• Journal of Chest Surgery
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• 제25권9호
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• pp.962-967
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• 1992

Eight patients with proven clinical stage Ill lung carcinoma of which six were epidermoid cell carcinoma and two were small cell carcinoma underwent concomitant radiation therapy and chemotherapy before surgical resection from March 1990 to February 1992 at the thoracic surgical department, Yongdong Severance Hospital, Yonsei University College Medicine The therapy consisted of more than one cycle of chemotherapy every 4 weeks and concomitant irradiation. Three to four weeks after chemotherapy and radiation therapy, the patient were reevaluated for thoracotomy and pulmonary resection. Two patients were found to have unresectable lesions and, radiosotopes were implanted to the remaining tumors. Three patients had complete pneumonectomies and two patients had pericardial penumonectomyo. Only one patient had complete pneumonectomy & concomitant resection of ribs attached to tumors with reconstruction of chest wall with Marlex mesh. Complete sterilization of lung tumor and mediastinal nodes proven histologically was achieved in 2 patients, without operative mortality. The median survival of all patients was eight months, but the median survival of survivors which lung tumor were completely resected completely and whose pathologic reports showed stage I or 0, was about 18 months to now. The overall result indicates some benefit from this preoperative chemotherapy and radiation therapeutic regimen in patients with advanced unresectable lung cancer.

• Journal of Chest Surgery
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• 제29권5호
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• pp.585-588
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• 1996

식도평활근종은 식도암에 비해 매우 드물지만 식도양성종양의 대부분을 차지한다. 식도질환의 수술 은 개흥을 통해 시행되 었으나 흥강경수슬의 발달과 함께 일부 식도수술을 흉강경을 이 용하여 수술을 하 게되었다. 저자들은 상부식도에 발생한 평활근종을 흥강경을 이용하여 절제하고 좋은 결과를 얻었다. 환자는 24세 남자로 내원 2개월전부터 발생한 흥골후방 불쾌감과 경미한 연하곤란을 호소하였다. 식도 위장관촬영과 식도경검사에서 상부식도에 점막의 변화없는 점 막하종양이 있었으며 흉부전산화단층 및 자기공명영상 촬영으로 종양의 위치,크기 및 주위조직으로의 침범과 종격동 림프절종대가 없음을 확인 하였다. 종양은 흥강경을 이용하여 제거하였고, 크기는 4$\times$2xlcm로 병리조직검사상 평활근종으로 진 단되었다. 환자는 수술후 10일째 이상없이 퇴원하였다.

• 대한세포병리학회지
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• 제14권1호
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• pp.12-16
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• 2003

Ganglioneuroma is a well-differentiated, benign tumor of the sympathetic nervous system. These tumors belong to a family of neoplasm that exhibit a wide range of differentiation, with neuroblastoma at one end and ganglioneuroma at the other. Because it share morphologic features with other both benign and malignant neural tumors, accurate preoperative diagnosis is often difficult. Nonetheless, it is critical for proper management. Fine needle aspiration cytology (FNAC) in the diagnosis of the ganglioneuroma has been a little documented. We describe a case of mediastinal ganglioneuroma in a 33-month-old girl. The diagnosis was suggested on FNAC and was confirmed by histopathologic examination later.

• Journal of Chest Surgery
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• 제26권5호
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• pp.413-416
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• 1993

Extraskeletal osteogenic sarcoma is a rare malignant tumor of soft tissue, and its predilection sites are the extremity, retroperitoneum, trunk, and the head and neck area. To our knowledge 5 cases of primary involvement of the mediastinum have been reported. Because of its rarity and difficulty in exact diagnosis preoperatively, we report an extraskeletal osteogenic sarcoma in the anterior mediastinum. The patient was a thirty eight old male. He complained of cough and sputum over 2 months. The chest roentgenogram and the chest MRI[magnetic resonance image] were done and showed anterior mediastinal mass with calcification. Excision of the mass was done under the preoperative impression of thymoma, and the pathologic report was extraskeletal osteogenic sarcoma of the mediastinum.

• Journal of Chest Surgery
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• 제32권8호
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• pp.768-771
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• 1999

본 증례는 45세 남자환자로서 흉부X-선상 우측폐야에 종괴모양이 발견되어 내원하였다. 입원당시 우측제7 흉신경부위의 피부분절에 감각둔감이 있었고, 컴퓨터 단층촬영 및 자기공명영상에서 우측 후종격동에 2개의 종양이 각각 제6 및 제7번 흉추 신경공을 통하여 척주관내로 확장되는 모양이었다. 자기공명영상에서 척수 침범소견은 없었다. 우측개흉술후 제7번 늑골두와 신경공주위의 척추경을 절제\ulcorner 후 종양을 제거하였다. 종양은 신경초종양으로 확진되었으며 수술후 환자는 별다른 문제없이 퇴원하였다.

• Journal of Chest Surgery
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• 제46권2호
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• pp.138-141
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• 2013

Pericardial cysts are reported by some authors, but epicardial cysts are extremely rare. We report one case of epicardial cyst that was detected incidentally and was removed successfully. Furthermore, unusually, pathological examinations confirmed that the cyst wall was looked like a vessel wall.

• Korean Journal of Radiology
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• 제1권4호
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• pp.212-214
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• 2000

Angiolipoma is a rare benign soft tissue tumor, an unusual variant of lipoma, consisting of fatty and vascular components and located in the subcutis, usually in the trunk and extremities. We report a case of posterior mediastinal angiolipoma extending into the spinal canal and showing both fat and angiomatous features on CT scan.

• Tuberculosis and Respiratory Diseases
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• 제75권3호
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• pp.116-119
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• 2013

Sarcoidosis, a systemic granulomatous disease of unknown etiology. The presentation of sarcoidal granuloma in neck nodes without typical manifestations of systemic sarcoidosis is difficult to diagnose. We describe the case of a 37-year-old woman with an increasing mass on the right side of neck. The excisional biopsy from the neck mass showed noncaseating epithelioid cell granuloma of the lymph nodes. No evidence of mycobacterial or fungal infection was noted. Thoracic evaluations did not show enlargement of mediastinal lymph nodes or parenchymal abnormalities. Immunohistochemistry showed abundant expression of tumor necrosis factor-${\alpha}$ in the granuloma. However, transforming growth factor-${\beta}$ was not expressed, although interleukin-$1{\beta}$ was focally expressed. These immunohistochemical findings supported characterization of the granuloma and the diagnosis of sarcoidosis. Sarcoidosis can present with cervical lymph node enlargement without mediastinal or lung abnormality. Immunohistochemistry may support the diagnosis of sarcoidosis and characterization of granuloma.

• Journal of Chest Surgery
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• 제39권8호
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• pp.655-658
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• 2006

중피낭종은 드문 종격동질환으로서 주로 우측 심장횡격막 각에서 잘 발생한다. 그러나 드물게는 비전형적인 위치에서 발생하며 특히 후 종격동에서의 발생은 매우 드물다. 교통사고로 내원한 30세 여자환자에서 우연히 심낭과 척추체 사이의 후 종격동에 위치하는 큰 낭종이 발견되었다. 낭종은 장축이 18 cm에 이르는 매우 큰 크기였으며 주로 좌측 흉강 쪽으로 커져 있었으나 환자는 증상을 호소하지 않았다. 반대측 흉강으로의 박리에 어려움이 있어서 작은 수술창을 동반한 비디오흉강경 수술로 완전 절제를 시행하였다. 장기 관찰에서 재발 없이 경과는 양호하였다.

• Journal of Chest Surgery
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• 제32권2호
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• pp.211-214
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• 1999

포천 중문 의과 대학 분당 차 병원 흉부외과에서는 정상 흉선 조직과 성숙된 지방 조직이 혼재되어있는 희귀한 양성 종격동 종양인 흉선지방종을 경험하였다. 환자는 46세의 여자 환자로 하복부 통증을 주소로 내과에 입원하였고 입원 당시 촬영한 단순 흉부 방사선 사진에서 우측 심연에 위치한 지방성 종괴가 발견되었다. 흉부 컴퓨터 단층 촬영을 시행한 결과 흉선지방종이 의심되어 종괴를 절제하였다. 조직 병리 검사상 흉선지방종으로 확인되었다.