• Title/Summary/Keyword: Cystic Lesion

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Immunohistochemical Array Analysis of Cemento-Ossifying Fibroma Exhibiting aneurysmal Cystic Changes (백악-골화섬유종에서 보이는 동맥류성 낭종변화의 면역조직화학염색 배열분석)

  • Lee, Sang Shin;Kim, Yeon Sook;Lee, Suk Keun
    • The Korean Journal of Oral and Maxillofacial Pathology
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    • v.42 no.6
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    • pp.189-198
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    • 2018
  • A 31 years old female had been suffered from a bony swelling in right premolar region of the mandible for 12 years, recently grown rapidly. A fistula tract developed on the right anterior mandibular border, but the lesion was relatively asymptomatic. In the radiological examination, the tumor mass was irregularly mixed with radiolucent and radiopaque areas, forming multiple cystic spaces. Under the diagnosis of calcifying odontogenic cyst, the mandibular mass was resected and examined pathologically. After decalcification, the dissected tumor mass showed multiple small cystic spaces and calcifying fibrous tissue, mimicking calcifying odontogenic cyst or ameloblastoma. Histological observation showed many calcifying cementoid materials and ossifying trabeculae. The cystic spaces were turned out to be dilated vascular channels lined by endothelial cells, containing plasma fluid. However, the main lesion was diagnosed as cemento-ossifying fibroma (COF), and the atypical vascular channels were greatly dilated and gradually expanded the whole tumor mass. The present COF was examined through immunohistochemical (IHC) array, and investigated for tumor cell characteristics, exhibiting abnormal ossification and aneurysmal cystic changes. IHC array disclosed that the tumor cells grew progressively in the lack of apoptosis, and that they showed lower expression of RUNX2 than BMP-2, RANKL, and OPG, and increases of protein expression in $HIF-1{\alpha}$, VEGF-A, and CMG2. These data suggested that the reduced expression of RUNX2, osteoblast differentiation factor, be relevant to abnormal ossification of COF, and that the consistent expressions of angiogenesis factors be relevant to de novo angiogenesis in COF, subsequently resulted in aneurysmal cystic changes.

Pulmonary Arteriovenous Fistula -One Case Report- (폐동정맥루)

  • 최영호
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.183-187
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    • 1982
  • Pulmonary arteriovenous fistula is a congenital vascular malformation In the lung, various synonyms including Pulmonary cavernous vascular malformation, Pulmonary arteriovenous aneurysm, Cavernous hemangioma of the lung0 Pulmonary telangiectasia, Pulmonary hamartoma, etc. The pathogenesis of its symptoms is that unoxygenated, desaturated arterial blood enters into the pulmonary venous system directly. Recently we have experienced one case of the pulmonary arteriovenous fistula which was diagnosed as the pulmonary cystic lesion of the lung preoperatively in 20 years old, 61 kg, male patient. Operation was revealed well circumscribed cystic lesion filled with blood, subpleural and anterior mediobasal location, and bright red colored aspirates on two times needle aspirations. Microscopic finding shows ill circumscribed vascular lesion composed of varying sized blood vessels with irregular thickening of wall and final pathological diagnosis is Pulmonary Arteriovenous Fistula. Basal segmentectomy was done and the patient shows good postoperative course.

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A Case of Suprascapular Neuropathy at the Spinoglenoid Notch due to a Cystic Lesion (가시관절와패임의 낭성병터로 발생한 어깨위신경병증 1예)

  • Kang, Bong-Su;Park, Kang;Choi, Jay-Chol;Kang, Sa-Yoon
    • Annals of Clinical Neurophysiology
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    • v.9 no.1
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    • pp.23-25
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    • 2007
  • The symptomatology of suprascapular neuropathy is variable, depending principally on the etiology and location of the lesion. Among them, suprascapular nerve entrapment with isolated paralysis of the infraspinatus muscle is uncommon. We report a 27-year-old man presenting with right arm weakness. Based on the electrophysiologic and imaging findings, suprascapular neuropathy at the spinoglenoid notch due to cystic mass lesion was diagnosed.

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Suspected Unilateral Renal Dysplasia in a Cat with Intermittent Hematuria (혈뇨를 보이는 고양이의 편측성 신장이형성 증례)

  • Han, Jae-Ik;Na, Ki-Jeong
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.91-93
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    • 2015
  • A 6-month-old, castrated male, Korean short-haired cat was referred with intermittent hematuria. Physical and laboratory examination including complete blood count and serum biochemistry profiles showed no specific findings. Ultrasonography revealed a cystic lesion of the mid-abdomen, which was approximately $2{\times}2cm$ in size. FNA cytology of cystic fluid showed numerous cholesterol crystals of varying size and shape and granulomatous inflammation. CT examination showed fluid-filled large cystic lesion in the left side of the abdomen. Taken together, this case was diagnosed as unilateral (left) renal dysplasia and cystic inflammation led by cholesterol crystallization in the left kidney.

Magnetic resonance images of ameloblastoma

  • Kim Jae-Duk;Kim Jin-Soo
    • Imaging Science in Dentistry
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    • v.35 no.4
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    • pp.207-213
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    • 2005
  • Purpose: To classify and describe the characteristic features of MRI of some ameloblastoma variants. Materials and Methods: The MR images, CT images, and panoramic radiographs in 5 cases were retrospectively examined as follows. First, the contents of ameloblastomas were devided into two portions of either solid or cystic components on the basis of MR signal intensities. The signal intensity within the solid or cystic portions was classified as homogeneous or heterogeneous. Next, the characteristic internal feature of the lesion on T1W1 or T2WI was described. The signal intensities were classified into low, intermediate, slightly high, high, and strong high signal intensity. Results: Unicystic lesion showed homogeneous high signal intensity (SI) on T2W2 and the rim enhancement of the surrounding area including the mural nodule and the thick wall except the central portion on Gd- T1W1. Solid type revealed heterogeneous and high SI area with strong high SI area on T2W2. On Gd- T1W1, the area corresponding to the low signal spot on T1W1 and the strong high signal spot on T2W1 showed low SI. Hybrid type showed slightly enhanced capsular structures and low SI for the round bony septa and the areas connecting the mixed and cystic lesions on T2Wl and Gd-T1W1. Conclusion: MRI could easily assess the relationship between the mixed and cystic findings in ameloblastoma.

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Scalp metastasis from an adenocarcinoma of the lung mimicking a cystic mass: case report and literature review

  • Kim, Han Koo;Kang, Seung Hyun;Kim, Woo Seob;Kang, Shin Hyuk;Kim, Woo Ju;Kim, Hyeon Seok;Bae, Tae Hui
    • Archives of Craniofacial Surgery
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    • v.23 no.5
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    • pp.237-240
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    • 2022
  • A 67-year-old man visited our plastic surgery clinic complaining of a palpable protruding mass (2.0×2.5 cm) in the right occipital region. To establish an appropriate treatment plan for the cystic mass, brain magnetic resonance imaging was performed. A 2.2 cm nodular lesion with peripheral enhancement in the right occipital region of the scalp was confirmed. In addition, two rim-enhancing nodular lesions up to 9 mm with marked perilesional edema in the right frontal lobe were confirmed. The findings suggested metastasis from cancer. After further evaluations, a mass in the right lower lung field was identified as adenocarcinoma of the lung. Histological examination characterized the excised lesion as a cutaneous metastasis from lung adenocarcinoma. This case report shows that a cystic mass, which commonly occurs in the scalp, may indicate lung cancer. In particular, if a cystic mass of the scalp is identified in a person at high risk for lung cancer, appropriate evaluation and urgent treatment should be performed.

Congenital Thymic Cyst: A Report of Two Cases (선천성 흉선 낭종 2례 보고)

  • 김주현
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.41-44
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    • 1972
  • Thymic cyst is a relatively uncommon,usually asymptomatic benign lesion situated in the anterior mediastinum or in the neck,and sometimes in both regions. This is a report of two cases of congenital thymlc cyst in a 18 year old girl and a 43 tear old man. Those were treated with extirpation of the cystic lesion by thoracotomy successfully and had good postoperative results.

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Conservative approach to recurrent calcifying cystic odontogenic tumor occupying the maxillary sinus: a case report

  • Kim, Yongsoo;Choi, Bo Eun;Ko, Seung-O
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.5
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    • pp.315-320
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    • 2016
  • Calcifying cystic odontogenic tumor (CCOT) is an uncommon benign cystic neoplasm of the jaw that develops from the odontogenic epithelium. Invasion into the maxillary sinus by a CCOT is not a typical, and the recurrence of the cystic variant of CCOT in the posterior maxilla is rare. This report describes a recurrent CCOT occupying most of the maxillary sinus of a 24-year-old male patient. As a treatment, marsupialization was carried out as a means of decompression, and the involved teeth were all endodontically treated. Afterward, surgical enucleation was performed. The size of the lesion continued to shrink after marsupialization, and the maxillary sinus restored its volume. This patient has been followed-up for 3 years after the surgery, and there have not been any signs of recurrence.

Cystic Metastasis in the Neck from Pharyngeal Cancer (낭포성 경부임파전이암)

  • Lee Seung-Ho;Choi Jong-Ouck;Jung Kwang-Yoon;Kim In-Sun
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.1
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    • pp.40-44
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    • 1991
  • Cystic metastasis in the neck from pharyngeal cancer has often been mistaken for either primary squamous cell carcinoma of branchiogenic origin or branchial cleft cyst. The distinctive histological and clinical features of cystic metastasis reviewed after its correct indentification can lead to the discovery of an unsuspected primary lesion and result in specific treatment options. Recendy, the authors experienced three cases of cystic metastasis in the neck from pharyngeal cancer ; one was from nasopharyngeal squamous cell carcinoma and the other two were from tonsillar squamous cell carcinomas. This report summarizes our experiences and review of the literatures.

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Incidentally found cystic lymphangioma of the adrenal gland in an elderly male cadaver

  • Kim, Hee Cheol;Kang, Yunji;Maeng, Young Hee;Kim, Jinu;Yoon, Sang-Pil
    • Journal of Yeungnam Medical Science
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    • v.36 no.3
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    • pp.265-268
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    • 2019
  • Adrenal cystic lymphangiomas are extremely rare entities that are often identified incidentally, with less than 60 cases reported to date. We found a protruding ovoid mass consisting of a multiloculated cystic lesion within right adrenal gland in the cadaver of a 75-year-old Korean man. The epithelial cells lining the adrenal cyst were diffusely positive for cluster of differentiation 31 and podoplanin, and negative for pan-cytokeratin. The histopathological diagnosis confirmed a cystic lymphangioma arising from the adrenal gland. Post-mortem findings of the present case are discussed based on the clinicopathological features of adrenal cystic lymphangiomas.