• Title/Summary/Keyword: 낭성 종괴

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Primary Malignant Melanoma of the Breast Presenting as a Breast Abscess: A Case Report (유방 농양으로 발현한 유방의 원발성 악성 흑색종: 증례 보고)

  • Hyung In Choi;You Me Kim;Junwon Min;Yong Moon Lee;Hee Jeong Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.763-769
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    • 2023
  • Primary malignant melanoma in breast parenchyma (PMB) is an extremely rare disease, and the most common presentation is a palpable breast lump. To the best of our knowledge, a case of PMB presenting as a breast abscess has not been reported in English literatures. We present a case of PMB that manifested as a recurrent breast abscess in a 71-year-old woman. On MRI, an enhancing solid mass with a cystic or necrotic portion was revealed with some high signal intensities on precontrast-enhanced T1-weighted images and a dark rim on T2-weighed images. The MRI features played a pivotal role in identifying the underlying malignant condition and making an accurate diagnosis of this rare case of PMB with unusual clinical presentation.

Generalized Lymphangiomatosis: A Case Report (전신성 림프관종증: 증례 보고)

  • Cha, Jang-Gyu;Park, Jai-Soung;Paik, Sang-Hyun;Kim, Hee-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.190-194
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    • 2009
  • Generalized lymphangiomatosis is a rare congenital malformation of the lymphatics. CT and MR scan have been used to evaluate lymphangiomas, which appear as large multicystic fluid-filled masses. CT and MR Imaging findings are often helpful in distinguishing lymphangiomas from various vascular disorders. We report the findings of CT, MRI and bone scan in a patient with generalized cystic lymphangiomatosis. Whole body 3.0-T MR scan using STIR sequence with a larger FOV could detect the additional lesions that were not seen at other imaging modalities. We believe that whole body 3.0 T MR imaging is a good modality to evaluate the extent of the disease and following up the patients with the generalized cystic lymphangiomatosis.

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Angiomatoid Fibrous Histiocytoma : A Case Report

  • Choi, Joon-Hyuk;Sung, Woo-Jung;Lee, Nam-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.315-321
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    • 2007
  • Angiomatoid fibrous histiocytoma is a rare soft tissue tumor that generally affects children and young adults. We report a case of angiomatoid fibrous histiocytoma in an 11-year-old boy who complained of a back mass for 3 years. Surgical excision was performed. The excised specimen showed a $4.0{\times}3.6{\times}3.0cm$, well circumscribed, grayish white tumor, with multicystic changes. Histological examination showed proliferation of spindle or round shaped tumor cells. There was a dense fibrous pseudocapsule with prominent chronic inflammatory cell infiltrates.

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Pulmonary Mucinous Cystic Tumor of Borderline Malignancy -A case of report- (폐의 저악성 점액성 낭종)

  • Kang, Kyung-Min;Lim, Yong-Taek;Kim, Chul-Hwan;Lee, Seob;Hur, Yong;Kim, Byung-Ryul;Lee, Jung-Ho
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.212-215
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    • 1998
  • Pulmonary mucinous cystic tumor of borderline malignancy is very rare and distinguished from bronchogenic cyst or adenocarcinoma of bronchoalveolar type. We present the case of a 63-year-old woman with a right lower lobe mass, found by chest radiographs. The preoperative diagnosis was made as bronchoalveolar cancer by percutaneous needle aspiration of mass. Right lower lobectomy and lymph node dissections were performed. The lobectomy specimen contained variable sized multilocular cystic mucous masses, filled with mucus. Microscopically, the cystic masses are lined with tall columnar mucinous epithelium but some area contains focal cellular atypism and bronchoalveolar cancer like foci. This foci are lack of cellular atypism consistent with bronchoalveolar cancer cell. After lobectomy the patient has remained free from recurrence and distant metastasis for following 12 months period. Pulmonary mucinous cystic tumor of borderline malignancy appears to have a favorable prognosis and should be distinguished from other lung neoplasms.

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Imaging Findings of Metaplastic Breast Carcinoma with Chondroid Differentiation: A Case Reports (연골성 분화를 보이는 화생성 유방암의 영상의학적 소견: 증례 보고)

  • Ji-Young Kim;Soung Hee Kim;Myeong Ja Jeong;Ji Hae Lee;Mi-Jin Kang;Geumhee Gwak;Su Hyun Yoo
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1385-1393
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    • 2022
  • Metaplastic carcinoma of the breast is a heterogeneous group of neoplasms with mixed epithelial and mesenchymal differentiation. Metaplastic carcinoma of the breast is a rare and aggressive malignancy, with high recurrence and metastasis. Metaplastic carcinoma with chondroid differentiation is an uncommon subtype that tends to have a relatively good prognosis than that of other subtypes. We report the imaging features of three cases of pathologically proven metaplastic carcinoma with chondroid differentiation as follows: a high-density mass with amorphous or coarse heterogeneous calcifications on mammography; a microlobulated or partially indistinct, complex cystic, and solid mass on sonography; and a relatively circumscribed or partially indistinct, irregular mass with heterogeneous T2 high-signal intensity and heterogeneous or rim enhancement with initial fast enhancement and delayed washout on MRI.

A Case of Pulmonary Paragonimiasis Presented as Solitary Pulmonary Nodule and Suspected as Lung Cancer on 18F-Fluorodeoxyglucose Positron Emission Tomography (양전자 방출 단층촬영에서 폐암으로 의심되었던 고립 폐 결절 형태의 폐흡충증 1예)

  • Moon, Jae Young;Jung, Ki Hwan;Kim, Je Hyeong;Park, Hyung Joo;Kim, Young Sik;Shin, Chol
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.2
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    • pp.133-137
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    • 2008
  • Pulmonary paragonimiasis continues to be a diagnostically challenging parasitic disease, despite a drastically decreased prevalence in South Korea during the past decade. Pulmonary paragonimiasis is characterized by fever, chest pain, and chronic cough with hemoptysis. Numerous radiographic and computed tomographic findings including the presence of pneumothorax, pleural effusion, and parenchymal lesions such as nodular or infiltrative opacities have been reported. The clinical and radiological manifestations of paragonimiasis can resemble those of lung cancer, tuberculosis or a metastatic malignancy. Furthermore, this disease can mimic lung cancer as seen on $^{18}F$-fluorodeoxyglucose positron emission tomography (FDG-PET). We report a case of pulmonary paragonimiasis in a 48-year old man that presented with a solitary pulmonary nodule and was suspected as a lung cancer based on FDG-PET imaging.

Microsurgical Resection of Schwannoma of the Brachial Plexus -A case report - (상완 신경총에 발생한 신경초종의 미세절제술 - 1예 보고 -)

  • Son Byung Chul;Cho Kyu Do;Jo Min Seop;Wang Young Pil;Cho Deog Gon
    • Journal of Chest Surgery
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    • v.38 no.3 s.248
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    • pp.249-252
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    • 2005
  • Neurogenic tumors of the brachial plexus region are relatively rare. We report a recent experience of schwannoma of the right brachial plexus in the inferior trunk, which was successfully treated by microsurgical resection. A 38-year- old man presented a dysesthetic pain in the supraclavicular area and the right forearm of C6, 7 dermatome. Rubbery hard mass was palpated in the right supraclavicular area and magnetic resonance imaging showed a well circumscribed, well enhanced ovoid mass with cystic degeneration on the right brachial plexus portion. The patient underwent complete removal of the mass through the anterior cervicothoracic (modified Dartevelle) approach. At the postoperative 3 months, there is no neurologic deficit.

Biliary Atresia with Extrahepatic Biliary Cyst (간 외 담관 낭성확장이 동반된 선천성 담도폐쇄증)

  • Chung, Jae-Hee;Lee, Han-Hong;Cha, Seon-Wook;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.136-141
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    • 2004
  • Biliary atresia (BA) with extrahepatic biliary cysts (EHBC) is a rare disease. It has been generally recognized as type I (correctable with cystic dilatation), which means a good prognosis. From a total of 73 patients with BA who underwent operation from September 1988 to September 2003 at our institute, 7 (9.6 %) cases of type III BA with EHBC (uncorrectable with cystic dilatation) are reviewed. Clinical findings, laboratory data, radiologic findings, treatment methods and outcomes were reviewed. Female was more prevalent (male to female ratio; 2:5). All cases were type III with EHBC according to the intraoperative cholangiography, and underwent Kasai' s portoenterostomy. The mean age was 57 days at operation. Three patients(42.9 %) are long term survivors. Further evaluation is needed to determine the correlation between prognostic factors and outcome for.

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A Giant Cystic Mediastinal Tuberculosis Communicating with Pericardium (거대 낭종으로 오인된 심낭과 교통을 보인 종격동 결핵)

  • Kim, Jin-Hyuk;Yoo, Jee-Hong;Choi, Chun-Yung;Woo, Tae-Wook;Kim, Nam-Hoon;Kim, Young-Hee;Kang, Hong-Mo;Lee, Ju-Hie;Sung, Dong-Wook
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.4
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    • pp.439-444
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    • 2002
  • We report a very rare case of mediastinal tuberculosis in a 57-year old woman who presented with a large mediastinal cyst on chest radiography. She had a 10-year history of exertional dyspnea, but felt comfortable at a rest. A subsequent chest CT suggested a mediastinal cyst with mediastinal lymphadenopathy and communicating pericardial sac. She underwent a thoracotomy and excision of the mass, which was histologically revealed to be of tuberculous origin. Although rare, the apparent increase in the incidence of tuberculosis may result mediastinal cysts being diagnosed mediastinal tuberculosis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.

Atherosclerotic Aneurysm of the Right Proximal Subclavian Artery - A case report - (우측 근위부 쇄골하동맥에 발생한 동맥경화성 동맥류 - 1예 보고 -)

  • Kim, Duk-Sil;Kim, Sung-Wan;Kim, Byung-Ki;Lee, Hyeon-Jae;Lee, Gun;Lim, Chang-Young
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.649-652
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    • 2009
  • A 75-year-old man presented with worsening dyspnea and intermittent dysphagia of one month's duration. A plain chest X-ray showed severe tracheal indentation by the right superior mediastinal mass. A chest CT established the diagnosis of a saccular aneurysm arising from the right proximal subclavian artery. Resection of the aneurysm and arterial revascularization was done through a median sternotomy with supraclavicular extension. Aneurysm wall and thrombus culture results were negative and pathology showed an atherosclerotic aneurysm. After the operation, dyspnea and dysphagia were reduced, but he died of advanced stomach cancer 8 months later.