• Title/Summary/Keyword: 사구 종양

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Subungal Mixed Tumor Mimicking Glomus Tumor: A Case Report and Literature Review (사구체 종양으로 오인된 손톱 밑 종양: 증례 보고와 문헌 고찰)

  • Jaemin Kim;Hyeongju Kwon;Jinrok Oh;Hyunjung Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1134-1140
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    • 2022
  • Mixed tumors are well-circumscribed lesions exhibiting epithelial and/or myoepithelial cells and they usually occur in the skin and salivary glands. Soft tissue mixed tumors are extremely rare. Therefore, radiographic findings of soft tissue mixed tumors have very rarely been described in the radiologic literature. Here, we report a rare case of subungual mixed tumor in a 65-year-old female who presented with left 2nd finger pain, describe the radiographic findings, and discuss the differential diagnosis of the tumor.

Mediastinal Glomus Tumor; A Case Report (종격동 사구종양;1례보고)

  • 정수상
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.241-244
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    • 1993
  • The glomus tumor is a distinctive benign neoplasm, the cells of which resemble the modified smooth muscle cells of the normal glomus body. This tumor occurs most frequently in the extremities but may find elsewhere in the body. Only one case of mediastinal glomus tumor has been reported in the world. Recently we experienced a case of mediastinal glomus tumor managed with surgical removal and followed up without any significant complications for 17 months.

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A Case Report of Malignant Glomus Tumor Responding to Combination Chemotherapy (복합화학요법에 반응한 악성 사구체 종양 1예)

  • Lee Sang-Yoon;Choi In-Sil;Park Suk-Ryun;Kim Do-Yeon;Kim Kwang-Hyun;Kim Noe-Kyeong;Heo Dae-Seog
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.219-222
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    • 2002
  • Malignant glomus tumor is a very rare disease originating from the paraganglia system through the body. Glomus tumor, also known as paraganglioma, usually are considered benign, and arises in a variety of head and neck locations, most of which include the carotid body, the vagus nerve, and the jugulotympanic area. The most widely accepted management of benign glomus tumor is surgical extiration. Here, we report a case of recurrent laryngeal glomus tumor which is proven malignant and metastatic to the brain and the lungs. We have treated the patient with combination chemotherapy and radiation to the brain, the result of which is partial response in terms of decreased size of metastatic lung lesions.

Clinical Significance of MR Imaging for the Diagnosis and Treatment of Subungual Glomus Tumor in the Fingers (수지 조갑하 사구종의 진단 및 치료에서 자기 공명 영상의 임상적 의미)

  • Kim, Byoung-Suck;Kim, Woo-Sig;Han, Kyoung-Jin;Cho, Jae-Hyun;Lee, Kyi-Beom;Ha, Heon-Kyo;Kang, Shin-Young
    • The Journal of the Korean bone and joint tumor society
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    • v.7 no.1
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    • pp.28-35
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    • 2001
  • Purpose : Authors investigated the efficiency of preoperative MRI in suspicious glomus tumor and the clinical outcomes after marginal excision. Materials and Methods : In 10 cases of glomus tumors in the fingers, authors retrospectively analyzed the clinical data, including previous trauma, treatment history, preoperative symptoms, physical examination, plain radiography, MRI (9 cases), pathological findings and postoperative complications. Results : The patients had pain in 10 cases, tenderness in 9 cases, cold sensitivity in 3 cases and edema in one case. MRI showed low signal (3 cases) or iso-signal (5) intensity on T1 weighted image, high signal intensity (8) on T2 weighted image, and all the lesions were enhanced in gadolinium enhancement images. The exact locations of glomus tumors were median in 6 cases, lateral in 5, lateral fold in 2 and pulp in 3 in transverse section and nail bed in 5 cases and nail matrix in 5 in sagittal section. Marginal excision was performed by lateral approach in one case and transungual in 9 cases. Histologically, all 10 cases were composed of solid sheets of round cells interrupted by thin-walled blood vessels. Most of clinical symptoms were disappeared in all cases after operation. Nail deformity was found in one case, which was originated from nail matrix, however, there was no recurrence. Summary : Clinical symptom was the most impotant factor in diagnosis of glomus tumor in the fingers. However, preoperative MRIs were helpful in patients, who had obscure pain or prolonged clinical symptoms with suspicious glomus tumors. Preoperative MRI might be one of the most useful tools for establishing the exact diagnosis and detecting the location of glomus tumors, in spite of the relatively high expenses.

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Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma (사구수조지방종에 의한 도르래신경마비 1예)

  • Choi, Nam Hyeon;Kim, Won Jae;Kim, Myung-Mi
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1087-1090
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    • 2018
  • Purpose: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. Case summary: A 65-year-old male visited our clinic for intermittent vertical diplopia over 2-year period. Symptoms of diplopia had worsened over the past two weeks. He had no previous medical history except having had diabetes for 1 month. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Pupillary examination was not remarkable. Extraocular examination showed 4 prism diopters (PD) left hypertropia at distant gaze and 4 PD exotropia at near gaze, with adduction elevation of the left eye. The Bielschowsky head tilt test revealed 6 PD left hypertropia on the left gaze and orthotropia on the right tilt. Fundus examination showed excyclotorsion of the right eye and incyclotorsion of the left eye. Brain magnetic resonance imaging revealed quadrigeminal cistern lipoma. Prism glasses were prescribed to alleviate diplopia, and we followed up the lesions without further treatment. Conclusions: Trochlear nerve palsy can be caused by quadrigeminal cistern lipoma; however, it is uncommon for this condition to be caused by a compressive lesion. Prompt neuroimaging can be helpful to rule out the causes of this condition in patients with atypical symptoms.

A Case of Solitary Glomus Tumor (단발성 사구종양 1례)

  • Cho, Hae-Ook;Shin, Dong-Hoon;Choi, Jong-Soo;Kim, Ki-Hong
    • Journal of Yeungnam Medical Science
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    • v.13 no.1
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    • pp.152-157
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    • 1996
  • We report a case of subungual solitary glomus tumor in a 28-year-old female, who has suffered from pain and tenderness of the left 4th finger tip for about 5 years. Simple surgical excision was performed for removal of the tumor mass and for the relief of the subjective symptoms. No recurrence has been observed for 5 months following excision of the tumor.

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A Case of Gastric Glomus Tumor (위 사구종양 1예)

  • Lee, Jin-Sung;Choi, Sun-Taek;Lee, Hyun-Uk;Kwon, Byung-Jin;Lee, Ji-Eun;Lee, Si-Hyung
    • Journal of Yeungnam Medical Science
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    • v.28 no.2
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    • pp.165-172
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    • 2011
  • Gastric glomus tumor is a rare mesenchymal tumor that originates from modified smooth muscle cells of the glomus body. Glomus tumors are commonly observed in peripheral soft tissue, such as dennis or subungal region, but rarely in the gastrointestinal tract. A 39-year-old woman was admitted due to epigastric soreness. Upper gastrointestinal endoscopy revealed a subepithelial mass measuring 3.5 cm with central ulceration at the lesser curvature-posterior wall of the antrum. Characteristically, contrast enhanced abdominal computed tomography scan demonstrated high enhancement of the submucosal mass up to the same level of the abdominal aorta in the arterial phase; this enhancement persisted to delayed phase. Due to the risk of bleeding and malignancy, wedge resection of the submucosal tumor was performed. Histologic findings were compatible with a glomus tumor.

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A Case of Bronchial Glomus Tumor (기관지 사구 종양 1례)

  • Lee, Eun-Woo;Kim, Soo-Ok;Oh, In-Jae;Ju, Jin-Young;Cho, Gye-Jung;Kim, Kyu-Sik;Kim, Young-Chul;Park, Kyung-Ok;Na, Kook-Joo;Myung, Jae-Il
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.4
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    • pp.445-449
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    • 2002
  • An 18-year-old female was admitted because of dyspnea at rest. A chest computed tomography (CT) scan and fiberoptic bronchoscopy demonstrated a polypoid tumor in the left main bronchus, 0.5cm distal from the carina. Surgical resection of the tumor was performed, along with. A pathological evaluation and the immunohistochemical findings led to the diagnosis of a glomus tumor, which originated from the bronchus, an area where this type of tumor has rarely been reported.

A Case of Disseminated Multiple Glomus Tumors (파종성 다발성 사구종양 1례의 치험례)

  • Choi, Tae Hyun;Yeo, Hyeon Jung;Son, Daegu;Kim, Hyung Tae
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.493-496
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    • 2009
  • Purpose: Glomus tumors are neoplasms that are composed of modified smooth muscle cells of the glomus body and multiple glomus tumor comprises 10% of all glomus tumors. We report a case of disseminated multiple glomus tumors. Methods: A 14 - year - old boy presented with multiple subcutaneous purple nodules on the right cheek, back, right arm, right hand dorsum, right fourth finger, and left ankle. Nodules on the back and right fourth finger were completely excised under local anesthesia and histopathologic examination was followed. Results: Histopathologic findings showed numerous dilated, cavernous - like, thin - walled, vascular spaces surrounded by one or a few layers of glomus cells. On immunohistochemical examination, glomus cells stain for smooth muscle actin, and endothelial cells stain for CD31. Those revealed multiple glomangiomas. Conclusion: A review of Korean literature revealed only one reported cases of disseminated multiple glomus tumors, so this is the second case to be reported in the Korean literature. In case of multiple soft tissue tumors, thorough physical examination and preoperative evaluation is needed.

Craniospinal Neurenteric Cysts: Various MR Imaging Features (뇌척수 신경장관 낭종: 다양한 자기공명영상소견)

  • Jeon, Se-Jeong;Sohn, Chul-Ho;Kim, Eun-Hee;Son, Kyu-Ri;Park, Sung-Hye;Chang, Kee-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.1
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    • pp.54-62
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    • 2009
  • Purpose : Craniospinal neurenteric (NE) cysts are rare developmental non-neoplastic cysts of the central nervous system with diverse MR imaging findings. The purpose of this study was to evaluate various MR imaging findings of intracranial and intraspinal NE cysts. Materials and Methods : We retrospectively reviewed the MR imaging findings of six NE cysts that were confirmed by pathology. We evaluated anatomic location, signal intensity, size and enhancement pattern of NE cysts. Results : Two intracranial lesions were located extra-axially in the cerebellopontine angle and quadrigeminal cisterns. Three spinal lesions were intraduralextramedullary cysts, located ventral to the spinal cord, but one thoracic lesion was an intramedullary cyst. The signal intensity of the cysts was hyperintense on T1-weighted images as compared with the cerebrospinal fluid (CSF) for two intracranial lesions and one cervical lesion. In addition, all intracranial lesions showed diffusion restriction. For the remaining three spinal lesions, the signal intensity was nearly the same as the signal intensity of the CSF as seen on both T1- and T2-weighted images. On contrast-enhanced studies, two intracranial cysts showed a small nodular enhancement and one thoracic spinal lesion showed rim enhancement. Conclusion : NE cysts have various locations, signal intensities, and possible focal nodular or rim enhancement. Therefore, NE cysts can be included in the differential diagnosis of various craniospinal cystic or tumorous cystic lesions.

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