• Imaging Science in Dentistry
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• 제51권4호
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• pp.447-454
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• 2021

A 16-year-old male presented with pain in the right posterior mandible on chewing that had lasted for several months. The radiographic features of the lesion included a radiolucent-radiopaque mixed-density mass with a radiolucent rim attached to the root of the mandibular right first molar. The preliminary radiographic diagnosis was benign cementoblastoma, which was confirmed by histopathological examination following surgical excision. The lesion recurred 3 years after treatment; radiographically, it consisted of 3 round foci with mixed radiopacity, each with a radiolucent rim near the root of the mandibular right second premolar and the edentulous postoperative region. The lesion was diagnosed as recurrent benign cementoblastoma and a second surgery was scheduled. This report presented an unusual case of recurrent benign cementoblastoma following surgical excision and extraction of the involved tooth, along with a literature review on reported cases of recurrent benign cementoblastoma with a focus on its clinical features and the best treatment options.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권5호
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• pp.473-477
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• 2010

Organized hematoma of the maxillary sinus is a rare, nonneoplastic benign lesion with locally destructive behavior that may mimic a malignancy. Clinically, symptoms do not usually occur while the lesion remains localized to the maxillary sinus. Because there is gradual enlargement of the lesion causing erosion and displacement of the adjacent bony structures, symptoms such as epistaxis, cheek swelling, nasal obstruc-tion, headache, and exophthalmos become manifest. Radiologically, unilateral cases are much more fre-quent than bilateral, and Waters' view shows complete opacity of the expanded maxillary sinus and some masses. CT scan shows a large heterogeneous enhancing mass causing considerable expansion of the max-illary sinus with bony erosion. On MR imaging, the mass usually has a variable signal intensity on T1- and T2- weighted images, ranging from low to high. After contrast administration, discrete areas of enhance-ment are present within the mass. Although the disease is essentially benign and nonneoplastic, differen-tial diagnosis from neoplastic disease including malignancy both clinically and radiologically has been always problematic. Accurate preoperative diagnosis of organized hematoma of the maxillary sinus is important to avoid unnecessary extensive surgery, because this condition is curative with a simple, conservative surgical approach and rarely recur. Organized hematoma of the maxillary sinus should be included in the differential diagnosis when patients have recurrent epistaxis, slow-growing mass of the cheek, nasal obstruction, and expansile mass in the maxillary sinus. A 33-year-old man was referred to the department of oral and maxillofacial surgery with a three-month history of slowly growing painful swelling of the left cheek. The mass of the maxillary sinus was resected by a Caldwell-Luc approach. Histopahtoly showed only a fibous encapsulated organized hematoma. To our knowledge, organized hematoma of the maxillary sinus has not been previously described in the Korean literature of the oral and maxillofacial surgery. We report a case of organized hematoma of the maxillary sinus presenting with an enlarging maxillary sinus mass.

• Journal of Chest Surgery
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• 제11권3호
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• pp.239-245
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• 1978

Recently, we experienced a case of rare neurilemmoma originated from intercostal nerve [9th] in the right chest wall in a 25 year old male officer. The tumor was incidentally found in the routine chest X ray, where the round well circumscribed mass tumor the ninth rib with notching and sclerotic margin, suggesting slowly growing benign benign of chest wall was revealed and the tumor mass was easily extirpated in the exploratory thoracotomy, with uneventful recovery. Grossly, the tumor was firm, partly soft and well circumscribed, measuring 4.5X3.0X 3.0 cm with yellowish smooth outer surface, attached with intercostal nerve trunk. Cut surface exhibits partly grayish white and largely hemorrhagic areas. Microscopically, the characteristic palisading arrangement of schwann cells and Verocay bodies are seen but dominant features are cystic degeneration and hemorrhage with organization and fibrosis. The sheath of intercostal nerve and capsule of neurilemmoma were con joined. There is no evidence of malignancy. The tumor was confirmed as neurilemmoma of intercostal nerve, Antony type B.

• Journal of Korean Neurosurgical Society
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• 제30권4호
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• pp.509-513
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• 2001

Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The benign schwannoma rarely involves the vertebral bodies extensively. The authors report a case of giant intrasacral schwannoma in 30-year-old woman who had intermittent lower back pain during 3 years period. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent combined surgery consisted of anterior transabdominal approach and posterior sacral laminectomy and total removal of tumor. The characteristics of the lesion were discussed with a review of literatures.

• 대한두경부종양학회지
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• 제30권2호
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• pp.71-73
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• 2014

Pleomorphic adenoma is the most common benign mixed salivary gland neoplasm that accounts for 65% of all benign salivary glands tumors. While the majority arises from the parotid, only a 10% arises from the minor salivary glands. Pleomorphic adenoma of minor salivary gland in the palate is a common entity. However, they occur in the lip, cheek, tongue oropharynx and nasal cavity etc., rarely. We experienced a case of a 80 years old female presented a 10 years history of a right cheek mass which was proved to the pleomorphic adenoma on the histopathologic examination. We resected the mass and obtained good postoperative results. We report this case with a review of literature.

• 대한기관식도과학회지
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• 제5권1호
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• pp.85-89
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• 1999

Neurilemmoma is a benign, well-encapsulated neurogenic tumor that arises in cranial, peripheral, or autonomic nerves that have nerve sheaths containing schwann cells. From 16 to 45% of all neurilemmoma cases occur in the head and neck region and only about 4% of those cases are found in the nose and paranasal sinuses, but very rarely found in the nasal septum. Recently, we experienced a case of isolated neurilemmoma which arose from the nasal septum of a 30-year-old female patient who complained of nasal obstruction and postnasal drip. The mass was broadly based on the right anterior portion of the nasal septum and confined to the nasal cavity, displacing the lateral wall of the nasal cavity and middle turbinate, laterally and posteriorly, respectively. The tumor mass was completely excised through transnasal endoscopic surgery under general anesthesia. The final pathological diagnosis viewed under a microscope after H&E and anti S-100 protein stain was a benign neurilemmoma in which Antoni A type and B type both existed. This report presents a case of neurilemmoma which arose from the nasal septum with reviews of the clinicopathologic features.

• 대한기관식도과학회지
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• 제7권1호
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• pp.50-53
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• 2001

Tumors of trachea are uncommon and benign tumors are rare in adults. Tracheal tumors are overlooked as a cause of pulmonary symptoms. Neurilemmoma is originated from Schwann cells of nerve sheath, which are characterized by benign, solitary, and encapsulated mass. Although it may occur most frequently in the head and neck region, the neurilemmoma of trachea is extremely rare. We report a case in a 55-year-old man who presented with mild exertional dyspnea and foreign body sensation. The round encapsulated mass was demonstrated in posterior wall of trachea and removed by tracheofissure.

• Journal of Korean Neurosurgical Society
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• 제56권3호
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• pp.265-268
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• 2014

Solitary fibrous tumor is rare benign mesenchymal neoplasm. The spinal solitary fibrous tumor is extremely rare. The authors experienced a case of intramedullary solitary fibrous tumor of cervicothoracic spinal cord in a 48-year-old man with right lower extremity sensory disturbance. Spinal MRI showed intradural mass lesion in the level of C7-T1, the margin between the spinal cord and tumor was not clear on MRI. A Left unilateral laminectomy and mass removal was performed. Intra operative finding, the tumor boundary was unclear from spinal cord and it had intramedullary and extramedullary portion. After surgery, patient had good recovery and had uneventful prognosis. Follow up spinal MRI showed no recurrence of tumor.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.143-145
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• 1992

Fourteen masses in the maxillofacial areas which are not diagnosised simply as abscess were studied with ultrasound to evaluate its diagnostic role. Benign mass showed homogeneous echopattern with smooth margin and cyst a few internal echo with smooth margin. But malignant mass showed irregular margin, inhomogeneous echotexture and deep extension. Ultrasonography considered as an initial noninvasive imaging modality for the evaluation of maxillofacial masses.

• 한국방사선학회논문지
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• 제12권5호
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• pp.677-682
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• 2018

본 연구는 유방 전단파 탄성 초음파에서 탄성도 점수와 변형비를 이용한 방법이 양성과 악성병변의 감별진단에 유용한지를 평가하였다. 탄성 초음파를 시행한 224명을 대상으로 하였으며, 유방조직검사 결과를 바탕으로 후향적인 분석을 하였다. 유방 종괴의 양성과 악성에 따른 5단계의 탄성도 점수와의 동질성 비교는 Fisher's Exact test, 변형비와의 차이검증은 Mann-Whitney U test를 실시하였다. ROC 곡선분석을 통해 악성병변의 예측을 위한 탄성도 점수와 변형비의 최적 cut off 값을 결정하였다. 양성과 악성 결절 군의 분류에 따른 탄성도 점수의 동질성 비교와 변형비의 차이검증 결과에서 각각 통계적으로 유의한 차이를 보였으며(p=.000), ROC 곡선분석에서 양성과 악성 결절의 예측을 위한 탄성도 점수와 변형비의 AUC 0.824, 0.806, cut off 값 3, 4.4로 결정되었다(p=.001). 따라서 탄성도 점수와 변형비는 유방 종괴의 감별진단에 도움을 줄 수 있을 것이다.