• Title/Summary/Keyword: CM firm

Search Result 112, Processing Time 0.031 seconds

A Case Report of Salivary Duct Carcinoma (이하선에 생긴 침샘관암의 치험례)

  • Park, Sung Wook;Kang, Sang Yoon;Kim, Tae Hun;Kim, Chung Hun
    • Archives of Plastic Surgery
    • /
    • v.35 no.5
    • /
    • pp.607-610
    • /
    • 2008
  • Purpose: Salivary duct carcinoma(SDC) is uncommon but high grade adenocarcinoma arising in the ductal epithelium of salivary glands. SDC is characterized by distinctive clinical and pathologic features. The most important histologic aspect of this neoplasm is its resemblance to ductal carcinoma of the breast. Clinically SDC is defined by cervical lymph node involvement and distant metastasis with a high rate of recurrence and mortality. We described some of the clinical and pathological features of SDC and the management using case report for our patient. Methods: We present a case of a 40-year-old male with 2-year history of a swelling arising in his left preauricular region. There was a single painless, firm and solid $2{\times}1.5cm$ mass in the left parotid area. Facial nerve function was intact and no cervical lymph node were palpable. In August 2005, we found out $1.7{\times}1.8cm$ sized cystic, nodular lesions that were located in the superficial lobe of left parotid gland through Computed tomography. And then superficial parotidectomy and postoperative radiation therapy were performed in Jan 2007. Results: Pathologically, the specimen were consisted of homogeneous, chondoid to myxoid type of tissues. It was yellow mass that has multiloculated cystic lesions. In postoperative PET(Positiron emission tomography) CT, there was no evidence of uptaking FDG(Fluorodeoxyglucose) into the deep layers of parotid gland and distant metastasis were not seen. Conclusion: Salivary duct carcinoma(SDC) is a rare but high grade adenocarcinoma related to pleomorphic adenocarcinoma. The prognosis of SDC can be different according to the type of tumor such as mucoepidermoid adenocarcinoma, adenoid duct carcinoma and acinar cell carcinoma. So we need to study more carefully for accurate diagnosis in early stage of diagnosis. Although radiotherapy has not yet proven to be a significant factor in overall survival, the combination of parotidectomy and postoperative radiation therapy can lead to more favorable results in treating of SDC.

Intracapsular Chondroma of the Knee - A case report - (슬관절에 생긴 연골종 - 증례보고 -)

  • Ji, Jong-Hoon;Kim, Young-Yul;Kim, Jin-Young;Shafi, Mohamed;Kim, Ji-Chang;Lee, Sang-Wook;Kim, Weon-Yoo
    • Journal of the Korean Arthroscopy Society
    • /
    • v.8 no.1
    • /
    • pp.54-57
    • /
    • 2004
  • Intracapsular chondromas of the knee have been reported rarely, so the authors report one case about its clinical and histologic findings. This is the case about 38-year-old man who feel painful swelling of the knee joint and the tenderness on the anterior aspect of knee. After arthroscopic excision, grossly there was a 2.5${\times}$l.5${\times}$1cm sized white colored firm mass which had central brownish lesion. Microscopically it was confirmed to chondroma which was consisted of hyaline cartilage and outer thinly synovial membrane.

  • PDF

Eyelid Squamous Cell Carcinoma in a Horse in Jeju (제주도의 말에서 발생한 안검 중층편평상피 암종)

  • Kim, Jae-Hoon;Woo, Gye-Hyeong;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
    • /
    • v.30 no.5
    • /
    • pp.399-402
    • /
    • 2013
  • An 8-year-old, female, mixed Thoroughbred horse was presented for the evaluation of the left upper eyelid mass with ocular discharge during 4 months. After unilateral surgery, excised eyelid mass and left eye were submitted for diagnosis. Grossly, the removed mass was $6{\times}7{\times}2$ cm in size and dome shape with rough irregular surface. On the cut surface, mass was firm and yellowish white in color. Histopathologically, severely proliferated stratified squamous epithelia were heavily invaginated into dermis, and then formed rete ridge or numerous squamous islands. These neoplastic islands were composed of multiple layers of prickle cells with intercellular bridge and central laminated keratin pearls or necrotic cellular debris. Based on the above results, this case was diagnosed as squamous cell carcinoma in upper eyelid of horse.

Renal Adenocarcinoma in a California Sea Lion (Zalophus Californianus) (캘리포니아바다사자(Zalophus Californianus)에서 간과 비장전이를 보인 악성신장종양 예)

  • Kim, Sun-A;You, Mi-Hyeon;Eo, Kyung-Yeon;Kim, Dae-Yong;Shin, Nam-Shik
    • Journal of Veterinary Clinics
    • /
    • v.27 no.3
    • /
    • pp.307-309
    • /
    • 2010
  • A 25-year-old female California sea lion (Zalophus californianus) died after a history of depression, loss of appetite, weakness and weight loss. At necropsy, multifocal to coalescing, tan to white, firm nodules, ranging from 0.5 to 3 cm in diameter were observed throughout both kidneys. Renal adenocarcinoma metastasis to the liver, spleen and small intestine was diagnosed based on gross and histopathological findings. To the best our knowledge, this is the first reported case in Korea, and understanding this case will support management and diagnosis of future cases of renal adenocarcinoma in California sea lions.

Diagnostic Imaging of Renal Hemangiosarcoma in a Dog (개 신장 혈관육종의 진단 영상 1례)

  • Choi, Ji-Hye;Ban, Hyun-Jung;Jang, Jae-Young;Kim, Hyun-Wook;Kim, Hye-Jin;Kim, Hak-Sang;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
    • /
    • v.24 no.1
    • /
    • pp.51-55
    • /
    • 2007
  • A 13-year-old male Yorkshire terrier was Presented with Persistent weight loss anorexia and dark brown urine of 3-month duration. On physical examination, a firm oval mass was palpated at left renal region. In hematology and blood chemistry, neutrophilia, anemia, thrombocytopenia and elevation of ALKP were found. Abdominal radiography, ultrasonography and ultrasound-guided percutaneous pyelogram revealed masses originated from left kidney, mildly dilated renal Pelvis and intact ureter. Urinalysis showed hematuria and proteinuria. Because the state of dog became deteriorated during transfusion and the frail renal tumor was suspected to be the cause of inflammation and anemia, nephrectomy was performed. Renal masses, approximately $2{\times}3cm\;and\;5{\times}4cm$ respectively in size, was surrounded by swollen and congested mesentery and ascites. Metastatic lesion was not found in other organs. During recovery, the dog showed cardiopulmonary arrest and did not respond to critical care. Histologically the kidney was affected by necrotic and hemorrhagic change. This hemangiosarcoma most likely arose from the renal parenchyma resulting In diffuse lesions in the kidneys thought to be the cause of chronic anorexia and weight loss.

Spontaneous canine T-cell lymphosarcoma in a Shih Tzu dog (시추 개에서 발생한 T-cell 유래 림프육종 증례)

  • Oh, Hong-Guen;Chung, Yung-Ho;Lee, Hyun-A;Hong, Sun-Hwa;Kim, Ok-Jin
    • Korean Journal of Veterinary Service
    • /
    • v.34 no.4
    • /
    • pp.403-407
    • /
    • 2011
  • This study describes a canine lymphosarcoma with a rapid proliferation and recurrence. A 4-year-old, male, Shih Tzu dog was examined for acute swelling mass. The mass had been identified since 3 months ago and enlarged $10{\times}7$ cm and located in the right axillary region. The surgical removal was recommended when patient visited veterinarian and the operation was conducted. The removed tumor was $11{\times}8{\times}7$ cm and firm, lobulated and white cut surface. Routine screening laboratory test was assessed with blood and radiological analysis. The metastasis sign was not detected on thoracic and abdominal radiography. Blood test revealed decreased lymphocytes. After surgical removal of the mass, microscopic histopathological examination was performed to determine the final diagnosis. Histopathologically, the tumors are characterized by the same histological features, including the presence of neoplastic cellular populations, and lymphocytes infiltration in varying proportions. Also, DNA was extracted and PCR analysis was employed to analyze the origin of tumor cells. T-cell specific nucleic acid fragments were specifically amplified by PCR. On the basis of the laboratory results, the tumor was diagnosed with canine T-cell lymphosarcoma. On the basis of our knowledge, this is the first report of canine T-cell lymphosarcoma in a Shih Tzu dog.

'Arirang', Early-flowering Pure White Gladiolus with Purple Core (조생 순백색 자주 화심 글라디올러스 '아리랑')

  • Cho, Hae Ryong;Rhee, Hye Kyung;Lim, Jin Hee
    • FLOWER RESEARCH JOURNAL
    • /
    • v.18 no.2
    • /
    • pp.142-146
    • /
    • 2010
  • 'Arirang', an early-flowering pure white gladiolus with purple core, was released by the National Institute of Horticultural & Herbal Science (NIHHS) in 1998. The selection was derived from the cross between the progenies of the early flowering dark orange 'Arianne' and bright red domestic cultivars 'Hongkwang'. The breeding was conducted in 1993 and finally selected in 1998 after five (5) years (1994 to 1998) of experimentation. 'Arirang' is a cut flower with bright white color petals and purple core which exhibited early flowering and vigor without stem bending. These can be cultivated in areas or regions with strong winds during summer. 'Arirang' has a very firm growth form and sturdy branches which do not bend when planted in the open fields. Likewise, the plant had high tolerance to flooding and resistance hence could grow vigorously in open areas. It is a fast- growing plant which exhibits high corm production rate. 'Arirang' had a 10.5 cm wide flower and 140 cm plant height. During summer, the average number of days to flowering was recorded at 75 days of 'Arirang'. Top dressing must be conducted once or twice during corm production to enhance corm quality and quantity.

Pleomorphic Adenoma of the Upper Lip: A Case Report (윗 입술에서 발생한 다형선종: 증례보고)

  • Tae Hyun Kim;Seong Heum Jeong;Chung Hun Kim
    • Korean Journal of Head & Neck Oncology
    • /
    • v.40 no.1
    • /
    • pp.33-36
    • /
    • 2024
  • Pleomorphic adenoma (PA) is a commonly occurring benign tumor originating in the salivary glands. The incidence is mostly in the parotid glands (85%) followed by minor salivary glands (10%). Pleomorphic adenoma from minor salivary glands of the lips is a rare neoplasm. Here, we present a case of a patient with PA in the upper lip, reporting a common neoplasm in a rare site. A 82-year-old male with a slowly progressing swelling that occurred 20years ago on the upper white lip. This tumor is not associated with pain and tenderness. The mass was about 1.5x1.5cm sized, circumscribed, sessile and firm on the external upper lip without oral side bulging (Fig. 1). The tumor was removed completely with a elliptical incision under local anesthesia. The encapsulated mass was measured 0.9x0.9x0.6cm. On histology, a well-circumscribed growth was seen comprising epithelial and stromal components. The epithelial component formed glandular structures lined by round-to oval cells having small nuclei, pink cytoplasm and myoepithelial basal cell layer while the stroma had a fibromyxoid appearance(Fig. 2). Postoperatively wound was well healed without recurrence after 6months. Pleomorphic adenoma of the upper lip is a rare neoplasm, especially not intraoral growth. For aesthetic good result, the mass was removed without hesitation. It is required a high index of suspicion and a long-term follow-up because it could recur and rarely be transformed into malignancy.

A Case Report of Head and Neck Neurofibroma Cured with Transitional Flap (국소피판으로 치료한 $6{\times}7cm$ 크기의 두경부 신경섬유종 1례)

  • Do Jae-Woon;Park Sang-Woo;Jeong Joon-Hun;Kang Tae-Woo
    • Korean Journal of Head & Neck Oncology
    • /
    • v.22 no.1
    • /
    • pp.36-39
    • /
    • 2006
  • The Neurofibroma is a benign neoplasm originating from neural tissue such as Schwann cell, fibroblast and peripheral fibroblast, which rarely converts to malignancy. About 25-45% of neurofibroma are located in head and neck, and the most common sites are lateral cervical region and mouth. Because of its high vascularity and invasion to the adjacent organs, surgical resection may be confronted and limited, moreover large neurofibroma can cause large defect that needs various kinds of flap. The factors related to clinically suspected malignancy are painlessness, abrupt increase in size, firm fixation, and central ulceration, although the malignancy rate of neurofibroma is low. The complete resection was failed several times at local clinic, the patient was transferred to our hospital. We have successfully removed the retroauricular neurofibroma using transposition flap & free skin graft on its large defects.

A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol) (외상성 복벽 탈장 환자에서 biologic mesh를 이용한 치료)

  • Yu, Byung Chul;Chung, Min
    • Journal of Trauma and Injury
    • /
    • v.25 no.2
    • /
    • pp.63-66
    • /
    • 2012
  • Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.