• 제목/요약/키워드: Soft tissue lesion

검색결과 270건 처리시간 0.025초

Limited Incisional Drainage and Negative-Pressure Wound Therapy in an Acute Morel-Lavallée Lesion

  • Choi, Eui-Sung;Yang, Jae-Young;Ahn, Byung-Hyun
    • Journal of Trauma and Injury
    • /
    • 제34권1호
    • /
    • pp.75-78
    • /
    • 2021
  • A Morel-Lavallée lesion is a post-traumatic closed degloving soft tissue injury after blunt trauma. Infection and skin necrosis frequently occur if it is not treated properly in the early stages. However, there is no clearly established treatment algorithm. In the acute stage, it is mainly treated with aspiration, simple compression, and incisional drainage. In the chronic stage, sclerotherapy is usually performed. If skin necrosis develops, the necrotic tissue is resected and a skin graft is needed. We describe a case of acute Morel-Lavallée lesion in the buttock region that was treated with limited incisional drainage and negative-pressure wound therapy, and also present a review of the literature.

치근단 병소로 나타난 하악골의 성인 고립 근섬유종 (Adult Solitary Myofibroma of the Mandible Mimicking A Periapical Lesion)

  • 윤정훈
    • 대한구강악안면병리학회지
    • /
    • 제42권5호
    • /
    • pp.125-128
    • /
    • 2018
  • Myofibroma is a benign tumor composed of fibroblasts and myofibroblasts, occasionally occurring most commonly as a solitary lesion of soft tissue, skin, or bone in children younger than 3 years of age. Solitary lesion of myofibroma is exceedingly rare in adult jaws. This report describes a rare case of myofibroma in the mandible that occurred in a 41-year-old Korean woman.

족부 주위 연부조직 종물 (Soft Tissue Masses around the Footd)

  • 박인헌;송경원;신성일;이진영;이승용;송시영
    • 대한족부족관절학회지
    • /
    • 제6권2호
    • /
    • pp.144-148
    • /
    • 2002
  • Purpose: To evaluate clinical characteristics of soft-tissue masses around the foot Materials and Methods: Sixty seven cases of soft tissue masses around the foot, excised at Kang Dong Sacred Heart hospital from Jan. 1987 to Oct. 2000, were included in the study. The age and sex of the patient, location and size of the lesion, history of trauma, presence or absence of pain and neurological symptoms as wellas final pathological diagnosis were obtained from retrospective analysis. Results: For type of lesion, all lesions were benign. Ganglion was 23 cases, epidermal inclusion cyst was 10 cases, lipoma was 8 cases, hemangioma was 5 cases and fibroma was 4 cases. For age, 63 percent of the patients were either between the ages of twenty and thirty nine or between the ages of fifty and fifty nine. For sex, the male-to-female ratio was 1 to 1.4. For zones of the foot, 18 cases were in Zone 1, 17 in Zone 4, 12 in Zone 2, 12 in Zone 3 and 8 in Zone 5. For clinical finding, 18 cases had pain. Conclusion: Ganglion was the most common lesions, followed in order of frequency by epidermal inclusion cyst, lipoma, hemangioma and fibroma. Lesions occurred frequently at Edward and Michael Zone 1, 4 and pain was the most common symptom.

  • PDF

구개부의 다형성 선종 (PLEOMORPHIC ADENOMA OF THE PALATE)

  • 김동윤;최갑식
    • 치과방사선
    • /
    • 제25권2호
    • /
    • pp.561-567
    • /
    • 1995
  • Pleomorphic adenoma is a benign salivary gland tumor with histologic diversity. The majority of these tumor occurs in the parotid gland. The authors experienced the patients, who complained the tumor-like soft tissue mass on the palatal area. After careful analysis of clinical, radiological and histopathological findings, we diagnosed it as pleomorphic adenoma in the palatal area, and obtained characteristic features were as follows: 1. Main clinical symptom was a painless, slow growing, soft tissue mass with normal intact overlying mucosa on the palatal area. 2. In the radiographic examminations, well encapsulated homogeneous soft tissue mass was shown in the lesion site, and cortical thinning on the palate was also observed. 3. In histopathologic examminations, proliferated cellular components in the hyaline stroma were observed as double layered duct-like structure and densely solid sheet appearance.

  • PDF

초음파에서 양성 연부조직 종양으로 오인된 활막육종 (Synovial Sarcoma Misunderstanding as a Benign Soft Tissue Tumor Finding on Ultrasonography)

  • 민경대;황석하;김욱중;박상모;이병일
    • 대한정형외과 초음파학회지
    • /
    • 제5권1호
    • /
    • pp.22-26
    • /
    • 2012
  • 초음파 검사는 연부조직 종물 평가를 위해서 일차적으로 시행할 수 있는 효과적인 검사로 알려져 있다. 저자들은 좌측원위 대퇴부에 통증을 동반한 표재성 연부조직 종물로 내원한 환자의 초음파 검사에서 양성 종양으로 판단되었으나 수술 후 조직검사에서 활막육종으로 진단된 증례를 경험하여 문헌고찰과 함께 이를 보고하고자 한다.

  • PDF

Lymphoscintigraphy와 전초 림프절 절제술을 이용한 피부 악성종양의 치험례 (Lymphoscintigraphy for Intraopertive Sentinel Node Biopsy of Skin and Soft Tissue Malignancy)

  • 이태훈;심정수;정재호
    • Archives of Plastic Surgery
    • /
    • 제32권5호
    • /
    • pp.635-640
    • /
    • 2005
  • Sentinel lymphnode biopsy is widely performed in the management of malignant melanoma and breast cancer. The sentinel lymphnode is the prime site of draining from the malignant lesion and of metastasis. The aim of this study was to evaluate a usefulness of lymphoscintigraphy in conjunction with a removal of sentinel lymphnodes of skin and soft tissue malignancy. We studied 11 patients selected between January, 2003 and November, 2004. Clinically sentinel lymphnodes free of metastasis were examined with lymphoscintigraphy, gamma detection probe and vital dye staining, and we reviewed histopathologic findings and inert status of the nodes and the results fo treatment. Nine cases were malignant melanoma, one was squamous cell carcinoma on the left hand and another one leiomyosarcoma. Sentinel lymphnodes were identified in all cases. Three cases of malignant melanoma had positive sentinel lymphnodes on histological examination. All patients with positive sentinel lymphnodes were treated with therapeutic regional lymphadectomy, chemotherapy and adjuvant regimen. Four patients underwent PET scanning and followed sentinel lymphnode biopsy. Two had no metastasis signs on PET scanning. Therapeutic lymphnode dissection was carried out upon the patients whose sentinel lymphnode was positive on PET scanning. We contend that lymphoscintigraphy and sentinel lymphnode biopsy are reliable to confirm regional lymphnode metastasis of the skin and soft tissue malignancy, and blind extensive lymphnode dissection can be spared.

족지 외 족부에 발생한 사구종의 보고 (1예 보고) (Glomus Tumor in a Extradigital Lesion of Foot (A Case Report))

  • 박현우;유문집;황성수
    • 대한족부족관절학회지
    • /
    • 제11권1호
    • /
    • pp.100-103
    • /
    • 2007
  • Glomus tumors are uncommon soft tissue tumors which usually found in a subungual lesion of hand, producing pain. This uncommon tumors have been reported in other locations, including nasal cavity, stomach, mediastinum, heart, lung, and vagina etc. Especially, it was a very rare case found in an extradigital lesion of foot. Glomus tumors should not be ruled out for an extradigital mass lesion of foot and also any other locations. Although glomus tumors are generally considered a benign lesion, it should be considered that glomus tumors have also reported as a malignant type tumor, even the diagnosis based on histologic features not clinical one.

  • PDF

구강병소에 대한 펄스형 Nd: YAG 레이저의 치료효과 (The Therapeutic Effects of a Pulsed Nd:YAG Laser on Oral Lesions)

  • 신금백
    • Journal of Oral Medicine and Pain
    • /
    • 제22권2호
    • /
    • pp.309-325
    • /
    • 1997
  • In order to set the lasing variables and evaluate, clinically, the therapeutic effects of a pulsed Nd:YAG laser on oral lesion, the author applied the laser energy from a fiberoptic delivered, free running, pulsed Nd:YAG laser (wavelength 1064nm, Pulse duration 120$\mu$sec, fiber diameter 200$\mu$m/320$\mu$m) to 22 cases of oral soft tissue lesions and 6 cases of oral hard tissue lesions. The obtained results were as follows : 1. The effective excision with contact mode and the effective hemostasis of accompanied bleeding with noncontact mode were occurred by lasing on oral soft tissue lesions with fiber diameter of 320$\mu$m under the variables of 2.0~4.0W and 20~50Hz which were controlled into high power/low pulses for excision, low power/high pulses for hemostasis, low power in granulation tissue and high power in fibrous tissue according to therapeutic goals and tissue conditions. 2. About 50% of decreasing effect on hypersensitivity was occurred by lasing with non-contact and contact mode on cervical abrasion which caused dentinal hypersensitivity with fiber diameter of 320$\mu$m under the variables of 0.7 - 1.0W and 10Hz which were applied 2~3 times with 1 week interval. 3. The effective sterilization of infected root canal and lesion of periapical abscess was occurred by lasing with contact and spiral modes on wall of root canal and periapical abscess with fiber diameter of 200$\mu$m of which the tip was placed about 1mm shorter than root canal length under the variables of 1.OW and 10Hz.

  • PDF

Peripheral, soft tissue odontoma에 관한 증례보고 (PERIPHERAL, SOFT TISSUE ODONTOMA : CASE REPORT)

  • 이광출;최형준;최병재;이종갑
    • 대한소아치과학회지
    • /
    • 제26권1호
    • /
    • pp.157-161
    • /
    • 1999
  • 1. Periphelal odontoma는 매우 드문 질환으로 확진을 위해서는 생검이 필수적이다. 2. Peripheral odontoma는 치은의 종창을 동반하며 서서히 성장하는 임상적 특징을 가진다. 3. 골내 치아종과 마찬가지로 peripheral odontoma의 치료로는 완전한 외과적 절제가 추천되고 예후 또한 양호하다.

  • PDF