period	2014-06-01~2014-06-30
Diagnosis	Diffuse large B-cell lymphoma
Clinical information	M/71 1년 전부터 우측 머리에 혹이 만져짐. 진단은?
Discussion	Secondary CNS lymphoma typically involves dura or leptomeninges, but it may cause parenchymal mass Best diagnostic clue: Diffusely enhancing dural mass ± bone involvement May see leptomeningeal enhancement or nonsupression of CSF on FLAIR Differential diagnosis  Meningioma Enhancing mass with dural tail in older female May be indistinguishable  Meningeal Metastases Prostate and breast primaries may cause dural metastases Calvarial erosion may be seen Reference> Diagnostic Imaging: Brain, Osborn et al, Amirsys, 2009
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