• 제목/요약/키워드: Sinonasal cavity

검색결과 18건 처리시간 0.022초

Extramedullary Plasmacytoma of the Sinonasal Cavity 1예 (A Case of Extramedullary Plasmacytoma of the Sinonasal Cavity)

  • 임상철;신명석
    • 대한두경부종양학회지
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    • 제22권2호
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    • pp.167-170
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    • 2006
  • Extramedullary plasmacytoma is rare tumor of plasma cell tumor, which involve soft tissue without any signs of systemic spread and occurs predominantly in the head and neck, especially the nasal cavity and the paranasal sinuses. Ten to twenty percent of extramedullary plasmacytoma have regional lymph metastasis at the time of diagnosis and approximately one third of patients with extramedullary plasmacytoma will subsequently develop multiple myeloma during long-term follow-up. Primary treatment modality is moderate-dose radiation and surgery is rarely used. Extramedullary plasmacytoma has good prognosis, but requires long-term systemic evaluation and follow-up. We report a case of extramedullary plasmacytoma of the sinonasal cavity with a review of literature.

반대측 림프절 전이를 동반한 비강의 편평 세포암 1예 (Primary Sinonasal Squamous Cell Carcinoma with Contralateral Lymph Node Metastasis)

  • 김태후;허철영;김범규;박일석;김용복
    • 대한두경부종양학회지
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    • 제25권2호
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    • pp.163-167
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    • 2009
  • Sinonasal malignant tumors comprise less than 1% of all cancers and 3% of all malignant tumors of the head and neck, which explains a lack of large series addressing the clinical characteristics and management of these tumors. Neck node metastasis occurs in only about 7% to 15% of malignant tumors compared with other head and neck cancers. A 90-yr-old woman presented with left palpable neck mass and right nasal mass occupying nasal cavity. Fine needle aspiration biopsy of left neck mass results in metastatic squamous cell carcinoma(SCC). PET/CT shows intense FDG uptake in right nasal cavity with bone invasion. Histopathologic examination of excised lesion in the right nasal cavity revealed SCC. We report here on a primary sinonasal SCC with contralateral lymph node metastasis.

부비동과 비의 미분화 암종 - 1예 보고 - (Sinonasal Undifferentiated Carcinoma - A Case Report -)

  • 신미경;채양석
    • 대한세포병리학회지
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    • 제8권1호
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    • pp.98-102
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    • 1997
  • Sinonasal undifferentiated carcinoma(SNUC) is a distinct, relatively rare neoplasm arising in the nasal cavity and paranasal sinuses composed of undifferentiated epithelial cells and clinically characterized by a fulminant course. We report a case of SNUC in a 56-year old man who have had bilateral neck masses since one month ago before coming to our hospital. The paranasal computed tomography showed soft mass density in the left maxillary sinus and the nasal cavity with bone destruction in the anterior medial and the inferior maxillary sinus wall. This mass was extruded into the left orbital wall. Biopsy of the nasal mass and fine needle aspiration(FNA) of the neck mass were done. FNA revealed medium-sized neoplastic cells forming clusters or individually dispersed. Nuclei were round to oval, slightly to moderately pleomorphic, and hyperchromatic. Chromatin was finely granular, but occasionally was coarsely granular. Nucleoli varied from large to inconspicuous and the cytoplasm was scanty.

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해면정맥동 및 시신경을 침범한 접형동 기원의 비부비동 미분화암 1예 (Sinonasal Undifferentiated Carcinoma of Sphenoid Sinus Invading Cavernous Sinus and Optic Nerve: A Case Report and Review of Literature)

  • 박태정;정태영;노웅재
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.41-46
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    • 2016
  • Sinonasal undifferentiated carcinoma (SNUC) is an extremely rare, highly aggressive malignancy of the nasal cavity and paranasal sinuses. Patients with SNUC usually being asymptomatic until the tumor has extensively progressed therefore frequently present with invasion of the orbit or cranial vault. Most case series of SNUC report very poor prognosis despite aggressive multimodality therapy. We recently experienced a 78-year-old male patient diagnosed as SNUC occurred from the left sphenoid sinus with invasion to the cavernous sinus and orbital content, which was treated intranasal endoscopic debulking surgery combined with curative radiation therapy successfully, and report this case with a review of literature.

부비강미분화암종 3예 (Sinonasal Undifferentiated Carcinoma)

  • 김용대;곽동석;이형중;신재흔;배창훈;송시연
    • Journal of Yeungnam Medical Science
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    • 제21권1호
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    • pp.120-126
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    • 2004
  • Sinonasal Undifferentiated Carcinoma (SNUC) is a very rare, highly aggressive malignant tumor of the nasal cavity and paranasal sinuses. SNUC tends to present with advanced-stage disease, often with intracranial invasion. It requires an aggressive multimodality therapy that includes surgical resection. A cure rate of less than 20% is generally reported in the literature, with most patients dying within 1 year of onset of the disease. Three patients diagnosed as SNUC were treated at the Yeungnam University Medical Center between the years 2000 and 2003 were analyzed retrospectively. All patients presented with the disease very advanced. The three cases were given chemotherapy or chemotherapy with radiotherapy. Two patients died of the disease, surviving only 6 and 11 months following treatment, respectively. We did a follow-up on just the one remaining case with incomplete controlled disease for 27 months. The overall prognosis of SNUC is very poor. We consider that more intensive multimodality therapies are recommended for all patients with SNUC.

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상악동을 침범하는 역위성 유두종의 증례보고 (A case report of an inverted papilloma infiltrating into maxillary sinus)

  • 지용화;최보람;허경회;안창현;이삼선
    • Imaging Science in Dentistry
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    • 제39권2호
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    • pp.103-107
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    • 2009
  • The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst in the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination. (Korean J Oral Maxillofac Radiol2009; 39: 103-7)

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전사골동에 발생한 신경초종 1예 (A Case of Schwannoma Arising from the Ethmoid Sinus)

  • 김석;박태정;김보영;정태영
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.51-54
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    • 2016
  • Schwannomas are benign neurogenic tumors arising from the peripheral nerve sheath and rare in the nasal cavity and paranasal sinus. About 4% of schwannomas in the head and neck area arise in the sinonasal cavity. As unilateral nasal masses in the nasal cavity and paranasal sinus, schwannomas are likely to be mistaken for more common lesions such as nasal polyps or mucoceles. We recently experienced a case of schwannoma on the ethmoid sinus in a 33-year-old male which was surgically removed. Herein, we report this unusual case of schwannoma on the ethmoid sinus with a brief review of literature.

부비동 및 비강에 발생한 신경내분비암종의 영상소견: 자기공명영상을 중심으로 2예 보고 (MR Imaging Findings of Sinonasal Neuroendocrine Carcinoma: Two Case Reports)

  • 김정은;김루시아;임명관;박선원
    • Investigative Magnetic Resonance Imaging
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    • 제11권2호
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    • pp.127-132
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    • 2007
  • 비강 및 부비동에 발생하는 신경내분비암종(neuroendocrine carcinoma)은 매우 드물고, 자기공명영상 소견에 대한 보고가 거의 없다. 이에 본 저자들은 비출혈을 주소로 내원한 62세 남자와 74세 남자에서 발생한 신경내분비암종의 2 증례에 대하여 전산화단층촬영과 자기공명영상의 소견을 중심으로 보고하고자 한다. 2예 모두 전산화단층촬영에서 비강과 부비동내에 비교적 크고 경계가 불분명한 종괴가 있었으며, 인접한 골 파괴를 동반하였다. 자기공명영상에서 종괴는 T1강조영상에서 등신호 강도를 보였고, T2강조영상에서는 등신호와 고신호가 섞여있는 양상을 보였으며, 조영 증강시 불균질한 조영 증강을 보였고 내부에는 괴사가 포함되어 있었다. 자기공명영상에서도 종괴에 인접한 골 파괴가 관찰되었다. 2예에서 모두 인접한 접형동내에 T1강조영상에서 고신호 강도를 보이는 점액낭 혹은 종양주변 낭성 부위가 관찰되었다. 2예 모두 전산화단층촬영과 자기공명영상에서 일반적인 비강과 부비동에 발생하는 악성 종양의 비특이적인 소견을 보였으나 종양 주변 낭성 부위의 의미에 대해서는 보다 많은 연구가 필요할 것으로 보인다.

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개와 고양이에서 컴퓨터단층촬영술을 이용한 비강의 염증성 질병 평가 (Evaluation of Inflammatory Disease in the Nasal Cavity and Paranasal Sinuses using CT in Dogs and Cats)

  • 최호정;이기자;박성준;정성목;송근호;이영원
    • 한국임상수의학회지
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    • 제27권1호
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    • pp.42-45
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    • 2010
  • 만성의 비강 삼출물 및 비출혈로 내원한 5마리의 개와 2마리의 고양이가 내원하여 일반 방사선 검사 및 컴퓨터단층촬영 (CT), 비강의 세포학적 검사와 미생물학적 검사를 실시하여 비염으로 진단한 증례를 선정하여 이의 CT 영상의 특징을 비교 평가하였다. 비강의 일반 방사선 검사에서 3 증례에서만 비강의 비정상 소견을 확인하였다. CT 검사 결과, 비강 (7증례) 및 전두동 (3 증례), 비인두 (2증례)에서 공동을 갖는 isodense한 병변을 확인하였으며 비중격의 소실 (4 증례), 비갑개의 파괴 (5 증례), 상악 (3 증례) 또는 경구개 (3 증례)의 골융해 소견이 관찰되었다. 병변의 조영증강효과는 5 증례에서 확인하였다. CT는 비강의 질병을 평가하고 특히 병변의 범위를 결정하는데 매우 유용하다.