• 제목/요약/키워드: Polypoid

검색결과 85건 처리시간 0.022초

기관지내시경 절제술로 치료한 기관지 카르시노이드 종양 1예 (A Case of Endobronchial Carcinoid Tumor Treated by Flexible Bronchoscopic Resection)

  • 나용섭;윤성호;이승일;권용은
    • Tuberculosis and Respiratory Diseases
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    • 제70권6호
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    • pp.516-520
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    • 2011
  • Bronchial carcinoid tumor accounts for less than 5% of all primary lung tumors in adults. Although surgical resection is the treatment of choice, here we report a case of bronchial carcinoid tumor treated with flexible bronchoscopic resection. A 19-year-old-man presented with a history of wheezing with dyspnea for six months. A simple chest x-ray showed no abnormal findings, but a pulmonary function test showed a moderate obstructive lung disease pattern without a bronchodilator response. A computed tomogram of the thorax revealed an enhanced $15{\times}12$ mm nodule in the left main bronchus. Bronchoscopic examination showed a polypoid mass with a stalk in the left main bronchus, which almost completely occluded the left main bronchus. Histopathology of the resected specimen revealed a bronchial carcinoid tumor. We treated the carcinoid tumor with a flexible bronchoscopic resection. During the follow up period of 6 months, the previous tumor didn't relapse. Initial bronchoscopic resection should be considered when bronchial carcinoid tumor can be approached by bronchoscopy.

기관지 사구 종양 1례 (A Case of Bronchial Glomus Tumor)

  • 이은우;김수옥;오인재;주진영;조계중;김규식;김영철;박경옥;나국주;명재일
    • Tuberculosis and Respiratory Diseases
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    • 제53권4호
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    • pp.445-449
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    • 2002
  • An 18-year-old female was admitted because of dyspnea at rest. A chest computed tomography (CT) scan and fiberoptic bronchoscopy demonstrated a polypoid tumor in the left main bronchus, 0.5cm distal from the carina. Surgical resection of the tumor was performed, along with. A pathological evaluation and the immunohistochemical findings led to the diagnosis of a glomus tumor, which originated from the bronchus, an area where this type of tumor has rarely been reported.

Gastric Xanthoma in the Pediatric Population: A Possible Herald for Malignancy?

  • Russell, Joseph D.;Peck, Jacquelin;Phen, Claudia;Linehan, Janna L.;Karjoo, Sara;Nguyen, Johnny;Wilsey, Michael J.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권1호
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    • pp.110-114
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    • 2020
  • Gastric xanthoma is frequently an incidental finding on upper endoscopy in adults. Gastric xanthomas (GX) can be mistaken for malignancies and warrant prompt histologic diagnosis. The underlying etiology is not fully understood; however, it has been linked to Helicobacter pylori gastritis and gastric cancer. GX in the pediatric population is largely unreported in the literature. Because of the relative rarity, documentation with case reports are essential to provide as much data as possible to see if there is a correlation between GX and malignant potential in the pediatric population. Our group is reporting two cases, a 10-year-old male and a 7-year-old male, both who presented with chronic dysphagia, upper abdominal pain, nausea, vomiting, and loss of appetite. Upper endoscopies for both patients revealed small polypoid lesions located in the antrum with foamy histiocytes on histology, leading to the diagnosis of gastric xanthoma.

Esthesioneuroblastoma in a boy with 47, XYY karyotype

  • Jo, Hee Cheol;Lee, Seong Wook;Jung, Hyun Joo;Park, Jun Eun
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.92-95
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    • 2016
  • Neuroblastomas are sometimes associated with abnormal constitutional karyotypes, but the XYY karyotype has been rarely described in neuroblastomas. Here, we report a case of an esthesioneuroblastoma in a boy with a 47, XYY karyotype. A 6-year-old boy was admitted to our hospital because of nasal obstruction and palpable cervical lymph node, which he first noticed several days previously. A polypoid mass in the right nasal cavity was detected through sinuscopy. Biopsy of the right nasal polyp was performed. Based on the result, the patient was diagnosed with a high-grade esthesioneuroblastoma. Nuclear imaging revealed increased uptake in both the right posterior nasal cavity and the right cervical IB-II space, suggesting metastatic lymph nodes. Cytogenetic analysis revealed a 47, XYY karyotype. Twelve courses of concurrent chemotherapy were administered. Three years after the completion of chemotherapy, the patient had had no disease recurrence. He manifested behavioral violence and temper tantrums, so we started methylphenidate for correction of the behavior.

MR Imaging Findings of Tamoxifen-associated Uterine Adenosarcoma: Report of Two Cases

  • Choi, Soo Yeon;Sung, Deuk Jae;Han, Na Yeon;Park, Beom Jin;Kim, Min Ju;Sim, Ki Choon;Cho, Sung Bum
    • Investigative Magnetic Resonance Imaging
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    • 제19권1호
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    • pp.56-61
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    • 2015
  • Adenosarcoma of the uterus is a rare biphasic tumor containing benign glandular epithelial and malignant mesenchymal components. The tumor has been reported to be associated with antiestrogen therapy, particularly tamoxifen, but there have been a few case reports with MRI. We present two cases of MRI findings of uterine adenosarcoma after antiestrogen therapy, tamoxifen and toremifene in breast cancer patients. The tumor presents as a large polypoid mass occupying the endometrial cavity, and may protrude into the vagina. On MRI, the tumor typically shows solid components with scattered small cysts and heterogeneous enhancement. These findings are not significantly different from conventional adenosarcoma.

Primary sinonasal mucosal melanoma simulated as cystic lesions: a case report

  • Shin, Sung-Ho;Seok, Hyun;Kim, Seong-Gon;Hong, Seong-Doo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권1호
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    • pp.29-33
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    • 2018
  • Sinonasal mucosal melanoma (SNMM) in the maxillary sinus is a rare disease condition. Compared to oral mucosal melanoma, SNMM has a bulky, exophytic, and polypoid appearance, is weakly pigmented, and associated with unspecific symptoms. Due to these features, SNMM in the maxillary sinus has been misdiagnosed as nasal polyps and chronic sinusitis. In this case report, we described SNMM occurring in the right maxillary sinus simulated as a cystic or benign lesion. Cortical bone thinning and expansion were observed around the mass. The excised soft mass was encapsulated and weakly pigmented. The mass was clearly excised and covered with a pedicled buccal fat pad graft. Diagnosis using immunohistochemistry with S-100 and homatropine methylbromide-45 (HMB-45) is critical for proper treatment.

내배액술을 시행한 담관 낭종에서 발생한 악성 변성 및 간 전이 - 1예 보고 - (Malignant Degeneration and Hepatic Metastasis Ten Years after Internal Drainage of a Choledochal Cyst - a Case Report -)

  • 지문종;윤혁진;강신용;박진영
    • Advances in pediatric surgery
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    • 제11권2호
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    • pp.186-191
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    • 2005
  • A 10-year-old-girl was referred to our hospital due to abdominal pain. She underwent Roux-en-Y cystojejunostomy for a choledochal cyst at another hospital at the age of 3 months. Abdominal ultrasonography (USG) and computed tomography (CT) showed type I choledochal cyst and multiple gallbladder stones. Because of severe inflammation and adhesion, partial resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy was performed. Two and one half years later, intermittent abdominal pain, fever, nausea and vomiting occured. Abdominal CT scan showed a polypoid nodular lesion in the remnant of the choledochal cyst and probable metastasis at segment 7 of the liver. The duodenum was obstructed by the mass. Liver biopsy revealed moderately differentiated adenocarcinoma. A palliative gastrojejunostomy was performed to relieve duodenal obstruction. She died of hepatic insufficiency 4 months later.

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한국산 참나무아속 화분형태의 유사관계 및 종내변이에 관한 연구 (Similarty Relationship and Intraspecific Variation in Pollen Morphology of Korean Subgenus Lepidobalanus E$_{NDL}$.(Genus Quercus L.))

  • 김계환;김상용
    • 임산에너지
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    • 제19권1호
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    • pp.38-48
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    • 2000
  • 한국산 참나무아속 화분형태의 유사관계 및 종내변이를 조사하기 위하여 화분립의 국축길이, 적도면 폭, 구의 길이, 구의 폭을 측정하고 화분립의 국축길이에 대한 적도면 폭의 비율을 계산하였다. 본 연구 결과를 근거로 하여 군집분석을 수행한 결과 상수리나무와 굴참나무의 화분형태가 가장 유사관계가 높은 것으로 나타났다. 조사된 수종 중 화분립의 크기에 있어서 폭 넓은 변이를 나타내는 떡갈나무의 경우에는 polypoid와 (또는) aneuploid의 형태가 존재하는 것으로 추정되었다. 참나무아속 수종들의 ploidy levels에 대한 연구가 수행되어야 할 것이다.

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개의 담낭에서 발생한 carcinoid tumor 증례 보고 (Carcinoid tumor of gallbladder in a dog)

  • 우상호;고두민;천두성;김재훈;최갑철;오예인;김대용
    • 대한수의학회지
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    • 제60권2호
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    • pp.101-104
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    • 2020
  • A 7-year-old female mixed-breed dog was presented to a veterinary clinic for pyometra. During abdominal ultrasonography, an abnormal finding was noted in the gallbladder. A cholecystectomy was performed. Grossly, the gallbladder wall was thickened with a polypoid nodular projection into the lumen. Microscopically, the polyp consisted of a solid sheet of round to polygonal-shaped cells that formed small packets with fibrovascular septa. The neoplastic cells contained abundant cytoplasmic eosinophilic granules. Immunohistochemically, the neoplastic cells were positive to chromogranin A and neuron-specific enolase, whereas they were negative to vimentin and cytokeratin. This case was diagnosed as a primary gallbladder carcinoid tumor.