• Title/Summary/Keyword: Malignant change

Search Result 182, Processing Time 0.024 seconds

MR Imaging Features of Pediatric Bone Marrow (소아 골수의 MR 영상 소견)

  • Arim Yeom;So-Young Yoo;Tae Yeon Jeon;Jieun Park;Ji Hye Kim
    • Journal of the Korean Society of Radiology
    • /
    • v.85 no.3
    • /
    • pp.505-519
    • /
    • 2024
  • MRI plays a crucial role in bone marrow (BM) assessment, and has very high sensitivity in diagnosing marrow disorders. However, for radiologists who may not frequently encounter pediatric imaging, distinguishing pathologic BM lesion from normal BM can be challenging. Conditions involving the BM in pediatric patients, such as leukemia and metastatic neuroblastoma, often manifest with diverse musculoskeletal symptoms and may be diagnosed using musculoskeletal MRI examinations. Accurate interpretation of pediatric MRI requires not only an understanding of the normal composition of BM but also an awareness of age-related developmental changes in the marrow and familiarity with conditions that commonly involve pediatric BM. We aim to describe the composition of normal BM and outline the normal and abnormal MRI findings in pediatric BM. Additionally, we aim to present clinical cases of malignant BM disorders including leukemia, neuroblastoma metastasis, and other malignant BM disorders.

A CASE PRESENTATION OF VERRUCOUS CARCINOMA ORIGINATED FROM VERRRUCOUS LEKOPLAKIA (우췌성 백반증에서 기원한 우췌성 암종의 치험례)

  • Choi, Moon-Gi
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.28 no.4
    • /
    • pp.339-347
    • /
    • 2006
  • Oral leukoplakia is the most common premalignant lesion and malignant transformation has been reported from verrucal lekoplakia. Homogenous, benign leukoplakia develops into a line of squamous cell carcinoma such as verrrucous carcinoma, papillary squamous cell carcinoma and invasive squamous cell carcinoma. Early diagnosis and intervention of premalignant leukoplakia is up-most important to prevent transformation into a oral squamous cell carcinoma. Any change in surface, size and color warrants repeated biopsy. If verrucous carcinoma is evidently derived from the previous leukoplakia, wide surgical excision and periodic follow up is needed. Surgically removed lesion of leukoplakia has the tendency to recur. Follow-up is very important to patient and clinician. Although many therapies have been reported to oral leukoplakia and verrucal carcinoma, accepted treatment principle is not exist so far. But surgical removal is recommended as the treatment of choice.

AN EXPERIMENTAL STUDY ON THE CHANGE OF BONE MINERAL METABOLISM AFTER IRRADIATION (방사선조사가 골무기질함량에 미치는 영양에 관한 실험적 연구)

  • Chin Hae Yun;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.18 no.1
    • /
    • pp.53-66
    • /
    • 1988
  • Irradiation is widely used for the treatment of malignant diseases, and possibly cause the osteoporosis. The bone densitometry and bone scintigraphy are valuable when used to monitor the patients longitudinally to access the progression of osteoporosis and risk of osteoradionecrosis. To evaluate the osteoporosis after irradiation of cobalt-60 gamma ray on the lumbar spines of New Zealand white rabbits, bone densitometry by dual photon absortiometry and bone scintigraphy were performed weekly. The decrease of bone density began at the first week after irradiation, and were in the nadir at 4-6th week. The osteoblastic activity measured by bone scintigraphy decreased in the first week, and was in the nadir at 4-6th week. The severity of these changes were related to the radiation dose. In conclusion, the osteoporosis before presentation of the osteoradionecrosis can be developed at low dose irradiation and confirmed by bone densitometry, bone scanning, and histopathology.

  • PDF

Radiation Therapy of the Maxillary Sinus Lymphoma - A Case Report and Review of Literature - (상악동 임파종의 방사선 치료)

  • Ban, Sung-Beom;Kim, Chul-Young;Choi, Myung-Sun
    • Radiation Oncology Journal
    • /
    • v.4 no.1
    • /
    • pp.51-53
    • /
    • 1986
  • Malignant lymphoma of the sinus is very rare but potentially radiocurable neoplasm. The disease is tend to be localized to the sinus and spread to adjacent local structures on initial presentation, and change to generalized lymphoma is uncommon. Most of sinus lymphoma is diffuse histiocytic type. Radiotherapy to the primary and neck nodes is the treatment of choice, and a survival rate of $50-70\%$ can be expected.

  • PDF

Von Reklinghausen's Disease Associated with Neurofibrosarcoma in Mediastinum (종격동에 발생한 악성변환 다발성 신경섬유종증 1례)

  • Sung, Si-Chan;Woo, Chong-Su;Lee, Sung-Kwang
    • Journal of Chest Surgery
    • /
    • v.12 no.3
    • /
    • pp.165-169
    • /
    • 1979
  • Neurofibromatosis [Von Recklinghausen`s disease] is a rare Mendelian dominant disease, which shows multiple generalized symptoms and signs at various sites [Ex Skin, Bone, Nerve, Endocrine, Mediastinum rarely Lung, etc.]. We experienced one case of neurofibromatosis which has typical skin lesions [cafe-au-lait, multiple nodules, axillary freckling] with neurofibrosarcoma [malignant change from mediastinal lesion]. Patient was admitted our department because of recently developed severe dyspnea which was probably due to main tracheal compression by mediastinal neurofibrosarcoma. After successful removal of mediastinal mass dyspnea disappeared completely. Patient`s postoperative course was uneventful, and the patient was discharged 14 days after operation.

  • PDF

Voice Outcome after Partial Laryngectomy (후두부분절제술 후 음성 결과)

  • Sun, Dong-Il
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.19 no.1
    • /
    • pp.16-20
    • /
    • 2008
  • Excising part or all part of a larynx as a cancer operation results in changes that transgress anatomic, physiologic, psychologic, and social priciples. The quality of life of a patient's life after any given cancer surgery usually is regarded as a second-priority consideration after oncologic safety. With laryngeal surgery, excision of malignant disease typically results in change that significantly influence an individual for the duration of his or her life. Nonetheless, with appropriate rehabilitation the surgical side effects can be minimized to allow for an excellent quality of life. Successful conservation surgery for laryngeal cancer requires careful interdependent selection for patients, lesions and procedure. The technical goal is to minimize trauma to uninvolved tissue and to wisely utilized local tissues or tree flap for reconstruction, while insuring for oncologically sound procedure. Rehabilitation should aim to produce a glottal sound source if possible, however voice therapy to promote false vocal fold vibration and arytenoid to epiglottis source of vibration can produce very satisfactory phonatory results.

  • PDF

Primary Neurofibroma of Trachea -A case Report- (기관에 발생한 원발성 신경섬유종)

  • 김준현;송태승;김동관;박승일;손광현
    • Journal of Chest Surgery
    • /
    • v.31 no.1
    • /
    • pp.82-85
    • /
    • 1998
  • Benign tumors of the trachea are rare and are usually misdiagnosed as bronchial asthma because of the similarity of the symptoms and signs. Although the prognosis of neurofibroma which originats from Schwann cells is good, it may recur or undergo malignant change, so segmental resection of the trachea is recommended. Recently, we experienced a case of primary neurofibroma of the trachea treated successfully by segmental resection of the trachea and end-to-end anastomosis. We report it with a brief review of literatures.

  • PDF

Two Cases of Epidermal Cyst in Submental Area (턱 밑에 발생한 표피낭종 2예)

  • Park, Kyoung Ho;Park, Joong Hyun;Park, Anna;Yoo, Young Sam;Kim, Hyun Joung
    • Korean Journal of Head & Neck Oncology
    • /
    • v.30 no.2
    • /
    • pp.87-89
    • /
    • 2014
  • Epidermal cysts in mouth floor are rare. There could be confusions in diagnosis due to location and low incidence. For diagnosis, imaging study and cytology are necessary. The treatment of choice is complete excision intraorally or externally and the recurrence is rare. Some authors prefer sclerotherapy, but the follow up is necessary for malignant change. We report two cases of epidermoid cyst in submental area excised externally with literature review.

A Case of Squamous Cell Carcinoma Arising in a Warthin's Tumor (Warthin씨 종양에서 발생한 편평상피암 1예)

  • Sohn, Jung Heob;Cho, Kyoung Rai
    • Journal of Clinical Otolaryngology Head and Neck Surgery
    • /
    • v.29 no.2
    • /
    • pp.321-326
    • /
    • 2018
  • Warthin's tumor is the second most common benign tumor of the parotid gland, which consists of epithelial and lymphoid components. Malignant change is known to be extremely rare. In Korean literature, only a case of low grade adenocarcinoma arising from Warthin's tumor was reported. For squamous cell carcinoma, there has never been reported in Korea. The authors report a case of squamous cell carcinoma arising from Warthin's tumor in a 77-year-old male, who was treated with primary resection. The patient is well without any recurrence or metastasis after 15 months of follow-up.

Cystic Salivary Duct Carcinoma Penetrated by Facial Nerve

  • Kim, Yunghoon;Park, Ji-Ung
    • Archives of Plastic Surgery
    • /
    • v.49 no.4
    • /
    • pp.523-526
    • /
    • 2022
  • Salivary duct carcinoma is a rare malignant salivary gland tumor that mainly has solid features. When it occurs in the parotid gland, it can invade the facial nerve and cause facial nerve paralysis. However, in our case, the salivary duct carcinoma exhibited cystic features on computed tomographic imaging, and the facial nerve passed through the cyst. Total parotidectomy with level-I to -III dissections was performed and nerve passing through the tumor was sacrificed. The patient received postoperative radiotherapy and was clinically and radiologically followed-up for every 3 months. Recurrence or distant metastasis was not reported. To the best of our knowledge, this is the first case involving a salivary duct carcinoma with cystic features and facial nerve invasion. Here, we report a first case of cystic salivary duct carcinoma of the parotid gland which uncommonly undergo cystic change and penetrated by facial nerve and successfully resected without causing facial nerve injury.