• Journal of Chest Surgery
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• 제55권1호
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• pp.95-97
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• 2022

A cardiac calcified amorphous tumor (CAT) is a rare non-neoplastic mass of the heart with histological characteristics comprising calcification and amorphous fibrous material. Little is known regarding the incidence, symptoms, and therapeutic strategies for CAT. Echocardiography and computed tomography were performed on a 48-year-old man who had a cardiac mass that was accidentally discovered on admission to a local hospital for a fracture related to a trauma that occurred 1 month prior. After surgery, a histological examination resulted in the diagnosis of a cardiac CAT. The patient was discharged without postoperative complications on the 12th day after surgery.

• Journal of Chest Surgery
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• 제20권3호
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• pp.593-597
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• 1987

Mesothelioma is a primary tumor of the pleura. There are two forms of mesotheliomas; diffuse form and localized form. The majority of localized mesotheliomas are benign, but the tumor with pedicle recur at 20% after removal of it. Malignant localized fibrous mesothelioma is differential diagnosed pathologically and clinically with diffuse mesothelioma. Symptoms of localized mesothelioma are generally related to the size of the tumor. We presented one case of malignant localized fibrous mesothelioma. The patient was 32 years old female and chief complaints were dyspnea and dry cough. Sputum cytology and needle lung biopsy were not able to diagnose definitely the tumor. Explothoracotomy was carried out for definite tissue biopsy. At the time of operation, huge adult head size mass was in the right thoracic cavity. The surface of the mass was nodular, multilobular and had hard consistency. Pedicle was formed above first rib and its diameter was 4.5cm. There was no adhesion except to RUL. Frozen biopsy suggested mesothelioma. Extirpation of the mass, right upper lobectomy. and partial pleurectomy were carried out.

• Journal of Chest Surgery
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• 제23권1호
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• pp.137-140
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• 1990

This report is an review of 40 cases of mediastinal tumors which were treated surgically in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital from January, 1985 to September, 1989. In this series, male to female sex distribution was 1.35:1 with the male predominant. The main clinical manifestations were chest pain and dyspnea, and there was no definitive symptom in 5 cases [12.5 %]. The most common mediastinal tumor was thymoma, 11 cases [27.5 %], and next common mass was germ cell tumor, 9 cases [22.5 %]. The half of these were malignant. In operating, all of the benign masses were removed.

• Journal of Chest Surgery
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• 제28권8호
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• pp.807-810
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• 1995

The recommended approach for dumbell trmor is a one-stage removal by a team work of both neurosurgeons & thoracic surgeons. Recently we removed a case of dumbell tumor in a 69 years old woman with standard posterolateral thoracotomy and concomitant laminectomy as single stage operation. Postoperative course was uneventful and there were no postoperative neurologic signs.

• Journal of Chest Surgery
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• 제5권2호
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• pp.147-152
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• 1972

This is a report on the 4 cases of benign mediastinal teratoid tumor in the Department of Thoracic Surgery Chonnam University Hospital during the period from August, 1961 to August ,1972. All the tumors were teratomas which had three germinal layers and located in the anterior mediastinum. All the cases had symptoms such as Pancoast syndrome. exertional dyspnea, middle lobe syndrome with fistulous Connection to the cyst and retrosternal discomfort. X-ray studies are essential to recognize the tumor and its location. It`s believed that a exploratory thoracotomy is recommended because of the complications of the tumors and a possibility of malignancy.

• Journal of Chest Surgery
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• 제28권9호
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• pp.872-875
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• 1995

Dumbbell neurogenic tumor is a rare disease, arising about 10 % of mediastinal neurogenic tumor. We report a 31 year old man who was suffered from paresthesia and weakness of lower extremities for about 8 months. Chest x-rays revealed a dumbbell shaped mass shadow in left lower posterior mediastinum. MRI demonstrated a well defined dumbbell shaped mass in the mediastinum of T7 level, including spinal cord compression by the extended tumor into the spinal canal and enlarged intervertebral foramen. The patient underwent one-stage combined resection of the tumor through the thoracotomy and laminectomy, simultaneously. The tumor was confirmed as neurilemmoma. The postoperative course was smooth and uneventful.

• Journal of Chest Surgery
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• 제26권3호
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• pp.241-244
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• 1993

The glomus tumor is a distinctive benign neoplasm, the cells of which resemble the modified smooth muscle cells of the normal glomus body. This tumor occurs most frequently in the extremities but may find elsewhere in the body. Only one case of mediastinal glomus tumor has been reported in the world. Recently we experienced a case of mediastinal glomus tumor managed with surgical removal and followed up without any significant complications for 17 months.

• Journal of Chest Surgery
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• 제43권6호
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• pp.790-792
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• 2010

77세 남자 환자가 좌측 전흉벽의 거대한 종괴를 주소로 내원하였으며 수술적 제거 후 융기피부섬유 육종으로 진단되었다. 융기피부섬유육종은 피부의 중간엽 종양으로 연조직 육종의 2% 미만을 차지하며 병변은 진피에서 기원하여 피하조직까지 침범 할 수 있는 종양이다. 조직학적으로 방추세포의 나선형 배열이 특징적이며 CD34의 면역조직 화학 특수 염색에서 양성소견을 보인다. 저자들은 광범위 절제술과 전층피부이식을 통한 흉부재건술로 거대한 흉부 융기피부섬유육종을 성공적으로 절제하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제25권2호
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• pp.176-182
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• 1992

From April 1977 to March 1991, 44 patients have undergone excision of intracardiac myx-omas, 36 cases were located in the left atrium[81.6%], 3 cases in the right atrium[6.6%], 2 cases in the right ventricle[4.5%], 3 cases in the left ventricle[6.6%], There were 32 female and 12 male. The mean age of patients was 39.6$\pm$12.3 years[ranged 11 to 67 years]. The major preoperative symptoms included exertional dyspnea in 35[79.6%], palpitation in 23[52.3%], syncopal episodes in 9[20.4%], and signs of systemic illness; low-grade fever, weight loss, arthralgia, headache and so on. The diagnosis was made by echocardiography alone in 7[15.9%], and by combination of angiography and echocardiography in 37[84.1%]. The weight of the tumor ranged from 15 to 115gm[mean weight, 47.6$\pm$27.6gm], and the volum of the tumor was 129.1cm3[$\pm$149.0]. Follow-up time ranged from 0.6 to 9 years[mean follow-up, 65$\pm$3.22 years]. There were no early and late deaths during the follow-up period. Tumor recurred in one patient with left atrial myxoma 8 years later, who underwent successful reoperation. Postoperative complications occurred in 12 patients: episodes of sup-raventricular arrhythmia in 7, convulsion in 2, wound problem in 2, tricuspid valve regurgitation in 1, massive bleeding in 1, and intubation granuloma in one. In conclusion, surgical excision of the myxoma can be considered curative with excellent long-term result.

• Journal of Chest Surgery
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• 제39권3호
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• pp.240-243
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• 2006

폐실질 내 과오종은 흔히 볼 수 있는 양성 폐종양이나, 기관지 내 과오종은 드문 종양 중 하나이다. 치료로는 기관지내시경을 이용한 제거나 기관절개 또는 정상적인 폐실질을 보존하기 위해 소매절제를 통한 종양의 제거가 보편적이다. 그러나 만성적인 기관지 폐쇄로 인해 폐실질이 파괴되어 보존이 어려운 경우에는 폐절제술이 필요할 수 있다. 저자는 기관지 내 과오종에 의해 좌상엽의 경화가 진행되어 좌상엽절제술이 필요했던 환자를 보고하는 바이다. 42세 여자가 3주일 전부터 발생한 기침과 좌측 흥통을 주소로 내원하였다. 기관지내시경 소견상 좌상엽기관지의 입구를 완전히 막고 있는 엽성 종괴가 관찰되었고, 생검을 시도하였으나 출혈로 실패하였다. 수술 소견상 만성적인 기관지 폐쇄에 의해 좌상엽의 경화가 심하여 좌상엽절제술을 시행하였다. 환자는 술 후 14일째 퇴원하였다.