• Title/Summary/Keyword: 전이성 종양

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A Metastatic Giant Cell Tumor of the Soft Tissue of the Thoracic Wall - A case report - (흉벽 연부조직에 발생한 전이성 거대세포종 - 1예 보고 -)

  • Shin, Duk-Seop;Lee, Jang-Hoon;Choi, Jun-Hyuk;Chung, Tae-Eun
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.526-528
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    • 2007
  • A giant cell tumor of bone is a benign bone tumor, but has very high local recurrence rate and, very rarely metastasizes to the lung or a distant area. We report a case of a 29-year-old male patient presenting with a metastatic giant cell tumor of the soft tissue of the chest wall, who underwent a total resection of the radius for recurrence of the giant cell tumor. The tumor was not related to any bony structure of the thorax. We resected the tumor with a wide surgical margin. No evidence of malignancy was seen in the frozen and permanent pathological report.

Surgical Resection of Solitary Fibrous Tumors of the Pleura (고립성 섬유성 흉막 종양의 수술적 절제)

  • 장지원;김관민;심영목;한정호;이경수;김진국
    • Journal of Chest Surgery
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    • v.37 no.5
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    • pp.432-437
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    • 2004
  • Background : Solitary fibrous tumors of the pleura (SFTP) is one of rare neoplasms that originated from submesothelial mesenchyme. Clinical course or extent of surgical resection is not well known. Material and Method: We retrospectively reviewed all the clinical records of the patients who had undergone surgical resection of benign and malignant SFTP, Result: Twenty two (male female 14 : 8) patients were enrolled and mean age was 50.2(range 25∼83). Number of symptomatic patients at the time of diagnosis was 13 (59%) and the most common symptom was dyspnea. Operative approach was carried out through thoracotomy (n=14) or video-assisted thoracic surgery (n=8). Mass excision was performed in 12 cases and en bloc resection including adjacent structure in 10 cases. In all cases complete resection was performed. There was no operative mortality. Malignant SFTP were 11 cases and benign SFTP 11 cases. Local recurrences (n=2) or distant metastasis (n=6) occurred only in malignant SFTP. Conclusion: Number of symptomatic patients, on bloc resection, and recurrence was more in malignant SFTP. Although complete surgical resection is known as treatment of choice for SFTP, further study should be performed about systemic therapeutic modalities pre- or postoperatively to control recurrence and metastasis.

Multifocal Skeletal Muscle Metastasis from Kidney Cancer (Transitional Cell Carcinoma) - A Case Report - (신장암의 다발성 골격근 전이 - 1례 보고 -)

  • Rhee, Seung-Koo;Kang, Yong-Koo;Park, Won-Jong;Chung, Jin-Wha;Sur, Yoo-Joon
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.2
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    • pp.48-53
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    • 2002
  • Although direct skeletal muscle invasion by carcinoma is well recognized, distant metastasis to skeletal muscle is uncommon. Furthermore, multifocal skeletal muscle metastasis is a very exceptional event. Some factors such as variable intra-muscular blood flow, mechanical factors including turbulent blood flow and muscle contraction, intra-muscular acidic condition, lactic acid, protease inhibitors in the extra-cellular matrix were proposed as causes of the rarity of distant metastasis to skeletal muscle. We report here a case of a 67 year old male who had multifocal skeletal muscle metastasis from the transitional cell carcinoma of left kidney.

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Measurement of Tumor Dose Using Optically Stimulated Luminescence Detectors (OSLDs) and Ionization Chambers for Primary and Metastatic Lymph Node Cancers with Head and Neck: Comparison of Beam Spoiler and Bolus (광자극발광선량계와 이온함을 이용한 두경부 원발종양 및 림프절 전이성 종양의 선량 측정: 산란판과 볼루스의 비교)

  • Lee, Jeong-Ok;Lee, Jae-Seung;Jeong, Dong-Hyeok
    • Journal of Radiation Protection and Research
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    • v.36 no.3
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    • pp.160-167
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    • 2011
  • This study conducts cross-comparison through verification of treatment planning of using beam spoiler and bolus, according to the dose variation of different tumor bed and metastatic lymph node cancers, against ionization and optically stimulated luminescence detectors(OSLDs), in head and neck radiotherapy. Verification of treatment planning examined the feasibility of inserting detectors through simulated solid dry water slabs under identical irradiated conditions from treatment planning system to measure beam spoiler and 0.5, 1 cm bolus. In addition, two detectors were cross-compared for verification of treatment planning accuracy and reliability within ${\pm}$2%. The study found that, given a beam spoiler thickness of 0.5 cm and beam spoiler-to-skin distance of 10 cm subjected to optimal dose distribution given for metastatic lymph node cancers, the bolus low-level skin dose was less, and the tumor bed dose reduced slightly. Additionally, two detectors were cross-compared for accuracy within ${\pm}$1%. Accordingly, The use of beam spoiler was determined that reduces skin side effects and can deliver an optimal dose distribution for tumor, and to apply to future clinical studies should be performed.

Mediastinal Lymph Node Metastasis from Head and Neck Cancer: Predictive Factors and Imaging Features (두경부암의 종격동 림프절 전이: 예측인자 및 영상 소견)

  • Il Kwon Ko;Dae Young Yoon;Sora Baek;Ji Hyun Hong;Eun Joo Yun;In Jae Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1246-1257
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    • 2021
  • Purpose To assess the predictive factors and describe the imaging features of mediastinal lymph node (MLN) metastases in patients with head and neck cancer. Materials and Methods We compared the clinical features and disease characteristics (sex, age, site of primary tumor, histologic type, history of prior treatments, TNM stages, and metastasis in cervical LNs) of patients with head and neck cancers between the MLN metastasis and no MLN metastasis groups. We also evaluated the chest CT (distribution and maximum dimension of the largest LN) and PET/CT (maximum standardized uptake value) features of MLN metastases based on the MLN classification. Results Of the 470 patients with head and neck cancer, 55 (11.7%) had MLN metastasis, involving 150 mediastinal stations. Hypopharynx cancer, recurrent tumor, T4 stage, N2/N3 stages, and M1 stage were found to be significant predicting factors for MLN metastasis. The most common location of MLN metastasis was ipsilateral station 2 (upper paratracheal LNs, 36.4%), followed by ipsilateral station 11 (interlobar LNs, 27.3%) and ipsilateral station 10 (hilar LNs, 25.5%). Conclusion Metastasis to MLNs should be considered in patients with head and neck cancer, especially in cases that are associated with a hypopharyngeal cancer, recurrent tumor, and high TNM stages.

Clinical Experiences of the Orbital Tumors (안와종양의 임상경험)

  • Lee, Kyung-Ha;Chung, Wha-Sun
    • Journal of Yeungnam Medical Science
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    • v.13 no.1
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    • pp.78-85
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    • 1996
  • The authors reviewed 95 cases(46 men and 49 women) of the orbital tumors diagnosed histopathologically at the Department of Ophthalmology, Yeungnam University Hospital from March 1984 through August 1994. Seventy-five cases of benign tumors were found evenly in all decades, but twenty cases of malignant tumors were noticed more frequently in 1st, 6th, and 7th decades. The frequency of benign orbital tumors was in this order; dermolipoma(21%, 20 cases), dermoid cyst(11.6%, 11 cases), mucocele(8.4%, 8 cases), lipoma(7.4%, 7 cases) and pleomorphic adenoma(5.3%, 5 cases). Of malignant orbital tumors, the frequency was in this order; retinoblastoma(3 cases), malignant melanoma(2 cases), sebaceous carcinoma(2 cases), and maxillary sinus carcinoma(2 cases). Malignant orbital tumors of 8 expired patients were revealed as secondary or metastatic tumors.

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무게 중심 기반 자기 구성 지도를 위한 간암 추출 및 분석

  • Jung, Kyung-Hoon;Jang, Do-Won;Kim, Kwang-Baek
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2007.11a
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    • pp.520-529
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    • 2007
  • 간암은 세계적으로 흔한 악성 종양에 속하지만 우리나라에서 간암은 위암, 폐암 다음으로 높은 사망률을 보이며 이러한 간암은 조기진단이 요구된다. 전문의는 간암의 진단을 위해 조영증강 CT영상을 이용하여 육안으로 간암을 판별하는데, 조영증강 CT영상을 이용한 진단은 주 종양의 진단에는 도움이 되지만 주 종양에서 주위 간 조직으로 전이된 간암들을 판별하는 것은 어려우며 실제로 시술 중에야 전이된 간암의 존재를 알 수 있다. 본 논문에서는 조영증강 CT영상을 이용하여 간과 주 종양을 자동으로 추출한 후, 미세하게 주 종양 주위로 전위된 간암들을 추출하는 방법을 제안하여 전문의를 보조할 수 있는 보조 전문가 시스템으로서의 유용성을 확인하고자한다. 조영증강 CT영상은 흉부에서 5mm간격으로 40 ${\sim}$ 50장정도로 촬영된다. 조영증강 CT영상을 이용하여 간 영역을 추출하기 위해서 간의 형태학적 정보 그리고 명암도와 명암의 분포도를 이용한 양자화 기법 등을 적용하여 추출하며 추출된 간 영역에서 간암의 후보 영역 추출은 간암의 명암도와 형태학적 특징 정보를 이용하여 추출한다. 본 논문에서는 간암의 추출을 위해 맵 상에 흩어져 분포되어 있는 유사 패턴들의 무게 중심을 찾아 하나의 패턴으로 그룹화 하는 개선된 SOM 알고리즘을 제안하여 간암 판별에 적용한 후, 기존의 SOM 알고리즘과 비교 분석한 결과. 본 논문에서 제안된 SOM 알고리즘을 적용한 간암 추출이 더 효율적임을 확인 할 수 있었으며, 전문의가 판별한 것과 비교 분석한 결과, 전문의를 보조할 수 있는 보조 전문가 시스템으로서의 가능성을 확인할 수 있었다.

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