• Title/Summary/Keyword: benign tumors

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Massive Hemoptysis due to Endotracheal Hemangioma: A Case Report and Literature Review

  • Yu, Yeonsil;Lee, Suhyeon;An, Jinyoung;Lee, Jeongmin;Kim, Jihoon;Lee, Youngkyung;Jung, Eunah;Song, Sookhee;Kim, Hyeok;Kim, Suhyun
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.2
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    • pp.106-111
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    • 2015
  • Tracheal hemangioma is a rare benign vascular tumor in adults. We reported a case of massive hemoptysis caused by a cavernous hemangioma in a 75-year-old man. This is the first report, to our knowledge, of a tracheal cavernous hemangioma that presented with massive hemoptysis. The lesion was removed with a $CO_2$ laser under rigid laryngoscopy. Endovascular tumors, such as tracheobronchial hemangiomas, should be considered a diagnostic option in cases of massive hemoptysis without a significant underlying lung lesion.

Skeletal cavernous hemangiomas of the frontal bone with orbital roof and rim involvement

  • Seo, Bommie Florence;Kang, Kyo Joon;Jung, Sung-No;Byeon, Jun Hee
    • Archives of Craniofacial Surgery
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    • v.19 no.3
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    • pp.214-217
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    • 2018
  • Skeletal cavernous hemangiomas are rare, benign tumors that may involve the supraorbital rim and orbital roof. However, such involvement is extremely rare. We report a case of skeletal cavernous hemangioma of the frontal bone involving the orbital roof and rim. En bloc excision and reconstruction, using a calvarial bone graft for the orbital roof and rim defect, was performed. It is important not only to perform total excision of skeletal cavernous hemangiomas, but to properly reconstruct the defects after the total excision since several complications can arise from an orbital roof and rim defect.

Bilateral Elastofibroma Dorsi of the Shoulder - Case Report - (견갑부에 발생한 양측성 배부 탄성섬유종 - 증례 보고 -)

  • Lee, Woo-Seung;Kim, Taik-Seon;Kim, Young-Bae;Kang, Jong-Woo
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.241-245
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    • 2007
  • We report a case of an 86-year-old man diagnosed with bilateral elastofibroma dorsi who was managed conservatively after a two year follow-up. An elastofibroma dorsi is a benign, slow-growing tumor that is most often located in the inferior periscapular area in elderly patients. It should be considered to differentiate them from other soft tissue tumors located at the inferior periscapular region. Increased awareness of these characteristics will decrease the incidence of a misdiagnosis of elastofibroma dorsi as a malignancy and avoid unnecessary surgery.

Percutaneous Fine Needle Aspiration Cytology of Thymoma (흉선종의 경피 세침흡인 세포학적 검색)

  • Park, Weon-Seo;Park, In-Ae;Ham, Eui-Keun;Lee, Sang-Kook
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.16-24
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    • 1993
  • The fine needle aspiration (FNA) cytologic findings in 16 cases of histologically confirmed thymoma are reported. The aspirates were obtained under fluoroscopic guidance. The cytologic diagnoses were inadequate sample in one case, thymoma in 12(75%), small cell carcinoma or thymoma in 1, benign mesenchymal tumor in 1, and germ cell tumor in one. The cytologic features were detailed according to the constituent epithelial cell type, and into 4 small of epithelial cells and lymphocytes. Fifteen cases were classified into 4 small epithelial cell type, 6 intermediate epithelial cell type, 1 large epithelial cell type, 1 large pleomorphic epithelial cell type, and 3 spindle-shaped epithelial ceil type. Cytologic differential diagnosis was discussed, and the important criteria for the cytologic diagnosis of thymoma were reviewed. This review leads us to think that nonoperative cytologic approaches in the diagnosis of the thymoma are possible, and that correct cytologic diagnosis of thymoma with FNAs can easily be made, if adequate samples are obtained However the invasiveness and histologic type could not be predicted by cytological features only. Knowing various cytologic and histologic features of thymoma will be helpful for the diagnosis of thymoma and the differential diagnosis of modiastinal tumors.

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Touch Imprint and Fine Needle Aspiration Cytology of Giant Cell Tumor of Tendon Sheath - A Case Report - (건초거대세포종의 압착도말 및 세포흡인 세포소견 - 1예 보고 -)

  • Lee, Jong-Im
    • The Korean Journal of Cytopathology
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    • v.19 no.1
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    • pp.57-64
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    • 2008
  • Giant cell tumor of the tendon sheath (GCTTS) is a slowly growing, benign soft tissue tumor. The tumors occur predominantly on the hands and feet. Although the clinical and histopathologic features are well-defined, only a few reports have described the cytologic appearance of this entity. A 26-year-old woman presented with a gradually developing circumscribed soft tissue mass near the proximal phalanx of her left little finger for one year. Imprint and fine needle aspiration (FNA) smears were obtained from the excisional biopsy specimen. The imprint smears were composed of predominantly singly dispersed bland mononuclear cells and several giant cells. The mononuclear cells were polygonal to round, and they showed a histiocyte-like appearance. Osteoclast-type multinucleated giant cells of various sizes were randomly scattered throughout the smears, and these cells contained 3 to 50 nuclei. Nuclear atypia and pleomorphism were absent in both the single and giant cells. Loose aggregates of hemosiderin-laden macrophages and binuclear stromal cells were also seen. The cytologic features of the FNA smears were similar with those of the imprint, Additionally, the FNA smears contained several clumps of densely collagenous stromal tissue that were seldom noted in previously reported cytologic material. The cytologic features were well-correlated with the concurrent histologic findings and the diagnosis of GCTTS was made. When the clinical and radiologic datas are integrated, the diagnosis of GCTTS can be strongly suggested, based on the pre-operative cytologic specimen.

A Case of Epithelial-myoepithelial Carcinoma of the Parotid Gland (이하선에 발생한 상피근상피암이 치험례)

  • Yoo, Gyeol;Seo, Je Won;Song, Jin Kyung;Byeon, Jun Hee
    • Archives of Plastic Surgery
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    • v.32 no.5
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    • pp.653-655
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    • 2005
  • Epithelial-myoepithelial carcinoma (EMC) of the salivary gland is a rare tumor that comprises approximately 1% of all salivary gland tumors. It has a distinctive histological appearance comprising ductal structures with an inner epithelial cell component and an outer layer of myoepithelial cells. We report a case of EMC of the parotid gland in a 41- year-old man. He presented left-sided subauricular swelling developed 3-month earlier. Neck CT scans revealed a well-defined mass in the left superficial parotid gland. He underwent superficial parotidectomy and was diagnosed as EMC. He was taken postoperative radiotherapy. There was no evidence of recurrence during a follow-up period of 12 months. A EMC is a low grade malignant tumor which can cause diagnostic confusion during workup and also frequently misdiagnosed as other benign or malignant tumor.

Invisible Parotid Gland Pleomorphic Adenoma on Contrast Enhanced-Computed Tomography (조영증강 전산화단층촬영검사에서 보이지 않는 이하선의 다형선종)

  • Heo, Jae Hyung;Kim, Da Mi;Koo, Bon Seok;Chang, Jae Won
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.85-89
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    • 2016
  • Pleomorphic adenomas is the most common tumor of parotid gland and usually located and confined in superficial lobe of parotid gland. Computed tomography (CT) is commonly used to initially evaluate salivary gland lesion, but contrast-enhanced CT may sometimes fail to reveal lesions in spite of a high clinical suspicion. For this reason, ultrasonography (US) can be used as the first-line image work-up in some cases of parotid gland benign tumors. We experienced a case of a 60-year-old woman without underlying disease presenting a palpable parotid mass in which the initial CT examination was reported as 'no obvious mass detected'. However, the lesion was revealed in US and histologically confirmed as pleomorphic adenoma. The patient underwent superficial parotidectomy through modified facelift incision. To the best of our knowledge, this is the first report of invisible major salivary gland tumor on CT in the Korean literature.

A Hierarchical Microcalcification Detection Algorithm Using SVM in Korean Digital Mammography (한국형 디지털 마모그래피에서 SVM을 이용한 계층적 미세석회화 검출 방법)

  • Kwon, Ju-Won;Kang, Ho-Kyung;Ro, Yong-Man;Kim, Sung-Min
    • Journal of Biomedical Engineering Research
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    • v.27 no.5
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    • pp.291-299
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    • 2006
  • A Computer-Aided Diagnosis system has been examined to reduce the effort of radiologist. In this paper, we propose the algorithm using Support Vector Machine(SVM) classifier to discriminate whether microcalcifications are malignant or benign tumors. The proposed method to detect microcalcifications is composed of two detection steps each of which uses SVM classifier. The coarse detection step finds out pixels considered high contrasts comparing with neighboring pixels. Then, Region of Interest(ROI) is generated based on microcalcification characteristics. The fine detection step determines whether the found ROIs are microcalcifications or not by merging potential regions using obtained ROIs and SVM classifier. The proposed method is specified on Korean mammogram database. The experimental result of the proposed algorithm presents robustness in detecting microcalcifications than the previous method using Artificial Neural Network as classifier even when using small training data.

Microcystic Adnexal Carcinoma Misdiagnosed as Desmoplastic Trichoepithelioma on Preoperative Biopsy

  • Koh, Sung Hoon;Kang, Kwang Rae;Yang, Ji Hoon;Jung, Sung Won;Lee, Hyuck Jae
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.43-46
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    • 2015
  • Microcystic adnexal carcinoma is a rare type of tumor, with about 300 cases reported globally. Due to its similar histology with other tumors, it is occasionally misdiagnosed as desmoplastic trichoepithelioma, basal cell carcinoma, syringoma, and so on. We present a patient with a mass on the perioral area who was preoperatively diagnosed with trichoepithelioma. Microcystic adnexal carcinoma was diagnosed after excisional biopsy and a wide excision. Defects were reconstructed with a mucosal advancement flap. There was no recurrence and there were no significant complications during the 18-month follow-up period. Because superficial punch biopsy has limitations in width and depth, surgeons should always consider the possibility of malignancy of a mass even if a biopsy shows a benign result.

A Case of Intramuscular Lipoma in the Malar Area (관골부에 발생한 Intramuscular lipoma 1례)

  • Hong, Jung-Soo;Lee, Tae-Hoon;Seul, Jung-Hyun;Choi, Won-Hee
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.181-185
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    • 1990
  • Lipomas are common soft tissue tumor that are usually located in the subcutaneous tissue. And intramuscular lipomas commonly arise in the upper and lower extremities, where they usually involve the large muscles. Intramuscular lipoma, also referred to as an infiltrating lipoma. is an unusual benign slow growing tumor composed of mature fat cell interdigitating with skeletal muscle. However, intramuscular lipomas are exceedingly rare in the face. We have been experienced a case intramuscular lipoma that located in the malar area. Because of the rarity of these tumors and their propensity to recur without adequate surgery, the case report is presented here. Achievement of surgical margin is essential as the recurrent rate may be as high as 15% to 62.5% without complete excision.

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