• Title/Summary/Keyword: 종양 혈전

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A Closed Right Atrial Septal Aneurysm Suspected as a Tumor -1 case report- (우심방 종양으로 의심된 폐쇄성 심방중격류 - 1예 보고 -)

  • 김재욱;조욱현;박경석;김용인
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.606-609
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    • 2003
  • A 70-year-old man with aphasia due to ischemic cerebral events by thromboemboli was admitted. The cause of thromboemboli was investigated, and transesophageal echocardiography and chest MRI revealed an encapsulated cystic mass in the right atrium, not circulating. It was a homogeneous cystic mass suggesting a tumor (Myxoma) rather than thrombus. Right atrial mass was resected together with partial atrial septum under the normgthermic cardiopulmonary bypass. Histologically it was an atrial septal aneurysm, closed on itself, filled with blood. We re-port this rarely seen case with a review of the literatures.

Renal Leiomyosarcoma with an Extension of the Tumor Thrombi into the IVC and the RA -One of case - (하대정맥과 우심방의 종양혈전을 동반한 신평활근육종 - 1예 보고 -)

  • Chung, Ki-Chun;Lee, Chul-Burm;Chon, Soon-Ho;Kim, Sang-Heon;Kim, Hyuck;Chung, Won-Sang;Kim, Young-Hak;Kang, Jung-Ho
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.970-974
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    • 2003
  • There has been an improvement in the prognosis of tumor thrombi invading the inferior vena cava(IVC) and the right atrium(RA) of renal cell carcinoma with radical nephrectomy and tumor thrombectomy with the aid of cardiopulmonary bypass in the last 10 years. A 30 year old woman was diagnosed with right renal tumor with tumor thrombi invading the right renal vein and the IVC above the right renal vein to the RA. She received radical nephrectomy and removal of tumor thrombi in the infrarenal IVC under hypothermic total circulatory arrest using the cardiopulmonary bypass. The tumor recurred 12 months after the initial operation, she received a second operation for tumor removal from the retroperitoneum, suprarenal IVC, and RA. She died 11 months after the second operation due to lung metastases and recurred hepatic vein tumor extended to the RA and right ventricle.

Venous Sinus Thrombosis in the Hypoglossal Canal Mimics a Neurogenic Tumor in a Patient with Presumed Idiopathic Intracranial Hypertension: A Case Report (특발 두개내압상승 소견을 보인 환자에게서 설하신경관의 신경 원성 종양으로 오인되었던 정맥동 혈전의 케이스: 증례 보고)

  • Kiok Jin;Ji Eun Park;Jeong Hyun Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1147-1152
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    • 2022
  • Presumed idiopathic intracranial hypertension (IIH) is a disorder of elevated intracranial pressure with unknown etiology, and 10% of cases occur secondarily to cerebral venous sinus thrombosis (CVST). CVST may be underestimated when findings of IIH are missed in a normal-weight patient without risk factors of coagulopathy. Here, we present a case of CVST that mimics a neurogenic tumor in the hypoglossal canal in a normal-weight patient without risk factors of coagulopathy.

A Primary Neuroendocrine Tumor Mimicking a Thrombus in the Left Atrial Appendage (좌심방이에서 발생한 혈전을 모방한 심장의 일차성 신경 내분비 종양)

  • Myoung Kyoung Kim;Sung Mok Kim;Eun Kyoung Kim;Dong Seop Jeong;Yeon Hyeon Choe
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.444-449
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    • 2022
  • Most cardiac tumors are metastases, and primary cardiac tumors are rare; even among primary cardiac tumors, primary cardiac neuroendocrine tumors (NETs) are extremely rare. Herein, we report a case of a patient presenting a left atrial mass without past medical history. Because of the location and movement of the mass, as well as the patient's cerebral infarction episode, the mass was initially suspected to be a thrombus. However, the mass was surgically diagnosed as NET.

Malignant Thrombi of Inferior Vena Cava from Renal Cell Carcinoma -4 cases reports- (신세포암에 의한 하대정맥 악성 혈전 -치험 4례-)

  • 홍종면;김오곤;이석재;노윤우;이조한;홍장수;김원재;임승운;안재호
    • Journal of Chest Surgery
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    • v.31 no.11
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    • pp.1097-1101
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    • 1998
  • Renal cell carcinoma involves the inferior vena cava(IVC) in approximately 5-10% of the patients. Presently surgical extirpation is the only form of therapy that can result in cure. Circulatory arrest with cardiopulmonary bypass is an operative technique that recently has been used to assist in resection of tumors that extend into the vena cava above the level of hepatic veins. We performed removal of tumor thrombi of IVC in 4 patients. All of them who had the renal cell carcinormas with infrahepatic vena caval extension were performed by standard surgical technique without cardiopulmonary bypass. But in one patient, inferior vena caval thrombectomy was done using circulatory arrest because of the recurred extension of the tumor thrombi within the vena cava above the insertion of the hepatic vein. All patients were recovered without any significant problems.

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Diffuse Large B-Cell Lymphoma in the Portal Vein (간문맥에서 생긴 미만성 거대 B세포 림프종)

  • Hyun Ji Lim;Mi-Suk Park;Yeo-Eun Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.707-713
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    • 2020
  • Tumor thrombus in the portal vein without any liver parenchymal abnormality is extremely rare. In the liver, the primary tumor most frequently presenting with intravascular tumor thrombi is hepatocellular carcinoma and lymphoma is rarely considered. Even though thrombosis occurs quite often in lymphoma, cases of tumor thrombus are rare and cases of tumor thrombus in the portal vein are even rarer. Only four cases of lymphoma with portal vein tumor thrombosis have been reported to date and all cases were the result of direct extensions of a dominant nodal or extra-nodal mass. To our knowledge, there has been no report on diffuse large B-cell lymphoma (DLBCL) presenting only within the lumen of the portal vein and not intravascular B-cell lymphoma. We present the first case of DLBCL presenting only within the lumen of the portal vein in an immunocompetent patient.

A Case of Adenocarcinoma Ex Pleomorphic Adenoma with Tumor Thrombus of Submandibular Gland (악하선에 발생한 종양 혈전을 동반한 다형선종유래 선암종)

  • Kwon, Chul;Park, Choel-Eon;Shin, Il-Ho;Eun, Young-Gyu;Kwon, Kee-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.216-220
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    • 2010
  • Carcinoma ex pleomorphic adenoma is rare, aggressive, poorly understood malignancy that occurs in the salivary glands. The patient was 70-year-old male presenting ovoid elevated submandibular mass that has been present for 30 years and rapid growing for 6 months. The initial cytologic finding by fine needle aspiration biopsy showed highly malignant cells and the radiologic finding revealed a $3.6{\times}3.7{\times}4.8cm$ sized mass with cervical lymphadenopathy. After wide excision of submandibular gland and modified radical neck dissection, the histologic examination revealed that tumor was composed partly of a benign pleomorphic adenoma and partly of an adenocarcinoma component with areas of calcification and frequent angiolymphatic invasion. We present a rare case of adenocarcinoma ex pleomorphic adenoma with tumor thrombus in the submandibular gland.

Pulmonary Artery Intimal Sarcoma Involving the Peripheral Pulmonary Artery, Initially Misdiagnosed as Pulmonary Artery Thromboembolism and Vasculitis: A Case Report (폐동맥 혈전색전증과 혈관염으로 오진된 주변부 폐동맥에서 발생한 폐동맥 내막육종: 증례 보고)

  • Min Seong Kim;Jin Hee Lee;Jung Hee Hong;Il Seon Hwang
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1378-1383
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    • 2023
  • Pulmonary artery sarcomas are rare, high-grade malignancies, primarily affecting the proximal elastic pulmonary artery and usually manifesting as tumoral impaction on imaging. Due to similar clinical and imaging findings, pulmonary artery sarcomas are frequently misdiagnosed as pulmonary thromboembolism or, occasionally, as vasculitis. Herein, we reported a case of pulmonary artery intimal sarcoma initially misdiagnosed as pulmonary thromboembolism and vasculitis due to its relatively atypical location and morphology, along with a literature review.

Superior Vena Cava Syndrome Caused by Tumor Thrombus from Papillary Thyroid Carcinoma (갑상선 유두암의 암성 혈전으로 인한 상공 정맥 증후군 1예)

  • Yun, Ji-Sup;Lee, Jan-Dee;Lim, Chi-Young;Nam, Kee-Hyun;Chung, Woong-Youn;Park, Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.2
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    • pp.188-191
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    • 2006
  • Papillary thyroid carcinoma is rarely associated with macroscopic vascular invasion or tumor thrombosis. Especially, superior vena cava syndrome(SVCS) resulted from tumor thrombosis of papillary thyroid carcinoma is extremely rare. We present herein a case of SVCS caused by tumor thrombosis from papillary thyroid carcinoma which was successfully solved by intravascular placement of self-expandable stent in 74-year-old woman.

Femoral Vein Thrombosis Associated with Distal Femoral Osteochondroma - A Case Report - (원위 대퇴골 골연골종으로 인한 대퇴 정맥 혈전증 - 증례 보고 -)

  • Oh, Joo-Han;Kim, Jae-Yoon;Gong, Hyun-Sik;Kim, Woo-Sung;Shin, Sang-Ik
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.83-88
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    • 2006
  • Osteochondroma is a hyperplasic bony lesion caused by subperiosteal displacement of physeal cartilages, and the most common benign bone tumor. Osteochondromas rarely cause vascular complications, but when encountered, acute ischemia, phlebitis, and arterial puncture are the most common. They are caused by the mass effect or by the sharp end of the tumor. Deep vein thrombosis may be caused by impaired venous blood flow or a hypercoagulable blood state, but sometimes no predisposing cause can be found. We experienced a patient with deep vein thrombosis caused by the mass effect of an asymptomatic osteochondroma, and treated him successfully by excising the osteochondroma and performing a saphenous vein graft after resecting obstructed vein.

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