• Title/Summary/Keyword: Extramedullary tumor

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Intradural Extramedullary Hemangioblastoma of the Spinal Cord in Old Age - A Case Report - (고령에서 발현한 척수외 혈관모세포종 - 증 례 보 고 -)

  • Kim, Young Woo;Kim, Jae Keon;Yoo, Do Sung;Huh, Phil Woo;Cho, Kyuong Suck;Kim, Dal Soo;Kang, Joon Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.361-363
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    • 2001
  • Intradural extramedullary hemangioblastoma of the spinal cord is uncommon tumor. Symptom onset is typically in the forth decade. Complete excision offers the best chance for cure. We report a case of extramedullary hemangioblastoma of the spinal cord in old age. A 76 -year old man presented with 1 month history of paraparesis. Multiple enhancing lower thoracic and lumbar spinal masses were seen on magnetic resonance imaging(MRI). Surgical exploration for symptomatic lesion revealed intradural-extramedullary mass, which had hypervascularity. The excised spinal masses were diagnosed as hemangioblastoma. Postoperative course was uneventful and symptoms improved gradually.

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Intramedullary Solitary Fibrous Tumor of Cervicothoracic Spinal Cord

  • Hwang, Ui Seung;Kim, Sung Bum;Jo, Dae Jean;Kim, Sung Min
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.265-268
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    • 2014
  • Solitary fibrous tumor is rare benign mesenchymal neoplasm. The spinal solitary fibrous tumor is extremely rare. The authors experienced a case of intramedullary solitary fibrous tumor of cervicothoracic spinal cord in a 48-year-old man with right lower extremity sensory disturbance. Spinal MRI showed intradural mass lesion in the level of C7-T1, the margin between the spinal cord and tumor was not clear on MRI. A Left unilateral laminectomy and mass removal was performed. Intra operative finding, the tumor boundary was unclear from spinal cord and it had intramedullary and extramedullary portion. After surgery, patient had good recovery and had uneventful prognosis. Follow up spinal MRI showed no recurrence of tumor.

An Unusual Cervical Spinal Meningioma in a Child

  • Cho, Hyok-Rae;Lee, Jong-Koo;Paik, Ae-Lan;Jang, Woo-Young
    • Journal of Korean Neurosurgical Society
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    • v.53 no.2
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    • pp.129-131
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    • 2013
  • The incidence of spinal meningioma is very rare in children. A 14-year-old girl presented with right arm weakness, gait disturbance, and urinary incontinence. Cervical magnetic resonance imaging revealed an intradural extramedullary tumor dorsal to the spinal cord in the level of C1. The tumor was totally removed despite the severe cord compression. Meningotheliomatous meningioma was diagnosed after histological examination.

Gastric Extramedullary Plasmacytoma in a Dog (개의 위에서 발생한 골수외 형질세포종)

  • Chae, Woong-Joo;Kwon, Do-Hyoung;Kwon, Jin-A;Kim, Jae-Hoon;Jung, Joo-Hyun
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.356-359
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    • 2012
  • An eight-year-old, spayed female Shih-tzu, weighing 3.2 kg with a history of chronic intermittent vomiting and unknown pain for four months was referred. In ultrasonography, a small round hypoechoic mass was identified in the gastric wall. Gastric endoscopy showed a solitary raised mass with smooth surface in the pyloric antrum. Surgical resection was performed. Histopathologic findings with immunohistochemical studies showed extramedullary plasmacytoma in the gastric submucosal and muscle wall layer. The patient recovered normally without any complications. The tumor has not been re-occurred after surgical removal, to date.

Spinal Intradural Extramedullary Mature Cystic Teratoma in an Adult

  • Sung, Kyung-Soo;Sung, Soon-Ki;Choi, Hyu-Jin;Song, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.44 no.5
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    • pp.334-337
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    • 2008
  • Spinal intradural extramedullary teratoma is a rare condition that develops more commonly in children than in adults and may be associated with spinal dysraphism. We report a rare case of adult-onset intradural extramedullary teratoma in the thoracolumbar spinal cord with no evidence of spinal dysraphism and without the history of prior spinal surgery. The patient was a 38-year-old male whose chief complaint was urinary incontinence. X-ray images of the thoracolumbar spine showed the widening of the interpedicular distance and posterior marginal erosion of the vertebral bodies and pedicles at the T11, T12, and L1 level. Magnetic resonance imagings of the lumbar spine showed a lobulated inhomogeneous high signal intradural mass ($87{\times}29{\times}20mm$) between T11 and L1 and a high signal fluid collection at the T11 level. Laminectomy of the T11- L1 region was performed, and the mass was subtotally excised. The resected tumor was histopathologically diagnosed as a mature cystic teratoma. The patient's symptom of urinary incontinence was improved following the surgery.

Spinal Schwannoma; Analysis of 40 Cases

  • Jeon, Jee-Ho;Hwang, Hyung-Sik;Jeong, Je-Hoon;Park, Se-Hyuk;Moon, Jae-Gon;Kim, Chang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.135-138
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    • 2008
  • Objective: This study is to report our experience of 40 cases of spinal schwannoma. Methods: From 1995 to 2006, medical records were retrospectively reviewed in 40 cases of spinal schwannoma. Results: We treated 40 spinal schwannomas in 38 (22 male and 16 female) patients. The mean age was 50.2. Four cases were sited in the cervical spine, 11 cases in the thoracic spine, and 25 cases in the lumbar spine. Two patients showed recurrences. Thirty-eight cases were intradural-extramedullary type and 2 cases were extradural. Two cases (5%) including 1 recurred case had no postoperative motor improvement. Ninety-five percents of patients improved on postoperative motor grade. Conclusion: Spinal schwannoma is mostly benign and extramedullary tumor. There were 2 recurred cases (5%) that had history of previous subtotal removal at first operation and had shown worse prognosis compared with the cases without recurrence. To reduce the recurrence of spinal schannoma, total excision of tumor mass should be done.

Congenital Elongated Lumbar Dermoid Cyst Combined with Sacral Meningocele

  • Kim, Chang-Hyun;Gill, Seung-Bae;Choi, Soo-Jung;Kang, Gil-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.40 no.5
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    • pp.391-393
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    • 2006
  • Dermoid cysts of the spinal canal are rare benign congenital tumors, accounting for $1{\sim}2%$ of all intraspinal tumors. We report a case of lumbar extramedullary cyst, combined with congenital sacral meningocele. The clinical features, characteristics on MRI, pathologic findings, and surgical treatment of such a rare extramedullary benign tumor is discussed with the relevant literature.

Fine Needle Aspiration Cytology of Hepatoblastoma -Report of Two Cases- (간아세포종의 세침흡인 세포학적 소견 -2예 증례보고-)

  • Park, Young-Nyun;Lee, Kwang-Gil;Park, Chan-Il
    • The Korean Journal of Cytopathology
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    • v.1 no.1
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    • pp.98-102
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    • 1990
  • Hepatoblastoma (HB) is a rare embryonic malignant tumor of the liver. Most morphological studies on HB have limited to the histological characteristics and only 3 cases of HB have been described in the cytology literature. We present 2 cases of HB occurring in children aged 1 year and 3 years, respectively. The distinctive cytologic features of fine needle aspiration of HB were clusters of tumor cells showing acinar and trabecular pattern, smaller tumor cells with a high nuclear-cytopalsmic ratio and hyperchromatic nuclei having prominent nucleoli, and the presence of extramedullary hematopoiesis and osteoid material. These features were also found in the cell block and the biopsy specimen, and appeared very useful in the differentiation of HB from hepatocellular carcinoma.

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Primary Spinal Cord Melanoma

  • Kim, Min-Soo;Yoon, Do-Heum;Shin, Dong-Ah
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.157-161
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    • 2010
  • Primary central nervous system (CNS) melanoma is a rare condition that accounts for only 1% of all melanomas. A 34-year-old Korean female presented with a two-month history of progressive weakness in both legs. Spinal magnetic resonance image (MRI) revealed a spinal cord tumor at the level of T4, which was hyperintense on T1-weighted imaging and hypointense on T2-weighted imaging. The intradural and extramedullary tumor was completely resected and diagnosed as melanoma. There were no metastatic lesions. At three years after surgery, the patient is still alive, with no evidence of tumor recurrence. We present the details of this case along with a comprehensive review of spinal cord melanoma.