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논문 기본 정보

자료유형
학술저널
저자정보
김석재 (전주 예수병원 방사선과)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제18권 제4호
발행연도
1982.1
수록면
811 - 822 (12page)

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The authors analyzed a series of 49 cases of spinal cord tumor confirmed by operation and biopsy at Presbyterian Medical Center, Jeonju, from January, 1977 to December, 1981. Histologically verified spinal cord tumors were neurofibroma (36.7%:18/49), meningioma (22.5%:11/49), ependymoma (18.5%:9/49), metastasis (10.2%:5/49), astrocytoma (6.1%:3/49), epidermoid (2.0%:1.49), glioblastoma multiforme (2.0%:1/49), and diffuse non-Hodgkin's lymphoma (2.0%:1.49). The results were as follows: 1. The most frequently encountered tumor was the intradural extramedullary tumor (55.1%:27/49). The other tumors, in descending order, were intramedullary tumor (26.5%:13/49), extradural extradural extramedullary tumor (10.2%:5/49), and intra-& extradural extramedullary tumor (8.2%:4/49). The most frequently encountered tumor was neurofibroma (36.7%:18/49). Four of the 18 neurofibroma were intra-& extradural extramedullary tumor, and three (3/4) were dumbbell type of neurofibroma. 2. Only 3 cases occurred under 20 years of age. They were glioblastoma multiforme, neurofibroma and epidermoid. 3. No sex predominance of spinal cord tumor was seen, but the majority of the meningiomas occurred in females (81.8%). 4. The most frequent site of tumors was the thoracic region (53.1%:26/49). The other sites were the cervical region (20.4%:10/49), the lumbar region (18.4%:9/49), the sacral region (6.1%:3/49), and multiple regions (2.0%:1/49). 5. Thirteen cases (26.5%) showed bony changes on preliminary roetgenograpms of the spine. None showed bony changes in extradural extramedullary tumor. 6. As a rule, the myelographic deformities produced by intramedullary tumor showed fairly long fusiform dilatation of the contrast column without displacement of the spinal cord; the extradural extramedullary tumor showed coarse transverse serrated block of the contrast column; and the intradural extramedullary tumor showed cup defect of the contrast column.

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