• Title/Summary/Keyword: 경부종괴

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Mediastinal Cavernous Hemangioma (상대정맥에 발생한 해면상 혈관종 -1례 보고-)

  • 김동원;이재영;배철영;신원선;맹대현;곽영태;이신영
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.69-72
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    • 1998
  • Mediastinal hemangioma is a rare tumor and only few cases have been reported in the literatures. We have experienced one case of cavernous hemangioma occuring at the superior vena cana. The patient was a thrity-five year old female with no specific symtoms except palpable cystic mass in the right cervical area. A routine chest radiography showed an upper mediastinal mass. Computed Tomography showed about 4$\times$5 cm sized cystic mass communicating to the superior vena cava 2 cm above of the veno-atrial junction. After the evaluation, surgical excision was performed and the pathologic diagnosis was confirmed to cavernous hemangioma. Postoperative course was uneventful and the patient has been followed up without any problems.

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Fine Needle Aspiration Cytology of Carotid Body Paraganglioma - A Case Report - (부신경절종의 세침 흡인 세포학적 소견 - 1례 보고 -)

  • Kim, Joon-Mee;Chu, Young-Chae
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.77-80
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    • 1993
  • Paraganglioma is a benign tumor arising in the paraganglion system scattered throughout the body, but its cytopathologic findings arenot well known. We experienced a case of paraganglioma of carotid body diagnosed by fine needle aspiration. The patient was a 30 year-old female who suffered from the left neck mass for 3 years. The mass was $3\times3cm$ in size without pulsation or bruit. Cytologically, the smear revealed aggregated and singly scattered tumor cells haying abundant pale cytoplasm and indistinct cell borders. Their nuclei were round to oval, but enlarged nuclei were occasionally observed. The nuclear membrane was smooth with fine clumping of chromatin. Differentiation from metastatic follicular carcinoma of the thyroid gland was difficult.

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Clinical Features of Subacute Necrotizing Lymphadenitis in Children (소아 아급성 괴사성 림프절염의 임상적 특징)

  • Hong, Ji Young;Bae, Sun Hwan;Kim, Wan Sup
    • Clinical and Experimental Pediatrics
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    • v.45 no.8
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    • pp.994-999
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    • 2002
  • Purpose : There is a predilection for subacute necrotizing lymphadenitis(SNL) in young Asian women. Few pediatric cases have been reported. This study was performed to evaluate clinical features of children with SNL. Methods : We retrospectively analyzed clinical features of 23 cases of SNL under 15 years of age identified in Nowon Eulji Hospital from February 1995 to January 2002. Two cases were diagnosed by excisional biopsy and 21 cases by fine needle aspiration. Results : The ages ranged from 14 months to 14 years(mean $8.1{\pm}3.8$ years). The male to female ratio was 1 : 1.6. Ten cases(10/23) were diagnosed in 2000. The onset was more frequent in spring. The common presenting symptoms were neck mass(22/23), pain(12/20) and fever(8/18). Fever subsided within two weeks in seven out of eight and lymphadenopathy resolved within five months in 14 out of 15. The mean WBC count was $7,664{\pm}3,454/mm^3$. Elevated levels of ESR(10/ 12) and lactate dehydrogenase(5/6) and positive reaction for CRP(3/4) were frequent. Radiologically measured greatest diameter of the enlarged lymph nodes was less than 2 cm in 14 out of 15. One case occurred in a child with alopecia areata and one case with type 1 diabetes. Clinical outcomes were good in 23 cases. Conclusion : SNL should be considered in children with cervical lymphadenopathy regardless of fever or pain. SNL seems not rare in pediatric groups in Korea.

Medullary Thyroid Carcinoma in a Maltese Dog (말티즈 개에서 발생한 갑상선수질암)

  • Hyun, Hee-Jin;Jung, Soo-Kyo;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.435-438
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    • 2014
  • An 11-year-old, 2.67 kg female Maltese dog with 3 weeks history of palpable cervical mass near trachea was submitted to a local animal hospital. Radiography and ultrasonography showed radiopaque mass adjacent trachea and vagus nerve. Surgically excised mass was solitary and approximately $3.5{\times}2{\times}0.8cm$ in size. Histopathologically, there were large neoplastic foci admixed with normal thyroid tissues. These neoplastic foci were composed of small to large packets of the neoplastic cells with plasmacytic morphology, and these packets were divided by fine fibrovascular septa. Immunohistochemically, most neoplastic cells in the thyroid mass showed positive reactions for cytokeratin (AE1/AE3), chromogranin A, neuron specific enolase (NSE) and the negative reaction for vimentin. Based on the gross, histopathologic and immunohistochemical characteristics, this dog was diagnosed as medullary thyroid carcinoma.

Isolated Intracranial Rosai-Dorfman Disease Mimicking Meningioma: A Case Report (뇌수막종으로 오인된 두개 내에만 발생한 Rosai-Dorfman Disease: 증례 보고)

  • Minji Shin;Young Jin Heo;Donghyun Kim;Hae Woong Jeong;Jin Wook Baek;Ha Young Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.719-723
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    • 2022
  • Rosai-Dorfman Disease (RDD) is a rare lymphoproliferative disease, and the occurrence of isolated intracranial RDD is extremely rare. Most cases of intracranial RDDs present as dural masses showing homogenous enhancement on MRI, which makes it difficult to differentiate these masses from meningiomas before surgery unless massive cervical lymphadenopathy is observed. We herein report a rare case of isolated intracranial RDD in a 65-year-old male. Brain MRI revealed a well-defined enhancing mass-like lesion involving the right frontal convexity and subtle diffusion restriction. However, only a subtle blush was observed on the preoperative cerebral angiogram. Although instances of isolated intracranial RDD are rare, it should be considered as a potential differential diagnosis when a dural mass with hypovascularity is visualized on the cerebral angiogram.

Radiologic Findings of Cervical Mass Type Cervical Pregnancy (자궁경부 종괴형 자궁경부임신의 영상 소견)

  • Cho, Jae-Ho
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.43-51
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    • 2005
  • Background: To examine the ultrasonographic and magnetic resonance (MRI) imaging findings of a cervical mass type cervical pregnancy. Materials and Methods: The ultrasonographic and MRI findings of 5 patients pathologically confirmed as having a cervical pregnancy were analyzed retrospectively. On ultrasonography, the size and echo pattern of the uterine cervix, the shape and echo pattern of the lesion, the degree and the pattern of blood flow on the color Doppler study and the spectral Doppler pattern were analyzed. The shape, signal intensity, and degree and pattern of enhancement of the lesion were evaluated on MRI. Results: The uterine cervix was enlarged and the size of the lesion was 6.1 to 7.1 (average, 6.5) cm. The endocervical canal was irregularly dilated and showed heterogeneous echogenicity in all 5 cases. Four of the 5 lesions were heterogeneously hyper- or mixed echoic and remaining one was relatively homogeneous echogenic. Doppler ultrasonography revealed an increased vascularity of the peritrophoblastic flow pattern. In all 4 cases where MRI performed, the lesion was irregular in shape and the margin was not sharply demarcated. The T2-weighed image showed that the lesions were mixed signal intensity. Three of the 4 lesions contained high signal intensity nodular portions and a low signal intensity rim was observed along the margin of the nodular portions. The T1-weighted image revealed multiple signal voids along the periphery of the lesions and high signal intensity portions as a result of hemorrhage were noted. The dynamic enhanced study showed that the high signal intensity portions on the T2-weighted image were strongly enhanced similar to the vessels on the early phase and the contrast enhancement gradually decreased with time. Conclusion: A cervical mass type cervical pregnancy can be correctly diagnosed using the patient's clinical symptom, the elevation in the serum ${\beta}$-HCG level, and characteristic ultrasonographic and MRI findings.

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A Case of Hemophagocytic Lymphohistiocytosis Presenting with Neck Mass in a Child (경부 종괴를 동반한 소아에서의 혈구탐식성 림프조직구증 1례)

  • Kil, Bu Kwan;Lee, Dong Won;Kim, Jeong Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.55-59
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    • 2020
  • Hemophagocytic lymphohistiocytosis (HLH) is a rare but life-threatening one syndrome of excessive immune activation. This immune dysregulation disorder is prominently associated with cytopenias and combinations of clinical signs and extreme inflammation symptoms. For survival, it is important to diagnose early and treat appropriately. We report a case of 10 years old boy who was admitted to the hospital with a month history of fever and cervical lymph node enlargement. There were signs of hemophagocytic histiocytosis in the lymph node and bone marrow. The etiology, diagnosis, and treatment of hemophagocytic lymphohistiocytosis are reviewed.

Fine Needle Aspiration Cytology of Meningioma Presenting as a Neck Mass (경부 종괴로 나타난 수막종의 세침흡인 세포학적 소견)

  • Yim, Hyun-Ee;Park, Young-Nyun;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.3 no.2
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    • pp.94-99
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    • 1992
  • Meningioma is the most common neoplasm of central nervous system which is hardly diagnosed by cytologic examination. However, preoperative cytologic diagnosis can be easily made in the case of extracranial meningioma, especially in head and neck lesion. We recently experienced a case of fine needle aspiration cytology of meningioma in sub-mandibular area of a 24 year-old male patient. The smear revealed high cellularity in the clean background. individual tumor cell of nests or syncytium had round or oval nuclei with fine chromatin and moderate amount of lightly stained cytoplasm with indistinct margin. Characteristic cellular whorls, intranuclear inclusions and scattered psammoma bodies made it easy to diagnose a meningioma.

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Fibrodysplasia Ossificans Progressiva - A Case Report - (진행성 골화성 섬유이형성증 - 성인 1례보고 -)

  • Yun, Yeong- Sik
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.50-55
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    • 2004
  • Fibrodysplasia ossificans progressiva is a very rare genetic disorder, but is possible to diagnose with mass on neck or scalp in early neonate or child and accompanying characteristic congenital malformation of great toe. But because inappropriate treatment and complications from misdiagnosis may aggravate the progress of the disease, so the disorder require careful inspection for accurate diagnosis. We describe a case that was misdiagnosed properly and treated inappropriately and the natural history of the disease in adult.

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Sialocele with Sialolithiasis in a Beagle Dog (비글견에서 발생한 타액선 결석과 타액선류 증례)

  • Kwon, Young-Hang;Lim, Soo-Ji;Chang, Jin-Hwa;An, Ji-Young;Ahn, Se-Joon;Jeong, Seong-Mok;Park, Seong-Jun;Cho, Sung-Whan;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.371-375
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    • 2009
  • A three-year-old Beagle dog was presented with the neck mass. Mass was located at ventral part of the mandible. The dog showed excessive drooling. Sialocele with calculi was evaluated based on physical exam, radiographs, ultrasonography, and computed tomography. Salivary gland resection was performed. Histopathological examination confirmed sialoadenitis concurred with sialocele.