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PHACE association with intracranial, oropharyngeal hemangiomas, and an atypical patent ductus arteriosus arising from the tortuous left subclavian artery in a premature infant

  • Kim, Do-Hyun;Choi, Jang-Hwan;Lee, Jung-Ha;Kim, Hee-Sup
    • Clinical and Experimental Pediatrics
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    • v.55 no.1
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    • pp.29-33
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    • 2012
  • PHACE association is a rare neurocutaneous condition in which facial hemangiomas associate with a spectrum of posterior fossa malformations, arterial cerebrovascular anomalies, cardiovascular anomalies, and eye anomalies. We reported a case of PHACE association in a premature infant showing facial, intracranial, and oropharyngeal hemangiomas with evidence of the Dandy-Walker variant and complicated cardiovascular anomalies, including a right-sided aortic arch and an atypical patent ductus arteriosus arising from a tortuous left subclavian artery. To our knowledge, intracranial hemangiomas are rare in PHACE association, and a concomitant oropharyngeal hemangioma has not been previously reported in the PHACE association literature. In infants presenting with large, plaque-like facial hemangiomas, it is important to conduct active cardiovascular and neurological evaluations. Special attention should be given to the laryngoscopic examination to search for additional hemangiomas in the airway.

Intraparotid Facial Nerve Schwannoma

  • Cho, Hyung Rok;Kwon, Soon Sung;Chung, Seum;Choi, Yoon Jung
    • Archives of Craniofacial Surgery
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    • v.15 no.1
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    • pp.28-31
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    • 2014
  • Intraparotid facial nerve schwannoma is a rare benign neoplasm. Due to its rarity, it is not usually a prioritized diagnosis before surgery and may therefore lead to an unintentional treatment error. In this article, we report a single case of intraparotid facial nerve schwannoma. We were able to make a diagnosis with frozen biopsy. A complete resection of the mass while preserving the facial nerve was performed. Herein we present our clinical experience with regards to the treatment process of intraparotid facial nerve schwannoma.

A Case of Hair Neutralizer Induced Non-oliguric Acute Renal Failure (파마중화제에 의한 비핍뇨성 급성신부전 1례)

  • Kim Ah Jin;Kim Kyung Hwan;Park Jun Seok;Shin Dong Wun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.2
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    • pp.119-121
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    • 2005
  • Sodium bromate or potassium bromate has been used as hair cold neutralizer. Sodium bromate intoxications occurred in children incidentally early days of marketing, but recently in adult suicidally. This chemical intoxication result in renal failure, ototoxicity, neurotoxicity, hemolytic anemia and so on. We experienced a 39-year-old woman of hairdresser with non-oliguric acute renal failure after ingestion hair neutralizer 500 ml. She received hemodialysis 3 times and discharged without complication on 8th admission days.

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A Case of Hypopharyngeal Liposarcoma (하인두에 발생한 지방육종 1예)

  • Yang Hae-Dong;Kim Hyun-Jik;Kim Sung-Huhn;Lee Won-Ae
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.1
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    • pp.71-74
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    • 2003
  • Liposarcoma is one of the most common malignancies originating from human soft tissue. Because most of liposarcoma occur in the lower extremities or retroperitoneum, there are few reports about liposarcoma of head and neck region, including larynx and pharynx. Histologically, there are four types of liposarcoma, and prognosis and recurrence rate are different according to histologic subtype. Wide excision is the treatment of choice and liposarcoma hardly respond to primary radiotherapy. A 56-year-old man presented with voice change and foreign body sensation in laryngopharynx. Hypopharyngeal liposarcoma was diagnosed by surgical biopsy and performed totallaryngopharyngoesophagectomy and gastric pull-up. Here we report our experience on this case with review of literature.

A Case of Angiokeratoma Circumscriptum of the Dorsal Tongue (설배부에 발생한 국한성 혈관각화종 1예)

  • Nam, Jae Sung;Hong, Chang Eui;Kim, Yee Jeong;Shin, Hyang Ae
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.47-50
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    • 2016
  • Angiokeratomas represent vascular lesions and are histologically characterized by superficial dermal vascular ectasia with overlying epidermal hyperkeratosis. Angiokeratoma circumscriptum is one of five types in the group of the angiokeratomas. The lesion is present from birth but may appear in childhood or adulthood. Angiokeratoma circumscriptum is typically hyperkeratotic papules or nodules situated unilaterally on the foot or distal aspect of the leg, but can occur elsewhere on the body. Isolated tongue involvement is very rare. We report a 12-year-old boy with angiokeratoma circumscriptum of the posterior dorsal tongue with a review of the literatures.

Spinal Metastases from Supratentorial Glioblastoma

  • Han, Seong-Rok;Yee, Gi-Taek;Lee, Dong-Jun;Whang, Choong-Jin
    • Journal of Korean Neurosurgical Society
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    • v.38 no.6
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    • pp.475-477
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    • 2005
  • The tendency of glioblastoma multiforme[GBM] to metastasize to the cerebrospinal fluidis well documented. However, symptomatic intradural extramedullary metastasis of GBM in the spinal cord are rarely reported. A 31-year-old female with a previously treated supratentorial GBM presented with back pain and lower extremities weakness. Magnetic resonance imaging of the thoracic spine demonstrated an intradural extramedullary mass at levels of T2-T4 and arachnoid membrane enhancement. The patient underwent an operation. Pathologic diagnosis was confirmed as spinal metastases of GBM. We present a case of spinal metastases from supratentorial GBM presented with paraparesis.

Intradural Invasion of Extradural Clival Chordoma

  • Han, Seong-Rok;Yoon, Sang-Won;Yee, Gi-Taek;Whang, Choong-Jin
    • Journal of Korean Neurosurgical Society
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    • v.38 no.3
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    • pp.245-247
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    • 2005
  • Most chordomas show extradural extension and bone destruction. A 32-year-old man presented with neck pain and progressive paraparesis. He had been diagnosed a clival chordoma and underwent an operation seven years ago. Radiological studies revealed that the tumor was recurred in a retroclival area and invaded into intradural region. We removed the tumor by two staged operations. After surgery, satisfactory results were achieved.

Malignant melanoma on a thermal burn scar

  • Lee, Han Byul;Han, So Eun;Chang, Lan Sook;Lee, Soo Hyang
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.58-61
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    • 2019
  • Chronic burn scars often cause various skin malignancies at rates of up to 2%. These lesions are usually squamous cell carcinomas, but rarely, malignant melanoma is reported. We report a 67-year-old male with a malignant melanoma on a burn scar with regional metastasis. This patient presented an ulcerative lesion only in 2 weeks. After histopathological diagnosis, we performed only palliative surgery on patient's demand, and followed up the subsequent deterioration course. Our case reemphasizes the need for rapid diagnosis and treatment when suspect lesions are present on chronic burn scar. Also, physician should be in mind and inform the patient about malignant melanoma and its aggressive course.

A Case of Myxoid Liposarcoma of Neck (경부에 발생한 점액성 지방육종 1예)

  • Lee, Kyuin;Kie, Jeong Hae;Shin, Hyang-Ae;Kim, Ji-Hoon
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.2
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    • pp.71-75
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    • 2021
  • Liposarcoma is a very rare malignant tumor affecting the head and neck area. Since it is an invasive and life-threatening disease, active treatments is necessary. However, differential it from lipoma, its corresponding benign counterpart, may be difficult. Herein, we report a rare case of posterior neck myxoid liposarcoma in a 72-year-old man who was initially misdiagnosed with lipoma, including a literature review of differential diagnosis between lipoma and liposarcoma.