• 제목/요약/키워드: Huge soft tissue mass

검색결과 19건 처리시간 0.037초

흉선 지방종[1례 보고] (Thymolipoma - One Case Report -)

  • 이상권
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.325-329
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    • 1992
  • The thymolipoma is rather rare benign tumor of the thymus. One case of huge thymolipoma, seen in a 11-year-old boy, is presented. It is about 2.16kg. He had some chest discomfort. The chest film showed homogeneous haziness fills the left hemithorax, On chest CT scan, multiple small amorphous soft tissue densities were recognized as islands within a large fatty mass. Tumor resection was performed through left anterolateral thoracotomy. The mass was yellowish soft, measured 29x19Xllcm, 12X7.5x3.5cm, 7.0X3.0X1.0cm. Microscopically, the tumor was comprised of abundant mature adipose tissue and normal thymic tissue.

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좌심방내에 발생한 악성 섬유성 조직구종 치험1례 (Primary Malignant Fibrous Histiocytoma of the Left Atrium - A Case Report -)

  • 김택진
    • Journal of Chest Surgery
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    • 제24권4호
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    • pp.357-360
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    • 1991
  • Malignant fibrous histiocytoma is the most common soft tissue sarcoma of late adult life. The tumor occurs principally in one of the extremities or in the abdominal cavity or retroperitoneum, but very rarely in the heart. We report a case of M.F.H. that arose from the posterior wall of the left atrium. A 50 years old woman was presented with signs and symptoms of severe congestive heart failure. On 2-D echocardiographic exam, a huge mass was found in the left atrium. The mass was excised under open heart surgery. Histologic examination revealed that the tumor was actually a malignant fibrous histiocytoma.

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전흉부에 발생한 거대 연골육종 (Huge chondrosarcoma on the anterior chest wall)

  • 박영우;장원호;고정관;이철세;박형주;탁민성;이영만
    • Journal of Chest Surgery
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    • 제34권12호
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    • pp.960-963
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    • 2001
  • 거대 연골육종은 흉벽의 원발성 악성종양 중 임상에서 드물게 보는 형태이다. 60세 여자 환자가 전흉부에 발생한 거대 종양과 심막 침범 및 심장의 장측 심막에 위성 종양 등의 진행된 연골육종을 보였다. 수술은 종괴를 포함하여 양측 3개의 늑골, 양측 쇄골, 흉골자루와 흉막, 심막을 광범위 총괄절제하고, 2mm Gore-tex 포편과 광배근 자유 피부 근육판을 이용하여 흉벽을 재건하였다.

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Multifocal kaposiform hemangioendothelioma of soft tissue with bilateral pulmonary involvement in an adolescent

  • Azma, Roxana;Alavi, Samin;Khoddami, Maliheh;Arzanian, Mohammad Taghi;Nourmohammad, Armin;Esteghamati, Sadaf
    • Clinical and Experimental Pediatrics
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    • 제57권11호
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    • pp.500-504
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    • 2014
  • Kaposiform hemangioendothelioma (KHE) is a rare, locally aggressive vascular tumor of intermediate malignancy with resemblance to Kaposi sarcoma. It occurs predominantly in pediatric age groups as a cutaneous lesion with focal infiltration into the adjacent soft tissue and bone. Although visceral involvement is very uncommon, several cases with bone, retroperitoneal, or mediastinal involvement have been described. KHE has been reported to occasionally occur in unusual sites such as the thymus, tonsils, larynx, paranasal sinuses, deltoid muscle, spleen, uterine cervix, thoracic spine, and even the breast. Multifocal KHE is an extremely rare entity with few reports available in the literature, none of which describes pulmonary involvement. Herein, we report a unique case of multifocal KHE in a 13-year-old boy presenting with a huge soft tissue mass in the upper extremity complicated by bilateral pulmonary nodules that developed into large, necrotic tumor masses.

Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose

  • Lim, Joonho;Oh, Jeongseok;Eun, Seokchan
    • 대한두개안면성형외과학회지
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    • 제21권1호
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    • pp.69-72
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    • 2020
  • Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia. It occurs most frequently in the head and neck region. Nose reconstruction is tricky because of its unique three-dimensional structure and different tissue components. We report a case of successful reconstruction of near-total nose defect using the paramedian forehead flap combined with a nasolabial flap, immediately after excision of nasal hemangioma. A 49-year-old male patient was presented with a huge mass at the nose. Preoperative magnetic resonance imaging showed prominent vascular channels extending to the forehead and cheek. Complete resection of the mass was performed, which resulted in an eccentric defect. The right paramedian forehead flap and the left nasolabial flap were designed and transferred to the defect. Flap division was performed 1 month later. The patient is satisfied with the overall appearance and did not develop any functional deficit.

폐기형종;1례 보고 (Intrapulmonary Teratoma - A Case Report -)

  • 유웅철
    • Journal of Chest Surgery
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    • 제25권2호
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    • pp.205-209
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    • 1992
  • The intrapulmonary teratoma is an extremely tumor. This paper reports a case of int-rapulmonary teratoma located in the right upper and middle lobes of the lung in a 16-years-old male patient. The initial symptoms were right chest pain and coughing. Chest X-ray revealed huge soft tissue mass density in the right lower lung field. Right upper and middle lobectomy with resection of invaded pericardium was done. The gross and microscopic findings of res-ected specimen revealed characteristic findings of the intrapulmonary teratoma. The patient was recovered uneventually. We would like to describe this case of rare tumor with the review of literatures.

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원발성 종격동 지방육종 -1예 보고 - (Primary Mediastinal Liposarcoma - 1 Case Report -)

  • 이성윤;홍은경;지행옥
    • Journal of Chest Surgery
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    • 제22권6호
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    • pp.1061-1069
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    • 1989
  • A case of liposarcoma was reported in 52 year-old female. She had the operation history due to mediastinal lipoma at other Hospital before 26 months ago. Chest X-ray revealed a huge soft tissue mass- density at the entire right lung field, and left middle and lower lung field at admission. At the lateral film, the mass was located in the anterior and middle mediastinum. Transsternal bilateral thoracotomy was performed, followed by extirpation of liposarcoma, wedge resection of superior vena cava, angioplasty of superior vena cava, and then partial pericardiectomy. The post-operative treatment was 5500 rad irradiation. Post-operative course was uneventful, that was noticed by OPD follow-up for 10 months. Primary liposarcoma of the mediastinum is very rare tumor. This tumor grows to an enormous size, and symptoms are referable to compression of the contiguous intrathoracic structures. The treatment of choice is surgery in all cases. Such an approach serves to establish a tissue diagnosis, to relieve the patients* symptoms, and may results in a cure sometimes. Radiotherapy or/and chemotherapy seems to be ineffective, but should be further studied.

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안면골 변형을 동반한 림프관종의 치험례 (Treatment of Lymphangioma combined with Facial Bone Deformity)

  • 차상면;최희윤
    • 대한두경부종양학회지
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    • 제7권1호
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    • pp.24-34
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    • 1991
  • Lymphangioma is a benign, growth of lymphatic tissue that is present at birth or develops in early childhood, which may cause serious alterations in growth and developmemt. The problems with facial lymphangioma is usually releated directly to their size and to the area of the face which is involved. The lesions themselves may range from small, localized blemishes to huge facial masses involving both soft tissue and underlying bone and causing great distortion and asymmetry. The facial bones are seldom involved, but the natutal evolution of an individual lesion often cannot be accurately predicted when the child is first seen. Any changes in the underlying facial bone could be due either to a direct growth of the lesion into the bone, or secondary to pressure of the lesion growing outside the bone itself. A case of cystic lymphangioma extending from the neck to the tongue is reported. A six-year-old female was admitted because of swelling of the tongue. At that time, the tongue reportedly reached the extraoral size of 7x5x2.5cm and a soft, diffuse swelling of left anterior neck was revealed. The removal of cystic mass including left neck dissection and partial glossectomy were undertaken. The another case of lymphangioma is located on mandibular cheek. A twenty nine-year-old male was admitted because of palpable mass of the left mandibular area and fissure of palate. The radical excision of mass with mandibulectomy of body were undertuken. Thus we reported such a rare case and reviewed the lymphangioma.

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연부 조직 육종에 대한 무계획적 절제술: 환자의 임상적 특징 및 치료 결과 (Unplanned Excision of Soft Tissue Sarcoma: Patient Profile and Treatment Outcomes)

  • 이재후;조용진;김승현;신규호
    • 대한골관절종양학회지
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    • 제18권2호
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    • pp.72-77
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    • 2012
  • 목적: 악성 연부조직 종양이라는 의심 없이 무계획적으로 절제한 후 육종으로 판명되어 전원된 환자에서 임상적 특징과 치료 결과를 알아보고자 하였다. 대상 및 방법: 양성 연부 종양이라고 판단하고 절제한 후 육종으로 판명되어 본원으로 전원된 환자 31명을 대상으로 연구를 시행하였다. 본 환자들의 연령, 성별, 종양 크기, 위치, 깊이, 최초 수술 전 예상되었던 진단명, 의뢰된 의료기관, 조직학적 진단명, 무계획적 절제술과 재절제 수술의 간격, 최종 추시 시 재발 여부에 대해 조사하였다. 결과: 남자 19명 여자 12명이었으며, 평균 48세(17-75세)였다. 종괴의 위치는 상지가 6예, 하지가 17예, 체간이 8예였으며, 평균 6개월(1-24개월)의 증상 지속기간을 보였다. 종괴가 천층에 위치한 경우와 깊이 위치한 경우는 각각 8예, 22예였다. 무계획적 절제술과 재절제 술까지 소요 기간은 평균 5주(2주-1년)이었다. 최종 추시 시 국소 재발은 2예에서 발견되었으며, 폐전이를 포함한 타장기 전이는 모든 예에서 발견되지 않았다. 결론: 무계획적 절제가 종합 병원 급 상급 의료 기관에서도 발생하고 있으며, 심부에 위치한 비교적 큰 종괴에 대해서는 술 전 충분한 영상 검사 및 조직 검사 후 적절한 치료 계획을 수립해야 할 것이다.

전흉벽와 피하조직내 종괴로 발현한 원발성 신장암 1예 (A Case of Renal Cell Carcinoma Presented with Chest Wall Metastasis)

  • 송찬호;최형석;신동혁;양상석;이지연;한윤주;윤구섭;김기출;최신은
    • Tuberculosis and Respiratory Diseases
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    • 제48권1호
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    • pp.84-90
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    • 2000
  • 저자들은 안정시 호흡곤란을 주소로 내원하였고 흉벽에 종괴가 있었던 68세 남자환자에서 조직학적 검사상 전형적인 투명세포형의 원발성 신장암으로 진단된 1 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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