• 제목/요약/키워드: retroperitoneum

검색결과 82건 처리시간 0.028초

후복막강 부신경절종의 세침흡인 세포학적 소견 (Fine Needle Aspiration Cytology of Paraganglioma of the Retroperitoneum)

  • 한지영;이광길
    • 대한세포병리학회지
    • /
    • 제3권1호
    • /
    • pp.19-24
    • /
    • 1992
  • A case of paraganglioma of the retroperitoneum diagnosed by fine needle aspiration cytology is described. A 60-year-old man presented with abdominal discomfort for 4 months. The smear revealed cellular sheets with partly rosettoid appearance. Many piexiform capillaries were distributed between the cellular sheets or encircled the cellular nests forming zell-ballen pattern. The tumor cells were monotonous and oval to round. The cytoplasm was amphophillc, finely granular and poorly defined. The nuclei were round and had evenly dispersed chromatin and small nucleoli. Cells having large or spindle nuclei were some-times observed. The tissue sections showed typical findings of paragnglima. The cytological differential diagnoses included islet cell tumor of the pancreas and carcinold tumor. The clinical and histoloigic findings as well as cytologic findings were helpful to confirm the diagnosis.

  • PDF

퇴행성 신경초종의 세침흡인 생검에 대한 세포학적 소견 (Cytologic Findings of Fine Needle Aspiration Biopsy of Ancient Schwannoma)

  • 주희재;이광길
    • 대한세포병리학회지
    • /
    • 제1권2호
    • /
    • pp.158-163
    • /
    • 1990
  • Ancient (degenerated) schwannomas are benign tumors that display pronounced degenerative changes including cyst formation, calcification, hemorrhage, and hyalinization. The tumors are usually infiltrated by large numbers of inflammatory cells such as neutrophils, lymphocytes, siderophages, and histiocytes. They are located in deep locations such as the retroperitoneum and must be differentiated from malignant soft tissue tumors because spindle cells with nuclear atypia may be present. In the fine needle aspiration biopsy. The cytologic findings of two cases of ancient schwannoma occurring in posterior mediastinum and retroperitoneum, respectively, are described. Computerized tomographic findings of both cases showed changes of cystic degeneration or necrosis. A case occurred in retroperitoneum revealed features of destruction of vertebral body to suggest a malignant soft tussue tumor radiologically. The cytologic findings of aspiration biopsy of both tumors revealed that the tumor cells were spindle in shape with elongated nuclei. Some of tumor cells were arranged in a palisading fashion. Cell structures that resemble the Verocay bodies were observed. Some of the tumor cells showed pleomorphic bizarre nuclei, but no mitotic activity or chromatin clumping was seen. Inflammatory cells, siderophages and histiocytes were scattered in fibrillar material. These cytologic findings are important in the diagnosis of ancient schwannoma and in the differentiation of this tumor from the malignant spindle cell tumor.

  • PDF

복부 임파관종 (Abdominal Cystic Lymphangioma)

  • 이진형;최순옥;박우현
    • Advances in pediatric surgery
    • /
    • 제12권2호
    • /
    • pp.232-237
    • /
    • 2006
  • Abdominal cystic lymphangiomas arising from the mesentery, omentum and retroperitoneum are rare and occasionally confused with other cause of acute abdomen. Sixteen children who underwent surgery for abdominal cystic lymphangioma between 1984 and 2005 at the Division of Pediatric Surgery, Keimyung University Dongsan Medical Center were evaluated retrospectively. There were 9 boys and 7 girls. Age ranged from 12 days to 13 years (mean age: 4.7years). The cysts were located in the omentum (4 cases),mesentery (9 cases: jejunum: 3, colon: 6). retroperitoneum (2 cases) and pelvic cavity (one case). The cyst content was hemorrhagic (8 cases), serous (5 cases), and inflammatory (2 cases), and chyle (one). Prenatal diagnosis was made in 3. The clinical features were variable, but abdominal pain, mass, and abdominal distention in order. There were 3 emergency operations in patients with complicated cyst, who were suspected of having panperitonitis and volvulus preoperatively. Complete excision was accomplished in all cases. There was one mortalityin a newborn with E.coli sepsis. Intestinal obstruction developed in 2 cases in long-term follow-up. No recurrence was observed. Although intraabdominal lymphangioma arising from mesentery, omentum and retroperitoneum are rare, it should be considered as a possible cause of acute abdomen.

  • PDF

후복강에서 폐로 전이된 혈관 주위 세포종 -1예 보고- (Metastatic Pulmonary Hemangiopericytoma from Retroperitoneum -A case report -)

  • 석양기;이응배
    • Journal of Chest Surgery
    • /
    • 제39권6호
    • /
    • pp.495-497
    • /
    • 2006
  • 혈관 주위 세포종은 주위 세포에서 발생하는 매우 드문 혈관 종양으로, 주로 하지나 후복강에 생기며, 완전 절제가 치료 원칙이다. 혈관 주위 세포종은 악성 가능성이 있는 종양으로 재발 및 전이가 있을 수 있으므로, 치료 후에도 주의 깊은 추적 관찰을 요한다. 저자들은 10년 전 좌측 후복강의 혈관 주위 세포종으로 완전 절제를 시행한 환자에서 발생한 폐로 전이된 혈관 주위 세포종을 수술적 절제하였다.

Extralobar Supradiaphragmatic Pulmonary Sequestration Arising from the Retroperitoneum Through a Congenital Diaphragmatic Defect

  • Lee, Soojin;Cho, Jeong Su;I, Hoseok;Ahn, Hyo Yeong;Kim, Yeong Dae
    • Journal of Chest Surgery
    • /
    • 제54권3호
    • /
    • pp.224-227
    • /
    • 2021
  • Here, we report the rare case of a 13-year-old girl with a congenital diaphragmatic hernia (also known as Bochdalek hernia), which was revealed to be an extralobar pulmonary sequestration that was treated using laparoscopic and video-assisted thoracic surgery sequestrectomy and repair of the diaphragm defect after detection of a supradiaphragmatic mass connected with the retroperitoneum. The patient showed no postoperative complications at a 1-month follow-up examination.

폐와 골 전이를 동반한 후복막강 내 신외 윌름 종양 1례 (A Case of Retroperitoneal Extrarenal Wilms' Tumor with Metastasis to Lung and Bone)

  • 정재헌;한원철;최두영
    • Clinical and Experimental Pediatrics
    • /
    • 제48권1호
    • /
    • pp.112-115
    • /
    • 2005
  • 저자들은 8세 남아에서 교통사고 후 우연히 발견된 혈흉과 복부 종물의 진단 과정에서 확진된 폐 및 골 전이를 동반한 후복강 내 신외 윌름 종양 1례를 경험하였기에 문헌 고찰과 함께 보고 하고자 한다.

요근에 단독으로 발생한 신경초종 - 증례보고 - (Solitary Schwannoma in the Psoas Muscle - A Case Report -)

  • 석상훈;김문철;정훈;이상평;최기환;여형태
    • Journal of Korean Neurosurgical Society
    • /
    • 제30권9호
    • /
    • pp.1127-1129
    • /
    • 2001
  • The vast majority of schwannomas occur on cranial nerves, and rarely in the retroperitoneum. Solitary schwannoma in the psoas muscle is extremely rare. The authors present a case of retroperitoneal neoplasm in the psoas muscle identified as schwannoma which is not associated with von Recklinghausen's disease. A 68 years old female patient was admitted because of low back pain and weakness at the left leg. CT and MRI revealed a large cystic mass with well-defined margin and multiple internal septation within the left psoas muscle. The tumor was totally extirpated and histologically confirmed as a schwannoma.

  • PDF

개의 후복강과 골반강에 발생한 지방종의 진단영상 증례 (Diagnostic Imaging of Lipoma in the Retroperitoneum and Pelvic Cavity in a Dog)

  • 이남순;김준영;나응식;김미은;이혜연;최미현;김완희;김대용;최민철;윤정희
    • 한국임상수의학회지
    • /
    • 제27권1호
    • /
    • pp.88-92
    • /
    • 2010
  • 11살의 중성화 암컷 miniature Schnauzer 견이 식욕부진, 복부팽만, 빈뇨증상과 변비증상으로 내원하였다. 복부 일반 방사선 검사에서 하나의 큰 균질한 지방 밀도의 종괴가 후복강과 골반강에서 확인되었다. 그 종괴는 내림결장을 변연부와 배쪽으로, 방광을 배쪽으로 변위시켰다. 복부 초음파 검사에서 종괴는 내부의 거친 에코구조와 바깥쪽에 고에코성 막을 갖고 있으며, 컴퓨터단층촬영에서 균질하게 주위 지방과 같은 (-180 ~ -110 HU) 감쇄성을 보였다. 주위 조직으로의 침습의 증거는 없었다. 세침흡인을 통한 세포검사 결과는 많은 층과 군집의 지방세포들이었다. 환자는 수술적으로 종괴를 제거한 후 임상증상이 완전히 해소되었다. 조직병리학적 검사를 통해 그 종괴는 지방종으로 진단되었다.