• Title/Summary/Keyword: 혈관종

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Lipomatous Tumors in Hand (수부에 발생한 지방종성 종양)

  • Lee, Kwang-Hyun;Lee, Bong-Gun;Bong, Hyun-Jong
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.131-139
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    • 2008
  • Purpose: Lipomatous tumor occurred in hand is very rare. There is a broad spectrum of lipomatous tumors including lipomas, variants of lipomas, lipomatosis, liposarcomas and so on. We report the clinical features of 11 cases of lipomatous tumor which occurred in hand. Materials and Methods: Between 1992 and 2008, 11 cases were histologically diagnosed as lipomatous tumor in hand. We reviewed all medical records and clinical photographs retrospectively and ascertained recurrence by telephone interview. Results: Eight cases were ordinary lipomas. Three cases were angiolipoma, fibrolipoma and atypical lipoma respectively. Four cases occurred in finger, two cases in thenar area, two cases in hypothenar area, one case in palm, two cases in wrist. All cases were situated on volar surface. All patients complained of palpable masses. One patient with subungal angiolipoma felt pain. There was no neurologic sign or vascular symptom preoperatively. In one case, postoperative complication (hypoesthesia in $5^{th}$ finger) was developed. There was no local recurrence. Conclusion: In our study, lipomatous tumors occurred in hand did not recur. Patients mainly complained of feeling of lump. Pain was uncommon symptom. Postoperative complication was rare if operation was performed carefully.

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Spontaneous Pneumomediastinum Accompanied by Bleomycin-Induced lung Toxicity (Bleomycin 유도 폐독성에 동반된 자연성 종격동 기종)

  • Do, Young-Woo;Cho, Suk-Ki;Lee, Young-Ok;Lee, Eung-Bae
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.791-794
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    • 2008
  • Pneumomediastinum is a rare, but well recognized complication of bleomycin-induced lung toxicity. Spontaneous pneumomediastinum has to be considered as one of the causes when the dyspnea becomes aggravated in patients with bleomycin induced lung toxicity. We describe here two patients who suffered with germ cell tumor and they developed spontaneous pneumomediastinum without pneumothorax, and this was caused by bleomycin-induced lung toxicity.

Acute Descending Necrotizing Mediastinitis Secondary to Spontaneous Rupture of Hypopharynx -A Case Report- (자연성 인두천공에 의한 급성하행 괴사성 종격동염 - 1례 보고 -)

  • 조규도;박찬범;조덕곤;김치경;왕영필;곽문섭
    • Journal of Chest Surgery
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    • v.35 no.11
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    • pp.842-846
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    • 2002
  • A rare case of acute descending necrotizing mediastinitis(DNM) secondary to spontaneous rupture of hypopharynx is reported. Due to the right lower cervical abscess the patient had undertaken limited right anterior cervical drainage at other department. After transferring to our department he undertook combined wide cervical mediastinal drainage and mediastinal drainage via right thoracotomy. However mediastinal drainage was ineffective. So the second operation was performed and chest tubes were relocated. He had an uneventful postoperative course. As far as the cause of acute descending necrotizing mediastinitis was concerned, we couldn't find any literature in Korean or English except one case that dealt with spontaneous rupture of the hypopharynx.

Mediastinal Parathyroid Cyst -1 case report - (종격동 부갑상선 낭종 -1례 보고-)

  • 정재일;김재욱;김승우;구본일;이혜경
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.59-62
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    • 2003
  • Mediastinal parathyroid cyst is a very rare disease and is usually found incidentally. Surgical excision is the treatment of choice and recurrence is very rare when complete excision is done. A 71-year-old man was referred to our department because of 6$\times$5cm sized right superior mediastinal mass found incidentally on chest X-ray Surgical excision was performed and pathologic findings were confirmed as mediastinal parathyroid cyst. The patient has been followed up postoperatively without recurrence for 4 months up to now. We report a case of mediastinal parathyroid cyst.

Multimodal Treatment of Pleuropulmonary Blastoma -Two case report- (흉막폐아세포종(Pleuropulmonary Blastoma) -치험 2예 보고-)

  • 박준석;한정호;구홍회;김진국
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.614-618
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    • 2003
  • Pleuropulmonary blastoma (PPB) is a rare intrathoracic neoplasm, found solely in childhood. The usual symptoms are dyspnea, chest discomfort, recurrent respiratory infections, fever, dry cough, and chest pain. The progress of PPB is usually aggressive and its progress is generally poor. Lymphatic spread to the hilar and mediastinal nodes can occur Distant metastasis is found in brain, bones, and intra-abdominal organs. Surgical resection is the treatment of choice. When the disease Is too extensive for surgical resection, neoadjuvant chemotherapy can be used. We report 2 cases of pleuropulrnonary blastoma in children successfully treated with multimodal therapy.

Clinical Study of the Relation between Bronchial Submucosal Granuloma and Post-resectional Bronchopleural Fistula (기관절단면의 결핵성 육아종의 존재여부에 따른 기관지늑막루 발생한 관한 연구)

  • 서정욱;정일영
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.524-529
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    • 1996
  • 200 cases of pulmonary tuberculosis patients treated by surgical resection were anlized Bronchial resection margin was examined by microscopic study to detect submucosal tuberculosis granuloma. 6 cases of bronchopleural fistula that occurred after resection were also asnalized to fond any relation with submucosal granuloma. Among 200 cases, 19 cases (9.5%) showed submucosal granu- loma. Of the 19 cases, 2 cases (10.5%) developed ea ly and late bronchopleural fistula On the con- trary, only 2.2% developed in granuloma negative cases. Granuloma positive cases were mote fre- quently seen in preoperative sputum positive cases and showed incidence of residual pleural dead space resection.

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Endobronchial Inflammatory Myofibroblastic Tumor of Right Lower Lobar Bronchus (우하엽 기관지에 발생한 기관지 내 염증성 근섬유아세포종)

  • 강정한;정경영;최성실;홍순창;신동환;김세훈
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.491-494
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    • 2002
  • Inflammatory myofibroblastic tumor was widely known as inflammatory pseudotumor, commonly developed as a solid mass in lung. The endobronchial inflammatory myofibroblastic tumor is a very rare case where only a few cases have been reported. We report a 13-year-old girl who had coughing for 5 months. The simple chest X-ray and computued tomography of the chest revealed a mass which obstructed the right lower lobe bronchus and pneumonic consolidation. The fiberoptic bronchoscopic finding was mostly gelatinous, gray-yellowish mass that obstructed the airway of right lower lobe bronchus nearly, and was considered as a chondroid hamartoma pathologically. Right lower lobectomy of lung was performed. The mass was confirmed as a endobronchial inflammatory myofibroblastic tumor The patient was discharged without complication and with outpatient followup.

Spindle Cell Lipoma Originated from Pleura -A case report - (흉막에서 기원한 방추 세포 지방종 - 1예 보고 -)

  • Kim Young Hak;Han San Woong;Kim Hyuck;Kang Jung Ho;Chon Soon-Ho;Chung Won Sang
    • Journal of Chest Surgery
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    • v.38 no.6 s.251
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    • pp.457-459
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    • 2005
  • Spindle cell lipoma is a relatively rare adipocytic neoplasm that is easily mistaken for a liposarcoma, and is histologically characterized by a mixture of uniform spindle cells and mature fat cells. It occurs predominantly in male patients aged $45\~65$ years, and in most cases it arises in the subcutaneous tissue of the neck or shoulder. We report a case of a 45-year-old woman with spindle cell lipoma arising from the left pleural cavity.

Surgical Treatment of Recurrent Giant Cell Tumor Occurring at the First Metatarsal (제1 중족골에 발생한 재발성 거대 세포종의 수술적 치료)

  • Kim, Kap Jung;Lee, Kwang-Won;Lee, Jong Shin
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.182-186
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    • 2019
  • Giant cell tumor is a benign but locally aggressive tumor with common recurrence. Most cases occur around the knee joint. Giant cell tumor of the foot is rare and very few cases involving the first metatarsal have been reported. Its characteristics and treatment in adult patients remain unclear. This paper reports a case of recurrent giant cell tumor at the first metatarsal that was excised surgically and subsequently reconstructed with non-vascularized fibula graft.

Surgical Treatment of a Posttraumatic Pseudoaneurysm of the Left Subclavian Artery Mimicking a Mediastinal Tumor - A case report - (종격동 종양으로 오인한 외상 후 좌 쇄골하 동맥 가성동맥류의 수술적 치험 - 1예 보고 -)

  • Choi, Won-Suk;Lee, Yang-Haeng;Han, Il-Yong;Yoon, Young-Chul;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.651-654
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    • 2008
  • Posttraumatic psoudoaneurysrns of the subclavian artery are very rare. A 49-year-old woman who had been involved in a car accident ten years before presentation was initially diagnosed with a mediastinal tumor at a local clinic. Exploratory thoracotomy was performed for evaluation and treatment. During the operation, a hematoma was evacuated, and primary repair was undertaken to stop massive bleeding. Computed tomography angiography revealed a pseudoaneurysm of the left subclavian artery. The patient was treated with aneurysmectomy and end-to-end anastomosis. The postoperative course was uneventful.