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Surgical Treatment of Primary Pulmonary Leiomyosarcoma; Two Cases Report (원발성 폐평활근육종의 외과적 치료;2례 보고)

  • 이문금
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.654-660
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    • 1993
  • The incidence of pulmonary leiomyosarcoma is very rare as a primary lung tumor. Usually, pulmonary leiomyosarcoma arise from the smooth muscle present in the bronchi or blood vessles. We had experienced two cases of primary pulmonary leiomyosarcoma. The first case was 28-year old male patient who had been in good health until admission, when he experienced an episode of dyspnea and sudden hemoptysis. The chest X-ray film revealed a large round tumor mass in left lower lobe measuring 6.5x9.5x5.3cm in dimension. On physical examination,the patient was friction rub and rales on the left lower chest and postoperative course was smooth and non-eventful. Emergency left lower lobectomy was performed due to repeated hemoptysis. Chemotheraphy was done postoperatively as an adjuvant therapy.The second case was 52-year-old man who had been well prior to admission, when recently he noticed a abrupt growing tendency of old pulmonary coin lesion in right lower lobe on routine physical examination. Since 1968, small round mass was gradually enlarged very slowly, during recent one year interval, the tumor mass was enlarged abruptly as twice in size on chest X-ray. Bronchoscopic examination revealed no specipic findings. Right lower lobectomy was performed and pathologic examination was answered as primary leiomyosarcoma without lymph node metastasis. Postoperative course was smooth, except local wound infection.

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Congenital Bronchoesophageal Fistula: Two cases (선천성 기관지 식도루;수술치헙 2례)

  • Hur, Jin;Jang, Bong-Hyun;Lee, Jong-Tae;Kim, Kyu-Tae
    • Journal of Chest Surgery
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    • v.25 no.2
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    • pp.194-199
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    • 1992
  • Two patients with congenital bronchoesophageal fistula were treated with surgical division. The first case was a 56-year-old female patient complaining of aggravated coughing, fever and chest pain since 10 days before the visit. The above symptoms were mild and occurred intermittently since 17 years ago. After the fistula was confirmed on the eso-phagogram, it was treated with coil embolization. The coil had dislodged and couldn`t be found two months later on follow up chest film. The patient underwent a surgical division of the fistula and has been in good condition The bronchoesophageal fistula belongs to type II in Braimbridge`s classification. The second case was a 5 year-old-female patient who suffered with cough intermittently since 2 years old and had history of recurrent pneumonia in infancy. An esophagogram revealed a fistula between the esophagus and the right lower lobe of the lung. An aortogram showed an abnormal systemic arterial supply to the right lower lobe of the lung. The sequestrated rigth lower lobe was resected and the fistula was divided. This case may be the first case of type IV bronchoesophageal fistula in Korea. This case also had good operative result.

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Ameloblastic flbro-odontoma in the mandible: a case report (법랑모세포섬유치아종의 한 증례)

  • An Chang-Hyeon
    • Imaging Science in Dentistry
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    • v.35 no.1
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    • pp.55-58
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    • 2005
  • Ameloblastic fibro-odontoma is a rare benign mixed odontogenic tumor with histologic characteristics of ameloblastic fibroma and complex odontoma. As with ameloblastic fibroma, it may be asymptomatic or found because of painless swelling and delayed eruption of associated tooth. This report presents a case of ameloblastic fibro-odontoma in the posterior mandible of a 14-year-old girl and analyses its clinical features and radiographic features on plain X-ray film and CT images. (Korean J Oral Maxillofac Radiol 2005; 35 : 55-8)

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Primary mediastinal seminoma (원발성 종격동 정상피종 1례 보)

  • Na, Beom-Hwan;Lee, Hong-Gyun
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.78-81
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    • 1984
  • All most of all seminoma occurred in anterior mediastinum, and generally appeared as large masses on routine chest film. The tumors are radiosensitive and the prognosis is relatively good. Recently we experienced one case Of seminoma, who is 28-year old male and asymptomatic at seminoma. In our case, the size of the tumor is strikingly reduced after radiation therapy.

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Immature Teratoma at Anterior Mediatinum - Report of one case - (종격동에 발생한 미성숙 기형종: 1례 보고)

  • 이재필
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.435-437
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    • 1992
  • We experienced one case of immature teratoma at anterior mediastinum. the patient was Syears old female whose complain were cough and chest pain. Chest film showed mass density St the lower half of the Rt chest. Chest CT showed inhomogenous mass which have some calcified area. At the time of operation, 12x10x13cm sized mass have smooth surface and its stump elongated to the thymus. a-FP level, preoperative 22.5ng/ml, was decreased to 9.7ng/ml after operation. Postoperative adjuvant chemotherapy was performed with Vinblastin, Bleomycin and Cisplatin combination. The patient had an uneventful postoperative or postchemotherapy course and was discharged in a good condition.

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Malignant Hemangiopericytoma of the lung (폐에서 발생한 악성 혈관외피세포종 1례 보고)

  • 김승철
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.513-516
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    • 1985
  • Hemangiopericytoma is a rare tumor of vascular origin, first described by Stout and Murray in 1942. It is characterized by proliferation of capillaries surrounded by pericytes. There is no characteristic clinical or radiological finding. Wide excision is the treatment of choice. A 21 year-old man was admitted with one year history of productive cough. On admission, chest film showed large lobulated mass and Right lower lobe atelectasis. Rt. pneumonectomy was performed and the tumor was confirmed as malignant hemangiopericytoma of the lung. Local recurrence didn`t occur until now.

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One Case Report of Primary Choriocarcinoma of the Lung (폐에 발생한 원발성 융모막 상피종 치험 1례)

  • 김기만
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.366-369
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    • 1990
  • Primary choriocarcinoma of the lung is extremely rare. The patient was 28-year-old female and had no specific signs and symptoms except right chest pain for 5 years. On simple chest film, 8X8 cm sized, well demarcated, homogeneous ovoid mass was found on right lower lung field. The qualitative urine \ulcorner-HCG was 17140 mIU/ml. The result of percutaneous needle biopsy highly suggested choriocarcinoma. Under the impression of primary choriocarcinoma of the lung, right middle and lower lobectomy was done. On 33 postoperative days, serum \ulcorner-HCG level was within normal limit, the patient was discharged without complications after one-cycle chemotherapy.

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Thymolipoma - One Case Report - (흉선 지방종[1례 보고])

  • 이상권
    • Journal of Chest Surgery
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    • v.25 no.3
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    • pp.325-329
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    • 1992
  • The thymolipoma is rather rare benign tumor of the thymus. One case of huge thymolipoma, seen in a 11-year-old boy, is presented. It is about 2.16kg. He had some chest discomfort. The chest film showed homogeneous haziness fills the left hemithorax, On chest CT scan, multiple small amorphous soft tissue densities were recognized as islands within a large fatty mass. Tumor resection was performed through left anterolateral thoracotomy. The mass was yellowish soft, measured 29x19Xllcm, 12X7.5x3.5cm, 7.0X3.0X1.0cm. Microscopically, the tumor was comprised of abundant mature adipose tissue and normal thymic tissue.

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Pulmonary hamartoma associated with thymic cyst: a case report (폐과오종을 동반한 전종격동 흉선낭종 1례 보)

  • 이양행
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.470-474
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    • 1984
  • 33-year old female was admitted chest surgery department for evaluation of mild chest pain. Chest plain film showed right anterior mediastinal mass and small metastatic daughter mass ipsilateral side. Exploratory thoracotomy was performed 24th Aug. 83 revealed that small nodular parenchymal mass at right middle lobe and large cystic mass at anterior mediastinum which was connected with anterior mediastinal fat. Histological examination confirmed diagnosis as pulmonary hamartoma and thymic cyst individually. We successfully treated these two masses by wedge resection and excision. Although postoperative course was uneventful, the cause and associated relationship between two tumor origin were obscure.

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Carcinoma of the Esophagus after Corrosive Esophageal Stricture - One case report - (부식성 식도협착 후 발생한 식도암 1례)

  • 김영진
    • Korean Journal of Bronchoesophagology
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    • v.7 no.2
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    • pp.178-183
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    • 2001
  • A 72-year-old women whose symptom was severe dysphagia and x-ray film revealed esophageal stricture and dilatation. She had attempted suicide by swallowing lye liquids 50 years ago. A conclusive clinical and histological diagnosis of esophageal carcinoma after corrosive stricture was made following a esophagectomy with esophagogastrostomy, I experienced one case of esophageal carcinoma after corrosive stricture and reviewed it with references.

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