• Title/Summary/Keyword: 연골종

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Peroneal Nerve Palsy Associated with Musculoskeletal Tumor Resection (종양 절제 후 동반된 비골신경 손상)

  • Jung, Sung-Taek;Chung, Jae-Yoon;Seon, Jong-Keun;Cho, Sang-Gwon;Kim, Ki-Hyeoung
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.22-28
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    • 2004
  • We retrospectively reviewed the cases of peroneal nerve palsy in seven patients after musculoskeletal tumor resection. Their mean age was 38 years. Three had osteosarcoma in proximal fibula, 2 had chondrosarcoma in proximal fibula and calf and 2 had malignant fibrous histio cytoma in calf. Four of 7 patients had been managed using active dorsiflexion brace. Three patients who underwent tibialis posterior transfer and could walk without brace were able to discontinue the use of the orthosis. Peroneal nerve palsy after wide excision of tumor including peroneal nerve can not resolve spontaneously and results in severe functional disability. To improve the gait function, active surgical treatment should be considered.

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Recycling Bone Autotransplantation with Extracorporeal Heat-Treatment for Malignant Bone Tumors of Pelvis (골반골의 악성 골종양의 재건술에서 체외 열처리를 이용한 재활용 자가골 이식술 및 인공 관절 치환술을 시행한 3례 보고)

  • Kim, Sae-Hoon;Lee, Sang-Hoon;Cho, Hwan-Sung;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.115-123
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    • 2003
  • Study Design: A retrospective clinical and radiographic review. Objectives: The purpose of this study was to suggest recycling bone autotransplantation with extracorporeal heat-treatment as one of favorable reconstruction method for malignant bone tumors of pelvis through 3 cases. Summary of Literature Review: There are many biologic and nonbiologic reconstruction method in pelvic reconstruction. Cases: Case 1- A 20-year-old women had chief complaint of right hip and thigh pain started 3 months ago and done curettage and bone cementing at right ilium at other hospital. She had impression of malignant bone tumor and undergone postoperative radiation therapy for 6 cycles. After that she was referred to our hospital and undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal heat-treatment at 132 degree celsius for 2 minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (ABG$^{(R)}$). There was no evidence of distant metastasis and revealed well-differentiated osteosarcoma on postoperative pathology. Neither adjuvant nor neoadjuvant chemotherapy were done. Case 2- A 56-year-old women who suffered right thigh pain for 3 months was detected radiologic abnormality at right pelvis. After incisional biopsy, osteosarcoma was diagnosed. We had undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (ABG$^{(R)}$). There was no evidence of distant metastasis and revealed high-grade osteosacoma which was fibroblastic type on postoperative pathology. Adjuvant chemotherapy (HDMTX, ADR, CDDP) was done immediate after wound healing was completed. Case 3- A 46-year-old women was incidently found mass at left ilium which was suspected chondrosarcoma. We had undergone wide excision of left ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (Protek$^{(R)}$). There was no evidence of distant metastasis and revealed chondrosarcoma which was graded II/III on postoperative pathology. Results: Oncologic and functional outcome at final follow-up were for case 1, final follow-up time was 7 years, is no evidence of disease and functional score is 53% according to Ennecking et al. During follow-up, evidence of radiologic union was at about 1 and 6 months after operation. The case had breakage of pelvic reconstruction plate and some resorption of autotransplated bone, but no symptom present. For case 2, final follow-up was 3 years and 6 months, is no evidence of disease and functional score is 60%. For case 3, final follow-up was 7 months, no evidence of disease and functional score is 63% which is improving state. Discussion: 3 cases which were undergone recycling bone autotransplantation with extracorporeal heat-treatment and total hip replacement arthroplasty had relatively successful oncologic and functional outcome. Taking account that difficulty in using allograft in Korea this method is thoght to be one of the useful way to reconstruct pelvis after resection of primary malignant bone tumor of the pelvis.

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Calcifying Aponeurotic Fibroma - A Case Report - (석회화 건막 섬유종 - 증례 보고 -)

  • Paik, Seung-Sam;Jang, Ki-Seok;Han, Hong Xiu;Kim, Hyung-Jong;Roh, Won-Il;Lee, Seong-Pil;Lee, Kwang-Hyun
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.233-237
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    • 2003
  • Calcifying aponeurotic fibroma is a benign, aggressive fibrous tumor seen in childhood or adolescence that most commonly affects the palm. We report our experience in treating calcifying aponeurotic fibroma in the hand of fifteen-year-old boy. He was presented with a recurrent mass in hypothenar area of his left hand. He had a history of local excision of the mass 7 years ago in local clinic. The palpable mass was hard, tender and movable. The simple X-ray revealed multifocally scattered microcalcifications in the mass. The excised mass showed the features of dense fibrotic soft tissue tumor with multiple small whitish calcifications. The microscopic sections showed a lobulated and a poorly circumscribed proliferation of dense fibrous tissue, containing islands of metaplastic chondroid differentiation with prominent calcification. The recommended treatment of this lesion is wide excision allowing for sparing of functional or vital structures, but high recurrence rate as this case has been reported to be more than 50 percent.

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Liposclerosing Myxofibrous Tumor - A case report - (지방경화성 점액섬유종(Liposclerosing myxofibrous tumor) - 1예 보고 -)

  • Yoo, Chang-Young;Jung, Eun-Sun;Park, Gyeong-Sin;Lee, Youn-Soo;Jee, Won-Hee;Kang, Chang-Suk;Lee, Kyo-Young
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.126-130
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    • 2006
  • Liposclerosing myxofibrous tumor (LSMFT) is a fibro-osseous lesion of the bone with a marked predilection for the intertrochanteric region of the proximal femur. It is characterized by a complex mixture of histological elements including fibrous dysplasia-like features, myxofibrous tissue, lipomatous area, ischemic ossification, xanthoma cells and pseudo-Paget's bone. Though some consider LSMFT as a variant of the fibrous dysplasia, intraosseous lipoma, or other benign osseous lesions, recently LSMFT is emerged as a genuine clinicopathologic entity. We experienced a 48-year female patient with typical histologic and radiologic findings of LSMFT. It was located at the intertrochanteric area of the femur. Radiologically, the lesion was radiolucent and ground-glass appearance with sclerotic rim in the plain film and magnetic resonance imaging. Histologically, myxofibrous tissue, lipomatous area and fibrous dysplasia-like features were predominant findings.

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Species Composition of the Catches collected by a Bottom Trawl in the Southern Waters of Korea in Summer, 2004 (2004년 하계 한국 남해에 있어서 저층 트롤 어획물의 종조성)

  • Jeong, Sun-Beom;Hwang, Doo-Jin;Kim, Young-Ju;Shin, Hyeong-Ho;Son, Yong-Uk
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.41 no.1
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    • pp.35-45
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    • 2005
  • The experiment was conducted to investigate the species composition of catches collected by the bottom trawl on June 24 to 26, 2004 in the southern waters of Korea using a trawler "DONGBAEK" belongs to Yosu National University. The investigation was carried out at the 5 stations and the towing speed was 3.4${\sim}$3.7k't. The catches were composed of 46 species from 37 families, 10 orders and 2 classes for fishes and 2 species, 2 families and 2 orders for Chondrichthyes and 44 species, 35 familes, 8 orders for Osteichthyes. The catches of Perciforms were the highest as 24 species and 18 families for fishes. The catches of Spear squid, Loli해 bleekeri and Red banded lobster, Metanephrops thomsoni were also the highest for mollusca and crustacea as 1 class, 3 species, 3 families, 2 orders, 1 class and 7 species, 5 families, 1 order, 1 class respectively. In the 5 stations, number of individuals and biomass were 1,144 and 376.0kg at ST-1, 908 and 240.3kg at ST-2, 666 and 90.1kg at ST-3, 2,050 and 300..4kg at ST-4 and 561 and 24.7kg at ST-5. The diversity index of each stations ranged between 1.49 and it showed the richness index of 2.13${\sim}$3.48, the evenness index of 0.48${\sim}$0.77 and the dominance index of 0.43${\sim}$0.8. Body length distributio of the dominant specise were 9${\sim}$32cm(fork length) for Japanese horse mackerel, Trachurus japonicus, 7${\sim}$23cm(mantle length) for Common squid, Todarodes pacificus, 9${\sim}$43cm(mantle length) for Spear squid, Loli해 bleekeri, 23${\sim}$36cm(total length) for File fish, Thamnaconus modestus, 10${\sim}$28cm(fork length) for Yellow porgy, Dentex tumifrons, 10${\sim}$36cm(fork length) for Target dory, Zeus faber and 8${\sim}$35cm(fork length) for Red seabream, Pagrus major.

Benign Tumors of the Talar Body (거골 체부에 발생한 양성 종양)

  • Suh, Sung-Wook;Lee, Sang-Hoon;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.3
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    • pp.76-82
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    • 2002
  • Purpose: Benign bone tumor of the talar body have rarely been evaluated according to the therapeutic methods because of the scarcity of their incidence. Here, we report our experience of 8 cases who were treated by using of posterior approach and curettage through the posterior process of the talus. Materials and Methods: Between February 1986 and October 2001, we experienced 8 cases of benign bone tumor occurring in the talar body. They included two osteoid osteomas, two giant cell tumors, one capillary hemangioma, one chondroblastoma, one simple bone cyst, and one osteochondroma. Their mean age was 22.1 years (ranging from 10 to 41 years). Mean follow-up period was 7.7 years (ranging from 1 to 16 years). All patients were treated by using of posterior approach. Two osteoid osteomas and one osteochondroma were treated by excision of tumors. Other cases were treated with curettage through the cortical window on the posterior process of the talus. Results: There was no recurrence during the follow-up period. one infection occurred. Except this case, all patients had no pain in weight-bearing, and complete range of movement at the ankle joint was reserved in each case. Conclusion: In this study, we suppose that posterior approach to the talar body may be a safe method with minimal damage of normal tissues and sufficient of curettage is capable through the cortical window on the posterior process of the talus.

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RECURRENT CHONDROBLASTOMA ON THE RIGHT TEMPORAL AREA : A CASE REPORT (우측 측두골에 재발한 연골아세포종의 증례보고)

  • Seo, Woon-Kyung;Huh, Pil-Woo;Lee, Won;Kim, Seong-Hun;Go, Taek-Su;Heo, Hyun-A;Kim, In-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.4
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    • pp.388-393
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    • 2005
  • Chondroblastoma was introduced as a rare benign cartilaginous neoplasm by Codman in 1931. It described by Jaffe and Lichtenstein in 1942 as a benign cartilaginous neoplasm that represents less than 1% of all primary bone tumor. It commonly arises in the epiphysis of long bone but, it occurs very rare in temporal area. Sometimes, microscopic identification of chondroblastoma and giant cell granuloma is difficult. An immunohistochemical studies was performed for S-100 protein which is useful in arriving at the correct diagnosis. Treatment modalities are total curettage, en-bloc excision, irradiation, and radiation combined with surgical excision. But radiation therapy was controversial. We describe a case of chondroblastoma which was arisen in the right temporal area and the recurrence that was treated by surgical excision and radiation therapy with review of literature.

Cloning of a matrix metalloproteinase cDNA from Scylliorhinus torazame (두툽상어 matrix metalloproteinase 유전자 cDNA의 클로닝)

  • Kim, Jon Won;Cho, Won Jin;Chun, Kwang Ho;Kim, Kyu-Won;Kim, Yung-Jin;Lee, Sang-Jun;Shin, Hae-Ja;Lim, Woon Ki
    • Journal of Life Science
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    • v.8 no.3
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    • pp.235-240
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    • 1998
  • Matrix metalloproteinases(MMPs) are a group of zinc enzymes responsible for degradation of the matrix components such as collagen and proteoglycans in normal embryogenesis and remodeling and in many disease processes such as arthritis, cancer, periodontitis, and osteprocess. Genetically distince MMPs have been characterized and their genes have been cloned thus far from a variaty of species but not from fishes. In this stydy, a mmp cDNA was cloned by using RT-PCR(reverse transcriptase dependent polymerase chain reaction) from Scylliorhinus toraxzame(shark), agroup of cartilaginous fish, abundant in the coast of Pusan, Korea. It has 74% base homologue with membrane type matrix matalloproteinase-3 genes(mt3-mmps) from human, rat and chick, and also shows more than 90% residue homologue with them. In addition, it has cysteine switch domain, zinc binding domain(HExGH motif), propeptide cleavage site, and RRKR motif, which are present in MMPs. This result indicates that cDNA fragment cloned here may be mt3-mmp or its analogous gejne cDNA fragment of Scylliorhinus torzame.

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A Case Report of Chondroid Syringoma of Philtrum (인중에 발생한 연골모양 땀샘종의 치험례)

  • Cha, Jeong Ho;Kim, Jin Woo;Shin, Han Kyung;Jung, Jae Hak;Kim, Young Hwan;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.11 no.2
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    • pp.107-110
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    • 2010
  • Purpose: Chondroid syringoma is a rare mixed tumor of the skin that was first described by Hirsch and Helwig (1961). Characteristically, it is composed of the proliferation of epithelial cells in a myxoid and chondroid matrix. Most lesions occur on the head and neck region, and their size may range from 0.5~3 cm. Since a chondroid syringoma presents similar characteristics to other masses on the head and neck region, it is significantly important to distinguish with other masses by a surgical biopsy. Methods: A 51-year old woman presented with a painless nodular mass ($0.5{\times}0.5{\times}0.5cm$) on the philtrum, which appeared during the previous year. The mass was treated with a laser without a surgical biopsy. However, the size of the mass showed no changes. Surgical excision under local anesthesia was performed and sent for histopathology. Results: Gross examination showed a mass surrounded by a well developed capsule within the dermal layer. After complete excision without injury to the orbicularis oris muscle, the wound was covered with a local flap. The histology examination revealed numerous cuboid epithelial cells with tuboalveolar structures and keratinous cysts within a chondroid stroma. No recurrence or metastasis was observed at the follow-up visits. Conclusion: Chondroid syringoma is a rare mass on the face. An accurate diagnosis is essential for optimal treatment. This paper reports a case of a chondroid syringoma on the philtrum with a brief review of the relevant literature.

Synovial Lesions with Low Signal Intensities on T2-Weighted MR Image (T2 강조 MR 영상에서 저신호강도를 보이는 윤활막 질환)

  • Choo, Hye-Jung;Lee, Sun-Joo;Cho, Kil-Ho;Suh, Kyung-Jin;Lee, Sung-Moon;Lee, Young-Hwan;Lee, In-Sook;Lee, Gyung-Kyu;Kim, Bo-Mi
    • Investigative Magnetic Resonance Imaging
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    • v.15 no.1
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    • pp.1-10
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    • 2011
  • Pigmented villonodular synovitis, synovial chondromatosis, long-standing rheumatoid arthritis, hemophilic arthropathy, chronic tophaceous gout, amyloid arthropathy, tuberculous arthritis, and hemangioma are the synovial diseases showing low signal intensity on T2-weighted image. Synovial deposition of hemosiderin, urate, and amyloid and fibrosis or caseous necrosis of hypertrophied synovium are known as the pathologic causes of T2 signal intensity. Because of the low incidence of the synovial lesions showing T2 low signal intensity, recognition of these diseases would be helpful for the exact diagnosis.