• 제목/요약/키워드: Subepithelial

검색결과 102건 처리시간 0.018초

비근침윤성 방광암의 경요도절제술 후 방광 내 상피하종양 형태의 재발: 증례 보고 (Recurrence of Subepithelial Non-Muscle Invasive Bladder Cancer Following Transurethral Resection: A Case Report)

  • 김녹정;문성경;유명원;임주원
    • 대한영상의학회지
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    • 제82권3호
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    • pp.715-720
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    • 2021
  • 방광암의 경요도절제술은 비근침윤성 방광암의 1차 치료 방법이다. 첫 번째 경요도절제술 이후 약 절반가량의 방광암 환자에서 재발을 보인다. 대부분의 방광암 재발은 방광점막에서 방광내막 쪽으로 자라는 용종 모양의 종괴로 나타난다. 지금까지 알려진 바에 의하면, 재발한 방광암이 상피하종양의 형태로 보고된 증례는 없다. 근육내층에 국한된 재발암은 방광경에서 발견하기가 쉽지 않고, 또한 수술적으로 완전히 제거하는 것 역시 쉽지 않다. 근육내층에 재발한 방광암을 진단하는 데에 있어서 영상 검사가 가장 중요한 정보를 제공할 수 있다. 이 증례에서는 영상 검사에서 진단할 수 있는 아주 드문 상피하 재발 방광암에 대해 보고하고자 한다.

Soft tissue volume changes following gingival grafting for labial gingival recession in the mandibular anterior area: a case report

  • Song, Young Woo;Jung, Ui-Won;Cha, Jae-Kook
    • 대한치과의사협회지
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    • 제58권1호
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    • pp.8-18
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    • 2019
  • This case report presents results for gingival recession coverage following gingival grafting and for gingival biotype enhancements by visualizing soft tissue volume changes using intraoral three-dimensional scanning. A 28 year old female patient with multiple gingival recessions and a 19 year old female patient with a single gingival recession on mandibular anterior area were treated. Root coverage was performed in both cases using autogenous subepithelial connective tissue harvested from palate. Intraoral 3D scan data were obatained presurgery and at 3 months, 1 year, and 2 years postsurgery. The recession areas were recovered successfully by subepithelial connective tissue graft combined with pedicle flap repositioning, and the patients showed neither further recurrence nor post-operative complication. Soft tissue biotype changes were identified by superimposing and analyzing scan data, revealing that gingival biotype was enhanced in both cases. These cases suggest that SCTG could be advantageous in terms of the gingival biotype enhancement, as well as gingival recession coverage, and intraoral 3D scanning might be suitable for assessing post-surgical gingival biotype change.

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내시경 절제술과 방사선 치료로 완치한 식도의 기저양 편평세포암 (Esophageal Basaloid Squamous Carcinoma Treated by Endoscopic Resection and Radiation)

  • 김승범;이시형;정다은;김경옥;구미진
    • 대한소화기학회지
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    • 제72권5호
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    • pp.258-261
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    • 2018
  • Esophageal basaloid squamous carcinoma (BSC) is a rare, aggressive variant of squamous cell carcinoma. BSC is usually diagnosed in advanced stage and its prognosis is relatively poor. A 59-year-old male with subepithelial lesion of the esophagus that was incidentally discovered during health promotion examination was referred to our hospital. Esophagogastroduodenoscopy showed a 10-mm bulging mucosa with an intact surface at 34 cm from incisor teeth. Endoscopic ultrasonography revealed a smooth margined homogenous hypoechoic lesion, measuring $11.3{\times}3.9mm$ with a submucosal layer of origin. The patient underwent endoscopic mucosal resection of the subepithelial lesion. Pathologic examination of the resected specimen revealed BSC with involvement of vertical margin by tumor. The patient then underwent radiotherapy, and is doing well without recurrence for 35 months. We report a case of esophageal BSC confined to submucosal layer successfully treated with endoscopic resection followed by radiation.

Endoscopic Resection of Xanthogranulomatous Gastritis Presenting as a Subepithelial Tumor: A Case Report

  • Kim, Tae Wan;Kim, Tae Ho;Kim, Chang Whan;Chang, Jae Hyuck;Han, Sok Won;Kim, Jae Kwang
    • 대한상부위장관⦁헬리코박터학회지
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    • 제18권3호
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    • pp.198-203
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    • 2018
  • Xanthogranulomatous gastritis (XGG) presenting as a subepithelial tumor (SET) is a very rare entity. We report a case of SET-like XGG diagnosed and treated with endoscopic resection. A 55-year-old female patient was initially referred with a 1.5-cm SET located at the anterior wall of the middle antrum. Endoscopic ultrasound examination revealed submucosal invasion without any perigastric lymph node enlargement. Endoscopic resection was performed for an accurate diagnosis and treatment, and the lesion was diagnosed histopathologically as XGG. At the 18-month follow-up after endoscopic resection, there was no evidence of XGG recurrence. SET-like XGG is very rare and the diagnosis is a preoperative challenge. However, inflammatory tumors should be considered in the differential diagnosis of SET.