• Title/Summary/Keyword: 경부종괴

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Aspiration Cytology of Insular Carcinoma of Thyroid - A Case Report - (갑상선 미분화 "도암종"의 세침흡인 세포학적 소견 - 1례 보고 -)

  • Yang, Young-Il;Kim, Chan-Hawn;Khang, Shin-Kwang
    • The Korean Journal of Cytopathology
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    • v.5 no.1
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    • pp.46-51
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    • 1994
  • Fine needle aspiration cytologic features of a case of insular carcinoma of the thyroid in a 23-year-old woman who presented a palpable neck mass is described. The aspirate showed cellular smear arranged in trabeculae, solid or loose clusters, and microfillicles in necrotic background. The tumor cells had uniform, small round, hyperchromatic nuclei. The chromatin was finely granular, and nuclear membrane was smooth. Nucleoli were not discernible. Nuclear pleomorphism was minimal. The cytoplasm was usually scanty, pale, poorly outlined, and almostly amphophilic. Sometimes paranuclear cytoplasmic vacuoles were noted. final diagnosis was confirmed by total thyroidectomy as insular carcinoma.

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Mediastinal Heterotopic Thyroid Tissue - A case report - (종격동 이소성 갑상선조직 - 1예 보고 -)

  • Lee, Seock-Yeol;Han, Jung-Wook;Lee, Seung-Jin;Lee, Chol-Sae
    • Journal of Chest Surgery
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    • v.42 no.4
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    • pp.537-539
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    • 2009
  • A 47-year old woman was admitted to our hospital for removal of a known mass that was located on the suprasternal notch; specifically, the mass was located on the supero-anterior mediastinuum. The mass was removed by a cervical incision and the histopathologic diagnosis of the resected specimen was hererotopic thyroid tissue with nodular hyperplasia. Mediastinal hererotopic thyroid tissue is a rare malady, so we report here diastinal hererotopic thyroid tissue and we review the relevant medical literature.

A Case of Sparganosis in Subcutaneous Tissue of Neck (경부 종괴에서 발견된 스파르가눔증 1예)

  • Choi, Kyu sung;Kang, Si Hyeong;Park, Gi cheol
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.307-310
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    • 2018
  • Sparganum is the larvae of a parasite called Spirometra. It usually lives in snakes or frogs, which are parasitic on the human who consume them raw. Sparganum is presented with a form of mobile subcutaneous nodule in various parts of human body. A 78 years old man with palpable neck mass visited our clinics. He had a history of eating snakes raw about 50 years ago. He was diagnosed with Sparganosis through a fine needle aspiration biopsy and underwent excisional biopsy. Sparganosis should be considered when dealing subcutaneous palpable neck mass with history of consuming raw snakes or frogs.

Cervical Thymic Cyst (경부에 발생한 흉선 낭종 1예)

  • Kim Suk-Mo;Chang Hang-Seok;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.55-57
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    • 2004
  • Cervical thymic cysts are not very common. Two-thirds of the lesions are detected in the 1st decade of life, when the thymus is biggest in size and most active. The remaining one-third in the 2nd and 3rd decades. Due to its rarity, cervical thymic cyst is seldom included in the differential diagnosis of a neck mass. Approximately 90 cases have been reported thus far, and most of these cases have occurred asymptomatically in children and adults. We report a case of a 44-year old man with a cervical thymic cyst mimicking branchial cleft cyst.

Cervico-Mediastinal Lipoma with Horner's Syndrome -A case report- (호너 증후군이 유발된 경부-종격동 지방종 -1예 보고-)

  • 김응수
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.448-450
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    • 2003
  • Lipoma is a circumscribed mesenchymal tumor originating from the adipose tissue. The lesion is usually small and asymptomatic. The most common location is in the neck region, however, lipoma can be found in the mediastinum in rare occasions. Although lipoma reach to the large proportions in the mediastinum, it rarely compresses the neurovascular structure. We present a case of a 58-year-old man, in which a hourglass-type cervicomediastinal lipoma produced Horner's syndrome with voice change. The man presented a swelling at the right side of his neck, ptosis and anhidrosis on the right side of his face, and right chest discomfort. After the removal of the mass, all the symptoms which had been provoked by compression, as well as Horner's syndrome and hoarseness, nearly disappeared.

SVC Syndrome Caused by Leiomyosarcoma of SVC - A Case Report - (상대정맥에 발생한 평활근육종의 수술 - 1례 보고 -)

  • 손영상;류세민;손호성;조원민;황재준;최영호;김학제;심재정;조성준
    • Journal of Chest Surgery
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    • v.35 no.3
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    • pp.235-238
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    • 2002
  • Among the causes of SVC syndrome, intraluminal tumor, especially the leiomyosarcoma is very rare. We report a 39 year old female patient who had been suffering from headache and facial edema for 6 weeks before admission. On physical examination, facial edema and venous engorgement on upper extermities and upper chast wall were showed. The chest CT scan and SVC cavogram showed a long intraluminal mass lesion resulting in a near total obstruction of the SVC Surgery was performed through median sternotomy. For complete resection of the tumor and thrombus, we used partial and total CPB. The follow up SVC cavogram revealed no abnormality 14 months after the operation.

Aspiration Cytology of Pilomatrixoma - Report of 2 Cases Misdiagnosed as Metastatic Carcinoma - (모기질 세포종의 흡인 세포학 - 전이성 암종으로 오진된 2예 보고 -)

  • Koh, Jae-Soo;Ha, Chang-Won;Cho, Kyung-Ja;Jang, Ja-June
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.25-29
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    • 1993
  • We describe cytologic findings of two cases of pilomatrixoma which had been cytologically misdiagnosed as suspicious malignant and malignant lesions in 35 year-old and 22 year-old females who presented a palpable neck mass. The cytologic smears showed many basaloid cells with a high nuclear-cytoplasmic ratio, nuclear hyperchromatism and prominent nucleoli, keratinized squamous cells with pyknotic nuclei, foreign body giant cells, and chronic inflammatory cells in necrotic back-ground. Retrospective view of this aspiration smear revealed that these findings were characteristic features of pilomatrixoma, and the evenly distributed chromatin pattern as well as the lack of nuclear pleomorphism were considered to be the differential points from malignant neoplasm. Pilomatrixoma is a benign neoplasm which should be included in differential diagnosis if the fine needle aspiration cytologic smear of a neck mass or subcutaneous mass of any site showed these features.

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Unusual Peritoneal Metastasis of Late Recurrent Uterine Cervical Cancer: A Case Report and Literature Review (후기 재발성 자궁 경부암의 비전형적인 복막 전이: 증례 보고 및 문헌 고찰)

  • Sangmin Park;Hee Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.904-909
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    • 2022
  • Uterine cervical cancer is one of the most common malignancies of the female genital tract. Most recurrent cases of uterine cervical cancer are diagnosed within two years after primary treatment, and late recurrence after a disease-free interval of more than five years is rare. In addition, peritoneal metastases usually present as multifocal discrete nodules in the peritoneal cavity with nodular or diffuse peritoneal thickening. Herein, we report an extremely rare case of late recurrent cervical cancer peritoneal metastasis with an unusual manifestation of a large, solitary necrotic mass in the right subphrenic space on contrast-enhanced CT.

Tracheal Myoepithelioma (기관에 발생한 근상피종)

  • 김성철;김진국;이재웅;김관민;심영목;김호중;한정호
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.194-197
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    • 1998
  • Myoepithelioma is a benign tumor composed of sheets and islands of various proportion of spindle, plasmacytoid, epitheloid, and clear cells. We are reporting of a 38-year-old woman with an extremely rare neoplasm of the trachea, myoepithelioma. The patient had an right neck mass and diagnosed presumptively as the thyroid tumor with tracheal invasion. Resection and anastomosis of the trachea with partial thyroidectomy was done. The tumor was a well circumscribed mass with solid growth pattern and composed of spindle and epitheloid cells, which were positive for S-100 protein and smooth muscle actin. In electron microscopy, a large amount of microfilaments in the cytoplasm and layers of basement membrane-like materials in the intercellular spaces were observed, which are characteristics of myoepithelioma. Patient has been well for 8 months postoperatively.

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Clinical characteristics and courses of congenital muscular torticollis (선천성 근육성 사경의 임상적 특징과 경과)

  • Choi, Kyong Eun;Lee, Hee Chul;Youn, So Young;Chun, Jung Mi;Shin, Son Moon;Han, Byung Hee;Lee, Yong Taek
    • Clinical and Experimental Pediatrics
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    • v.52 no.11
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    • pp.1273-1278
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    • 2009
  • Purpose:Congenital muscular torticollis (CMT), a common musculoskeletal disorder in infants, is characterized by the rotation and flexion deformity of the neck caused by sternocleidomastoid muscle shortening. We investigated the clinical courses and perinatal risk factors of CMT. Methods:Less than 6-month-old patients (98; M:F = 60:38) diagnosed with CMT between February 2007 and August 2008 were classified into 2 clinical subgroups, namely, SMT (sternocleidomastoid tumor) and POST (postural torticollis). All the patients were physically and neurologically examined prospectively and their cervical X-rays and ultrasonographies were obtained. Their medical histories about perinatal problems were recorded. Of the 98 patients, 45 with normal range of motion were taught passive physical exercises and 43 were referred to the Department of Rehabilitation for undergoing manual stretching therapy. Results:The mean age at initial assessment was 2.2 months (SMT: $1.4{\pm}1.0$, POST: $2.7{\pm}1.6$). SMT presented earlier than POST. All ophthalmologic examinations and cervical X-rays were normal. SMT was associated with higher incidence of caput succedaneum and cephalhematoma. POST was highly associated with plagiocephaly. Mean duration of rehabilitative physical therapy was 3.7 months (SMT: $4.6{\pm}2.5$, POST: $2.6{\pm}1.9$). POST resolved earlier than SMT. Of the 88 patients with follow-up, 87 had total resolution and only 1 had residual torticollis. Conclusion:All the patients received early treatment with passive stretching exercises. CMT was associated with perinatal problems and had various risk factors such as obstetrical problems.