• Title/Summary/Keyword: Neoplasm, heart

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A Myxofibroma of the Soft Tissue of Face: A Rare Case Report (드물게 발생한 얼굴 연조직의 점액섬유종에 대한 증례보고)

  • Kuylhee Kim;Donghyun Lee;Soyeon Jung;Chul Hoon Chung;SeongJin Cho;Yongjoon Chang
    • Korean Journal of Head & Neck Oncology
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    • v.40 no.1
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    • pp.55-58
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    • 2024
  • Myxoma is a locally invasive neoplasm usually involving the jaw bones, typically occurs between the second and fourth decades. This tumor may comprise 3%-6% of odontogenic tumors. Myxomas of the soft tissue of the face are very rare. We present an unusual case of myxofibroma occurring in a 13-year-old man involving the soft tissue of the face. It congenitally occurred and was a 1 cm sized, ovoid in shape, swelling located on the glabella without any symptoms. An excisional biopsy was performed. A well encapsulated ovoid mass was attached to the corrugator supercilli muscle below the frontalis muscle. It was measured 1.1 × 1 × 0.8 cm and completely excised. Histological examination revealed myxofibroma showing stellate and spinde-shaped cells throughout myxoid ground substance. The unusual features of this case are the site of the tumor, which was localized to the non-tooth bearing area of the mandible and its congenital occurrence history.

A Primary Neuroendocrine Tumor Mimicking a Thrombus in the Left Atrial Appendage (좌심방이에서 발생한 혈전을 모방한 심장의 일차성 신경 내분비 종양)

  • Myoung Kyoung Kim;Sung Mok Kim;Eun Kyoung Kim;Dong Seop Jeong;Yeon Hyeon Choe
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.444-449
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    • 2022
  • Most cardiac tumors are metastases, and primary cardiac tumors are rare; even among primary cardiac tumors, primary cardiac neuroendocrine tumors (NETs) are extremely rare. Herein, we report a case of a patient presenting a left atrial mass without past medical history. Because of the location and movement of the mass, as well as the patient's cerebral infarction episode, the mass was initially suspected to be a thrombus. However, the mass was surgically diagnosed as NET.

Diffuse-Type Tenosynovial Giant Cell Tumor of the Tendon Sheath in Both Wrists (양측 손목의 힘줄에 생긴 미만형의 건활막거대세포종)

  • Sunah Heo;Sun-Young Park;Jinwon Seo;Sung Hye Koh;In Jae Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.250-254
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    • 2021
  • Diffuse-type tenosynovial giant cell tumor (D-TSGCT), previously known as pigmented villonodular synovitis, is a locally aggressive neoplasm that may arise from the synovium, bursa, or tendon sheath. D-TSGCT is usually monoarticular and can be classified into intra- and extra-articular forms, the latter of which is rarer. Here, we report a case of D-TSGCT in a 64-year-old female that involved the entire flexor and extensor tendon sheaths of both wrists. We describe the ultrasonography and MRI findings, as well as review the relevant literature.

Malignant Metastatic Insulinoma with Hypoglycemia in a Shih Tzu (Shih Tzu에서 저혈당증을 동반한 악성 전이성 인슐린종)

  • Jee Hyang;Joo Min-suk;Pakhrin Bidur;Hwang Cheol-yong;Kim Dae-Yong
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.275-277
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    • 2005
  • A six year old female Shih Tzu was euthanized after having about 2 months history of weakness and convulsion with hypoglycemia. On ultrasonography, several masses in variable sizes were noted in the liver and fine needle aspiration cytology revealed probable neoplasm of pancreatic origin. On necropsy, numerous round firm tan nodules with central depression were noted in the liver and heart. Mesenteric lymph node was enlarged and fused with presumable pancreatic tissue. Based on the histopathology and immunohistochemistry, the tumor was confirmed as malignant metastatic insulinoma.

Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia

  • Choi, Kuk Bin;Kim, Hwan Wook;Kim, Do Yeon;Jo, Keon Hyon;Choi, Hang Jun;Hong, Seok Beom
    • Journal of Chest Surgery
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    • v.49 no.3
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    • pp.195-198
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    • 2016
  • We report a 72-year-old male with known myelodysplastic syndrome who presented to the emergency department with a 7-day history of fever and dyspnea. Echocardiography revealed a round echogenic mass $13{\times}16mm$ in size attached to the atrial side of the tricuspid valve. Considering the high risk of infective endocarditis in the patient with a low absolute neutrophil count ($130/mm^3$), emergency surgery was performed. Intraoperatively, a single gelatinous neoplasm was resected, and subsequent reconstruction of the involved leaflet was accomplished using autologous pericardium. The tumor was pathologically confirmed as papillary fibroelastoma with no evidence of infective endocarditis. Papillary fibroelastoma is a rare cardiac neoplasm that occurs in either the mitral or aortic valves. Interestingly, a few cases of tricuspid valve papillary fibroelastoma have been reported so far. Similar echocardiographic findings between vegetation and tricuspid valve neoplasm make it difficult to distinguish these two disease entities.

Two Cases of Buccal Mass:Plemorphic Adenoma of an Accessory Parotid Gland and Angiomyoma (협부 종물 2례:부이하선의 다형선종과 혈관 평활근종)

  • Lee, Sang-Hyuk;Lee, No-Hee;Park, Il-Seok;Kim, Jin-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.63-66
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    • 2007
  • The differential diagnosis of lesions in buccal area include lipoma, neurofibromas, epidermoid cyst, salivary ducts calculus, hemangioma, lymphadenopathy. Accessory parotid glands is defined as salivary gland tissue adjacent to the parotid duct, but separated from the body of parotid and it may be found in approximately 20% of human parotid glands. The appearance of an accessory parotid tumor is rare, with a reported frequency of 7.7% of all parotid neoplasm. Angiomyoma, which is also termed angioleiomyoma, is a rare solitary subcutaneous tumors arising from the vascular smooth muscle. It often occur in the extremities and is rarely found in buccal area. We present 2 cases of rare tumor in buccal mass and resected surgically without facial nerve palsy.

Clinical Experience of Atrial Myxoma in 15 Patients (심방 점액종의 임상적 치험 15례)

  • 김홍규
    • Journal of Chest Surgery
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    • v.28 no.2
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    • pp.131-135
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    • 1995
  • Fifteen patients[10 female and 5 male from 13 to 73 years of age[mean age 46 years underwent excision of atrial myxomas between 1981 and 1993 at the Chonnam University Hospital. Fourteen patients presented with exertional or resting dyspnea, six with palpitation, five with systemic embolization, and three with syncope. Symptoms were present from 1 week to 14 months before operation. Fourteen tumors originated from the atrial septum of left atrium and one of bilateral atrium. All tumors were pedunculated; tumor sizes were variable from 2x1x1cm to 7x6x5cm. No ventricular tumors identified. The myxomas were successfully removed in all patients, either by shaving them from the atrial septum[n=7 or excising a portion of normal atrial septum with the tumor and ASD patch closure[n=8 . There was no perioperative or late death in our experience. Follow-up is current and complete in all cases[range 6 months to 13 years . Thirteen patients are in New York Heart Association Class I, and the remaining two patients are in Class II. One recurrent left atrial myxoma was identified at 20 months after operation. In this series, excellent results were obtained by simple excision of the tumor, with or without a margin of normal atrial septum. Long-term clinical & echocardiographic follow-up is recommended since late recurrence, although rare, has been reported.

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Unusual Cardiac Metastasis of Nonvisceral Soft Tissue Leiomyosarcoma in the Right Ventricle: A Case Report and Literature Review (우심실로 전이된 내장 외 연부조직 평활근육종: 증례 보고 및 문헌 고찰)

  • Sangmin Park;Heekyung Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.219-224
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    • 2021
  • Leiomyosarcoma (LMS) is a soft tissue sarcoma that originates from smooth muscle cells. It is commonly found in the uterus but can occur throughout the body, including the retroperitoneal space, abdominal cavity, and any vascular structure. Although there are many case reports of uterine or vascular LMS metastasizing to the heart, cardiac metastasis from nonvisceral lesions has only been reported in two cases. Herein we report a rare case of a patient presenting metastatic LMS from the left flank in the right ventricle observed with echocardiography and enhanced computed tomography.

Postnatal left Ventricular Outflow Tract Obstruction Caused by Multiple Rhabdomyoma Tumors (다발성 횡문근육종으로 인해 출생직후 발생한 좌심실유출로 폐쇄)

  • Song, Seung-Hwan;Jun, Tae-Gook;Choi, Min-Suk;Yang, Ji-Hyuk
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.725-728
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    • 2010
  • Rhabdomyoma is the most common benign cardiac neoplasm in neonates. Most patients with rhabdomyoma experienced spontaneous regression. Yet some of them need surgical therapy because of hemodynamic problems of the heart such as arrhythmia, outflow tract obstruction and valvular dysfunction. We found multiple masses in both ventricles on the patient's fetal echocardiogram. Heart failure caused by severe left ventricular outflow tract obstruction quickly presented after birth. The mass interfering with the outflow tract was resected via the transaortic approach at the first day of birth. Postoperative echocardiography showed complete release of the outflow tract obstruction. He was discharged on the postoperative day 8. During the 3 years of follow up, we found that the sizes of the remnant masses had gradually decreased.

Intracardiac Metastasis of Testicular Embryonal Carcinoma That Presented with a Right Ventricular Mass (우심실 종괴로 나타난 고환 태생암의 심장 전이)

  • Shim, Man-Shik;Kim, Wook-Sung;Sung, Ki-Ick;Lee, Young-Tak;Park, Pyo-Won;Lim, Ho-Yeong
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.81-85
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    • 2010
  • Metastases to the heart are rarely diagnosed before the patient dies. A 26-year-old man was admitted with multiple metastasis of a testicular embryonal carcinoma and he was found to have intracardiac metastasis. Echocardiography showed that he had a mass rising from the interventricular septum and it was floating through the right ventricular outflow tract. The histology of the mass we removed from the right ventricle was consistent with testicular embryonal carcinoma. The patient made a smooth recovery after surgical intervention and chemotherapy. We believe this is the first reported case of testicular embryonal carcinoma that metastasized to the heart and that was successfully removed via surgery in Korea.