• 대한세포병리학회지
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• 제11권2호
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• pp.115-119
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• 2000

Alveolar soft part sarcoma is a rare soft tissue tumor. Few cases on fine needle aspiration cytology have been reported in the literature. We experienced a case of recurrent alveolar soft part sarcoma of the right thigh diagnosed by fine needle aspiration cytology in a 47-year-old man. Cytologic findings showed single cells and clusters associated with thin wailed vasculature in a distinct pseudo-alveolar pattern. The tumor cells exhibited round or ovoid abundant granular cytoplasm and large pleomorphic nuclei with prominent central nucleoli.

• 대한골관절종양학회지
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• 제5권4호
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• pp.208-215
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• 1999

The purpose of this study was to identify the independent clinicopathologic prognostic factors of soft tissue sarcoma affecting local recurrence, metastasis and survival. Retrospectively collected data from 130 patients with soft tissue sarcoma were analyzed. Patient, tumor and pathologic factors were analyzed by univariate and multivariate methods for the endpoints of local recurrence, metastasis and survival. In univariate analysis, wide surgical margin, adjuvant radiotherapy and age younger than 40 years reduced local recurrence. Tumor size larger than 5cm was related with a higher rate of metastasis. Patients with metastasis at initial presentation and with a large tumor size had a low survival rate. In multivariate analysis, adjuvant radiotherapy and young age were significantly correlated with a low local recurrence rate. In conclusion, patients with metastasis at initial presentation and a large tumor size had a reduced survival rate. Independent adverse prognostic factors for local recurrence were old age and not undergoing adjuvant therapy.

• Archives of Reconstructive Microsurgery
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• 제8권2호
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• pp.120-129
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• 1999

There were many difficulties in the treatment of extensive, massive, and composite defect in the lower extremity until early 1980's. Recently, microscopic reconstruction of wide soft tissue defect is popularized. But, the combined flap, which requires wide coverage of lower extremity after soft tissue sarcoma excision or traffic accident, is still challenging to the orthopaedic surgeons. We experienced 12 cases of combined scapular and latissimus dorsi flap from 1983 to 1997 in the lower extremity reconstruction of soft tissue defect with satisfactory result. There were no serious donor site complications such as functional disturbance of shoulder joint.

• 대한두경부종양학회:학술대회논문집
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• 대한두경부종양학회 2007년도 춘계학술대회 논문집
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• pp.86-86
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• 2007

• 대한두경부종양학회:학술대회논문집
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• 대한두경부종양학회 2007년도 춘계학술대회 논문집
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• pp.88-90
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• 2007

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제61권11호
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• pp.624-629
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• 2018

Low-grade fibromyxoid sarcoma (LGFMS), a soft tissue tumor that has high recurrence and metastasizing potential, rarely occurs in the head and neck region. Therefore, the treatment for LGFMS in the facial area is challenging in terms of cosmetic and functional maintenance. The authors report a case of LGFMS in the posterior nasal cavity. It was completely removed in parallel with the nasal endoscopic and oral approach, but the lower margin was closed by preserving the soft palate. The patient is well without any recurrence or metastasis after 5 years of follow-up.

• 대한골관절종양학회지
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• 제14권2호
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• pp.172-177
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• 2008

유상피 육종은 젊은 남자 또는 청소년에 호발하는 매우 드문 고등급의 연부조직 육종이며, 수부, 전완부, 하퇴부, 족부에 호발한다. 대부분의 경우 육종은 천천히 자라고, 진피층이나 심부의 연부조직에서 발생하며 원위사지부의 심부 연부조직에 주로 발생한다. 유상피 육종은 국소 재발이나 림프절 전이를 잘하며, 양성 또는 악성의 성질을 가지고 있어 진단에 어려움이 있다. 치료로는 광범위 절제술, 방사선 치료 및 화학요법 등이 시행되어 진다. 저자들은 드문 연부조직 육종인 유상피 육종의 례를 경험하고 이를 보고하는 바이다.

• Journal of Korean Neurosurgical Society
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• 제47권4호
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• pp.306-309
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• 2010

We recently experienced a case of synovial sarcoma in the posterior neck, which involved adjacent bony structures. Synovial sarcoma is rare, malignant soft tissue tumor that occur predominantly in the lower extremities. Wide surgical excision with involved tissue is the treatment of first choice, because most synovial sarcomas reveal aggressive features. We removed the tumor with involved bony structures and patient was given postoperative radiation therapy. Despite these treatment options, the patient died 1 year after surgery. We report this case with a review of the literature.

• Investigative Magnetic Resonance Imaging
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• 제10권1호
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• pp.16-19
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• 2006

활액육종은 발생기원이 명확히 밝혀지지 않은 간엽조직 기원의 악성 종양으로 골수로의 침범을 보이는 경우는 종양의 5-15%로 비교적 드물다. 24세 남자 환자가 6-7개월 전부터 시작되어 최근 2-3주 사이에 악화된 우측 하퇴부의 동통과 종창을 주소로 내원하였다. 자기 공명 영상에서 우측 경골 하단부에 경골을 둘러싸는 모양의 1.5x5x9 cm 크기의 종괴가 있었는데 경골 피질의 파괴가 있었고 골수는 T1 강조영상에서 골수의 지방 신호가 감소하고 조영증강을 보이는 등 부분적인 골수의 침범의 소견을 동반하고 있었다. 수술로 절제된 조직은 조직학적 검사에서 이상성 (biphasic) 활액육종으로 진단받았고 병변이 경골을 침범하고 있었다.

• 한국임상수의학회지
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• 제41권1호
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• pp.24-29
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• 2024

A 6-year-old spayed female French Bulldog presented with a left-sided chest wall tumor. Physical examination revealed that the tumor was firmly adhered to the chest wall. A preoperative punch biopsy of the tumor revealed a grade 2 soft tissue sarcoma (STS). On computed tomography, the tumor's dimensions were assessed as 6.5 × 5.7 × 3.5 cm, and it exhibited invasiveness near the tissue surrounding the ninth rib. The tumor size was large in comparison to the dog's chest wall area. Hence, if the traditional wide-margin resection surgery were to be performed, primary wound closure seemed impractical and could potentially result in respiratory function complications. Therefore, considering the extent of tumor invasion and grade, deep margins were established to include the removal of the eighth to tenth ribs, and a 1-cm lateral margin was designated to enable primary wound closure. To reconstruct the chest wall, polypropylene mesh was attached to the adjacent ribs and the remaining muscles were sutured and covered over the mesh. The dog exhibited a rapid recovery beginning the day after the operation. Postoperative biopsy confirmed that the tumor was a grade 2 STS, and the surgical margins were evaluated as incomplete. The owner chose to pursue follow-up observation instead of chemotherapy. In this study, the surgical approach was chosen based on the importance of functional recovery after surgery. Recent research indicates that the tumor grade is more critical for postoperative prognosis than the extent of surgical margins when removing an STS.