• Title/Summary/Keyword: Benign Neoplasm

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Epithelial-Myoepithelial carcinoma of parotid glands: 3 cases misdiagnosed as pleomorphic adenoma (다형성 선종으로 오인된 이하선 상피-근상피암종 3례)

  • Lee, Jong Won;Choi, Jong Joong;Kim, Myeong Hee;Kim, Yeon Soo
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.2
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    • pp.43-47
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    • 2017
  • Epithelial-myoepithelial carcinoma (EMC) is a rare type of low-grade malignant tumor that account for approximately 0.5% to 1% of salivary gland neoplasm and arises most commonly in the parotid gland (80%). We introduce three cases of parotid EMC arose as painless cystic mass in male patients over 70 years old. All patients were diagnosed as benign tumors (pleomorphic adenoma) by image and pathologic study (fine needle aspiration) before surgery, but the final histopathologic results were EMC. All three patients underwent parotidectomy without adjuvant radiotherapy. There were no complications such as facial paralysis. No complications or recurrences were observed during follow-up for 6 to 9 months. Since the reports of EMC are still relatively few, we report our three cases with the clinical and pathological review.

Fine Needle Aspiration Cytology of Lipoblastoma - A Report of Two Cases - (지방모세포종의 세침흡인 세포학적 소견 - 2예 보고 -)

  • Oh, So-Yeong;Chung, Myoung-Ja;Moon, Woo-Sung;Kang, Myoung-Jae;Lee, Dong-Geun
    • The Korean Journal of Cytopathology
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    • v.9 no.2
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    • pp.241-244
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    • 1998
  • Lipoblastoma is a rare benign neoplasm occurring exclusively in children below the age of three years. It affects chiefly the upper and lower extremities, and less commonly head and neck area, trunk, mediastinum, mesentery, and retroperitoneum. We present two cases of lipoblastoma occurring in the mediastinum of a 21-month-old boy and in the back of a 15-month-old boy. The characteristic features of Fine needle aspiration cytology smears were the presence of immature fat cells in the form of spindle-shaped cells, stellate cells and vacuolated lipoblasts along with lipocytes against a myxomatous background. Two tumors were histologically confirmed to be lipoblastomas. Lipoblastoma can be cytologically diagnosed by considering the cytologic findings and the age of the patient.

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Fine Needle Aspiration Cytology of the Sclerosing Hemangioma of the Lung - A Report of Five Cases - (폐의 경화성 혈관종의 세침흡인 세포학적 소견 - 5예 보고 -)

  • Kim, Ji-Young;Lee, Yong-Hee;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.9 no.2
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    • pp.193-199
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    • 1998
  • Sclerosing hemangioma is a rare, benign neoplasm of the lung, usually presented as a solitary pulmonary nodule in an otherwise asymptomatic middle-aged woman. Cytologically it shows papillary, sheet, and cyst-like arrangements representing three main histologic patterns of papillary, solid, and angiomatous ones, respectively. Herein, we report the fine needle aspiration cytology of 5 cases of sclerosing hemangioma of the lung. The most characteristic finding is cyst-like spaces Intimately related to the papillary or solid cell nests. The tumor cells are relatively monotonous round to oval, small to medium in size. They have small amount of eosinophilic cytoplasm. The nuclei are uniform, round and have small but conspicuous nucleoli. The tumor cells in one of the presenting cases are large with abundant cytoplasm and show moderate nuclear pleomorphism. The nuclear chromatin, however, is fine and even without exception, even in the case showing nuclear pleomorphism. Major differential diagnoses based on the cytologic findings are well-differentiated papillary adenocarcinoma, bronchioloalveolar carcinoma, and carcinoid tumor.

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Fine Needle Aspiration Cytology of Solitary Fibrous Tumor of the Pleura - Report of a case misdiagnosed as adenocarcinoma of lung - (흉막에 발생한 고립 섬유성 종양의 세침흡인 세포학적 소견 - 폐의 선암종으로 오진한 1예 보고 -)

  • Choi, Yoon-La;Oh, Young-Lyun;Lee, Mee-Sook;Han, Jung-Ho;Ahn, Geung-Hwan
    • The Korean Journal of Cytopathology
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    • v.12 no.2
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    • pp.111-115
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    • 2001
  • Solitary fibrous tumor on the pleura is rare but should be included in the differential diagnosis on a peripheral pulmonary nodule. Cytologic features of solitary fibrous tumor of the pleura is not familar to the pathologist and may be misdiagnosed as malignancy. We report fine needle aspiration cytologic(FNAC) findings of a case of solitary fibrous tumor misdiagnosed as adenocarcinoma in a 48-year-old woman. The FNAC displayed a mixture of bland-looking spindle cells and clusters of epithelioid cells, which have hyperchromatic nuclei with prominent nucleoli. The helpful finding to distinguish It from other circumscribed benign and malignant lesions is the presence of fibromyxoid matrix admixed with blood vessels and thin collagen fibers. Familiarity with these features is essential to avoid misdiagnosis and overtreatment.

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Atypical β-Catenin Activated Child Hepatocellular Tumor

  • Turan, Aynur;Unlu, Havva Akmaz;Karakus, Esra;Erdem, Arzu Yazal;Yakut, Zeynep Ilerisoy
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.2
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    • pp.144-148
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    • 2015
  • Hepatocellular adenomas are a benign, focal, hepatic neoplasm that have been divided into four subtypes according to the genetic and pathological features. The ${\beta}$-catenin activated subtype accounts for 10-15% of all hepatocellular adenomas and specific magnetic resonance imaging features have been defined for different hepatocellular adenomas subtypes. The current study aimed to report the magnetic resonance imaging features of a well differentiated hepatocellular carcinoma that developed on the basis of ${\beta}$-catenin activated hepatocellular adenomas in a child. In this case, atypical diffuse steatosis was determined in the lesion. In the literature, diffuse steatosis, which is defined as a feature of the hepatocyte nuclear factor-$1{\alpha}$-inactivated hepatocellular adenomas subtype, has not been previously reported in any ${\beta}$-catenin activated hepatocellular adenomas case. Interlacing magnetic resonance imaging findings between subtypes show that there are still many mysteries about this topic and larger studies are warranted.

A Case of Pulmonary Hamartoma (폐과오종(肺過誤腫)의 일치험례(一治驗例))

  • Park, Gwang-Hun;Ji, Jeong-Hui
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.169-174
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    • 1976
  • Since. its first description by Albrecht in 1904 that hamartoma (Greek. meaning "error" and "tumor")is tumor-like malformation characterized by abnormal mixture of normal constituent in any organ it arises, hamartoma involving the lung has assumed the following clinical features.: 1) all the pulmonary lesions presenting as "coin lesions", it occupies about 8% according to various reports. It also constitutes the most prevalent lesion of all the benign lung tumors, appearing in 0.25% of the general population. 2) Peak incidence of the lesion occurs in the 5th and 6th decade as the carcinoma patient do, and the occasional growing tendency and periperal location as in this presentation renders the differential diagnosis from the malignant disease difficult and surgical intervention inevitable for definite histological diagnosis and treatment. 3) Nearly all the clinical investigations such as history, physical exam, bronchoscopy, culture, and cytological exam of sputum sre likely to futile:the only tool for detecting the presence of the lesion is X-ray, butthat's short of telling the true nature of it. 4) Because of its age of presentation and growing tendency in middle-aged adult, it still controversial whether it is developmental anomaly as Albrecht described, or true neoplasm denovo of fibrous connective tissue origin. This is a case report of surgical experience of pulmonary hamartoma which had nearly all the typical clinical features above mentioned and was reviewed with related literatures.

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Low Grade Fibromyxoid Sarcoma in Chest Wall -One case report- (흉벽에 발생한 저등급의 섬유점액성 육종 -1 례 보고-)

  • 이기복;홍기우;박희철;이원진;김건일;최광민;박혜림;장기택
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.638-641
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    • 2002
  • Low grade fibromyxoid sarcoma is a recently recognized, uncommon soft tissue neoplasm. It has a tendency to develop in deep soft tissue of young adults and a possibility of local recurrence or distant metastasis. Diagnostic criteria have not been well defined and this tumor has not been accepted as a distinct entity. Histologically, it is characterized by the presence of bland spindle cells with mainly whorled pattern of growth, set in alternating areas with a myxoid or fibrous stroma. Careful consideration of the morphological and immunohistochemical features of this tumor permit a positive diagnosis of low grade fibromyxoid sarcoma and allow its distinction from a number of other benign and malignant soft tissue neoplasms. We experienced a low grade fibromyxoid sarcoma in chest wall and report this case with a review of the literature.

Epithelioid Sarcoma in Lower Eextremity - A Case Report - (하지에 발생한 유상피 육종 - 증례 보고 -)

  • Chun, Young-Soo;Kim, Sang-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.172-177
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    • 2008
  • The epithelioid sarcoma is a rare high grade soft tissue sarcoma that affects young usually male, adults or adolescents. The most common localization is the hand and the forearm, followed by the leg and the foot. In most cases, the sarcoma grows slowly, involves the dermis, subcutis, or deeper soft tissues in the distal extremities. Epithelioid sarcoma is a slowly growing tumor with a high propensity for local recurrences and lymph node metastases. This neoplasm is likely to be confused with a variety of benign and malignant conditions. The treatment consists of wide surgical excision, chemotherapy and radiotherapy. We report the cases of 16-year-old girl with an epithelioid sarcoma on the lower extremity.

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Osteochondroma of the Os Calcaneum - A Case Report - (종골에서 발생한 골연골종 - 증례 보고 -)

  • Han, Chung-Soo;Park, Yong-Koo;Park, Jin-Sung;Park, Keun-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.152-156
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    • 2008
  • Osteochodromas are the most common benign osseous neoplasm, covered by a distinct hyaline cartilage cap, originating from the physis. They involve typically metaphyseal or metadiaphyseal region of a long bone, while they involve the foot rarely. In the foot, the osteochondromas mostly occur in short tubular bones such as metatarsal bones and phalanges. They are seldom found in calcaneus. We report a rare case of osteochondroma involving calcaneus.

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PROSTHETIC REHABILITATION OF THE PARTIALLY EDENTULOUS PATIENT BY USING OSSEOINTEGRATE IMPLANT AFTER REMOVAL OF AMELOBLASTOMA (법랑아세포종 제거후의 Implant보철수복 증례)

  • Ahn, Sang-Hun;Kim, Jong-Pil;Jo, Byung-Woan;Ahn, Jye-Jynn
    • The Journal of Korean Academy of Prosthodontics
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    • v.35 no.1
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    • pp.95-102
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    • 1997
  • Ameloblastoma is the most agrressive ofht odontogenic tumors and it arises from the dental lamina or the derivatives of lamina. Ameloblastoma is a benign but locally invasive neoplasm consisting of proliferating odontogenic epithelium lying in a fibrous stroma. Usually the ameloblastomas are diagnosed in the forth and fifth decardes. Over 80% of them occur in the mandible, the remainder in the maxilla. The preferred treatment for ameloblastoma is radical excision, conserving(when possible. the inferior border of the mandible. The functional and esthetic rehabilitation of the partially edentulous patient may prevent the remaining structures from supporting conventional prosthetic treatment. Patients with long edentulous spans, malpositioned teeth, residual ridges defects and high muscle attachments may be offered an osseointegrated fixed prosthesis. Osseointegrated dental implants provide a viable alternative of tooth replacement. This is a case report of 16 year old female with ameloblastoma. We treated patient with radical excision, conserving the inferior border of the mandible and allogenous bone graft. The defected residual ridge area was reconstructed implants(Steri-Oss Implant System). the result was satisfactory.

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