• Title/Summary/Keyword: Thoracic tumor

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Solitary Plasmacytoma in the Thoracic Spine with Massive Aggregation of Histiocytes

  • Kim, Jung-Soo;Hwang, Soo-Hyun;Lee, Chul-Hee;Kang, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.40 no.2
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    • pp.114-116
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    • 2006
  • A Solitary plasmacytoma of bone[SPB] is a rare disease. This paper reports a case of SPB with massive aggregation of histiocytes known as pseudo-Gaucher cells. A 40-year-old male presented with progressive paraparesis and paraesthesia. The Magnetic Resornance Image[MRI] revealed a tumor mass in the thoracic spine that occupied the three colum. The tumor invaded the epidural space of T6 vertebra with compression of the spinal cord. There were no laboratory abnormalities. It was gross totally resected and his neurological symptoms improved. The microscopic examination revealed a plasmacytoma with massive aggregation of histiocytes. Futher neuroradiological studies were carried out and no other lesions were detected.

Capillary Hemangioma of the Thoracic Spinal Cord

  • Chung, Sung-Kyun;Nam, Taek-Kyun;Park, Seung-Won;Hwang, Sung-Nam
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.272-275
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    • 2010
  • Capillary hemangiomas are common soft tissue tumors on the skin or mucosa of the head and neck in the early childhood, but very rare in the neuraxis. A 47-year-old man presented with one month history of back pain on the lower thoracic area, radiating pain to both legs, and hypesthesia below 17 dermatome. Thoracic spine MRI showed $1{\times}1.3{\times}1.5\;cm$, well-defined intradural mass at T6-7 disc space level, which showed isointensity to spinal cord on T1, heterogeneous isointensity on T2-weighted images, and homogeneous strong enhancement. The patient underwent T6-7 total laminotomy, complete tumor removal and laminoplasty. Histologically, the mass showed a capsulated nodular lesion composed of capillary-sized vascular channels, which were tightly packed into nodules separated by fibrous septa. These features were consistent with capillary hemangioma.

Clinical analysis of mediastinal tumor (종격동 종양의 임상적 고찰;34례 임상경험)

  • 박재홍
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.940-943
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    • 1993
  • Mediastinal tumors have long fascinated the thoracic surgeon of their variety and unpredictability of iagnosis prior to exploration.We report the analysis of the 34 cases of mediastinal tumors,experenced in the dept.of the Thoracic and Cardiovascular Surgery of the National Medical Center.Between the 1993.9-1992.12. The age distribution was relatively even and the mean age was 35 years old.The thymomas were 16 cases [ 47% ].the lipoma were 4 cases [12%].the germ cell tumors were 7 cases [20%].the neurogenic tumors were 3 cases [8%].Histologically analysised .The malignant tumors were 16 cases [17.6%] in classified by hisotlogical types.the tumor size,location,and the clinical manifestation are presented.The successful removal was done in 28 cases [ 100%] among 28 cases of benign mediastinal tumors. Among the 6 cases of malignancy mediastinal tumors, the surgical intervention had done in 5 cases [ 83%] and inoperatable cases were 1 case [16.6%].There was no operative death.

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Huge Intraabdominal and Thoracic Desmoid Tumor -Surgical experience in one case - (복강 및 흉강 내 거대 데스모이드 종양 수술 치험 1예)

  • 김경화;서연호;구자홍;김민호
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.623-626
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    • 2003
  • Desmoid tumors are benign neoplasms with high rates of recurrence. A case of huge desmoid tumor of the intrathoracic and intraabdominal space is presented. The patient was treated with resection, which involved hepatic left lobectomy and diaphragmatic resection and partial pericardiectorny and wedge resection of left lower lobe of lung. The resulting defect over the pericarium and diaphragm was reconstructed by bovine pericardium and Marlex mesh. Prevention of presumed local recurrence of desmoid tumors requires wide excision margin.

Clinical study of mediastinal tumor: 110 cases report (종격동 종양의 임상적 고찰 -110례 임상 경험-)

  • 유회성
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.594-601
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    • 1983
  • Mediastinal tumors have long fascinated the thoracic surgeon because of their variety and unpredictability of diagnosis prior to exploration. We report the analysis of the 110 cases of mediastinal tumors, experienced in the dept. of the thoracic and cardiovascular surgery of the National Medical Center from December 1959 to August 1983. The age distribution was relatively even and the mean age was 37 years old. The germ cell tumors were 29 cases [31%], the neurogenic tumors were 19 cases [20%], the thymomas were 16 cases [17%], the lymphomas were 8 cases [8.5%], the primary or secondary carcinomas were 11 cases [12%], the bronchogenic and the P.W cysts were 4 cases, the mesenchymal tumors were 3 cases, the TB gangliomas were 3 cases among the 94 cases, histologically analysed. The malignant tumors were 39 cases [41%]. In classified by histological types, the tumor size, location and the clinical manifestations are presented. The successful removal was done in 53 cases [96%] among 55 cases of benign mediastinal tumors. In 39 malignant cases, the surgical intervention had been done in 21 cases [54%], and inoperable cases were 16 [41%], and the operative deaths were 2 cases [5%].

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Nodular Fasciitis of the Chest in a Young Woman

  • Seo, Hong Joo;Ryu, Sang Wan;Lee, Mi Ja;Kim, Dong Hun;Kim, Hyung Ho
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.67-69
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    • 2016
  • Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.

A Dumbbell-Shaped Meningioma Mimicking a Schwannoma in the Thoracic Spine

  • Kim, Myeong-Soo;Eun, Jong-Pil;Park, Jeong-Soo
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.264-267
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    • 2011
  • A 50-year-old man presented bilateral hypesthesia on and below the T6 dermatome and paresthesia. Magnetic resonance imaging (MRI) showed an intraspinal extradural tumor, which located from the 6th thoracic vertebral body to the upper margin of the 7th vertebral body, continuing dumbbell-like through the intervertebral foramen into the right middle thorax suggesting a neurogenic tumor (neurofibroma or neurilemmoma). With the patient in a prone position, we exposed and excised the tumor via a one stage posterior approach through a hemi-laminictomy of T6. Histologic examination showed a grade 1 meningothelial meningioma, according to the World Health Organization classification. Initially, we assumed the mass was a schwannoma because of its location and dumbbell shape. However, the tumor was actually a meningioma. Postoperatively, hypesthesia resolved completely and motor power of the leg gradually full recovered. A postoperative MRI revealed no evidence of residual tumor.

Clinical evaluation of thymic tumors: a report of 10 cases (흉선에 발생한 종양 10례에 대한 임상적 고찰)

  • Gwak, Mun-Seop;Lee, Hong-Gyun
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.571-583
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    • 1983
  • Thymic tumor is the most common neoplasm originating in the anterior mediastinum. Histologically, thymic tumors and tumorlike conditions have been classified into thymic cyst, thymolipoma, true thymic hyperplasia, thymoma and carcinoid tumor of the thymus gland. We have experienced several tumors and a few tumorlike conditions of the thymus gland in 10 patients: thymoma 6, thymic hyperplasia 2, carcinoid tumor 1 and thymic cyst 1. The age distributions were ranging from 30 to 60 years except for one 3 year old child [malignant thymoma, lymphocytic type], and male to female ratio was 1:1.5. In 6 cases, thymic lesions were removed through lateral thoracic incision [right 2, left 4] because the mediastinal masses were growing far into the pleural space, meanwhile, medially located lesions [4 cases] through median sternotomy incision. Among these 10 patients, 3 were malignant thymomas, in which 2 were died of recurrence after tumor resection. Myasthenia gravis was all noted in 3 females [thymoma 2, thymic follicular hyperplasia 1], in which only two revealed remission in symptoms following thymectomy. The authors would like to recommend early radical thymectomy through median sternotomy incision whenever patients demonstrate suspicious thymic tumor lesions on the chest roentgenogram or generalized myasthenic symptoms.

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Two Cases Report of Bronchial Carcinoid Tumors (기관지 유암종 2례)

  • Choi, Kyo-Won;Suh, Jeong-Ill;Kim, Sung-Suk;Chung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo;Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.525-536
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    • 1993
  • Bronchial carcinoid tumor was a low grade malignant and it was regarded as predictable clinical course and good survivality after surgical resection. But despite of its low grade malignant potentiality, bronchial carcinoid tumor was clearly capable of metastasizing and causing death. We present 2 cases of bronchial carcinoid tumors. One of them was typical carcinoid tumor in 44 year-old female and another was atypical carcinoid tumor in 53 year-old male patient. Currative therapeutic procedure was performed by lobectomy and wedge resection.

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A Case Report of Malignant Mixed Mammary Tumor in Left Caudal Thoracic Mammary Gland of a Dog (개의 좌측후흉측 유선에 발생한 악성혼합유선종양의 발생례)

  • 정순욱;박수현;박남용
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.199-202
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    • 1999
  • In a 10-year old mixed dog, a $10{\times}10{\times}4$ cm mass was palpated around the left caudal thoracic mammary gland with abdomen expension. In hormonal assay, serum concentrate of progesterone was 0 pg/ml and serum concentrate of estradiol was 66.7 pg/ml. Radiological finding of the mammary gland showed higher density than that of soft tissue and ultrasonographic finding showed inhomogeneous in echogenicity. Light microscopic view of mammary gland showed neoplastic hyperplasia of epithelial and myoepithelial cells and showed some metaplastic lesion of these cells to cartilage or bone tissues with metastasis to the lung. This case was diagnosed as malignant mixed mammary tumor.

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