• Title/Summary/Keyword: Anterior mediastinum

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Primary mediastinal seminoma (원발성 종격동 정상피종 1례 보)

  • Na, Beom-Hwan;Lee, Hong-Gyun
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.78-81
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    • 1984
  • All most of all seminoma occurred in anterior mediastinum, and generally appeared as large masses on routine chest film. The tumors are radiosensitive and the prognosis is relatively good. Recently we experienced one case Of seminoma, who is 28-year old male and asymptomatic at seminoma. In our case, the size of the tumor is strikingly reduced after radiation therapy.

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Clinical Experience of Mediastinal Teratomas: Report of Four Cases (종격동 기형종 치험 4례)

  • 김공수
    • Journal of Chest Surgery
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    • v.5 no.2
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    • pp.147-152
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    • 1972
  • This is a report on the 4 cases of benign mediastinal teratoid tumor in the Department of Thoracic Surgery Chonnam University Hospital during the period from August, 1961 to August ,1972. All the tumors were teratomas which had three germinal layers and located in the anterior mediastinum. All the cases had symptoms such as Pancoast syndrome. exertional dyspnea, middle lobe syndrome with fistulous Connection to the cyst and retrosternal discomfort. X-ray studies are essential to recognize the tumor and its location. It`s believed that a exploratory thoracotomy is recommended because of the complications of the tumors and a possibility of malignancy.

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A Case of Posterior Mediastinal Goiter (후종격동에 발생한 갑상선종 1예)

  • Lee, Sang-Joon;Chung, Phil-Sang;Moon, Jeong-Hwan;Lee, Ki-Il
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.2
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    • pp.155-158
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    • 2006
  • Intrathoracic goiters can be classified anterior and posterior mediastinal goiter with its locations. Most intrathoracic goiters are retrosternally situated in the anterior mediastinal compartment. Posterior mediastinal goiters are rare, but might present a difficult diagnostic and surgical problem. Although thyroid goiters are nearly always amenable to a cervical approach, posterior mediastinal goiters may require a combined cervicothoracic approach with sternotomy or thoracothomy. We herein describe a case of posterior mediastinal goiter which was excised only by cervical approach. The relevant literature is briefly reviewed.

Surgical treatment of the pericardial cyst: a report of 3 cases (심막 낭종의 외과적 수술3례 보고)

  • Kim, Gi-Bong;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.167-170
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    • 1983
  • Pericardial cysts are infrequent benign intrathoracic lesions. They rarely cause symptoms, and they are usually discovered on routine X-ray by chance. Over 70% of the cases occur at the right anterior cardiophrenic angle. Surgery is generally not indicated if the diagnosis of pericardial cyst can be made with certainty, and then an operation is performed to rule out other lesions. The authors present 3 cases of pericardial cyst confirmed by surgery. In two Gases Of the three, the pericardial cysts were located at the right anterior cardiophrenic angle, and in one case, at the left superior area of the posterior mediastinum. We managed them successfully by surgery, and they were discharged uneventfully.

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Anterior Mediastinal Teratoma which Complicated Empyema - Report of one case - (농흉을 합병한 전종격동 기형종 -1예 보고-)

  • 박해문
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.535-540
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    • 1988
  • Many mediastinal masses seen radiologically are clinically asymptomatic. Only 55 to 65 percent of such lesions are asymptomatic, and of these many have only nonspecific symptoms by rupture, infection and pressure of surrounding organs. This report presents one case of a mediastinal teratoma which complicated an empyema. The patient was 7-year-old female and chief complaints were fever, left chest pain and general ache. In her past history, lung decortication and drainage procedure under the diagnosis of an empyema were carried out, 5 years ago, but she had not been improved, And so, explothoracotomy was done. At the time of operation, a mass of adult fist size was placed in the left anterior mediastinum and covered with the mediastinal pleura. Extirpation of the tumor and decortication were carried out and the left lung was remained.

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Primary Malignant Melanoma Presenting as an Anterior Mediastinal Mass (전종격동에 원발한 악성 흑색종)

  • 김형렬;이정상;김영태;김주현;김지은
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.697-700
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    • 2002
  • Primary malignant melanoma of the mediastinum is extremely rare : To date, there have been only 8 cases reported in the literature. We report a case of a 50-year-old woman presented with an anterior mediastinal mass. The mass invaded the lung parenchyme of right upper lobe, which was wedge-resected with the mass. Microscopically, spindle or polygonal tumor cells with prominent nucleoli and intracytoplasmic melanin pigments are characterized and Fontana stain confirmed the presence of melanin pigment. Immunohistochemical studies showed diffuse positive staining for HMB45, S100 protein and vimentin, which further suggested melanoma.

Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall-one case report- (흉부 거대 연골육종의 외과적 치료후 발생한 결핵성 종격동염-1례 보고-)

  • 이재훈;양수호;김혁;정원상;김영학;이철범;강정호;지행옥
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.348-348
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    • 1997
  • A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum: He underwent wide resection of the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The tumor as 15 × 16× 10cm in size arising from sternum and include both proximal one third of the clavicle and the 1 st, 2nd, and 3rd coital cartilages. The resected skeletal defect in the anterior wall was very large after wide resection of the'tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and steel wires. The soft tissue reconstructive procedure was dont with myocutaneous flap transposition use of pectoralis muscle. But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage. Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication for 1 year.

Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall -one case report (흉부 거대 연골육종의 외과적 치료후 발생한 결핵성 종격동염 -1례 보고)

  • 이재훈;양수호
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.248-252
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    • 1997
  • A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum: He underwent wide resection of the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The tumor as 15 $\times$ 16$\times$ 10cm in size arising from sternum and include both proximal one third of the clavicle and the 1 st, 2nd, and 3rd coital cartilages. The resected skeletal defect in the anterior wall was very large after wide resection of the'tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and steel wires. The soft tissue reconstructive procedure was dont with myocutaneous flap transposition use of pectoralis muscle. But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage. Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication for 1 year.

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Treatment of Traumatic Sternoclavicular Joint Anterior Dislocation with a Sternal Fracture (흉골 골절과 동반된 외상성 흉쇄관절 전방 탈구의 치료)

  • Choi, Sung;Shin, Dong-Ju;Hwang, Seong-Mun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.76-81
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    • 2021
  • A traumatic dislocation of the sternoclavicular joint is a rare injury, and among them, anterior dislocation is more common than a posterior dislocation. Posterior dislocation is a potential risk by compressing the mediastinal structures, but an anterior dislocation has not been considered a risk. Traumatic sternoclavicular joint anterior dislocation associated with anterior angulation of a sternal fracture can develop mediastinal compression and have a risk in the same way as a posterior dislocation. This case report is about a traumatic sternoclavicular joint anterior dislocation with a sternal fracture accompanied by mediastinal compression that was treated surgically using a plate and showed relatively good clinical results. This rare case is reported along with a review of the relevant literature.