• 제목/요약/키워드: Multicentric

검색결과 82건 처리시간 0.029초

경부와 종격동에 발생한 캐슬만씨 병(Castleman's Disease) (Castleman's Disease of the Neck and Mediastinum)

  • 남기현;최현호;임치영;이잔디;김승일;장항석;홍순원;박정수
    • 대한두경부종양학회지
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    • 제21권1호
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    • pp.48-52
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    • 2005
  • Objectives: Castleman's disease(CD) is a lymphoproliferative disorder of unknown etiology. To elucidate the clinicopathologic characteristics of CD, we retrospectively reviewed our experience. Methods: Fifteen patients with CD of the neck and mediastinum were identified. Patients were divided into two groups: group I had an unicentric CD and group II had multicentric CD. The histology of CD was divided into 3 subtypes: hyaline-vascular(HV), plasma cell(PC), and mixed. Results: The study included 12 cases of group I, 3 cases of group II in the clinical aspect and 10 cases with HV, 3 cases with PC, 2 cases with mixed type in the histologic aspect. Of group I patients who underwent complete surgical excision, all are currently free of disease. The clinical course of group II patients was variable. Of two patients with multicentric plasma cell CD who were treated, one remain free from disease and the other had a local recurrence in the neck. One patient with multicentric mixed CD died of disease after 30 months of presentation. Conclusion: Surgical resection is recommend for patients with the unicentric CD, regardless of histologic subtype. Patients with multicentric disease do not benefit from surgical resection and should be candidates for multimodality therapy.

Prednisolone 투여로 효과적으로 치료된 소아의 전신형 Castleman병 1례 (A Case of Systemic Castleman's Disease in a Child and Successful Treatment with Oral Prednisolone)

  • 구소은;이미정;김정은;허주령;김태형
    • Clinical and Experimental Pediatrics
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    • 제48권4호
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    • pp.443-447
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    • 2005
  • 저자들은 지속되는 발열, 빈혈, 혈소판 감소증, 흉수, 복수 및 간비종대 등의 비특이적인 전신증상을 주소로 내원한 13세 남아를 경부 림프절 조직 검사에서 혼합형의 Castleman병으로 진단한 후 스테로이드와 면역글로불린을 투여하여 호전된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

소아에 발생한 Castleman's Disease 2례 (Two Cases of Castlema's Disease in Childern)

  • 김은아;이종국;김한성
    • Clinical and Experimental Pediatrics
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    • 제46권2호
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    • pp.203-206
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    • 2003
  • 저자는 우연히 발견된 무통성 종괴로 내원한 환아에서 소아과 영역에서 드문 Castleman 씨 병 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 림프절 종창으로 추정되는 무통성의 종괴를 보이는 환아에서는 Castleman 씨 병을 감별 진단으로 반드시 고려해 보아야 할 것이다.

경화성 골수염양 다핵성 유골 골종 - 1예 보고- (Multicentric Osteoid Osteoma mimiking Sclerosing Osteomyelitis -A Case Report-)

  • 정양국;강용구;지원희;이안희;이승구;박원종;박일석
    • 대한골관절종양학회지
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    • 제11권2호
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    • pp.183-187
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    • 2005
  • 유골 골종은 특징적인 방사선학적 소견과 임상양상으로 비교적 진단이 용이하나, 임상적 소견 및 방사선학적 검사상 아급성 경화성 골수염과 유사한 소견을 보여 진단이 지연되었던 경골근위부에 발생한 2개의 핵을 가진 유골 골종 1예를 경험하였기에 문헌고찰과 함께 보고 하고자 한다.

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Intradural Involvement of Multicentric Myxoid Liposarcoma

  • Cho, Su-Hee;Rhim, Seung-Chul;Hyun, Seung-Jae;Bae, Chae-Wan;Khang, Shin-Kwang
    • Journal of Korean Neurosurgical Society
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    • 제48권3호
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    • pp.276-280
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    • 2010
  • Liposarcomas are malignant tumors of the soft tissue, with myxoid liposarcoma being the second most common subtype, tending to occur in the limbs, particularly in the thighs. Myxoid liposarcomas have an intermediate prognosis between well-differentiated and pleomorphic tumors. Spinal metastasis is usual but intradural involvement is extremely rare. We present an unusual case of a multicentric myxoid liposarcoma with intradural involvement. A 41-year-old woman complained of tingling sensation on her left arm. Radiological evaluation revealed multiple masses in her cervical spine, abdominal wall, liver, heart and right thigh, all of which were resected. She was histologically diagnosed with small round cell myxoid sarcoma and underwent adjuvant chemotherapy. However, magnetic resonance imaging analysis after 1 year revealed a large metastatic mass with bony invasion at the C6-T1 level. This mass consisted of extradural and intradural components causing severe compression of the spinal cord. She underwent resection via a posterior facetectomy of C6-7 and an anterior C7 corpectomy. However, the patient died of multiple metastases 18 months after the first diagnosis.

다발성 캐슬만병과 공존한 경부 악성 림프종 1례 (A Case of Cervical Malignant Lymphoma Coexisted with Multicentric Castleman's Disease)

  • 장규호;정영도;서윤태;김정규
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.35-39
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    • 2016
  • Castleman's disease (CD) is an uncommon lymphoproliferative disorder. The disease entity is classified into 2 clinical subtypes, unicentric and multicentric type. Prevalence of lymphoid malignancy in multicentric CD (MCD) is very low. In this case, we report a case of 77 years old woman who developed high fever and swelling in both side of her neck. Neck lymph node biopsy revealed plasma cell hyperplasia. Patient's symptom was subsided after treatment with Dexamethasone. Three months later, multiple lymph node enlargement was developed in abdomen and neck area again. Repeated neck lymph node biopsy confirmed diffuse large B cell lymphoma. The patient started chemotherapy.

Idiopathic multicentric Castleman disease presenting progressive reticular honeycomb infiltration of lung and immunoglobulin G and immunoglobulin G4 dominant hypergammaglobulinemia: a case report

  • Kim, Hyun-Je;Hong, Young-Hoon
    • Journal of Yeungnam Medical Science
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    • 제39권2호
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    • pp.153-160
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    • 2022
  • Multicentric Castleman disease (MCD) is an uncommon systemic lymphoproliferative disorder that may cause multiple organ damage. Castleman disease-associated diffuse parenchymal lung disease (DPLD) has not been well studied. A 32-year-old man was referred to our hospital for progressive generalized weakness, light-headedness, and dyspnea on exertion for more than one year. Laboratory evaluations showed profound anemia, an elevated erythrocyte sedimentation rate, and an increased C-reactive protein level with polyclonal hypergammaglobulinemia. Chest radiography, computed tomography (CT), and positron emission tomography-CT scan demonstrated diffuse lung infiltration with multiple cystic lesions and multiple lymphadenopathy. In addition to these clinical laboratory findings, bone marrow, lung, and lymph node biopsies confirmed the diagnosis of idiopathic MCD (iMCD). Siltuximab, an interleukin-6 inhibitor, and glucocorticoid therapy were initiated. The patient has been tolerating the treatment well and had no disease progression or any complications in 4 years. Herein, we report this case of human herpesvirus-8-negative iMCD-associated DPLD accompanied by multiple cystic lesions, multiple lymphadenopathy, and polyclonal hypergammaglobulinemia with elevated immunoglobulin G (IgG) and IgG4 levels. We recommend a close evaluation of MCD in cases of DPLD with hypergammaglobulinemia.

Successful Management of a Life Threatening Canine Multicentric Lymphoma with Pulmonary Thromboembolism

  • Moon, Min-Young;Suh, Guk-Hyun;Choi, Hyeong-Il;Kim, Joonyoung;Kim, Ha-Jung
    • 한국임상수의학회지
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    • 제35권5호
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    • pp.218-221
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    • 2018
  • A 12-year-old, intact female Jindo was referred to our clinic due to the enlargement of all lymph nodes, as well as severe dyspnea. All palpatible lymph nodes were highly swelling and enlargement. The dog was diagnosed as end stage of multicentric lymphoma with multi-organ metastasis. In addition, the dog was diagnosed as having a pulmonary thromboembolism via computed tomography (CT) and D-dimer concentrations and prothrombin time (PT) results. This case report describes that lymphoma can be associated with pulmonary thromboembolism which is life threatening complication in dogs. The present case was managed successfully with chemotherapy and antithrombotic treatment.

개의 Intraocular Lymphoma (Intraocular Lymphoma in a Dog)

  • 우흥명
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.429-433
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    • 2001
  • 림프종은 임상에서 많이 발생되는 개의 악성 종양이지만, 눈 안에서의 발생은 그 예가 드물다. 본 연구는, 수정체낭의 혼탁, 초자체 출혈, 전신적인 임파선증 및 복부중앙의 응괴가 관찰되는 8년령 잡종견에서 병력, 임상증상, 방사선 검사, 세포 및 조직병리학 검사, 화학요법에 의한 반응을 통하여 속발성 안내 염증을 동반하는 전신적인 다발성 lymphoma를 확진하는 방법을 알아보았다. 개의 눈 안에서 관찰되는 속발성 lymphoma는 전신적인 lymphoma를 예견하는 중요한 임상소견이 될 수 있으므로 수의 임상에 응용이 가능하리라 판단된다.

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