• Title/Summary/Keyword: 신경 초종

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Plexiform Neurilemmoma Unassociated with Neurofibromatosis - 2 Cases Report - (신경섬유종증의 동반이 없는 총상 신경초종 - 2 례 보고 -)

  • Lee, Kee-Haeng;Kim, Youn-Soo;Jeong, Chang-Hoon;Sung, Mi-Sook;Kim, Jean-A;Choi, Seung-Woog;Kim, Hyoung-Min
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.82-87
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    • 2005
  • Both neurilemmoma and neurofibroma are originated from Schwann cell. Plexiform tumor was mostly neurofibroma but Neurilemmoma which has plexiform is extremely rare. So it is important to differentiate plexiform neurilemmoma from plexiform neurofibroma, because plexiform neurilemmoma appears to have neither a significant association with neurofibromatosis nor a propensity for malignant transformation. We report two cases of plexiform neurilemmoma involving the left arm and right foot.

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A CASE OF HUGE NEURILEMMOMA ORIGINATED FROM THE ARYEPIGLOTTIC FOLD (피열후두개추벽에 발생한 거대한 신경초종 1치험례)

  • 황성기;왕수건;전경명
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.20.2-20
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    • 1987
  • 신경초종은 비교적 드문 질환으로서1908년Verocay가 이 종양의 특징적 조직소견인 Verocay body를 발견하고 이를 neurinoma라고 명명하였다. 이 종양은 양성종양으로서 뇌신경, 척수신경뿐 아니라 자율신경에서도 발생하여, 약 25%가 두경부에서 발생하고, 단일 부위로서는 청신경에서의 발생빈도가 가장 높으나 인후부 발생은 드물다. 저자들은 피열후두개추벽에 발생한 거대한 신경초종 1례를 치험하였기에 보고하는 바이다.

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A Case of Schwannoma of Nasal Cavity (비강에서 생긴 신경초종 1예)

  • Kim, Na-Rae;Cha, Heung-Eog;Kim, Dong-Young;Ha, Seung-Yeon;Chung, Dong-Hae
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.143-145
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    • 2009
  • 신경초종은 전신의 말이집신경 중 어디에서나 발생할 수 있는 말초신경집 양성종양이다. 이 종양이 비강에서 발생하는 것은 흔하지 않다. 저자들은 뇌경색으로 입원하고 있던 55세 여자환자에서 다량의 비출혈을 동반한 비강 신경집종 1예를 보고하는 바이다. 부비강 컴퓨터단층촬영사진상 좌측비강과 비인두를 채우는 비균질한 저음영의 거대 종양이 관찰되었고 뼈의 재형성 역시 관찰되었다. 내시경 생검을 시행하였다. 병리검사상, 난원형의 경계가 좋은 병변이 편평상피로 화생된 비강 점막 아래에서 관찰되었고, 종양은 물결모양의 핵을 가진 방추세포로 이루어져 있었고, 방추형의 핵들이 밀집하게 모여있는 Antoni A 부분과 세포의 수가 적으며 허술하게 뭉쳐있는 Antoni B 부분으로 이루어져 있었으며 S-100 단백질 면역염색에 양성이었다. 비강의 신경초종으로 진단하였다. 따라서, 흔하지 않게 접하게 되는 비강 신경초종의 임상양상, 감별진단, 및 치료에 대해 알아보고자 한다.

Pancreatic Schwannoma with Cystic Degeneration: A Case Report and Literature Review (낭성변화를 보이는 췌장의 신경초종: 증례 보고와 문헌고찰)

  • Joon Suk Park;Seon Jeong Min;Hyunchul Kim;Jung-Ah Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.194-200
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    • 2021
  • Schwannomas originate from Schwann cells, and they are the most common benign neoplasms of the peripheral nerves. They can occur in most parts of the body but have a predilection for the head, the neck, and the flexor aspects of the extremities. Pancreatic schwannomas are uncommon, and only a few cases have been reported in the English literature. Approximately two-thirds of pancreatic schwannomas undergo cystic degeneration, and they should be considered in the differential diagnosis of solid pancreatic tumors with cystic changes to facilitate accurate diagnosis and optimal treatment. We report a case of a pathologically proven schwannoma in the pancreatic tail with multiple cystic and hemorrhagic changes followed by a review of relevant literature.

Imaging Findings of Breast Metastasis from Malignant Peripheral Nerve Sheath Tumor of Mediastinum: A Case Report (종격동 악성 말초 신경 초종으로부터 유방 전이의 영상 소견: 증례 보고)

  • So Hyeong Park;Ji Yeon Park;Mee Joo
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.770-775
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    • 2023
  • Malignant peripheral nerve sheath tumor (MPNST), a rare soft-tissue sarcoma, is most commonly located in the trunk, extremities, and head and neck, but rare in the breast. We report a metastatic breast MPNST in a 27-year-old woman with neurofibromatosis type 1 (NF-1). Chest computed tomography revealed a well-defined, oval, mildly enhancing nodule in the right breast. US revealed a circumscribed, oval, heterogeneous echoic mass with vascularity and intermediate elasticity in the right upper outer breast. The breast mass was excised and diagnosed as MPNST on histopathology evaluation. Although rare, it should be included in the differential diagnosis of breast mass in NF-1 patient.

Primary Schwannoma of Bronchus - 2 case report- (기관지에 발생한 원발성 신경초종-2예 보고-)

  • 홍순창;박인규;김대준;정경영
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1036-1039
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    • 2004
  • Most tumors of the tracheobronchial tree are malignant, and benign tumors are less than 10%. Especially, the incidence of primary neurogenic tumors of the lung has been estimated to be less than 2 percent of primary lung cancer, and majority of these tumors are originated from Schwann cells. These tumors can be presented either as a solitary benign neoplasm or as a malignant form, which is rare. We present two cases of bronchial Schwan noma managed by means of lobectomy.

Multiple Schwannomas in the Peripheral Nerve - 3 Cases Report - (말초신경에 생긴 다발성 신경초종 - 증례 보고 3예 -)

  • Kang, Ho-Jung;Lee, Dae-Young;Yoon, Hong-Kee;Hahn, Soo-Bong;Park, Chan-Il;Yang, Seok-Woo
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.105-109
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    • 2005
  • This journal reports three cases diagnosed with schwannomatosis in which no clinical symptoms of type 2 neurofibromatosis. The chief complain was pain. In adolescence and adult group, all masses were found. The locations were brachial plexus, popliteal fossa and hand. No hearing impairment, vertigo, tinnitus and visual disturbance was observed in any of the case. Family history was negative. In all cases, there was no evidence of vestibular schwannoma on cranial MRI imaging study. In all cases, Tinel sign was positive. Pathologic diagnosis was positive for schwannoma. Further study and case collection is needed to idenity the clinical manifestation, clinical course and genetic characteristic of schwannomatosis.

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Primary Neurilemoma of the Trachea (기도내 발생한 원발성 신경초종)

  • Park, Yeong-Hun;No, Yun-U;Hong, Jong-Myeon
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1166-1169
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    • 1996
  • Neurllemomas of the tracheobroncheal tree are extremely rare. Most are located in the lower trachea, and cause chronic cough and wheezing. They usually have a very long natural history, causing symptoms only after they have attained a considerable size. Current treatment of primary intratracheal tumor is sugical removal. Recently, we experienced a case of primary intratracheal neurilemoma which was successfully treated by tracheal resection and anastomosis. We report this case with a brief review of literature.

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Giant Schwannoma May Mimic Soft Tissue Sarcoma (악성 연부 종양으로 오인하기 쉬운 신경 및 연부조직의 거대 신경초종)

  • Kim, Yongsung;Jeon, Dae-Geun;Cho, Wan Hyeong;Song, Won Seok;Kim, Kyunghoon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.511-519
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    • 2020
  • Purpose: Schwannoma is a benign tumor that occurs mainly in the peripheral nerve. If the tumor is large or is in areas other than the nerves, it is likely to be mistaken for malignant soft tissue tumors. The authors reviewed 50 cases of giant schwannomas and assessed the distribution of the primary locations, clinical symptoms, radiological and pathological diagnosis, and diagnostic accuracy. Materials and Methods: Of the 214 pathologically confirmed schwannomas, 50 cases with a maximum diameter of 5 cm or more were extracted. The entire cohort was classified into three subgroups (major peripheral nerve, intramuscular, bone) according to the primary location, and the anatomical locations were specified. Results: When the entire cohort was classified according to the primary location, 14 tumors occurred in the major peripheral nerve, 31 cases in the muscle, and 5 cases in the bone. The mean size of the tumor in the entire cohort was 7.0 cm, and the intramuscular subgroup had the largest size with 8.0 cm. The radiological diagnosis revealed 33 out of 50 cases to be benign schwannoma (66.0%), 15 cases as low-grade malignancy (30.0%), and the remaining two cases (4.0%) as a suspicious tuberculosis abscess and tenosynovial giant cell tumor, respectively. On the clinical symptoms, Tinel sign was the most common in the peripheral nerve group with 78.6% (11/14), while 93.5% of the intramuscular group had palpation of the mass with a mean duration of 66.6 months. In the bone group, one out of five cases was reported as a low-grade malignancy. Two cases of postoperative complications were encountered; one was bleeding after tumor excision, which required hemostasis, and the other was peroneal nerve palsy after surgery. Conclusion: When assessing the large-sized soft tissue tumors in the muscles, the possibility of a benign schwannoma should be considered if 1) there is a long period of mass palpation and 2) non-specific findings in MRI. Preoperative pathology confirmation with a biopsy can help reduce the risk of overtreatment.

Malignant Schwannoma on the Right Chest Wall -1 Case Report- (흉벽에 발생한 악성 신경초종 -1례 보고-)

  • 황의두;황경환
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1051-1053
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    • 1997
  • Malignant schwannoma is rare tumor which is derived from schwas cells or nerve sheath cells, and it is frequently associated with Von Rechlinghausen's disease. We experienced one case of malignant schwannoma on the right chest wall without Von Rechlinghausen's disease. Patient was 64-year-old man who presented painless palpable mass on the right lower -chest wall for about 2 months. On chest computed tomography, the mass which was 6$\times$6 cm in size and had central necrosis, involved 11th rib with destruction, invaded the diaphragm and displaced the kidney anteriorlly. He underwent on-bloc resection of the tumor and discharged without any problem after 20 days.

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