• 제목/요약/키워드: Head mass

검색결과 812건 처리시간 0.027초

부인두강 종물로 발현된 갑상선 유두상암종 (Thyroid Papillary Carcinoma Presenting as a Parapharyngeal Mass)

  • 우정수;김용환;정광윤;최건;최종욱
    • 대한두경부종양학회지
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    • 제12권1호
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    • pp.43-46
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    • 1996
  • An unusual case of nodal metastases from thyroid neoplasm known as parapharyngeal space mass is likely to be overlooked. And identification of the primary lesion by excisional biopsy calls for a secondary operation. Therefore, it is important to be aware of the possible lymphatic spread of the thyroid neoplasm to the parapharyngeal space. In this case, completion thyroidectomy should be considered. Here, we present a case of thyroid papillary carcinoma masquerading as a parapharyngeal space tumor. The mass was removed by transcervical approach and pathologically diagnosed as a metastatic thyroid papillary carcinoma. Successful results were obtained after additional completion thyroidectomy.

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구강내 절개로 제거한 협부 모기질종 1예 (A Case of Buccal Pilomatricoma Removed Through Intraoral Incision)

  • 김홍대;박민규;이현아;지용배
    • 대한두경부종양학회지
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    • 제37권2호
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    • pp.97-100
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    • 2021
  • Pilomatricoma(or calcifying epithelioma) is a not common benign solitary tumor originated from outer root sheath cell of hair follicle or hair follicle of sebaceous glands. The tumor usually presents as an asymptomatic, hard, superficial located, and skin colored to reddish blue cutaneous mass. Most of the tumors are less than 10mm in diameter and adherent to the skin. Recently, 48-year-old man presented with cheek mass. The tumor was 2.6cm sized and located at the subcutaneous layer of cheek on CT scan. The tumor was clearly removed via transoral approach with buccal incision leaving no wound on face. The mass was confirmed as pilomatricoma on pathologic examination. Herein, we report our experience with literature review.

Comparison of Lipid Profiles in Head and Brain Samples of Drosophila Melanogaster Using Electrospray Ionization Mass Spectrometry (ESI-MS)

  • Jang, Hyun Jun;Park, Jeong Hyang;Lee, Ga Seul;Lee, Sung Bae;Moon, Jeong Hee;Choi, Joon Sig;Lee, Tae Geol;Yoon, Sohee
    • Mass Spectrometry Letters
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    • 제10권1호
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    • pp.11-17
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    • 2019
  • Drosophila melanogaster (fruits fly) is a representative model system widely used in biological studies because its brain function and basic cellular processes are similar to human beings. The whole head of the fly is often used to obtain the key function in brain-related diseases like degenerative brain diseases; however the biomolecular distribution of the head may be slightly different from that of a brain. Herein, lipid profiles of the head and dissected brain samples of Drosophila were studied using electrospray ionization-mass spectrometry (ESI-MS). According to the sample types, the detection of phospholipid ions was suppressed by triacylglycerol (TAG), or the specific phospholipid signals that are absent in the mass spectrum were measured. The lipid distribution was found to be different in the wild-type and the microRNA-14 deficiency model ($miR-14{\Delta}^1$) with abnormal lipid metabolism. A few phospholipids were also profiled by comparison of the head and the brain in two fly model systems. The mass spectra showed that the phospholipid distributions in the $miR-14{\Delta}^1$ model and the wild-type were different, and principal component analysis revealed a correlation between some phospholipids (phosphatidylethanolamine (PE), phosphatidylinositol (PI), and phosphatidylserine (PS)) in $miR-14{\Delta}^1$. The overall results suggested that brain-related lipids should be profiled using fly samples after dissection for more accurate analysis.

성문상부 종물 양상의 일차성 후두 Large B세포 림프종 1예 (A Case of Primary Large B-cell Lymphoma of Larynx Presenting as Supraglottic Mass)

  • 최전하;김춘동;김윤정;김승우
    • 대한두경부종양학회지
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    • 제31권1호
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    • pp.31-33
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    • 2015
  • The extranodal non-Hodgkin lymphoma is uncommonly occurred in larynx, accounting for less than 1% of all laryngeal neoplasm. In general, the laryngeal lymphoma is appeared as submucosal mass without mucosal ulceration and is most commonly found in supraglottis. The primary laryngeal lymphoma constitute a diagnostic challenge because they are characterized by absence of clinical and gross differential criteria, compared with squamous cell carcinoma (SCC). We encountered a 74-year-old man with hoarseness and lump sensation in the throat. On direct laryngoscope, multiple ulcerative and exudative mass in glottis and supraglottic areas were observed. The patient was finally diagnosed as large B-cell lymphoma through the laryngeal microsurgery. He received radiation therapy and there is no evidence of recurrence. Although the laryngeal mass has superficial mucosal change, primary laryngeal lymphoma must be included in the differential diagnosis.

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하경부 종물로 발현한 고립성 섬유종 1예 (A Case of Solitary Fibrous Tumor Presenting as Lower Neck Mass)

  • 금상연;김정규
    • 대한두경부종양학회지
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    • 제37권2호
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    • pp.87-90
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    • 2021
  • Solitary fibrous tumor (SFT) is rare mesenchymal tumor usually arising from pleura. SFT can be found at all anatomic site in our body but incidence of SFT is much lower in head and neck region especially at lower neck area. We found a case of SFT that presented as a lower neck mass in a 41-year old woman. Ultrasonography showed a 3×1cm sized hypoechoic mass in the intermuscular fat plane of left lower neck, and computed tomography showed a well circumscribed, low-density mass with contrast enhancement. Fine needle aspiration showed no malignant cells with abundant red blood cells, but it was not possible to completely rule out malignant tumors or nodules clinically. Surgery was performed to make a definitive diagnosis and histopathology showed tightly packed, round to fusiform cells with staghorn shaped vessels at microscopic examination. The tumor cell were positive for CD34 but negative for CD31 and S-100 protein.

부인두강 낭성 종물로 발현된 제2새열 낭종 1례 (A Case of Second Branchial Cleft Cyst Presenting as a Parapharyngeal Cystic Mass)

  • 김병하;도남용;조성일;박준희
    • 대한기관식도과학회지
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    • 제18권2호
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    • pp.60-63
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    • 2012
  • Second branchial cleft cysts are usually present as a fluctuant neck mass along the anterior border of the sternocleidomastoid muscle. When they are found in this typical location, accurate diagnosis on initial presentation is not difficult. Parapharyngeal presence of the branchial cleft cyst is very rare. We report a case of second branchial cleft cyst presenting as a parapharyngeal cystic mass in 51-year-old male. Before coming to our clinic, the patient had been diagnosed as parapharyngeal abscess, resulting in several attempts at removal. However, symptoms and parapharyngeal abscess recurred. We performed complete surgical resection of the parapharyngeal cystic mass via transoral approach only with oropharyngeal incision. The cystic mass was located in the parapharyngeal space and did not have tract-like structure. Histopathologic examination confirmed that the excised cyst was branchial cleft cyst. Patient discharged without any surgical complication and there was no evidence of recurrence for 2 years follow-up.

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국민학교 아동을 대상으로 한 스미스린 0.4% 분제의 머릿니 집단구제 효과 (Mass treatment of head louse infestation with Sumithrin powder in primary schools in Korea)

  • 이한일;용태순
    • Parasites, Hosts and Diseases
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    • 제30권4호
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    • pp.349-354
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    • 1992
  • 국내 4개 국민학교를 선정하여 머릿니 기생률을 조사한 결과 총 2,515명의 바동 중 972면이 양성으로 평균 38.6%의 기생률을 보였다. 이들 양성자에게 0.4% 훼노스린 분제 ($Sumithrin^{\circledR}$ powder)를 집단 처리하여 머릿니 구제효과를 조사하였다. 1회 처리시의 구제율은 93.4%이었고, 약 10일 간격으로 2회 처리시의 구제율은 94.8% 이었다. 1회와 2회 처리시의 구제율에 있어 유의성을 찾아볼 수 없기 때문에, 집단처리 할 때는 1회 살포로 구제가 가능하다고 생각된다. 린노스린 분제 처리 7개일 후의 머릿니 기생률이 5.4%로서 처리 전의 33.1%에 띠해 83.4%의 감소율을 보였다.

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이하선 샘암종의 재발로 오인된 지선암 1예 (A Case of Carcinoma with Sebaceous Differentiation arising in the Patient who was Treated with Parotid Gland Adenocarcinoma)

  • 박솔;윤주현;고유진;정수연
    • 대한두경부종양학회지
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    • 제38권1호
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    • pp.37-41
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    • 2022
  • Sebaceous carcinoma is extremely rare in the parotid gland. Recently, we experienced a case of carcinoma with sebaceous differentiation arising from the parotid gland in patient who was diagnosed as parotid adenoma carcinoma and underwent total parotidectomy. A 73-year-old male visited our department for the evaluation of 3-month history of infra-auricular mass combined with pain. Radiologic finding showed lobulated enhancing and solid mass with calcification in the right parotid gland. Initially, total parotidectomy with supraomohyoid neck dissection was performed. Pathological findings showed capsulated whitish mass with hemorrhage and cystic degeneration. Immunohistochemically, CK7, CK5/6, p63 were positive and CEA was negative. The intra-operative frozen section diagnosis was mucoepidermoid carcinoma. The permanent diagnosis was changed to adenocarcinoma, NOS(not otherwise specified). Fourteen months later, the newly developed mass was noticed on the operation bed. The mass was clinically diagnosed as recurred adenocarcinoma. Revision parotidectomy was performed and pathological findings revealed that the tumor was newly developed sebaceous carcinoma. We report a case of carcinoma with sebaceous differentiation in parotid gland with a review of literature.

악설골근 하부까지 연장된 이악하부 표피양 낭종의 구강내 적출 1례 (Intraoral Removal of Submental Epidermoid Cyst Extended Inferior to Mylohyoid Muscle)

  • 이준규;조휴채;윤태미;임상철
    • 대한두경부종양학회지
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    • 제24권2호
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    • pp.211-213
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    • 2008
  • Epidermoid cysts located in floor of mouth can be easily removed intraorally. The cysts inferior to mylohyoid muscle have been excised transcervically. However, an intraoral removal of a cyst extended inferior to mylohyoid muscle has not been reported yet. A 20-year-old female visited to the hospital with a cystic mass in submental region. Neck computed tomography revealed a 6.0${\times}$4.3cm sized circumscribed cystic mass in midline of submental area. The cyst lied external to the genioglossal and geniohyoid muscle, extending inferior to mylohyoid muscle. The mass was removed successfully by intraoral approach. It was performed under the exposure by the division of genioglossal and geniohyoid muscle, traction of the cystic wall after aspiration of the cyst, and digital compression externally.

설하선 절제술 후 수술 중 초음파를 이용한 몰입성 하마종의 경구강 배액술 (Transoral Drainage of Plunging Ranula using Intraoperative Ultrasonography after Sublingual Gland Resection: A Case Report)

  • 김서빈;김영준;이소연;이형신
    • 대한두경부종양학회지
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    • 제39권1호
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    • pp.49-52
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    • 2023
  • Sublingual resection is known as the most effective treatment of choice to prevent recurrence in patients with plunging ranula. In this case report, we present our experience with a 37 year-old man with prolonged upper neck mass diagnosed as plunging ranula. He had persisting mass lesion even after 4 times of sclerotherapy. Due to fibrotic change the pseudocyst could not be drained after removing the sublingual gland. To resolve the mass lesion, ultrasonography guided transoral drainage was performed. Intraoperative ultrasonography may be useful for transoral drainage of plunging ranula difficult to approach after sublingual resection.