• Title/Summary/Keyword: Mediastinum, CT

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Choriocarcinoma in Posterior Mediastinum A case Report (후종격 응모막암종 -1 례 보고-)

  • 김수성;배한익
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.462-466
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    • 1997
  • Primary mediastinal choriocarcinoma is characteristically seen in young males presenting with the symptomes of cough, chest pale, and gynccomastia. A 33-year-old woman was admitted to the hospital because of severe dyspnea and chest pain which was aggravated rapidly 2 or 3 days ago. Posterior mcdiastinal mass measuring about 1 cm in diameter was seen in Chest P-A, left lateral view of chest, and chest CT. Serum $\beta$-HCG level was markedly elevated up to 200, 000 mIxt. Whole body CT and other studies could not find any lesion on ovary and uterus. But, a single nodule nEeasuring about 1 cm in diameter was identified in the brain CT. The tumor cells (syncytiotrophoblastic cells) from resected mass revealed positivity on i histochemical staining for $\beta$-HCG. She was treated with EMA-CO after resection of tumor, But, 7 months later, she was readmitted and showed cerebral hemorrhage due to metastatic choriocarcinoma. She was operated again for the brain tumor, and was doing well for further 7 months.

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Diagnosis of Persistent Right Aortic Arch with an Aberrant Left Subclavian Artery using CT in a Poodle Dog

  • Ryu, Chan-Young;Lee, Sang-Gwan;Lee, Kija
    • Journal of Veterinary Clinics
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    • v.35 no.1
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    • pp.26-29
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    • 2018
  • A 6-month-old, female poodle presented with a three-month history of persistent regurgitation immediately after eating. On physical examination, the patient was emaciated and dehydrated. Thoracic radiography showed ventral displacement of the trachea and increased radiopacity in the mediastinum, cranial to the heart base. A severely dilated esophagus was identified cranial to the heart on esophagram. Computed tomography (CT) revealed the esophagus was filled with gas, fluid and a little of contrast and dilated from caudo-cervical to cranio-thoracic part. The esophageal diameter was markedly decreased at the heart base. In addition, the trachea was displaced to the left-ventral side of the right aortic trunk and an aberrant left subclavian artery originating from the aorta was identified. There was no evidence of abdominal vascular anomaly. Based on diagnostic imaging, persistent right aortic arch (PRAA) with an aberrant left subclavian artery was diagnosed. The patient did not undergo surgery and died at 15 days after diagnosis. This report describes imaging diagnosis, including CT and radiography in a weaned dog with regurgitation due to esophageal obstruction by PRAA. When PRAA is suspected and conventional radiography or contrast study is insufficient for diagnosis, CT may be helpful for diagnosing PRAA.

A Case of Cavernous Lymphangioma of the Mediastinum in Adult (성인에서 진단된 종격동 해면상 임파관종 1예)

  • Kim, Shin-Tae;Yong, Suk-Joong;Lee, Won-Yeon;Kim, Mi-Hye;Shin, Kye-Chul;Kim, Sang-Ha;Ahn, Min-Soo;Sung, Ki-Jun
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.6
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    • pp.640-644
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    • 2002
  • Lymphangiomas in the mediastinum are rare benign tumors, characterized proliferating lymphatic vessels. They are usually found in children and young adults, but rarely in order adults. Most are located in the neck, with less than 1 percent found in the mediastinum, with mediastinal lymphangiomas comprising 0.7-4.5 percent of all tumors in this location. They are often classified pathologically according to the size of the cystic spaces within them, as simple or capillary, cavernous and cystic, or just cystic, hygromas, Of the 3 types above, the cavernous type of mediastinal lymphangioma is very rare. We report a case of a mediastinal lymphangioma of the cavernous type that was confirmed from pathological findings, a CT and MRI scan.

A Case of Nonfunctioning Paraganglioma of the Posterior Mediastinum (후종격동에 발생한 비기능성 부신경절종(Paraganglioma) 1례)

  • Mun, Yeung Chul;Yu, Sung Keun;Park, Hye Jung;Shin, Kyeong Cheol;Lee, Choong Ki;Chung, Jin Hong;Lee, Kwan Ho;Kim, Mi Jin;Lee, Jung Cheul
    • Journal of Yeungnam Medical Science
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    • v.17 no.2
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    • pp.155-160
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    • 2000
  • Paraganglioma is a tumor from the extra adrenal paraganglion system and is rarely observed in the mediastinum. The authors experienced a case of nonfunctioning paraganglioma of the posterior mediastinum. The patient was 34-years-old male in whom abnormal mass lesion was nites in chest radiograph with hemoptysis. His blood pressure and serologic examination were within normal range upon admission to our hospital. Chest CT revealed a tumor in the left lower lobe. Diagnostic thoracoscopy was performed and diagnosed a posterior mediastinal mass. Surgical resection was them performed. Posterior mediastinal mass was removed successfully and histological examination of the surgical specimen diagnosed paraganglioma. He received radiotherapy after surgery and was followed up. Related literature are reviewed.

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Primary Pelvic Peritoneal Yolk Sac Tumor in the Post-Pubertal Female: a Case Report with Literature Review

  • Kim, Myojeong;Lee, Eun Ji;Hwang, Jiyoung;Hong, Seong Sook;Chang, Yun-Woo;Oh, Eunsun;Nam, Bo Da;Choi, Inho;Kim, Jeong Sig
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.4
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    • pp.367-373
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    • 2019
  • Yolk sac tumors are rare malignant germ cell neoplasms that usually arise from the gonads. Extragonadal yolk sac tumors (EGYSTs) frequently occur in the mediastinum in post-pubertal females. EGYSTs in the pelvis are extremely rare, and to date, only thirteen cases have been reported in the English literature. Among them, the primary EGYST of the pelvic peritoneum in post-pubertal females has only been reported in ten cases. The present case describes a 26-year-old female diagnosed with primary peritoneal yolk sac tumor located in the rectouterine pouch. We report clinical and tumor imaging features, including ultrasound, computed tomography (CT), magnetic resonance images (MRI), positron emission tomography-computed tomography (PET-CT), and present a review of the literature.

Incidental Extramammary Findings on Preoperative Breast MRI in Breast Cancer Patients: A Pictorial Essay (유방암 환자의 수술 전 유방 MRI에서 우연히 발견된 유방 외 소견: 임상화보)

  • Jin-A Ryoo;Shin Young Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.372-385
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    • 2023
  • Breast cancer is one of the most common cancers and causes several complications in females. Currently, MRI is a necessary method for preoperative studies in patients with breast cancer. A high frequency of breast MRI can lead to an increase in the number of incidental extramammary findings. Moreover, it can provide accurate preoperative workup; therefore, the prognosis of patients can be improved. Herein, we provide several extramammary findings, including the mediastinum, lung, upper abdomen, bone, and soft tissue, correlating with US, chest CT, liver MRI, PET-CT, and bone scan.

Immature Teratoma at Anterior Mediatinum - Report of one case - (종격동에 발생한 미성숙 기형종: 1례 보고)

  • 이재필
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.435-437
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    • 1992
  • We experienced one case of immature teratoma at anterior mediastinum. the patient was Syears old female whose complain were cough and chest pain. Chest film showed mass density St the lower half of the Rt chest. Chest CT showed inhomogenous mass which have some calcified area. At the time of operation, 12x10x13cm sized mass have smooth surface and its stump elongated to the thymus. a-FP level, preoperative 22.5ng/ml, was decreased to 9.7ng/ml after operation. Postoperative adjuvant chemotherapy was performed with Vinblastin, Bleomycin and Cisplatin combination. The patient had an uneventful postoperative or postchemotherapy course and was discharged in a good condition.

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Superior Vena Cava Syndrome Bue to Thyroglossal Duct Cyst (갑상설관낭에 의한 상대정맥증후군 -1례 보고-)

  • 권오우
    • Journal of Chest Surgery
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    • v.27 no.11
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    • pp.953-956
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    • 1994
  • This is a case report of superior vena cava syndrome due to thyroglossal duct cyst, which was surgically treated. The patient was 61 year old male who progressively complained exertional dyspnea for about 5 months and right ptosis, facial flushing, and nasal stuffiness for about 1 month before admission. The CT scan of the thorax revealed the right paratracheal cystic mass that compressed and displaced the trachea to leftward and SVC to rightward. The resection of the cystic mass was performed through the right posterolateral thoracotomy. The pathologic result was compatible with thyroglossal duct cyst. The postoperative status of the patient was uneventful.

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Lipoblastoma of the Neck and Mediastinum -1 case report- (경부 및 종격동내 지방모세포 종 -1례 보고-)

  • 김석기;서연호;구자홍;정명자
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.198-201
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    • 2001
  • 지방모세포종은 태생기 지방조직에서 기원하는 드문 양성종양으로 대부분 소아기에 발생하는데 이 종양의 약 70%는 사지에서 나타나고 간혹 다른 부위에서 보고되기도 한다. 저자들은 좌측 후종격동과 좌측 쇄골상부에 양성 지방모세포종을 보인 3세된 남아를 치험한바 있다. CT 소견상 지방을 함유한 종괴가 정상적인 흉강내 구조물을 누르고 있었고, 쇄골상부 및 종격동으로부터 합병증없이 절제되었다. 종괴는 황색을 띠었으며, 병리조직검사상 지방모세포종으로 진단되었다.

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Unusual Presentation of a Penetrating Aortic Arch Injury

  • Vural, Fikret Sami;Patel, Atul Kumar;Mustafa, Kashif
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.295-297
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    • 2017
  • A 27-year-old man was admitted with a penetrating injury at the mid-manubrium. Computed tomographic (CT) angiography showed a f illing def ect in the aortic arch. This was evaluated as a sign of injury and the patient underwent an emergency operation. No active bleeding or clot was f ound in the mediastinum during the operation. The laceration point was between the innominate and the left carotid artery posteriorly. The injury was approached using hypothermic circulatory arrest. Aortotomy and exploration showed a 2-cm-long full-thickness aortic injury with an overlying clot. A filling defect on angiography as a sign of a penetrating arch injury has never been reported previously, but was the main pathological finding on CT angiography in our case. The aorta is a high-pressure system and injuries to it should be treated aggressively.