• Title/Summary/Keyword: cyst wall

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A Ganglion Cyst in the Second Lumbar Intervertebral Foramen

  • Kim, Sang-Woo;Choi, Joon-Hyuk;Kim, Min-Su;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.49 no.4
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    • pp.237-240
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    • 2011
  • Ganglion cysts usually arise from the tendon sheaths and tissues around the joints. It is usually associated with degenerative arthritic changes in older people. Ganglion cyst in the spine is rare and there is no previous report on case that located in the intervertebral foramen and compressed dorsal root ganglion associated severe radiculopathy. A 29-year-old woman presented with severe left thigh pain and dysesthesia for a month. Magnetic resonance imaging revealed a dumbbell like mass in the intervertebral foramen between second and third lumbar vertebrae on the left side. The lesion was removed after exposure of the L2-L3 intervertebral foramen. The histological examination showed fragmented cystic wall-like structure composed of fibromyxoid tissue but there was no lining epithelium. A ganglion cyst may compromise lumbar dorsal root ganglion when it located in the intervertebral foramen. Although it is very rare location, ganglion cyst should be included in the differential diagnosis for intervertebral foraminal mass lesions.

Bronchogenic Cyst (Two Case Report) (기관지성 낭종(2례수술보고))

  • 김형묵;김영철;최인환
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.9-12
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    • 1974
  • Bronchogenic cysts, though known as a relatively common malformation of the mediastinum, were rarely discussed in Korean literatures. Since the surgical removal of asymptomatic lesions was adopted as the reasonable therapeutic principle, the incidence of bronchogenic cysts were found to be higher than previously expected. Two cases of bronchogenic cysts operated on in The Dept. of Thoracic Surgery, Korea University Woo Sok Hospital were reported and related literatures were reviewed. Case 1. 5 year old boy with chief complaints of bulging cystic mass on left supraclavicular region during straining or coughing since his age of 2 was admitted, and cystogram with Lipiodol revealed hen-egg sized mass in the left antero-superior mediastinum without any communication with bronchus or esophagus. Cyst was successfully removed under general anesthesia thru left supraclavicular incision, and pathological examination of the cyst revealed thin cystic wall lined with stratified columnar epithelium and it`s content was milky white mucoid fluid devoid of any bacterial growth. Case 2. 15 year old school girl has been noted slowly growing walnut-sized mass on anterolateral side of the neck for 4 months without any subjective symptom except cosmetic problem... Mass was aspirated to find milky white mucoid fluid in some loculation and yellowish turbid fluid in other part due to chronic infection. Cystic tumor was removed under local anesthesia, which was loculated in between the trachea and esophagus without any communication, and pathological diagnosis of the cyst was bronchogenic cyst with columnar epithelial cell lining with moderate chronic inflammatory cell infiltrations. Postoperative conditions of the two cases were all excellent with normal life.

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ENDOSCOPIC APPROACH FOR TREATMENT OF DENTIGEROUS CYST IN MAXILLARY SINUS (상악동을 침범한 함치성 낭종의 내시경을 이용한 치험례)

  • Park, Yong-Hee;Yoon, Hyun-Joong;Kim, Sung-Won;Lee, Sang-Hwa
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.250-254
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    • 2007
  • Dentigerous cysts are the most common type of developmental odontogenic cysts. They form as a result of a separation of the follicle from around the crown of an unerupted tooth. Usually this lesion can be asymptomatic. Such cysts are often discovered accidently on inspection of x-rays. In other advanced cases, cortical bone expansion, displacement of teeth, secondary infection can be observed. The treatment of dentigerous cyst is enucleation. And according to size, location of lesion and environmental structure marsupialization can be considered. However, Marsupialization takes long treatment time and, cystic tissues are remained so secondary surgery may be needed for total removal., Risks of oroantral fistula, damage on maxillary sinus wall and infraorbital nerve can be considered as complications of conventional surgical treatment of cysts located in maxillary sinus. We treated third molar origin dentogerous cyst located in maxillary sinus removing endoscopically both the tooth and an associated dentigerous cyst. We report our clinical experience with literature review.

Intraoral Removal of Submental Epidermoid Cyst Extended Inferior to Mylohyoid Muscle (악설골근 하부까지 연장된 이악하부 표피양 낭종의 구강내 적출 1례)

  • Lee, Joon-Kyoo;Cho, Hyu-Chae;Yoon, Tae-Mi;Lim, Sang-Chul
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.211-213
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    • 2008
  • Epidermoid cysts located in floor of mouth can be easily removed intraorally. The cysts inferior to mylohyoid muscle have been excised transcervically. However, an intraoral removal of a cyst extended inferior to mylohyoid muscle has not been reported yet. A 20-year-old female visited to the hospital with a cystic mass in submental region. Neck computed tomography revealed a 6.0${\times}$4.3cm sized circumscribed cystic mass in midline of submental area. The cyst lied external to the genioglossal and geniohyoid muscle, extending inferior to mylohyoid muscle. The mass was removed successfully by intraoral approach. It was performed under the exposure by the division of genioglossal and geniohyoid muscle, traction of the cystic wall after aspiration of the cyst, and digital compression externally.

Non Functioning Parathyroid Cyst : A Case Report (비기능성 부갑상선 낭종 1예)

  • Choi, Dong-Il;Yim, Sang-Ho;Moon, Seung-Young;Hong, Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.174-177
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    • 2009
  • Parathyroid cyst are rare lesion of the neck and superior mediastinum. They are classified as either functional or nonfunctional based on the presence or absence of hyperparathyroidism. They typically present as a palpable neck mass, or as an incidental finding during neck surgery. So, it must be included within the differential diagnosis of a neck lump. A 48-year old woman was admitted to our hospital for evaluation of left anterior neck mass. Physical finding showed soft, movable, non-tender mass on the lower left third of the neck. Laboratory findings revealed normal thyroid function and normal serum calcium level. On previous history, patient underwent two times sono-guided fine needle aspiration at local clinic, and about 10cc clear watery aspirate was noted. Computerized tomography findings showed non-enhancing hypodense cystic lesion on left thyroid area with tracheal deviation to right side. Preoperative diagnosis was thyroid cyst, and thyroidectomy was planed. Intra-operative finding showed huge cystic mass occupying the left thyroid area and smooth, shiny, semitransparent thin cyst wall was noted, which was loosely attached to the thyroid. The cyst was easily dissected free from the thyroid and surrounding tissues. After cyst removal, pathological study confirmed as a parathyroid cyst.

TWO CASES OF DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION (조대술을 이용한 함치성낭종의 치험례)

  • Eom, Chan-Yong;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.2
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    • pp.268-276
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    • 1998
  • Dentigerous cyst is a cyst arising by a seperation of follicles from around the anatomical crown of an unerupted tooth within the jaws. The dentigerous cyst is seen during routine radiographic examination. It is detected radiographically as a sharply delineated, round or oval, unilocular, homogeneous, and radiolucent area within which there is the crown of an unerupted tooth. The histological appearance of the dentigerous cyst is usually attached to the tooth at the cementoenamel junction and the sac lined by a thin, regular. stratified squamous epithelium. The dentigerous cyst can be treated by two surgical procedures: enucleation or marsupialization. The size and location of the lesion usually dictates the surgical procedures. The marsupialization consists of the removal of only a portion of the wall of the cyst to make the remaining cystic lining continous with the oral mucosa. The cyst, deprived of its supporting hydrostatic pressure, gradually shrinks until it is obliterated. The marsupialization is the best way to conserve the tooth affected by a dentigerous cyst and to permit its eruption. especially in a young person. Main advantages of the marsupialization are its relative simplicity and its conservation with respect to adjacent important structures. In marsupialization technique, a plugger can be constructed, if necessary, to maintain the opening and prevent food debris from entering the cystic cavity. However, the disadvantage is the potentiality of leaving pathologic tissues. Therefore frequent recall appointments are advisable.

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Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

  • Jeon, Hong Gil;Park, Ju Hwan;Park, Hye Min;Kwon, Woon Jung;Cha, Hee Jeong;Lee, Young Jik;Park, Chang Ryul;Jegal, Yangjin;Ahn, Jong-Joon;Ra, Seung Won
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.2
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    • pp.88-92
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    • 2014
  • We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

Differential Subcellular Responses in Resistance Soybeans Infected with Soybean Cyst Nematode Races

  • Kim, Young-Ho;Kim, Kyung-Soo;Riggs, Robert D.
    • The Plant Pathology Journal
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    • v.26 no.2
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    • pp.154-158
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    • 2010
  • Early nematode development and subcellular responses in resistant soybean lines PI 88788 and PI 437654 infected with races 3 (R3) and 14 (R14) of soybean cyst nematode (SCN), Heterodera glycines Ichinohe, were compared. SCN R14 nematodes penetrated and developed significantly more than R3 at 5-6 days after inoculation. Both races also penetrated and developed more in PI 88788 than in PI 437654. Syncytia, characterized by cell wall dissolution and cellular hypertrophy, were developed more in PI 88788 than in PI 437654 and more by R14 than R3, for which less necrotic responses occurred in the former than the latter. This suggests that the latter two may be more resistant and less virulent than the former two, respectively. A common structural feature found in each of PI 437654 and PI 88788 in relation to SCN-resistance was the formation of prominent cell wall appositions and nuclear degeneration prior to cytoplasmic degradation in syncytial cells, respectively. Necrosis and cell wall apposition are types of hypersensitive responses occurring at early stages of the nematode infection so that these structural modifications indicate the inhibition of initial syncytial development related to the early nematode development. As soybean cultivars and lines with identical or similar genotypes have the same types of structural features related to SCN-resistance, the structural modifications induced by SCN infection may result from the expression of inheritable resistance genes, of which the information can be used for breeding soybean cultivars and lines specifically resistant to SCN races.

A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception (재발성 장중첩증 환아에서 병적 선두로 확인된 장중복 낭종 1예)

  • Lee, Kun-Song;Park, Ji-Yun;Oh, Jong-Seok;Seong, In-Chang;Han, Kang-Min;Lee, Young-Seok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.75-80
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    • 2010
  • Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a $2.4{\times}2.4$ cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.

Evaluation of Functional Status of Ovarian Cysts in Slaughtered Korean Native Cows (도축 한우에서 난소낭종의 기능성 평가)

  • Kang H.G.;Lee C.S.;Kim I.H.;Mo I.P.;Lee K.C.;Suh G.H.
    • Journal of Embryo Transfer
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    • v.21 no.1
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    • pp.59-67
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    • 2006
  • To evaluate the functional status of ovarian cyst in Korean native cows, progesterone ($P_4$) and estrogen ($E_2$) level of cystic follicular fluid, ultrasonography for measuring the cystic diameter and thickness of cystic wall, and histological findings were investigated in cystic ovaries from slaughtered Korean native cows. Ovarian cysts were classified as single follicular cyst 51 cows (59.3%), multiple follicular cysts 19 cows (22.1%), single luteal cyst 13 cows (15.1%) and multiple luteal cysts 3 cows (3.5 %) by anatomical and ultrasonography. Ovarian cysts were classified as follicular cysts (54 cows), luteal cyst (16 cows) and non-functional ovarian cyst (16 cows) by hormone analysis, anatomical finding and ultasonography The luteal cyst was accurately diagnosed by cystic wall thickness, but follicular cysts was misdiagnosed 16 cows of 70 cystic cows The cystic fluid $P_4$ concentration was 3.3 ng/ml in follicular cysts and 30.1 ng/ml luteal cysts. There was significantly positive correlations between cystic wall thickness and serum $P_4$ concentration in follicular ($r^2=0.59$, p<0.001) and luteal cysts ($r^2=0.65$, p<0.001). These results indicated that ovarian cysts had various stages of degeneration and luteal cyst was accurately diagnosed measurement of cystic wall thickness by ultrasonography, but follicular cysts were not diagnosed only cystic diameter and cystic wall thickness.