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종결 Case No. 657 2023-06-01~2023-06-30
출제자 : 이경식 Hit : 401
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Period 2023-06-01~2023-06-30
Diagnosis (extraosseous nasopharyngeal) chordoma
Gender
  • M
  •  
  • F
Age 49
Clinical information 문제 1. Nasopharyngeal mass를 주소로 내원한 49세 남자환자의 CT와 MRI 영상입니다.
가능한 진단은?
Discussion Etiology: Chordomas can occur at any age but are usually seen in adults (30-70 years)
Location: Chordomas are found along the axial skeleton and a relatively evenly distributed among three locations: sacrococcygeal: 30-50%, spheno-occipital: 30-35%, vertebral body: 15-30%

Imaging feature:
- Extraosseous nasopharyngeal chordoma: rare but important lesion of nasopharyngeal masses
- midline nasopharyngeal mass associated clival sinus tract and scalloping of the adjacent anterior margin of the clivus  most important imaging finding.
Correct answer

Correct Answer

  • 유현규 ----
  • 홍성호 서울대학교병원
  • 이진영 동국대학교 일산병원
  • 홍혁기 서울의료원
  • 도윤아 분당서울대학교병원
  • 안지영 ----

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