• Title/Summary/Keyword: Osteoid

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Treatment of Osteoid Osteoma (유골 골종의 치료)

  • Han, Chung-Soo;Cho, Chang-Hyun;Cho, Young-Lin;Cho, Nam-Su;Lim, Chan-Teak
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.1
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    • pp.22-29
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    • 2000
  • Purpose : The purpose of the current study was to report the results of curettage and en bloc excision as well as to introduce how to excise the nidus percutaneously with Halo-mill. Material and Methods : Twenty patients(14 men and 6 women) were evaluated, who had operative treatments after diagnosed as osteoid osteoma from March 1990 to January 1998. These patients ranged in age from 7 to 42 years(average: 20.8 years). Locations were 9 femurs, 6 tibias, 2 vertebras, 1 ulna, 1 maxilla and 1 skull. Nine femoral lesions included 5 proximal metaphysis, 2 neck and 2 diaphysis, while 5 tibial lesions included 3 diaphysis, 1 proximal metaphysis and 1 distal metaphysis. We used simple radiography, bone scan, CT and MRI for the accurate diagnosis and localization. As for surgical treatments, while excision and curettage had to need open-exposure of lesion, the percutaneous excision of nidus did not need openexposure : guided Halo-mill into K-wire inserted to nidus under image intensifier. Results : Simple radiography showed that 10 cases had typical nidus and others had only cortical sclerosis. Bone scan was performed at 14 cases and all had hot uptake except one case. We used CT in 10 cases and MRI in 4 cases as diagnostic methods, of which 1 case didn't reveal nidus at CT. Surgical treatment consisted of 6 curettages, 11 excisions, 2 percutaneous excisions with halo-mill and 1 total elbow arthroplasty. We used 7mm sized Halo-mill. During the follow-up period, all patient relieved symptoms and there were no recurrences. All had histologically typical findings except one which had hyperostosis without nidus. Conclusion : Complete removal of the nidus is the most important factor in the treatment. We could excise the nidus percutaneously in 2 cases with the minimal injury to surrounding soft tissues. If we could evaluate the precise location, size of nidus and percutaneous acccesibility, the percutaneous excision of nidus with Halo-mill could be an alternative method as a treatment of osteoid osteoma.

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Fine Needle Aspiration Cytology of Hepatoblastoma -Report of Two Cases- (간아세포종의 세침흡인 세포학적 소견 -2예 증례보고-)

  • Park, Young-Nyun;Lee, Kwang-Gil;Park, Chan-Il
    • The Korean Journal of Cytopathology
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    • v.1 no.1
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    • pp.98-102
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    • 1990
  • Hepatoblastoma (HB) is a rare embryonic malignant tumor of the liver. Most morphological studies on HB have limited to the histological characteristics and only 3 cases of HB have been described in the cytology literature. We present 2 cases of HB occurring in children aged 1 year and 3 years, respectively. The distinctive cytologic features of fine needle aspiration of HB were clusters of tumor cells showing acinar and trabecular pattern, smaller tumor cells with a high nuclear-cytopalsmic ratio and hyperchromatic nuclei having prominent nucleoli, and the presence of extramedullary hematopoiesis and osteoid material. These features were also found in the cell block and the biopsy specimen, and appeared very useful in the differentiation of HB from hepatocellular carcinoma.

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Fine Needle Aspiration Cytology of Osteoclastic Giant Cell Tumor of the Pancreas (췌장의 파골성 거대세포종양의 세침흡인세포학적 소견)

  • Sung, Sun-Hee;Han, Woon-Sup
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.89-94
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    • 1998
  • A case of fine needle aspiration cytology of an osteoclastic giant cell tumor of pancreas, which is an uncommon variant of ductal adenocarcinoma, is described. Aspirated tumor cells were characterized by three populations: (1) bland osteoclast like giant cells with multiple small, round nuclei with distinct nucleoli, and abundant cytoplasm, (2) Individually scattered or loosely clustered medium sized mononuclear tumor cells, having fine chromatin, smooth nuclear membrane, often prominent nucleoli, and high N/C ratio, (3) bland or atypical spindle shaped cells. Osteoid like lacy material was also seen on cell block section. The immunohistochemical studies using paraffin embedded cell block section showed positivities for vimentin and lysozyme in both giant and mononuclear turner cells. However, they were negative for cytokeratin, epithelial membrane antigen, S-100 protein, carcinoembryonic antigen, and p53.

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Osteosarcoma of the Proximal Humerus in a Dog (개의 상완골 근위단에 발생한 골육종)

  • 김정은;엄기동;배재성;강한샘;이문학;이해운;성윤상;이정민;장광호
    • Journal of Veterinary Clinics
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    • v.20 no.2
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    • pp.259-262
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    • 2003
  • A 13-year old male dog with right forelimb lameness, invisible swelling, anorexia and mild depression was referred to Veterinary leaching Hospital, College of Veterinary Medicine, Kyungpook National University. On forelimb radiographic views, periosteal and endosteal proliferation and cortical lysis and extremely aggressive and amorphous periosteal reactions were located along the metaphyseal region of the proximal humerus. Cytologic and histopathologic examinations after amputation showed anaplastic mesenchymal cells that produced osteoid changes, poorly differentiated osteoblast and osteoclast. And also, it included the neoplastic cells with large nucleoli, multiple nucleoli that differ in size and cytoplasm with several clear vacuoles. Based on the physical examination and laboratory, radiolographic, cytologic and histopathologic findings, this case was diagnosed as osteosarcoma of the proximal humerus.

Multilobular Tumor of Skull in a Maltese Dog (말티즈 견의 두개골에서 발생한 다엽성 종양)

  • Yang, Cheol-ho;Kang, Min-hee;Kim, Seung-gon
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.48-50
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    • 2016
  • A 10-year-old spayed female Maltese dog weighting 3.4 kg was referred with growing firm mass at the parietal bone region from 2 weeks ago. A firm, partially calcified mass ($1.9cm{\times}4.4cm$) was palpated in the region of the frontal and parietal skulls but had no neurologic signs. Computed tomography (CT) characteristics of mass were round to oval shape, fine granular appearance, and well defined margins. Mass involving the calvarial bones had invasion into the cranial vault with a significant intracranial portion. Histologically, the tumor was characterized by the presence of multiple lobules containing osteoid or cartilage in the center that were separated by anastomosing fibrous septae. This is case report described the clinical and histopathological features of multilobular tumor of skull in a Maltese dog.

Hepatic extraskeletal osteosarcoma with systemic metastasis in a dog

  • Johnson, Crystal;Kim, Yongbaek
    • Korean Journal of Veterinary Research
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    • v.53 no.1
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    • pp.61-64
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    • 2013
  • A ten-year-old dog was presented with pancreatitis and increased hepatic enzymes. On necropsy a large firm mass was observed in the liver extending to the gall bladder. Smaller masses with similar texture were found in multiple organs including lung, stomach, pancreas, lymph nodes, omentum, and mesentery. Neoplastic cells were spindle shaped with prominent osteoid production and occasional trabeculae of woven bone. Tumor cell emboli were observed in the blood vessels and lymphatics of the omentum and stomach. Hepatic osteosarcoma with systemic metastasis is very rare and may serve to broaden the diagnostic spectrum of hepatic and pancreatic diseases in dogs.

A Case Report of Osteosarcoma Occured in the Maxilla (상악골에 발생한 골육종의 증례보고)

  • Jung Yun-Hwa;Jeon Seon-Doo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.26 no.2
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    • pp.175-180
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    • 1996
  • Osteosarcoma is the most common malignant tumor of bone. The mean age of occurrence of osteosarcoma in the jaws is around 30, somewhat older than for other sites in the body. These lesions occur about equally in the maxilla and mandible. They most frequently develop in the body in the mandible, and the antrum and the posterior portion of alveolar ridge in the maxilla. We report a case of osteosarcoma in 35 years old female complaining swelling of the left cheek. Radiographic features showed cotton wool appearance in upper left posterior area. Histopathologic findings exhibited pleomorphic malignant osteoblasts and neoplastic osteoid.

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Primary Ostoegenic Sarcoma on Calcaneus - One Case Report - (종골에 발생한 원발성 골육종 - 1예 보고 -)

  • Cho, Duck-Yun;Yoon, Hyung-Ku;Kim, Jae-Hwa;Shin, Dong-Eun;Park, Hyung-Kun
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.233-237
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    • 2002
  • Osteogenic sarcoma is the most common primary malignant tumor of bone in which tumor cells form neoplastic osteoid or bone or both. Classic osteogenic sarcoma usually involves the metaphysis of the more rapidly growing long bones (distal femur, proximal tibia). Osteogenic sarcoma of the foot is rarely noted and only a few well documented cases have been reported. Osteogenic sarcoma of foot can clinically, radiographically, and histologically mimic several benign lesions and tumor-like lesions, so it sometimes leads to late diagnosis and delayed treatment. We experienced a case of primary osteogenic sarcoma on left calcaneus in 66-years-old female and report it with a review of references.

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A CASE REPORT OF TRAUMATIC BONE CYST OCCURED IN THE CONDYLAR HEAD OF MANDIBLE (하악골 과두부에 발생한 외상성 골낭종의 문헌고찰 및 치험례)

  • Yoon, Ok-Kun;Beag, Sung-Lea;Choi, Jae-Hun;Lee, Gae-Dug
    • The Journal of the Korean dental association
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    • v.22 no.4 s.179
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    • pp.333-338
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    • 1984
  • This is to report a case of traumatic bone cyst which occurred in the left condylar head of the mandible. It is a very rare case and the prognosis after operation seems to be fair, therefore we report as follows. 1. The pt, a 49 year-old female, has been suffering from difficulties of mastication with disfiguration of face due to deviation of mandible to the right side for 20 years. 2. Histopathologic findings showed the figure of multilocular bony cysts contained with fibrous tissue, osteoid tissue and many hematopoietic cells 3. Roentgenographic features showed well circumscribed radiolucent lesion with some radiopaque area. 4. After clinical evaluation, condylectomy was done to remove the lesion. 5. After the operation, the esthetic problem and masticatory functions were improved.

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Primary Extraskeletal Osteosarcoma in the Anterior Mediastinum: A Case Report and Review

  • Joo, Seohee;Song, Jae Won;Na, Kwon Joong;Park, Samina;Park, In Kyu;Kim, Young Tae;Kang, Chang Hyun
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.243-246
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    • 2019
  • Extraskeletal osteosarcoma (ESOS) is a malignant soft tissue neoplasm producing osteoid, without any continuity with the bone or periosteum. Primary ESOS presenting in the mediastinum is an extremely rare, yet aggressive malignant tumor associated with a poor prognosis. We report a case of primary ESOS arising from the thymus in a 63-year-old male patient.