• Title/Summary/Keyword: Neck mass

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A Case of Fourth Branchial Cleft Cyst (제 4 새성 기형 1예)

  • Park Il-Seok;Chang Jai-Hyuk
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.53-56
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    • 2005
  • The branchial anomaly is a lateral neck mass commonly seen by otolaryngologists. Depending on its anatomic location, branchial anomaly can be classified into first, second, third and fourth. The fourth branchial cleft anomaly is very rare entity and until now, only 35cases have been reported worldwide. It may present as neck cyst, recurrent neck abscess, thyroiditis. Combined with barium swallow esophagogram and computed tomography scan can aid in diagnosis of this rare disease entity. Complete excision of the entire epithelial tract combined with ipsilateral thyroid lobectomy remains the mainstay of treatment. Authors experienced a case of lateral neck mass which was anatomically presumed to be the fourth branchial cleft cyst. We report this case with the related literature.

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

  • Park, Sohl;Yun, Ju Hyun;Go, Yu Jin;Jung, Soo Yeon
    • Korean Journal of Head & Neck Oncology
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    • v.38 no.1
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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.

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

  • Woo Jeong-Su;Kim Yong-Whoan;Jung Kwang-Yoon;Choi Geon;Choi Jong-Ouck
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.1
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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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Intraoral Removal of Submental Epidermoid Cyst Extended Inferior to Mylohyoid Muscle (악설골근 하부까지 연장된 이악하부 표피양 낭종의 구강내 적출 1례)

  • Lee, Joon-Kyoo;Cho, Hyu-Chae;Yoon, Tae-Mi;Lim, Sang-Chul
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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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.

Two Cases of Papillary Carcinoma Arising from Thyroglossal Duct Cyst (TGDC) (갑상설관낭종에서 기원한 유두상 암종 2례)

  • Jeong, Yong Jun;Yum, Gun Hwee;Kwon, Soon Young;Oh, Kyoung Ho
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.189-193
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    • 2018
  • A thyroglossal duct cyst (TGDC) is the most common congenital anomaly of the neck. However, carcinoma arising from TGDC is extremely rare. We report 2 cases of TGDC carcinoma. In the first case, a 21-year-old male patient complained of an anterior cervical mass; computed tomography (CT) and sonography revealed cystic mass that was suspected to be a TGDC. Sistrunk operation was performed. Papillary carcinoma was confirmed in pathologic examination. Additionally, he underwent total thyroidectomy and central neck dissection. After radioactive iodine ablation (RAI) was performed. In the second case, a 28-year-old male patient visited our out-patient department complaining of submental mass. He had already been diagnosed TGDC carcinoma 13 years ago and had undergone Sistrunk operation and total thyroidectomy. Malignancy was confirmed using fine-needle aspiration; thus, lateral neck dissection was performed and following this, he underwent RAI. Till date, no evidence of recurrence has been observed in these patients.

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

  • Kim, Hong Dae;Park, Min Kyu;Lee, Hyeon A;Ji, Yong Bae
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.2
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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.

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

  • Seo Bin Kim;Yeong Joon Kim;So Yeon Lee;Hyoung Shin Lee
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.1
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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.

A Case of Adenocarcinoma Arising From Palatine Tonsil (구개편도에서 발생한 선암 1예)

  • Park, Sung Ho;Kim, Nam Young;Kim, Kyoung Hun;Lee, Guk Haeng;Lee, Byeong Cheol;Lee, Myung-Chul;Choi, Ik Joon
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.82-85
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    • 2015
  • Adenocarcinoma is a cancer that begins in glandular cells and can occur in several parts of the body. Adenocarcinoma is a rare malignancy of the oropharynx with a few cases reported in the previous report. We describe 1 case of adenocarcinoma of the oropharynx. 46-year-old man was found to have an asymptomatic left tonsil mass and left neck mass that revealed adenocarcinoma by biopsy. A left tonsillectomy and selective neck dissection was performed and pathology confirmed adenocarcinoma with tonsil and neck mass. We report this case with a brief literature review.

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A Case of Intravenous Pyogenic Granuloma Found as a Neck Mass (경부 종물로 발견된 정맥 내 화농성 육아종 1례)

  • Lee, Dong Won;Kim, Jeong Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.61-64
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    • 2020
  • Intravenous pyogenic granuloma, commonly known as intravenous lobular capillary hemangioma, is a rare benign tumor of the vein. It rarely occurs in the neck, and its character is not enough to diagnosis clinically. It could be diagnosed with preoperative radiologic examinations such as ultrasound and computed tomography and typical pathologic findings that demonstrate lobules of multiple capillaries lined with flattened endothelial cells admixed with fibromyxoid stroma. The authors report a case of a 32-year-old male who presented with a palpable neck mass for one month with a review of the literature. He was successfully treated with resection, including the tumor and normal external jugular vein, without any complications.