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종결 Case No. 626 2022-06-01~2022-06-30
출제자 : 이경식 Hit : 606
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Period 2022-06-01~2022-06-30
Diagnosis Diffuse en plaque meningioma
Gender
  • M
  •  
  • F
Clinical information 문제 3. 한 달 전부터 있어온 두통으로 시행한 CT와 MRI 영상입니다. 가능한 진단은?
Discussion En plaque meningioma is a specific meningioma macroscopic appearance characterized by diffuse and extensive dural involvement, usually with extracranial extension into calvarium, orbit, and soft tissues. These tumors are thought to have a collar-like or sheet-like growth along the dura mater, different from the usual globular meningiomas.

Although locally invasive, this tumor presentation usually corresponds to a WHO grade 1 meningioma. Meningothelial cells are known to invade and expand the calvarial bones promoting local bone thickening. The extensive hyperostosis, which is frequently seen, is associated with infiltration of the medullary spaces by whorls and syncytia of meningothelial cells
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Correct Answer

  • 박혜주 순천향대학교 부천병원
  • 백운영 서울의료원
  • 홍혁기 서울의료원

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