• Journal of Chest Surgery
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• 제10권1호
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• pp.65-70
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• 1977

Cystic hygroma is a benign tumor of lymphatic origin encountering most frequently in young children, and composed of softly fluctuated mono or multilocular cystic masses which developed from embryonic outpouching of the venous system. The majority of these tumors are found at the anterolateral neck region particularly posterior .triangle, and occasionaly axilla, mesentery and spleen etc. In the mediastinum, the incidence of hygroma is very rare and also of mediastinal neoplasms. Recently, we have experienced 2 cases of mediastinal cystic hygroma connected up lateral neck and to anterior chest wall respectively, which were surgically removed successfully and confirmed histopathologically. Authors present the cases and discussion with a brief review of the relevant literatures.

• Journal of Chest Surgery
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• 제36권1호
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• pp.47-50
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• 2003

폐의 카르시노이드 종양은 기관지 상피의 Kulchitsky 세포에서 유래하는 신경내분비 종양이다. 폐의 카르시노이드는 대개는 중심부에 위치한다. 그러나, 비전형적 카르시노이드는 주변부에 위치하기도 하며 조직학적으로 악성도가 높다 흉막에서 기원한 카르시노이드에 대한 보고는 거의 없는 상태로 저자들은 벽측 흉막에 위치하며 폐실질내로의 침윤이 없이 흉벽을 침윤하는 전형적인 카르시노이드를 보고하는 바이다.

• Journal of Chest Surgery
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• 제39권6호
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• pp.486-489
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• 2006

16세 남자 환자가 경도의 흉부 불편감과 호흡 곤란을 주소로 내원하였다. 심초음파와 심장 자기공명 영상 촬영에서 좌심실의 후벽에 위치하며 후방 승모판막륜을 침범하고 있는 종양을 발견하였다. 심폐기 순환 상태에서 후방 심실을 절개한 후 종양 절제술을 시행하였다. 수술 후 조직검사에서 성숙 심근세포 과오종으로 판명되었다. 종양의 재발이나 부정맥과 같은 합병증 없이 수술 후 1년간 추적 관찰 중이다.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.153-159
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• 2020

Background Perforator artery flaps based on the branches of intercostal arteries and lateral thoracic artery can be used for reconstruction after breast-conserving surgery (BCS). Although described more than a decade ago, these have not been adopted widely in clinical practice. We report on short-term and long-term surgical outcomes of partial breast reconstruction using chest wall perforator flaps from a prospective multicenter audit. Methods All patients operated for BCS and partial breast reconstruction using intercostal artery perforator or lateral thoracic artery perforator flaps from January 2015 to October 2018 were included in the analysis. Oncoplastic breast surgeons with appropriate level of training performed all tumor excisions and reconstructions as a single-stage procedure. Patient characteristics, treatment details and surgical outcomes were noted. Specific outcomes recorded were margin re-excision and complication rates. Results One hundred and twelve patients underwent the procedure in the given study period. The median age was 54 years. Median specimen weight was 62.5 g and median volume of excision was 121.4 mL. Fifteen patients (13.39%) underwent a margin re-excision for close or positive margins without additional morbidity. One patient required a completion mastectomy. Eight patients (7.14%) had an early complication. None of the patients required a contralateral symmetrization procedure. The results were comparable across the participating centers. Conclusions Chest wall artery perforator-based flaps are an excellent option for lateral and inferior quadrant partial breast reconstructions. The short and long-term surgical outcomes are comparable across sites and can be performed with minimal morbidity. Patient-reported outcome measures need to be studied.

• Journal of Chest Surgery
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• 제47권2호
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• pp.149-151
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• 2014

Hemangioma of the heart, presenting as a primary cardiac tumor is extremely rare; it accounts for approximately 2% of all primary resected heart tumors. In our patient, the tumor was located in the orifice of the right lower pulmonary vein. Few cases of cardiac hemangiomas have been reported to arise from the left atrial (LA) wall. Left atrial hemangiomas, especially those attached to the LA wall, may be erroneously diagnosed as myxomas. Cardiac hemangioma is a rare disease; furthermore, a tumor arising from the LA wall and misconceived as a myxoma is extremely rare. We removed a mass misdiagnosed as a myxoma; it was pathologically confirmed to be a cardiac capillary hemangioma. Therefore, we report a rare case of a cardiac hemangioma misconceived as a myxoma; the tumor was removed successfully.

• Journal of Chest Surgery
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• 제38권7호
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• pp.514-517
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• 2005

위장관 간질 종양은 위장관 전역에서 발생하며 그 중 위와 소장 등에 많이 생기며 식도에서도 발생한다. 44세 남성이 연하곤란과 체중감소를 주소로 내원하여 시행한 상부 위장관 내시경 검사 및 흉부 전산화 단층 촬영에서 식도 하부의 완전폐쇄, 위의 전방 편위 소견과 중앙부 괴사를 동반하는 최대 직경 15cm 정도의 저음영의 거대 종괴를 보여 흉복부 절개를 이용하여 하부 식도 및 위전적출술을 시행하였다 종양은 CDl17 (c-kit)와 CD34에서 양성을 보여 악성 위장관 간질 종양으로 확진되었으며 현재 외래 추적관찰 중이다.

• Journal of Chest Surgery
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• 제46권5호
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• pp.377-379
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• 2013

A primary giant cell tumor of the rib is very rare. The most common site of a giant cell tumor arising from the rib is the posterior arc. A giant cell tumor arising from the anterior arc of the rib is extremely rare. The treatment of a giant cell tumor of the rib is not well defined. Generally, a complete surgical resection is performed in a patient with a primary giant cell tumor of the rib. We report a case of a giant cell tumor arising from the anterior arc of the rib that was treated with a wide excision and chest wall reconstruction.

• Journal of Chest Surgery
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• 제39권8호
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• pp.637-639
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• 2006

심장 내 점액종은 심장에 발생하는 원발성 종양 중 가장 흔하지만, 우심실 유출로 협착을 유발하는 점액종은 비교적 드물다. 15세 여자 환자가 운동 시 호흡 곤란 및 간헐적인 의식 소실을 주소로 내원하였고, 심초음파상 우심실 유출로를 거의 폐쇄하는 $3.6{\times}3.0\;cm$ 크기의 종괴가 발견되어 응급수술이 시행되었다. 우심실 종괴가 폐동맥 직하 부위의 우심실 전벽으로부터 기시하고 있음을 확인하고, 종괴 기시 부위 주위의 우심실 전벽을 광범위하게 절제하면서 종괴를 제거하였고 우심실 전벽의 결손은 Gore-Tex 포편 봉합하였다. 병리학적 검사상 우심실에 발생한 점액종으로 진단되었으며, 환자는 특별한 문제없이 술 후 7일째 퇴원하였다.

• Tuberculosis and Respiratory Diseases
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• 제39권2호
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• pp.199-204
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• 1992

A 46 years old male showed radiologically a single cavitary nodular lesion in right upper lung, which extended to the regional chest wall. This finding has to be made into differential diagnosis of numerous pulmonary diseases including infections such as mycobacterial, fungal or bacterial, granulomatous diseases, and neoplasms. For the definite diagnosis, fine needle aspiration biopsy guided by biplane fluoroscopy was performed. The aspirates contained several sulfur granules, in the center of which many gram positive, filamentous organisms were compactly intermingled. Such a findings was compatible with pulmonary actinomycosis. Now the lesions is cleared out by medical treatment with amoxicillin for 3 months.

• 대한세포병리학회지
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• 제9권1호
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• pp.99-104
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• 1998

Anaplastic large cell lymphoma(ALCL) is an uncommon type of non-Hodgkin's lymphoma(NHL) populated with anaplastic, often bizarre cells that express CD30 (Ki-1) antigen. The unusual histologic and cytologic features may cause confusion with other neoplasms, such as poorly differentiated carcinoma, melanoma, Hodgkin's disease, or true histiocytic lymphoma. Although the cytologic features of ALCL have been well described, there are few reports about cytologic findings of the sarcomatold variant of ALCL. We experienced a case of fine needle aspiration(FNA) cytologic findings of ALCL which mimicks malignant fibrous histiocytoma. FNA cytology of chest wall mass in a 62-year-old female with a history of peripheral T-cell lymphoma(Lennert lymphoma) revealed a heterogeneous population of single cells and poorly cohesive cells with large, pleomorphic nuclei and spindle cells gathering around vascular structures within an inflammatory background. Additional features of the neoplastic cells were eccentric, multilobated nuclei with occasional 'wreath-like' configuration; abundant cytoplasm with vacuolization; and prominent nucleoli. The cytologic features suggested sarcoma, especially malignant fibrous histiocytoma. The diagnosis was made retrospectively with an aid of immunocytochemical staining.