• 제목/요약/키워드: benign tumors

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외상에 의하여 심장눌림증을 유발한 종격동 양성낭기형종 (Benign Mediastinal Cystic Teratoma Complicated by Cardiac Tamponade due to Trauma)

  • 최주원;김용인
    • Journal of Chest Surgery
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    • 제39권9호
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    • pp.729-732
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    • 2006
  • 외상에 의하여 심장눌림증을 유발한 종격동 양성낭기형종 종격동 기형종은 전체 종격동 종양의 $8\sim13%$ 빈도로 발생하며, 대부분 우연히 발견되지만 드물게 심낭 천공이 발생하여 심장눌림증을 유발하거나, 흉막삼출액을 고이게 한다. 본 증례에서는 전흉벽 타박상을 받은 여자 환자에게서 심장눌림증이 발생하였고, 응급 방사선검사에서 종격전부 종양이 확인되었으며 심장막천자술을 받은 후 활력징후가 회복되어 추후 수술적 절제술로 종양을 적출하였다. 조직검사에서 피지선, 성숙 지방종, 위장관점막, 호흡기도 점막 및 췌장의 조직 등으로 구성된 낭포성 구조물로 관찰되어 양성 낭기형종으로 판정되었다.

기관지 성형술을 이용한 폐엽 절제술 (Pulmonary Resections Using Bronchoplastic Procedures)

  • 김주현;성숙환
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.616-620
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    • 1992
  • A sleeve lobectomy is an appropriate operative procedure in patients with endobronchial neoplasms of low-grade malignancies in the proximal airways and for a small but significant number of patients with carcinoma. Here, we present eleven cases of sleeve lobectomy which were performed from 1984 to the August of 1991 in the Department of Thoracic Surgery of Seoul National University Hospital. The sex distribution was 6 males and 5 females in the age range from twenty to sixty seven, with an average of 44.9 years. The pathologic diagnoses were 7 cases of pulmonary malignancies: carcinoid in two, mucoepidermoid carcinoma in two, adenoid cystic carcinoma in one, adenocarcinoma in one, and squamous carcinoma in one. Other diagnoses were two cases of tuberculous bronchial strictures and two cases of benign tumors: one case of pesudolymphoma and one case of neurilemmoma. The procedures consisted of five right upper sleeve lobectomies [Fig. 1], four left upper sleeve lovectomies [Fig. 2], one left lower sleeve lobectomy[Fig. 3], and one right middle and lower lobetomy [Fig. 4]. All except one had a normal preoperative pulmonary function. The case which had a poor pulmonary function was a 66-year-old female adenocarcinoma patient. She seemed to be very intolerable to pneumonectomy [predicted FEV1=0.60L]. Therefore, she had a right sleeve upper lobectomy and experienced smooth postoperative course without any pulmonary problems. All cases had good postoperative results and no postoperative complications.

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흉막에 생긴 다발성 석회화 섬유성 가종양 - 1예 보고 - (Multiple Calcifying Fibrous Pseudotumors in the Pleura - A case report -)

  • 이창영;변천성;박인규;정경영;황유화;심효섭
    • Journal of Chest Surgery
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    • 제42권5호
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    • pp.666-669
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    • 2009
  • 석회화 섬유성 가종양은 조직학적으로 광범위한 사종성 석회화, 조밀한 유리질화, 섬유성 증식, 림프형질 세포의 침윤을 특징으로 하는 드문 연부조직 병변이다. 저자 등은 흉막에서 발생한 석회화 섬유성 가종양 1예를 경험하여 이를 문헌 고찰과 함께 보고하고자 한다.

우측 흉벽에 발생한 탄력섬유종 (Elastofibroma Dorsi in the Right Chest Wall)

  • 류상우;송상윤;오상기;나국주;안병희;최유덕
    • Journal of Chest Surgery
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    • 제41권4호
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    • pp.532-535
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    • 2008
  • 71세 여자 환자로 우측 견갑골 하방의 종물을 주소로 내원하여, 적출술 시행하였으며 탄력섬유종으로 진단되었다. 탄력섬유종은 양성의 연조직 종양으로 견갑골 하방에 가장 많이 발생하며 느린 성장과 탄력소를 포함한 섬유질이 증식하는 특성이 있다. 탄력섬유종은 발생이 드문 질환이며 원인이 아직 잘 밝혀지지 앎은 종양이다. 상기 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

대동맥 판막에 위치한 다발성 심장 유두상 섬유탄력종 (Multiple Cardiac Papillary Fibroelastoma of the Aortic Valve)

  • 서홍주;나찬영;유재근
    • Journal of Chest Surgery
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    • 제41권4호
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    • pp.496-498
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    • 2008
  • 심장 유두상 섬유탄력종은 원발성 종양 중 두 번째로 많이 호발하는 양성종양으로 주로 심장판막에 발생한다. 그러나 대부분 한곳에서 발생하며 다발성으로 발생하는 경우는 전체 심장 유두상 섬유탄력종의 5%로 아주 드문 경우이다. 55세 여자가 내원 10일전부터 발생한 순간적인 어지러움 및 실신으로 내원 시 검사한 심초음파상 대동맥 판막에 부착된 다발성 종양이 발견되어 수술 시행하였으며, 대동맥 판막의 손상 없이 대동맥 판막에 부착된 종양만 제거하였고, 환자 퇴원 후 외래 추적 관찰 중이다.

척수 압박을 동반한 제 3 요추의 골연골종 - 1례 보고 - (Osteochondroma of the 3rd Lumbar Spine Causing Spinal Compression - A Case Report -)

  • 김형석;홍기도;하성식;이선우
    • 대한골관절종양학회지
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    • 제3권1호
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    • pp.26-31
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    • 1997
  • 본 서울위생병원 정형외과에서는 제 3 요추의 좌측 추궁판과 하 관절 돌기에서 발생하여 척수 압박 증상을 일으킨 골연골종 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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손바닥에 발생한 거대 화농성 육아종 1예 (A Case of Giant Pyogenic Granuloma on the Palm)

  • 박정영;김영식;김미혜;신동훈;최종수;김기홍
    • Journal of Yeungnam Medical Science
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    • 제27권1호
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    • pp.85-90
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    • 2010
  • Pyogenic granuloma is one of the common benign vascular tumors of infants and children and it can also occur in adults. There are 25 reports of patients with pyogenic granuloma in the Korean medical literature. In three reports, giant pyogenic granuloma developed over 2 cm in size ($1.3{\times}0.7cm$, $1.2{\times}0.8cm$ and $1.1{\times}0.7cm$, respectively). There have been no reports in the Korean medical literature of pyogenic granuloma over 2 cm in size. Herein, we report on a giant pyogenic granuloma on the palm of a 72-year old female. The lesion was of an unusually large size of $2.8{\times}2.5{\times}1.3cm$ and we excised it by performing electrosurgery.

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Incidence Data for Breast Cancer among Yemeni Female Patients with Palpable Breast Lumps

  • Alsanabani, Jamila Ali;Gilan, Waleed;Al Saadi, Azzan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.191-194
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    • 2015
  • Purpose: To estimate the incidence of breast cancer in Yemeni female patients presenting with a breast mass. Materials and Methods: This retrospective study was carried out with 595 female patients with palpable breast lumps, attending to Alkuwait university hospital, Sana'a, Yemen. Triple assessment, including breast examination, mammography and biopsy (FNAC, core needle, or excision), for all patients were performed. Results: The incidences of benign and malignant lesions was calculated. Some 160 (26.9%) of 595 patients had malignancies; 213 (35.8%) were fibroadenomas; 12 (2.0%) were fibrocystic change; 143 (24.03%) were inflammatory lesions (including mastitis and ductectasia); 62 (10.4%) were simple cysts, while 5 (0.8%) were phyllodes tumors. The mean age of patients with malignant lumps was 44.3 years. Conclusions: Among Yemeni female patients with palpable breast lumps, the rate of breast cancer is high, with occurrence at an earlier age than in Western countries. Improving breast cancer awareness programs and increasing breast cancer screening centers inb different areas of Yemen are needed to establish early diagnosis and offer early and optimal treatment.

연부조직에 발생한 로사이-돌프만 병 (Rosai-Dorfman disease of soft tissue)

  • 송승언;임태원;이광재;조아라;채병도;고명주;이채원
    • Journal of Yeungnam Medical Science
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    • 제32권2호
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    • pp.114-117
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    • 2015
  • Rosai-Dorfman disease (RDD) is a benign proliferative histiocytic disorder of unknown etiology, which typically manifests as lymphadenopathy and systemic symptoms. Lymph node involvement is typical, but soft tissue RDD without nodal or systemic involvement is extremely rare. We report on a case of soft tissue RDD in a 16-year-old girl with a palpable mass on her buttock. It was firm, mobile, and discrete without tenderness. Excisional biopsy was performed, then RDD was confirmed histologically. RDD is a non-neo-plastic disease that should be considered in the differential diagnosis of other soft tissue tumors. While the optimal treatment for extranodal RDD remains controversial, surgical excision is typically curative.

Risk Factors of Postoperative Hematomas after Surgery for Intracranial Meningiomas

  • Lee, Byoung-Yong;Hong, Suk-Ki;Chu, Won-Ho;Kang, Jae-Kyu
    • Journal of Korean Neurosurgical Society
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    • 제39권2호
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    • pp.109-113
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    • 2006
  • Objective : Meningioma is a benign tumor which has a high occurrence rate of postoperative hematomas. The purpose of this study is to analyze risk factors for postoperative hemorrhages after meningioma surgery. Methods : One hundred and fifty three patients with intracranial meningiomas, operated at the Department of Neurosurgery, National Medical Center, between January 1995 and December 2003 were included in this retrospective study. Risk factors considered to be related with postoperative hematomas were age, sex, preoperative pharmacological anticoagulants for medical co-morbidity, tumor location, histological type of the meningioma, infiltration of dural sinus and arachnoid, removal range of tumors, and the perioperative coagulation status including prothrombin time, partial thromboplastin time, and platelet count. Results : Patients' aged more than 70 years with a platelet count of less than $150{\times}10^9{\ell}^{-1}$ after surgery had statistically significant relations to the occurrence rate of postoperative hematomas. The other factors had no statistical significance. Conclusion : Various and intensive preoperative examinations for coagulation factors of patients, especially of older age, and proper transfusion before meningioma surgery are necessary for preventing postoperative hematoma.