골조직이 포함된 상공막의 복합분리종 1례

• Published in: Daihan angwa haghoi jabji Vol. 38; no. 8; pp. 1480 - 1485
• Main Authors: 김종욱, Jong Wook Kim, 진신정, Sin Jung Jin, 라상훈, Sang Hoon Rah, 조미연, Mee Yon Cho
• Format: Journal Article
• Language: Korean
• Published: 대한안과학회 15.08.1997
• Subjects: complex choristoma; dermoid; Episcleral osseous choristoma
• ISSN: 0378-6471

상공막 골성분리종은 분리종 중 가장 드물게 나타나는 종양으로 육안적으로는 결막유피종과 유사하며, 성숙골과 그 주위를 둘러싼 결체조직으로 이루어져있는 선천성 종양이다. 저자들은 결막종괴를 주소로 내원한 3개월된 남아에서 결막종괴 적출술 후 시행한 조직검사상 골성분리종이 각질화된 상피, 지방, 그리고 모낭을 포함하는 유피종내에 위치한 희귀한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다(한안지 38:1480~1485, 1997). Episcleral osseous choristoma is a rare isolated bony nodule occurring in the conjunctival or episcleral connective tissue in eyes which are otherwise normal. They are present at birth. This congenital lesion is usually about the size of a pea and typically located in the superotemporal quadrant, some 5 to 10mm from the limbus. Of the 40 reported cases in the literature, none had associated ocular abnormalities. The diagnosis has seldom been suspected preoperatively. Our patient was 3-month-old healthy male baby. For the cosmetic purpose, we had done excisional biopsy. In the histopathologic study, the mass was a dermoid covered with skin and contained fat, hair follicle and osseous tissue at its center. The mass was confirmed to be a complex choristoma, especially osseous choristoma. We report this case because of the rarity of osseous chroistomas combined with complex choristoma(J Korean Ophthalmol Soc 38:1480~1485, 1997).