• 제목/요약/키워드: Neck mass

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Aberrant Carotid Artery Associated with Throat Discomfort and Retropharyngeal Mass

  • Hong, Yong Tae;Kim, Sol;Kim, Min Ji;Hong, Ki Hwan
    • 대한후두음성언어의학회지
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    • 제31권1호
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    • pp.39-44
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    • 2020
  • We present four cases of aberrant carotid arteries manifesting as pharyngeal masses with throat discomfort. The symptoms of this anomaly are very similar to those of laryngopharyngeal reflux or globus pharyngeus. The identification of this anomalous artery is essential for the head and neck surgeon because the anomaly frequently manifests as a symptomatic pulsatile mass in the pharynx. All patients complained of foreign body sensation in the throat and showed protrusion of the posterolateral pharyngeal wall anteromedially. CT scans demonstrated that there were two cases involving the right common carotid artery (CCA) and two cases involving both CCAs in the retropharyngeal space. As conclusion, the aberrant course of the artery can occur on both sides of CCAs, and it can manifest as a pharyngeal mass. When the patients complain of foreign body sensation in the throat without any other abnormal findings in the pharynx, we should consider the possibility that it may be due to the aberrant course of the CCA and its bifurcations in the retropharyngeal space.

갑상선 종괴로 오인된 이소성 경부 흉선 종양 (Ectopic Cervical Thymic Tumor Misdiagnosed as a Thyroid Mass)

  • 김진수;정웅윤;홍순원;윤종호;장항석;박정수
    • 대한두경부종양학회지
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    • 제19권1호
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    • pp.75-79
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    • 2003
  • Ectopic cervical thymic tumor, first described in 1941 by Boman, is a rare tumor of the neck displaying the same histologic features as mediastinal thymoma. It was classified into benign thymoma, invasive (or malignant) thymoma, thymic carcinoma histopathologically and clinically. The ectopic cervical thymic tumor is misdianosed as the thyroidal mass on radiologic examination and FNA cytology due to its rarity and unusual location. Recently, we have experienced two cases of ectopic cervical thymic tumor misdiagnosed as thyroid mass ; a case of thymic carcinoma;the other of invasive thymoma. So, we report these cases with review of the literature.

Isolated temporalis muscle metastasis of renal cell carcinoma

  • Lee, Da Woon;Ryu, Hyeong Rae;Kim, Jun Hyuk;Choi, Hwan Jun;Ahn, Hyein
    • 대한두개안면성형외과학회지
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    • 제22권1호
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    • pp.66-70
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    • 2021
  • Isolated head and neck metastasis of renal cell carcinoma (RCC) is relatively rare and metastasis to the temple area is very rare. Here, we present the case of a 51-year-old man who was diagnosed with RCC 2 years earlier and had a contralateral metastatic temple area lesion. The patient who was diagnosed with renal cell cancer and underwent a nephrectomy 2 years ago was referred to the plastic surgery department for a temple mass on the contralateral side. In the operative field, the mass was located in the temporalis muscle with a red-to-purple protruding shape. Biopsy of the mass revealed a metastatic RCC lesion. Computed tomography imaging showed a lobulated, contoured enhancing lesion. Positron emission tomography/computed tomography imaging showed high-fluorodeoxyglucose uptake in the right temporalis muscle. The patient underwent wide excision of the metastatic RCC including the temporalis muscle at the plastic surgery department. Skeletal muscle metastasis of head and neck lesions is extremely rare in RCC. Isolated contralateral temporalis muscle metastasis in RCC has not been previously reported in the literature. If a patient has a history of malignant cancer, plastic surgeons should always consider metastatic lesions of head and neck tumors. Because of its high metastatic ability and poor prognosis, it is very important to keep this case in mind.

한국인에 있어서 단측 경부 피부연골 새성기형: 증례 보고 (Unilateral cervical chondrocutaneous branchial remnant in Korean: A case report)

  • 이준석;이정호
    • 대한두경부종양학회지
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    • 제36권2호
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    • pp.17-20
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    • 2020
  • Background: Compared to the frequency of occurrence of pre-auricular skin tag, cervical chondrocutaneous branchial remnants is one of congenital, benign neck masses that is very rare all over the world. Most of these rare anomalies are reported in case reports and especially, rare cases of unilateral cervical chondrocutaneous branchial remnants have been reported in Korean. Materials & Methods: A 9-year-old male patient visited the hospital on September 2017 for a rod-shaped mass. As a simultaneous diagnosis and treatment method, complete surgical excision was executed. Results: Excised mass was 0.5cm in diameter, 1.2cm in. Histologically, a hyaline and elastic cartilage was found in the core. As a family history, the same remnant was found in the right Anterior neck area of his mother. Conclusion: In this case, it is possible to diagnose and treat simply at the same time and even an optimal aesthetic result can be obtained.

부이하선에 발생한 점막관련 림프조직 림프종 1예 (A Case of Mucosa Associated Lymphoid Tissue Lymphoma in Accessory Parotid Gland)

  • 홍석정;이미지;김승우
    • 대한두경부종양학회지
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    • 제33권2호
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    • pp.63-66
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    • 2017
  • The tumor in accessory parotid gland (APG) is rarely occurred and its incidence is about 7.7% of all parotid gland neoplasms, but has a higher frequency of malignancy than major salivary glands. The mucoepidermoid carcinoma is the most common malignancy in APG, while B-cell lymphoma is less than 2%. It is often appeared as superficial mass in mid-cheek area. This lesion requires differential diagnosis with epidermoid cyst, lipoma, neurogenic tumors, Stensen's duct stone, lymphadenopathy and hemangioma etc. The mucosa associated lymphoid tissue (MALT) lymphoma, which is also termed extra-nodal marginal zone B-cell lymphoma tends to be localized disease for long time and has a relatively indolent course. We recently encountered a 69-year-old man with superficial solitary mass on the right cheek area that finally diagnosed as MALT lymphoma in APG. We report the rare and unique case with brief literature review.

기관에 발생한 신경초종 1례 (A Case of Neurilemmoma of the Trachea)

  • 이금형;강준명;박영학;주영하
    • 대한기관식도과학회지
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    • 제5권2호
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    • pp.198-201
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    • 1999
  • Benign tracheal tumors are less common than malignant tumors, but they are relatively more important because they are operable and curable. Neurilemmoma is originated from Schwann cells of nerve sheath, which are characterized by benign, solitary, and encapsulated mass. Tracheal neurilemmomas are extremely rare and reported only 21 cases in the world literature. Recently, we experienced a case of neurilemmoma which arose from the trachea of a 48-year-old female patient who complained of progressive dyspnea. The tumor mass was removed successfully through bronchoscopic and tracheal fissure approach. The final pathological diagnosis viewed under a microscope after H&E stain was a neurilemmoma in which Antoni type A and type B both existed.

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협점막에서 발생한 MALT 림프종 1예 (A Case of Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in Buccal Mucosa)

  • 이현아;명재경;태경
    • 대한두경부종양학회지
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    • 제38권1호
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    • pp.49-52
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    • 2022
  • Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is a low-grade B-cell lymphoma that typically follows an indolent clinical course. It occurs in a variety of mucosal linings extranodal tissue, most commonly in the stomach. Other commonly involved sites include other parts of the gastrointestinal tract, thyroid, salivary gland, lung, lacrimal gland, synovium, dura mater, breast, skin, and eyes. It occurs very rarely in the buccal mucosa. A 50-year-old man came to the clinic while presenting a 5-month history of right-sided buccal mass. The incisional biopsy did not confirm the diagnosis of the lesion. He underwent complete excision of buccal mass for the diagnosis and treatment. The final pathology confirmed MALT lymphoma immunohistochemically. After surgery, he received radiotherapy with 30.6 Gy. There is no recurrence for 8 months after treatment. Herein we report a rare case of buccal MALT lymphoma with a review of the literature.

가성대에 발생한 신경초종의 경구강 레이저 절제술 치험 2례 (Two Cases of False Cord Schwannoma Treated with Transoral Laser Resection)

  • 김영록;김성원;홍종철;이봉주;이강대
    • 대한두경부종양학회지
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    • 제23권1호
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    • pp.58-62
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    • 2007
  • Schwannoma is a benign well-encapsulated tumors arising from the sheath of Schwann cell of the peripheral motors, sensory, and cranial nerves, but not from the optic and olfactory nerves. Since it is relatively common in the head and neck region, it should be included in the differential diagnosis of head and neck tumor. However, reports of laryngeal involvement have rarely appeared in the literature. We have experienced a 50-year old woman and 39-year old woman with history of progressive voice change. We recognized a benign mass at the false cord area with the telelaryngoscope and CT. The tumors were successfully removed by transoral CO2 laser resection without tracheotomy.

이하선과 상경부에 동시 발생한 외투세포 림프종 1예 (A Case of Mantle Cell Lymphoma Involving the Parotid Gland and Upper Neck)

  • 곽슬기;김춘동;김윤정;김승우
    • 대한두경부종양학회지
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    • 제31권1호
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    • pp.43-46
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    • 2015
  • The Mantle cell lymphoma(MCL) is a relatively rare subtype of malignant lymphoma characterized by chromosomal translocation t(11 ; 14)(q13 ; q32), positive response for CD5, and nuclear cyclin D1. It is account for an estimated 3-6% of all non-Hodgkin's lymphoma. The involvement of extra-nodal site is not uncommon, whereas salivary glands are rarely affected. It is more commonly occurred in men and old age and approximately 75% of cases are diagnosed with advanced stage. It is usually characterized by an aggressive clinical course, and the prognosis is poorer than other type of head and neck lymphoma. We recently encountered a 69-year-old female with mass in parotid tail and upper neck, and it was diagnosed as mantle cell lymphoma. We report the unique case with a review of literature.

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파종성 폐결핵으로 오인된 갑상선 유두상암종의 폐전이 (Lung Metastasis of Thyroid Papillary Carcinoma which was Temporarily Treated for Milliary Tuberculosis)

  • 나홍식;이제혁;팽재필;정광윤;최종욱
    • 대한기관식도과학회지
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    • 제6권1호
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    • pp.16-20
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    • 2000
  • The patient a 24-year-old male, was shown to have milliary shadows on chest radiographs from the age of 20. He was temporarily treated for pulmonary tuberculosis without success. He had left thyroid mass and lymph node metastases in neck CT scan which was taken after admission but fine needle aspiration result in scanty cellularity. He underwent total thyroidectomy with left modified radical neck dissection and right selective neck dissection under the impression of differentiated thyroid cancer with bilateral neck metastases. Then he underwent 131I ablation treatment and postoperative whole body 131I scintigraphy revealed diffuse intensive uptake in the bilateral lung fields, demonstrating that the pulmonary lesions were metastases of the thyroid cancer.

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