• Title/Summary/Keyword: 두경부 종물

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Clinical Value of fine Needle Aspiration Biopsy in Head and Neck Masses (두경부 종물에 대한 세침천자생검의 임상적 의의)

  • 김성근;강성호;김경래;이형석;김선곤
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.103-103
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    • 1993
  • Fine needle aspiration biopsy(FNAB) is widely used in screening of head and neck(H&N) masses because it has high accuracy and few damage. The 235 cases of FNAB were performed on patient with H&N mass at the Department of Otolaryngology, Hanyang University Hospital during 1 years, from March 1985 to February 1992. The 188 of 235 were proven histologically, clinically. The results obtained were as follows ; 1) FNAB for malignant H&N mass shows sensitivity of 81.5% specificity of 96.8%. 2) FNAB for malignant LN shows sensitivity of 86.0%, specificity of 88.9%. 3) FNAB for salivary gland shows sensitivity of 66.7%, specificity 81.8%. 4) FNAB for soft tissues, bone, and intraoral lesions shows sensitivity of 90%, specificity 95.8%. 5) FNAB for tuberculosis shows false negative of 55.2%. 6) The result of FNAB was not closely related with location or size of neck nodes.

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A Case of Killian-Jamieson Diverticulum Simulating Thyroid Mass (갑상선 종물로 오인된 Killian-Jamieson 게실 1예)

  • Chu Hyung-Ro;Lee Jong-Sun;Han Dong-Hyuk;Jin Jae-Won
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.1
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    • pp.33-35
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    • 2006
  • Killian-Jamieson and Zenker diverticula are both rare pharyngoesophageal diverticula. Both are outpouching of the mucosal and submucosal layers of the esophageal wall, which protrude through a mucosal gap at the level of the pharyngoesophageal esophagus. When these diverticula are large enough, they can be in proximity to the thyroid gland and may mimic a thyroid nodule. We report a case in which a diverticulum was filled with dietary residue and thus simulated a thyroid cyst on CT scan. And it was finally diagnosed as a Killian-Jamieson diverticulum by the surgery.

Ectopic Thymus Presenting as a Submandibular Neck Mass (경부 종물로 발현된 이소성 흉선 1예)

  • Hwang Won-Hyo;Park Jung-Je;Jeon Sea-Yuong;Kim Jin-Pyeong
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.52-54
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    • 2004
  • Ectopic cervical thymic tissue is rarely reported in medical literature, but it should be included in the differential diagnosis of neck masses, especially in children. It occurs in the line of descent of the thymus from the angle of the mandible to the superior mediastinum. A preoperative diagnosis is seldom considered and is often misdiagnosed as a possible tumor or a lymph node. We present a case of a 2-month-old infant with an asymptomatic enlarging right neck mass. Patient underwent complete excision of the mass.

3D Reconstructed Image of Neck Mass to Improve Patient's Understanding (경부 종물 환자의 이해도 개선을 위한 3차원 재건 영상의 활용)

  • Yoo, Young-Sam
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.193-197
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    • 2010
  • Objectives : Patients with neck tumor and their family need every information about the disease. Especially, the size and location are confusing with verbal information. With the aid of CT, the problem had some answer, but it needs some medical education. We would like to know the usefullness of 3D reconstructed images in patient education about the disease. Material and Methods : Neck CT data were collected from 10 patients with various neck tumors and converted to 3D reconstructed images. Understanding of the patients about the size and location of tumors were rated from questionaires using axial CT images and 3D images. Results : Understanding score about 3D images were greater than that of CT images(p<0.006). Conclusion : 3D reconstructed images of CT could give the patients more real visual information about the disease.

Thyroid Papillary Carcinoma Presenting as Posterior Pharyngeal Mass : A Case Report (후인두 종물로 나타난 갑상선 유두상 암종 1예)

  • Kang, Jae-Ho;Yang, Si-Chang;Kim, Choon-Dong;Kim, Seung-Woo
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.221-224
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    • 2010
  • Papillary thyroid carcinoma frequently invades the lymph node, trachea, esophagus and perithyroid tissue. However, direct extension to posterior pharyngeal area is known to be rare. A 64-year-old male was referred to our clinic presenting as posterior pharyngeal mass during gastrofiberscopy. The neck CT scan showed soft tissue mass in retropharynx and lymph node in right level III with calcifications. We performed the total thyroidectomy with selective(level II, III, IV) and anterior compartment neck dissection. In operative findings, the right thyroid mass were connected to the retropharynx through the posterior portion of inferior constrictor muscle. Histopathologic findings revealed the papillary thyroid carcinoma extended to retropharynx. We report a unique case with a literature review.

A Case about Cyclosporine Treatment of Kimura's Disease Associated with Steroid Dependant Nephrotic Syndrome (스테로이드 의존형 신증후군과 동반된 기무라병에서 cyclosporine 치료 경험)

  • Do, Young-Sun;Kim, Hak-Yong;NamGoong, Mee-Kyung
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.271-277
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    • 2009
  • Kimura's disease is a chronic inflammatory disorder of unknown etiology. A 14 year old boy suffering from steroid dependant nephrotic syndrome, was presented with relapsing painless subcutaneous masses on the left buccal area. Blood analysis showed increased IgE and eosinophilia. During 4 years follow up, he was been treated by low dose steroid and short term cyclosporine. Consequently, frequent relapses of subcutaneous masses and nephrotic syndrome has been relieved. Cyclosporine treatment combined with steroid may be useful for preventing frequent relapse of Kimura's disease.