• Title/Summary/Keyword: Smooth muscle tumor

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Two Cases of Glomus Tumor Arising in Large Airway: Well Organized Radiologic, Macroscopic and Microscopic Findings

  • Choi, In Ho;Song, Dae Hyun;Kim, Jhingook;Han, Joungho
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.1
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    • pp.34-37
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    • 2014
  • Glomus tumors of the lung are rare benign neoplasm, originating from modified smooth muscle cells. The patients are usually presented with no or non-specific symptoms such as cough, dyspnea or hemoptysis. Although surgical treatment is considered as the treatment of choice, the endobronchial therapy can be applied to the patients who are unfit for surgical excision. Herein, we describe two rare cases of glomus tumor originated at large airway (trachea and main bronchus) without respiratory symptoms and review their characteristic radiologic, macroscopic and pathological features.

A Case of Leiomyoma of the Esophahus (식도에 발생한 평활근육종 1례)

  • 유장열;김진영;김자억;김종환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.10.2-10
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    • 1979
  • Benign tumor of the esophagus is much rare than malignant tumor. The leiomyoma of the esophagus arises from the smooth muscle of the esophagus and may appear in any part of the esophagus, but the lower third is the commonest site. The tumor is usually asymptomatic during life or symptom appears late in it's growth. The authors experienced a case of leiomyoma of the esophagus confirmed by radiological and pathological examination with unevenful pastoperatove course. We report this case with literature review.

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A Case of Gastric Glomus Tumor (위 사구종양 1예)

  • Lee, Jin-Sung;Choi, Sun-Taek;Lee, Hyun-Uk;Kwon, Byung-Jin;Lee, Ji-Eun;Lee, Si-Hyung
    • Journal of Yeungnam Medical Science
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    • v.28 no.2
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    • pp.165-172
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    • 2011
  • Gastric glomus tumor is a rare mesenchymal tumor that originates from modified smooth muscle cells of the glomus body. Glomus tumors are commonly observed in peripheral soft tissue, such as dennis or subungal region, but rarely in the gastrointestinal tract. A 39-year-old woman was admitted due to epigastric soreness. Upper gastrointestinal endoscopy revealed a subepithelial mass measuring 3.5 cm with central ulceration at the lesser curvature-posterior wall of the antrum. Characteristically, contrast enhanced abdominal computed tomography scan demonstrated high enhancement of the submucosal mass up to the same level of the abdominal aorta in the arterial phase; this enhancement persisted to delayed phase. Due to the risk of bleeding and malignancy, wedge resection of the submucosal tumor was performed. Histologic findings were compatible with a glomus tumor.

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Uptake of $^{18}F-FDG$ in the Angioleiomyoma of the Leg ($^{18}F-FDG$ 섭취를 보인 하지의 혈관평활근종)

  • Kim, Ho-Kyun;Park, Young-Chan
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.1
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    • pp.59-61
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    • 2007
  • Angioleiomyoma is a rare benign tumor arising from the vascular smooth muscle (tunica media) and characterized by either a painful or painless, solitary subcutaneous nodule occurring most often in the lower extremity. We report a case of intense FDG uptake in the angioleiomyoma of right lower leg on $^{18}F-FDG$ PET/CT.

Protective effect of p53 in vascular smooth muscle cells against nitric oxide-induced apoptosis is mediated by up-regulation of heme oxygenase-2

  • Kim, Young-Myeong;Choi, Byung-Min;Kim, Yong-Seok;Kwon, Young-Guen;Kibbe, Melina R.;Billiar, Timothy R.;Tzeng, Edith
    • BMB Reports
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    • v.41 no.2
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    • pp.164-169
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    • 2008
  • The tumor suppressor gene p53 regulates apoptotic cell death and the cell cycle. In this study, we investigated the role of p53 in nitric oxide (NO)-induced apoptosis in vascular smooth muscle cells (VSMCs). We found that the NO donor S-nitroso-N-acetyl-penicillamine (SNAP) increased apoptotic cell death in p53-deficient VSMCs compared with wild-type cells. The heme oxygen-ase (HO) inhibitor tin protoporphyrin IX reduced the resistance of wild-type VSMCs to SNAP-induced cell death. SNAP promoted HO-1 expression in both cell types. HO-2 protein was increased only in wild-type VSMCs following SNAP treatment; however, similar levels of HO-2 mRNA were detected in both cell types. SNAP significantly increased the levels of non-heme-iron and dinitrosyl iron-sulfur clusters in wild-type VSMCs compared with p53-deficient VSMCs. Moreover, pretreatment with FeSO4 and the carbon monoxide donor CORM-2, but not biliverdin, significantly protected p53-deficient cells from SNAP-induced cell death compared with normal cells. These results suggest that wild-type VSMCs are more resistant to NO-mediated apoptosis than p53-deficient VSMCs through p53-dependent up-regulation of HO-2.

Undetermined Fibrous Tumor with Calcification in the Cerebellopontine Angle

  • Cheon, Se-Hun;Kang, Shin-Hyuk;Park, Kyung-Jae;Chung, Yong-Gu
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.173-176
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    • 2010
  • In this report, we introduce an undetermined fibrous tumor with calcification occurring in the cerebellopontine angle (CPA). A 51-year-old woman was admitted with a short history of dizziness. Computed tomography and magnetic resonance images revealed a $2{\times}2{\times}2\;cm$ sized mass at the left CPA which was round and calcified. There was no dura or internal auditory canal involvement. At surgery, the tumor was located at the exit of 7th and 8th cranial nerve complex. It was very firm, bright yellow and well encapsulated. Histologic findings revealed that the tumor was predominantly composed of fibrous component, scant spindle cells and dystrophic calcification. Immunohistochemical staining demonstrated positive for vimentin and negative for epithelial membrane antigen (EMA), S-100 protein, CD34, factor XIIIa and smooth muscle actin. The diagnosis was not compatible with meningioma, schwannoma, metastatic brain tumors, and other fibrous tumors. Although the tumor was resected in total, long term follow-up monitoring is necessary due to the possibility of recurrence.

ANGIOMYOMA OF THE LINGUAL ASPECT OF THE MANDIBULAR SECOND MOLAR: A CASE REPORT (하악 구치부 설측면에 발생한 혈관평활근종의 치험 1례)

  • Choi, Mun-Kyung;Yoon, Kyu-Ho;Park, Kwan-Soo;Cheong, Jeong-Kwon;Shin, Jae-Myung;Baik, Jee-Sun;Park, Ji-Hyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.500-504
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    • 2008
  • Angiomyoma is the vascular type of leiomyoma that the tumor cells are originated from vascular smooth muscle cells. It's frequently found in the subcutaneous tissues of the lower extremities. Such case of an angiomyoma within the oral cavity is rarely found. From a series of 7748 smooth muscle tumors of all types, only 0.06% were found in the oral cavity. This is a rare case of a young woman appeared with oral angiomyoma located in the left mandibular posterior region with plain radiograph, CT and histologic review.

A Case of Disseminated Multiple Glomus Tumors (파종성 다발성 사구종양 1례의 치험례)

  • Choi, Tae Hyun;Yeo, Hyeon Jung;Son, Daegu;Kim, Hyung Tae
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.493-496
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    • 2009
  • Purpose: Glomus tumors are neoplasms that are composed of modified smooth muscle cells of the glomus body and multiple glomus tumor comprises 10% of all glomus tumors. We report a case of disseminated multiple glomus tumors. Methods: A 14 - year - old boy presented with multiple subcutaneous purple nodules on the right cheek, back, right arm, right hand dorsum, right fourth finger, and left ankle. Nodules on the back and right fourth finger were completely excised under local anesthesia and histopathologic examination was followed. Results: Histopathologic findings showed numerous dilated, cavernous - like, thin - walled, vascular spaces surrounded by one or a few layers of glomus cells. On immunohistochemical examination, glomus cells stain for smooth muscle actin, and endothelial cells stain for CD31. Those revealed multiple glomangiomas. Conclusion: A review of Korean literature revealed only one reported cases of disseminated multiple glomus tumors, so this is the second case to be reported in the Korean literature. In case of multiple soft tissue tumors, thorough physical examination and preoperative evaluation is needed.

An Intrarenal Adrenocortical Carcinoma Arising in an Adrenal Rest

  • Lee, Ji Hee;Choi, Young Deuk;Cho, Nam Hoon
    • Journal of Pathology and Translational Medicine
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    • v.52 no.6
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    • pp.416-419
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    • 2018
  • We describe a case of a 61-year-old Korean man who was diagnosed with renal cell carcinoma that was discovered on abdominopelvic computed tomography obtained after the patient complained of back pain. A radical nephrectomy was performed, and the surgical specimen showed a relatively well-circumscribed and yellowish lobulated hard mass. Microscopically, the tumor showed sheets and nests of hypercellular pleomorphic cells with thick fibrous septation, frequent mitoses, and areas of adrenal cortical-like tissue. Immunohistochemical staining revealed that the tumor cells were positive for inhibin-${\alpha}$, vimentin, synaptophysin, and melan A. It also revealed that the tumor cells were negative for pan-cytokeratin, epithelial membrane antigen, paired box 8, ${\alpha}$-methylacyl-coenzyme A racemase, CD10, cytokeratin 7, carbonic anhydrase 9, c-Kit, renal cell carcinoma, transcription factor E3, human melanoma black 45, desmin, smooth muscle actin, S-100, chromogranin A, CD34, anaplastic lymphoma kinase, and integrase interactor 1. Based on these histopathological and immunohistochemical findings, we diagnosed the tumor as intrarenal adrenocortical carcinoma arising in an adrenal rest. Several cases of intrarenal adrenocortical carcinoma have been reported, although they are very rare. Due to its poor prognosis and common recurrence or metastasis, clinicians and pathologists must be aware of this entity.

MYOFIBROMA OF THE MANDIBLE (하악골에 발생한 근섬유종)

  • Yoon, Jung-Hoon;Kim, Su-Gwan;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.10-14
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    • 2003
  • Myofibroma is a rare spindle cell neoplasm that consists of myofibroblsasts. Although it was originally described as a multicentric tumor process affecting infants and young children, it is now recognized that most cases of the tumor are soliatary and that it can occur at any age. This case is a myofibroma involving the right mandibular body in a 9-year-old boy. Radiographic examination revealed a relatively well-demarcated radiolucent lesion surrounding the impacted right mandibular canine and first premolar crown. The histologic sections composed of interlacing bundles of spindle cells with tapered or blunt-ended nuclei admixed with a foci of hemangiopericytoma-like appearance. Immunohistochemical staining demonstrated a positive reaction to vimentin and smooth muscle actin, but they are negative for desmin and S-100. The presence of well circumscribed radiolucent solid lesion in children as observed in this case, differential diagnosis of myofibroma must be included. In this case, there was no recurrence 6 months after enucleation and eruption guide of the impacted tooth is ongoing now.

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