• 제목/요약/키워드: Submucosal tumors

검색결과 54건 처리시간 0.023초

동시에 발견된 위장관 간질 종양과 점막하 종양 형태의 MALT 림프종의 내시경 치료 (Endoscopic Submucosal Dissection for Simultaneous Presence of GIST and Submucosal Tumor Type MALT-Lymphoma on the Stomach ?)

  • 유인경;전훈재;진윤태;금보라;김은선;최혁순;남승주
    • Journal of Digestive Cancer Research
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    • 제2권1호
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    • pp.24-27
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    • 2014
  • 본 증례에서는 우연히 한 환자에서 위장관 간질 종양과 점막하 종양 형태의 MALT 림프종을 동시에 발견하였고, 이를 내시경적 절제술로 치료한 사례이다. 현재 환자는 절제술 후 2년 동안 질병의 진행 없이 외래에서 경과 관찰 중이다. 아직 MALT 림프종과 위장관 간질종양에서 내시경적 점막하 절제술은 정립된 치료 방법이 아니지만, 본 증례처럼 성공적으로 치료될 수 있음을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 아직은 내시경적 절제술로 치료한 사례가 적지만, 향후 내시경적 절제술 후 긴 기간 동안 추적 관찰된 증례들이 모인다면 조기위암처럼 표준화된 치료법으로 시행될 수 있기를 기대한다.

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기관에서 발생한 점액선 선종 1예 (A Case of Mucous Gland Adenoma of the Trachea)

  • 권한진;설재일;채수엽;최혜영;엄민섭;김현일;오용열;조호;김휘정;이종환;이효진
    • Tuberculosis and Respiratory Diseases
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    • 제48권1호
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    • pp.91-95
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    • 2000
  • 성인의 기관에서 발생한 점액선 선종은 매우 드문 종양으로 대부분 양성이다. 저자 등은 객혈을 주소로 내원한 환지에서 발견된 기관의 점액선 선종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Two Cases of Advanced Gastric Carcinoma Mimicking a Malignant Gastrointestinal Stromal Tumor

  • Shin, Ha Song;Oh, Sung Jin;Suh, Byoung Jo
    • Journal of Gastric Cancer
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    • 제15권1호
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    • pp.68-73
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    • 2015
  • Gastric cancer that mimics a submucosal tumor is rare. This rarity and the normal mucosa covering the protuberant tumor make it difficult to diagnosis with endoscopy. We report two cases of advanced gastric cancer that mimicked malignant gastrointestinal stromal tumors preoperatively. In both cases, the possibility of cancer was not completely ruled out. In the first case, a large tumor was suspected to be cancerous during surgery. Therefore, total gastrectomy with lymph node dissection was performed. In the second case, the first gross endoscopic finding was of a Borrmann type II advanced gastric cancer-like protruding mass with two ulcerous lesions invading the anterior wall of the body. Therefore, subtotal gastrectomy with lymph node dissection was performed. Consequently, delayed treatment of cancer was avoided in both cases. If differential diagnosis between malignant gastrointestinal stromal tumor and cancer is uncertain, a surgical approach should be carefully considered due to the possible risk of adenocarcinoma.

Primary Epithelial Myoepithelial Lung Carcinoma

  • Cho, Seong Ho;Park, Sung Dal;Ko, Taek Yong;Lee, Hae Young;Kim, Jong In
    • Journal of Chest Surgery
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    • 제47권1호
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    • pp.59-62
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    • 2014
  • Primary epithelial-myoepithelial carcinoma (EMC) of the lung is an extremely rare neoplasm that originates from submucosal bronchial glands and has been found in the salivary glands, breast tissue, and sweat glands. However, only a few cases in the respiratory tract have been identified. In the literature, most pulmonary EMCs have been reported to have developed endobronchially although a few EMC cases have been presented as intraparenchymatous tumors. We have identified a case of primary EMC that developed in the peripheral lung parenchyma.

위 내 이물로 오인한 석회화 섬유 종양 1예 (Calcifying Fibrous Tumor Mimicking a Foreign Body of the Stomach: A Case Report)

  • 정지은;이경훈;성현정;조창호
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제12권1호
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    • pp.57-63
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    • 2009
  • 평소 복부 팽만을 보인 2세 남아가 내원 3일 전부터 간헐적인 구토를 동반하여 시행한 복부 방사선 사진에서 좌상복부에서 석회화 소견을 관찰하여 상부 위장관내시경과 복부 전산화 단층 사진을 시행하였다. 술 후 병리 검사에서 상당히 빈도가 드문 석회화 섬유 종양을 발견하였기에 보고하는 바이다.

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구강 편평상피세포암 마우스 모델에서 림프관내피 성장인자 수용체의 억제 (Inhibition of Lymphatic Endothelial Growth Factor Receptor in a Murine Model of Oral Squamous Cell Carcinoma)

  • 계준영;박영욱
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권1호
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    • pp.1-9
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    • 2011
  • Purpose: Tumor associated angiogenesis and/or lymphangiogenesis are known to be linked by VEGFR signaling pathways. These processes are regulated by several growth factors including VEGFR-2, VEGFR-3. E7080 is an orally active inhibitor of multiple tyrosine kinases including VEGFR-2, 3. Therefore, it was proposed that E7080 may inhibit angiogenesis and lymphangiogenesis. The aim of this study was to determine the effect of E7080 in a nude mouse model of OSCC. Methods: KB cells were xenografted into the submucosal tissue of the mouth floor of athymic mice. Seven days after the xenograft, the mice were randomized into 2 groups. E7080 were administered orally to the experimental group once per day. The mice were sacrificed 3 weeks after the treatment. The tumors were examined histopathologically. Immunohistochemical assays with anti- VEGF-C, VEGFR-2, VEGFR-3, phosphorylated VEGFR-2/3 (pVEGFR-2/3), and D2-40 antibodies were then performed. Results: The transplantation of human OSCC tumor cells into the mouth floor resulted in the formation of orthotopic tumors. The experimental (E7080 treatment) group showed a slowly increased tumor volume. Moreover, immunohistochemical staining demonstrated higher levels of VEGF-C, VEGFR-2, VEGFR-3, pVEGFR-2/3 and D2-40 expression in the control group than in the experimental group. Conclusion: These results suggest that E7080 may provide therapeutic benefits in OSCC.

노견(老犬)에 발생(發生)한 질섬유종(膣纖維腫)의 외과수술(外科手術) 1예(例) (A Case Report of Surgical Treatment of Vaginal Fibroma in Old Dog)

  • 김명철;김교준;김덕환;조성환;권오덕
    • 농업과학연구
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    • 제14권2호
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    • pp.409-412
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    • 1987
  • 질내(膣內)에 발생(發生)한 종양(腫瘍)으로 인하여 내원(來院)한 13년생(年生) terrier견(犬)에 대하여 회음부(會陰部)를 통한 종탕절제술(腫蕩切除術)을 실시(實施)한 증례(症例)를 보고(報告)한다. 1. 조직학적(組織學的)으로 관찰(觀察)한 결과 섬유종(纖維腫)으로 인정(認定)되었다. 2. 외음순(外陰脣)의 배측연접(背側連接) 상부(上部)의 1cm 폭(幅)을 남겨놓고 질부(膣部)의 배벽(背壁)까지 피부(皮膚) 및 근층(筋層)을 절개(切開)한 후절개창공(後切開創孔)을 통하여 종양물(腫瘍物)들을 절제(切除)한 결과(結果) 외음부(外陰部)의 형태에 변화(變化)를 일으키지 않고 원상(原狀)을 유지(維持)하였다. 3. 절제후(切除後) 현재(現在)까지 (약(約)6개월(個月)) 재발미후(再發微候)는 인정(認定)되지 않았다.

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Endoscopic resection of gastric gastrointestinal stromal tumor using clip-and-cut endoscopic full-thickness resection: a single-center, retrospective cohort in Korea

  • Yuri Kim;Ji Yong Ahn;Hwoon-Yong Jung;Seokin Kang;Ho June Song;Kee Don Choi;Do Hoon Kim;Jeong Hoon Lee;Hee Kyong Na;Young Soo Park
    • Clinical Endoscopy
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    • 제57권3호
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    • pp.350-363
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    • 2024
  • Background/Aims: To overcome the technical limitations of classic endoscopic resection for gastric gastrointestinal stromal tumors (GISTs), various methods have been developed. In this study, we examined the role and feasibility of clip-and-cut procedures (clip-and-cut endoscopic full-thickness resection [cc-EFTR]) for gastric GISTs. Methods: Medical records of 83 patients diagnosed with GISTs after endoscopic resection between 2005 and 2021 were retrospectively reviewed. Moreover, clinical characteristics and outcomes were analyzed. Results: Endoscopic submucosal dissection (ESD) and cc-EFTR were performed in 51 and 32 patients, respectively. The GISTs were detected in the upper third of the stomach for ESD (52.9%) and cc-EFTR (90.6%). Within the cc-EFTR group, a majority of GISTs were located in the deep muscularis propria or serosal layer, accounting for 96.9%, as opposed to those in the ESD group (45.1%). The R0 resection rates were 51.0% and 84.4% in the ESD and cc-EFTR groups, respectively. Seven (8.4%) patients required surgical treatment (six patients underwent ESD and one underwent cc-EFTR,) due to residual tumor (n=5) and post-procedure adverse events (n=2). Patients undergoing R0 or R1 resection did not experience recurrence during a median 14-month follow-up period, except for one patient in the ESD group. Conclusions: cc-EFTR displayed a high R0 resection rate; therefore, it is a safe and effective therapeutic option for small gastric GISTs.

난소의 성끈 종양을 닮은 자궁종양 -세포학적 소견 1예 보고- (Uterine Tumor Resembling Ovarian Sex-Cord Tumor - A Case Report of the Cytologic Finding -)

  • 김인선;한은미;정운용;이주한;염범우
    • 대한세포병리학회지
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    • 제14권2호
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    • pp.71-75
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    • 2003
  • Uterine stromal tumors with features of ovarian sex-cord differentiation are relatively rare. The neoplasms composed of sex cord-like components in more than 50% of the tumor are classified as group II. We report the cytologic findings of a case of uterine tumor resembling ovarian sex-cord tumor. The cervical smears of a 62-year-old woman with submucosal tumor showed loose aggregates of spindle cells as well as glandular or tubular structures of round cells with a distinct ceil membrane and a prominent small nucleolus. Because uterine stromal tumor can have sex cord differentiation, its possibility should be considered in the interpretation of cervical smears.

혀의 점막하에 발생한 신경초종 환자의 치험례 (Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature)

  • 박성원;전재호;박주용;최성원;김수호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권6호
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    • pp.480-483
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    • 2012
  • Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.