Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.

À¯Çdz¶Á¾À¸·Î ¿ÀÀÎµÈ ¾È¿Í ³» ±â»ýÃæ³¶ 1¿¹

A Case of a Cyst Containing a Parasite and Misdiagnosed as a Dermoid Cyst

´ëÇѾȰúÇÐȸÁö 2016³â 57±Ç 7È£ p.1154 ~ 1158
¹ÚÀ¯¿¬ ( Park Yoo-Yeon ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¼º¸ðº´¿ø ¾È°ú ¹× ½Ã°úÇб³½Ç

¼ºÀ±¹Ì ( Sung Yoon-Mi ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¼º¸ðº´¿ø ¾È°ú ¹× ½Ã°úÇб³½Ç
¹éÁö¼± ( Paik Ji-Sun ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¼º¸ðº´¿ø ¾È°ú ¹× ½Ã°úÇб³½Ç
¾ç¼®¿ì ( Yang Suk-Woo ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¼º¸ðº´¿ø ¾È°ú ¹× ½Ã°úÇб³½Ç

Abstract

¸ñÀû: ³»Ãø ¾È¿ÍÀÇ À¯Çdz¶Á¾À¸·Î ¿ÀÀÎÇÑ ±â»ýÃæ ³¶Á¾ À°¾ÆÁ¾ 1¿¹¸¦ °æÇèÇÏ¿© À̸¦ º¸°íÇϰíÀÚ ÇÑ´Ù.

Áõ·Ê¿ä¾à: 31¼¼ ³²ÀÚ È¯ÀÚ°¡ 2³â ÀüºÎÅÍ ¼­¼­È÷ Å©±â°¡ Áõ°¡ÇÏ´Â ¿ì¾È ³»¾È°¢ ¾ÈÂÊ ¾È¿ÍÀÇ Á¾±«¸¦ ÁÖ¼Ò·Î ³»¿øÇÏ¿´´Ù. ȯÀÚ´Â 18³â Àü µ¿ÀÏ ºÎÀ§¿¡¼­ ¾È¿Í Á¾¾ç Á¦°Å¼úÀ» ½ÃÇàÇÑ ±â¿Õ·ÂÀÌ ÀÖ¾úÀ¸³ª, ´ç½Ã Á¶Á÷°Ë»ç´Â ½ÃÇàÇÏÁö ¾Ê¾Ò´Ù°í ÇÏ¿´´Ù. ¼ö¼ú Àü °Ë»çÇÑ ¾È¿Í Àü»êÈ­ ´ÜÃþ ÃÔ¿µ¿¡¼­ 5.0 ¡¿ 1.4 ¡¿ 1.8 cm3 Å©±âÀÇ °æ°è°¡ ¸íÈ®ÇÑ ´Ü¹æ¼º ³¶Á¾ÀÌ °üÂûµÇ¾ú°í ÀÚ±â°ø¸í¿µ»ó T1¿¡¼­ Á¶¿µÁõ°­µÇ¾î ÀÏÂ÷ ÀûÀ¸·Î À¯Çdz¶Á¾À» ÀǽÉÇÏ¿´´Ù. ¾ÕÂÊ ¾È¿Í Àý°³¼úÀ» ÅëÇÑ Á¾¾ç ÀýÁ¦¼úÀ» ½ÃÇàÇÏ¿´´Ù. ¼ö¼ú Áß ³¶Á¾ÀÌ Ãµ°øµÇ¾î ³¶ ³»¾×À» ÁÖ»ç±â·Î ¿ÏÀüÈ÷ ÈíÀÎÇϰí Ç×»ýÁ¦¸¦ ¼¯Àº »ý¸®½Ä¿°¼ö·Î ¾È¿Í ³»¸¦ öÀúÈ÷ ¼¼Ã´ÇÏ¿´´Ù. º´¸®Á¶Á÷ °Ë»ç¿¡¼­ ºÐ¼âµÈ ±â»ýÃæ ¼ºÃæÀÌ ¹ß°ßµÇ¾ú°í ¸¸¼º À°¾ÆÁ¾À¸·Î Áø´ÜµÇ¾ú´Ù.

°á·Ð: ¾È¿Í ³¶Á¾¿¡¼­ µå¹°°Ô ±â»ýÃæ³¶ÀÌ Áø´ÜµÇ±âµµ Çϸç ÀÌ °æ¿ì Àü½Å ¹× ³ú ħ¹ü °¡´É¼ºÀÌ ÀÖÀ¸¹Ç·Î ÁÖÀÇÇØ¾ß ÇÑ´Ù. À̶§ À¯Çdz¶Á¾, ±â»ýÃæ³¶ ¶Ç´Â ´Ù¸¥ ¾È¿ÍÁ¾¾çÀÇ °¨º°ÀÌ ¾î·Á¿ï ¼ö ÀÖ¾î Á¶Á÷º´¸® °Ë»ç°¡ ÇʼöÀûÀÌ´Ù.

Purpose: To introduce a case of a cyst containing a parasite misdiagnosed as a dermoid cyst, which is to the best of our knowledge, the first report in Korea of a parasite in a cyst located at the medial side of the orbit.

Case summary: A 31-year-old male visited the hospital with a 2-year history of a slowly growing mass at the medial side of the right orbit. The patient had a history of mass excision in the same location 18 years previously, however, biopsy was not performed at that time. Orbital computed tomography and magnetic resonance imaging revealed a 5.0 ¡¿ 1.4 ¡¿ 1.8 cm3 well-defined T1 high signal intensity unilocular cyst, thus our first impression was a dermoid cyst. The cyst was surgically removed with anterior orbitotomy. The cyst ruptured during the operation, and thus complete aspiration of the cystic fluid and in situ irrigation with antibiotics were performed. Histopathological examination revealed a fragmented adult parasite worm with chronic granulomatous change.

Conclusions: A differential diagnosis for orbital cyst based on clinical and radiological results is difficult. Thus, histopathological confirmation is required. A cyst containing a parasite located in the orbit has rarely been reported. A full examination of all infected patients must be conducted for parasite infection.

Ű¿öµå

Cyst with parasite; Orbital cyst
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
 
µîÀçÀú³Î Á¤º¸
KCI
KoreaMed
KAMS