• Title/Summary/Keyword: Sclerotic margin

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Infantile Myofibromatosis of the Skull - Case Report - (두개골 유아 근섬유증 - 증례보고 -)

  • Park, Byoung Jun;Koh, Young Cho;Yoo, Heon Yoo;Lee, Chea Heuck;Park, Hyo Il
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.430-433
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    • 2000
  • Infantile myofibromatosis is a rare and benign myofibroblastic tumor that may occur in either solitary or multicentric form in the soft tissue of infants. A 13-month-old girl presented with a painless firm mass, measuring $2.5{\times}2.5cm$ in the right temporal area. Skull X-ray and CT scan revealed a well enhancing soft tissue tumor with a round skull defect and sclerotic margin. The tumor was totally excised with curettage of the skull defect followed by cranioplasty. Pathology was confirmed to be a solitary infantile myofibromatosis. We report this rare solitary infantile myofibromatosis of the temporal bone with review of the pertinent literature.

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Desmoplastic Fibroma of the Skull

  • Kim, Kwan-Sik;Noh, Jae-Sub;Chung, Bong-Sub;Shin, Mi-Kung
    • Journal of Korean Neurosurgical Society
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    • v.39 no.5
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    • pp.393-395
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    • 2006
  • Desmoplastic fibromas are rare intraosseous bone tumors. They are benign but locally aggressive and frequently found in the long bones and mandible. We report radiographic and histopathologic finding of a case desmoplastic fibroma involving right temporal skull bone. A 53-year-old woman presented at our hospital complaining of continuous right side headaches for a year. Simple skull X-ray film showed $3{\times}2.5cm$ lytic lesion with mild sclerotic margin on right temporal area. A large craniectomy 1cm lateral to margin was fashioned. The resected mass showed encapsulated mass colored white gray. Histologic diagnosis was compatible with that of a the desmoplastic fibroma. There was no evidence of recurrence during the 15months of follow-up period.

A Case of Neurilemmoma of Intercostal Nerve (늑간신경에 발생한 신경초종 1예)

  • Lee, Du-Yeon;Gye, Gi-Sik;Song, Gye-Yong
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.239-245
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    • 1978
  • Recently, we experienced a case of rare neurilemmoma originated from intercostal nerve [9th] in the right chest wall in a 25 year old male officer. The tumor was incidentally found in the routine chest X ray, where the round well circumscribed mass tumor the ninth rib with notching and sclerotic margin, suggesting slowly growing benign benign of chest wall was revealed and the tumor mass was easily extirpated in the exploratory thoracotomy, with uneventful recovery. Grossly, the tumor was firm, partly soft and well circumscribed, measuring 4.5X3.0X 3.0 cm with yellowish smooth outer surface, attached with intercostal nerve trunk. Cut surface exhibits partly grayish white and largely hemorrhagic areas. Microscopically, the characteristic palisading arrangement of schwann cells and Verocay bodies are seen but dominant features are cystic degeneration and hemorrhage with organization and fibrosis. The sheath of intercostal nerve and capsule of neurilemmoma were con joined. There is no evidence of malignancy. The tumor was confirmed as neurilemmoma of intercostal nerve, Antony type B.

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Imaging features of Stafne bone defects on computed tomography: An assessment of 40 cases

  • Morita, Lucas;Munhoz, Luciana;Nagai, Aline Yukari;Hisatomi, Miki;Asaumi, Junichi;Arita, Emiko Saito
    • Imaging Science in Dentistry
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    • v.51 no.1
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    • pp.81-86
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    • 2021
  • Purpose: This study was performed to assess and describe the imaging features of 40 cases of Stafne bone defects (SBDs) on computed tomographic (CT) examinations. Materials and Methods: This study collected data, including age and sex, from 40 patients with SBDs who underwent CT exams. The imaging features of the SBDs were assessed in terms of their location, average size, the relationship of their contour with the cortical plate of the lingual mandible, bone margins, degree of internal density, shape, topographic relationship between the defect and the mandibular edge, the distance from the SBD to the base of the mandible, and the Ariji classification (type I, II, and III). Results: The average age was 57.3 years(range, 28-78 years), and the patients were predominantly male (70%). In all cases (100%), the posterior unilateral lingual SBD variant was observed. Within the Ariji classification, type I was the most common (60%). Among the most frequently observed radiographic characteristics were thick sclerotic bone margin across the entire defect contour, completely hypointense internal content, an oval shape, and continuity with the mandibular base with discontinuity of the mandibular edge. Conclusion: This study showed that posterior SBDs could present with an oval or rounded shape, complete hypodensity, and thick sclerotic margins. Likewise, SBDs could appear almost anywhere, with minor differences from the classic SBD appearance. It is fundamental for dental practitioners to know the imaging features of SBDs, since they are diagnosed primarily based on imaging.

Radiographic features of desmoplastic ameloblastoma: Report of 3 cases (결합조직형성 법랑모세포종의 방사선학적 소견 : 증례보고 3례)

  • Choi Da-Hye;Huh Kyung-Hoe;Moon Je-Woon;Yi Won-Jin;Heo Min-Suk;Lee Sam-Sun;Choi Soon-Chul;Park Kwan-Soo
    • Imaging Science in Dentistry
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    • v.36 no.1
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    • pp.63-68
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    • 2006
  • Desmoplastic ameloblastoma is a rare histologic variant of ameloblastoma. It shows important differences in anatomic distribution, histologic appearance, and radiographic findings compared with the general type of ameloblastoma. It is histologically characterized by an abundance of densely collagenous stroma and radiographically a mixed radiolucent-radiopaque lesion. We present three cases of desmoplastic ameloblastoma. All the patients complained on buccal swelling with or without pain and the sites of occurrence were the anterior and the premolar region. Plain radiographs showed mixed radiopaque-radiolucent lesion with ill-defined or diffuse sclerotic margin and no external root resorption. Additionally, CT scans revealetl buccal expansion and relatively well-defined margin of the lesions. The clinical and radiographic features of the presented cases were compared with those of the desmoplastic ameloblastoma in the previous literatures.

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A PERIPHERAL AND CENTRAL NEURILEMMOMA OF THE LOWER JAW (하악에 발생한 주변성 및 중심성 신경초종의 치험례)

  • Kim, Il-Kyu;Kim, Jae-Woo;Cha, Sang-Kweon;Yoo, Jang-Bae;Kwak, Hyun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.89-93
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    • 2005
  • Intraosseous neurilemmoma(Schwannoma) is an extremely rare benign neoplasm. The site most commonly involved is the mandible. This occurrence is understandable because of the length of the inferior alveolar canal through the mandible. No other bone contains a canal that transmits a neurovascular bundle of such size and length. We report on a peripheral and central neurilemmoma along pathway of inferior alveolar nerve of the lower lip and mandible in a 28-year old man. A panoramic radiograph of the mandible showed a well-defined bilocular lesion with a thin uniform sclerotic margin located in the ramus and body of the mandible. The CT scan confirmed a well-defined lesion with thinning of the cortex of the body of the left side of the mandible. Histologically, the lesion was a cellular neoplasm with distinct palisading and numerous Verocay bodies. Complete excision was achieved by removing the tumor with the inferior alveolar nerve.

A RADIOLOGIC STUDY OF POST-OPERATIVE MAXILLARY CYST (술후성상악낭종의 방사선학적 연구)

  • Lim Yoon Sik;Park Tae Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.12 no.1
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    • pp.35-42
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    • 1982
  • Post-operative maxillary cyst may arise after the surgical intervention for maxillary sinusitis with the symptoms of swelling, pain and pus discharge in the buccal region. The author analized 66 cases clinically and radiographically which were diagnosed as post- operative maxillary cyst in SNUH during 5 years (1977. 8-1982. 7). The obtained results were as follows; 1. This cyst occurred more frequently in male than in female and the incidence is the highest in the 4th decade. 2. The right side was more frequently affected than the left side. 3. Initial radical operations of the maxillary sinueses were performed mainly between the age of 15 and 24 years. 4. The duration between the initial operation and the onset of cyst was mainly from 10 to 24 years. 5. Pain, swelling and pus discharge in the buccal region were most frequent chief complaints. 6. In panoramic radiographs, most of the post-operative maxillary cysts were monolocular type, showing distinct border, with smooth margin and without any definite sclerotic border. 7. In Waters' view, 43 cases showed radiographic changes due to cyst.

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Diagnostic Imaging of Pigmented Villonodular Synovitis of the Temporomandibular Joint. (측두하악관절에 발생한 색소성 융모결절성 활막염(Pigmented Villonodular Synovitis)의 영상진단)

  • Song Man-Yong;Lee Kyung-Hee;Lee Sang-Chul;Lee Sam-Sun;Choi Soon-Chul;Park Tae-Won;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.2
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    • pp.505-519
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    • 1998
  • The occurrence of PVNS in the TMJ is very rare. We report a case of PVNS which was misdiagnosed as a parotid tumor at first. CT and conventional radiograph revealed a well defined mass demonstrating higher attenuation than adjacent soft tissue. Erosion and expansion of the cortical plate of the mandibular condyle and sclerotic change beneath the margin of the lesion were also shown. MRI demonstrated well defined mass of very low signal intensity on both Tl and T2-weighted images due to ferromagnetic effect of the high concentrated hemosiderin and clearly delineated the extent of the lesion. Histopathologic findings and characteristic appearance of the various imaging methods were described and the usefulness of these images for diagnosis and pretreatment evaluation of PVNS were also discussed.

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Characteristic MRI Findings of Spinal Metastases from Various Primary Cancers: Retrospective Study of Pathologically-Confirmed Cases (다양한 원발성 암의 척추전이 병변의 특징적인 자기공명영상 소견들: 병리학적으로 확인된 병변들의 후향적인 분석)

  • An, Chansik;Lee, Young Han;Kim, Sungjun;Cho, Hee Woo;Suh, Jin-Suck;Song, Ho-Taek
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.1
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    • pp.8-18
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    • 2013
  • Purpose : The purpose of this study was to find and categorize the various magnetic resonance imaging (MRI) findings of spinal metastases that correlate with the type of primary cancer. Materials and Methods: We retrospectively reviewed gadolinium-enhanced magnetic resonance images of 30 patients with 169 spinal metastatic lesions from lung cancer (n = 56), breast cancer (n = 29), colorectal cancer (n = 20), hepatocellular carcinoma (HCC) (n = 17), and stomach cancer (n = 47). The size, location, extent of invasion, signal intensity, margin, enhancement pattern, and osteoblastic or osteolytic characteristics of each metastatic tumor were analyzed. Results: The metastatic lesions from HCC were larger than those from the other primary tumors (P < 0.05) except for colorectal cancer (P = 0.268). Well-defined metastatic tumor margins were more frequently seen in lung cancer and breast cancer (P < 0.01). All but HCC showed a tendency to invade the vertebral body rather than the posterior elements (P < 0.02). Colorectal cancer and HCC showed a tendency toward extraosseous invasion without statistical significance. HCC showed a characteristic enhancement pattern of 'worms-in-a-bag'. Rim enhancement with a sclerotic center was only seen in spinal metastases from stomach cancer. Conclusion: Despite many overlapping imaging features, spinal metastases of various primary tumors display some characteristic MRI findings that can help identify the primary cancer.