• 제목/요약/키워드: Needle aspiration

검색결과 828건 처리시간 0.02초

부비동과 비의 미분화 암종 - 1예 보고 - (Sinonasal Undifferentiated Carcinoma - A Case Report -)

  • 신미경;채양석
    • 대한세포병리학회지
    • /
    • 제8권1호
    • /
    • pp.98-102
    • /
    • 1997
  • Sinonasal undifferentiated carcinoma(SNUC) is a distinct, relatively rare neoplasm arising in the nasal cavity and paranasal sinuses composed of undifferentiated epithelial cells and clinically characterized by a fulminant course. We report a case of SNUC in a 56-year old man who have had bilateral neck masses since one month ago before coming to our hospital. The paranasal computed tomography showed soft mass density in the left maxillary sinus and the nasal cavity with bone destruction in the anterior medial and the inferior maxillary sinus wall. This mass was extruded into the left orbital wall. Biopsy of the nasal mass and fine needle aspiration(FNA) of the neck mass were done. FNA revealed medium-sized neoplastic cells forming clusters or individually dispersed. Nuclei were round to oval, slightly to moderately pleomorphic, and hyperchromatic. Chromatin was finely granular, but occasionally was coarsely granular. Nucleoli varied from large to inconspicuous and the cytoplasm was scanty.

  • PDF

선천성 낭종성 기형의 외과적치료;1례 보고 (Surgical Treatment of Congenital Cystic Adenomatoid Malformation; 1 Case Report)

  • 이정희;임진수;최형호
    • Journal of Chest Surgery
    • /
    • 제26권4호
    • /
    • pp.320-324
    • /
    • 1993
  • Congenital cystic adenomatoid malformation [CCAM] of the lung is extremely rare. The patient was 10 year old female and had no specipic signs and symptoms except right lower chest pain for 5 days ago before admission.On simple chest X-ray and thoracic CT scan, about 9x8x8cm sized, heterogenous marginal enhanced multiseparated hypodence lesion with air fluid level and gas bubbles in posterior pleural space in right lower chest .The culture result of needle aspiration of cavity was apergillus flavus. Right lower lobectomy was carried out and the result of biopsy was congenital cystic adenomatoid malformation.

  • PDF

늑막직하 농양을 동반한 결핵성 간장 육아종 1례 치험 (Hepatic Tuberculous Granuloma with Subphrenic Abscess - A Case Report -)

  • 정상조;안재호;오성태
    • Journal of Chest Surgery
    • /
    • 제24권6호
    • /
    • pp.585-589
    • /
    • 1991
  • We experienced a rare hepatic tuberculous granuloma with subphrenic abscess. The patient was 45-years old female. She complained the right flank pain and tenderness on the protruding mass for 2 weeks. It was fixed, erythematous and 5x5cm sized mass, which was thought as cold abscess. She has done the hysterectomy as endometriosis at November 1990. Under general endotracheal anesthesia, the mass was incised, but the pus was not found. The needle aspiration was done through the 8th ICS, then the yellowish non-foul odor pus was rushed out. The 7th and 8th ribs were resected segmentally about 5cm. The abscess cavity was placed in the subphrenic area, therefore the operative fields extended along the 8th ICS. After the evacuation of subphrenic abscess, the granulomatous tissues from the superior aspect of liver was seen. The granuloma was resected and the penrose drainage was inserted. The tuberculosis was resulted from the 8th ICS muscles. subphrenic abscess and granuloma on the pathology report.

  • PDF

Radicular Compression by Intraspinal Epidural Gas Bubble Occurred in Distant Two Levels after Lumbar Microdiscectomy

  • Lee, Chul-Woo;Yoon, Kang-Jun;Ha, Sang-Soo;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
    • /
    • 제56권6호
    • /
    • pp.521-526
    • /
    • 2014
  • The authors report a case of symptomatic epidural gas accumulation 2 weeks after the multi-level lumbar surgery, causing postoperative recurrent radiculopathy. The accumulation of epidural gas compressing the dural sac and nerve root was demonstrated by CT and MRI at the distant two levels, L3-4 and L5-S1, where vacuum in disc space was observed preoperatively and both laminectomy and discectomy had been done. However, postoperative air was not identified at L4-5 level where only laminectomy had been done in same surgical field, which suggested the relationship between postoperative epidural gas and the manipulation of disc structure. Conservative treatment and needle aspiration was performed, but not effective to relieve patient's symptoms. The patient underwent revision surgery to remove the gaseous cyst. Her leg pain was improved after the second operation.

Isolated pulmonary cryptococcosis in an immunocompetent boy

  • Bauer, Siegfried;Kim, Ji-Eun;La, Kyong-Suk;Yoo, Young;Lee, Kee-Hyoung;Park, Sang-Hee;Choung, Ji-Tae;Kim, Chul-Whan
    • Clinical and Experimental Pediatrics
    • /
    • 제53권11호
    • /
    • pp.971-974
    • /
    • 2010
  • Pulmonary cryptococcosis is rare in immunocompetent subjects. Here, we present the case of a 16-year-old boy who was referred to our pediatric department for the management of multiple consolidations detected on chest radiography, which was routinely performed when the patient was being evaluated for an ankle fracture. Fine needle aspiration biopsy was performed, and the definitive diagnosis was established as cryptococcal pneumonia. After 8 weeks of antifungal treatment, the pulmonary nodules on the chest radiographs disappeared.

폐에 발생한 양성 전이성 근종-1례 보고- (Benign Metastasizing Leiomyoma of Lung -A case report-)

  • 박찬범;서종희;장윤희;문석환;조건현
    • Journal of Chest Surgery
    • /
    • 제34권5호
    • /
    • pp.422-425
    • /
    • 2001
  • We performed thoracoscopic resection for diagnosis in 41 year-old-female presenting with multiple pulmonary nodules in both lung fields, which was detected incidentally on routine chest x-ray and followed by additional exmaminations including chest CT scan and percutaneous needle aspiration biopsy under the presumptive diagnosis of metastatic cancer. During thoracoscopy, the result of the frozen section analysis of multiple masses revealed strong evidence of leiomyoma. In her past medical history, she had undergone myomectomy, and hysterectomy, 7 year ago and 10 year ago, respectively. Based on permanent, special staining of specimen, estrogen receptor assay and review of past specimen of uterine myoma the final diagnosis was benign metastasizing leiomyomata from uterine myoma, the report was very uncommon in Korean and English literatures. The patient has been followed up for 2 year without special therapy, such as hormonal therapy.

  • PDF

흉막에 발생한 국소성 섬유성 종양 (Localized Fibrous Tumor of the Pleura)

  • 김대영;손제문
    • Journal of Chest Surgery
    • /
    • 제29권1호
    • /
    • pp.112-114
    • /
    • 1996
  • Localized fibrous tumor of the pleura (LFTP) is of submesothelial fibrous origin, which has been called pleural fibroma and has been confused with mesothelioma. We experienced a case of LFTP in a twenty nine year old man. The tumor arose from the right parietal pleura with long stalk. Chest X-ray and CT scan showed a 6$\times$5$\times$4cm well-defined mass in the right costophrenic angle. Wo evidence of metastasis was noted. Exploratory thoracotomy with enbloc excision of 6$\times$5$\times$4cm mass was done. The fine needle aspiration cytology and histopathologic features indicated the tumor to be malignant, and biologic behavior was discussed.

  • PDF

원발성 폐 림프종 치험 1례 (Primary Malignant Lymphoma of Lung -A Case Report-)

  • 민경석
    • Journal of Chest Surgery
    • /
    • 제27권10호
    • /
    • pp.878-881
    • /
    • 1994
  • Primary malignant lymphomas of the lung are rare and known often to be localized, solitary pulmonary lesions, in chest radiograph. Because they are highly treatable contrast to the other primary lung cancer, the distinction is important. A 35-year old man who was admitted for a solitary pulmonary nodule in the right middle lobe. Percutaneous needle aspiration disclosed diffuse, small cell lymphoma. Bone marrow biopsy showed no evidence of neoplastic lymphoid cell infiltration. There were a walnut sized mass involving right middle lobe with a small satellite nodule at 2cm distal to the right upper lobe bronchial orifice. The histopathology of the bilobectomized specimen showed diffuse, small cell, malignant, non-Hodgkin`s lymphoma. Immunologic subtype was defined as B-cell type.

  • PDF

Baclofen으로 치료한 만성 딸꾹질 1례 (A Case of Treatment with Baclofen for Chronic Hiccup)

  • 이석열;이만복;이길노;고은석;임한혁
    • 대한기관식도과학회지
    • /
    • 제5권2호
    • /
    • pp.217-221
    • /
    • 1999
  • Chronic hiccup is a rare occurrence but can be debilitating for the patient. Treatment of choice is seldom reported. A 83-year-old male was admitted our hospital due to chronic hiccup for 3 months. Chest PA X-ray and chest CT showed a lung mass finding in the right lower lobe. After percutaneous transthoracic needle aspiration, squamous cell lung cancer with abscess formation was confirmed. Within three days of initiation of baclofen treatment. stop of hiccup was obtained. We report a baclofen effect for chronic hiccup.

  • PDF

A Case of Pulmonary Capillary Hemangiomatosis-Like Lesion Followed for Seven Years

  • Rhee, Chin-Kook;Yim, Nam-Yeol;Shim, So-Yeon;Kim, Hui-Jung
    • Tuberculosis and Respiratory Diseases
    • /
    • 제70권3호
    • /
    • pp.242-246
    • /
    • 2011
  • Pulmonary capillary hemangiomatosis (PCH) is a rare disease of unknown etiology that is characterized by nodules composed of infiltrating capillary blood vessels. Herein, we describe a case of a PCH-like lesion that was detected by chest computed tomography. Transthoracic needle aspiration resulted in life-threatening hemorrhage. The patient was followed for seven years. He remained in good health and a follow up image showed little interval change.