• Title/Summary/Keyword: cyst wall

Search Result 176, Processing Time 0.027 seconds

Microsurgical Extirpation of Intracordal Cyst with a Microflap Technique (미세피판기법을 이용한 성대낭종제거술)

  • Ahn, Jungmin;Choi, Ji-Eun;Lee, Dong Kun;Jang, Jeon Yeob;Son, Young-Ik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.27 no.1
    • /
    • pp.30-34
    • /
    • 2016
  • Background and Objectives : Microsurgical resection of intracordal cysts is technically difficult and challenging because the wall of cysts may be tightly attached to underlying vocal ligament and/or overlying epithelium, and therefore their thin wall will easily rupture during surgical dissection. We aimed to evaluate the voice outcomes of standard microflap subepithelial resection and the recurrence rate depending on the intraoperative rupturing of the cyst. Materials and Methods : Medical records of Samsung Medical Center, Seoul, Korea, were reviewed for sixty-four consecutive patients who received surgical resection of vocal cyst using microflap subepithelial dissection technique between the year 2004 and 2013. Meticulous dissection was performed to completely remove the cyst wall while preserving the mucosa and the lamina propria as much as possible. Voice outcomes and recurrence rates were compared according to the type, size and the intraoperative rupture of cyst. Results : Presence or absence of cyst rupture was clearly described in the operation records of 41 patients. Intraoperative rupture of the cyst occurred in 32 of 41 (78%) patients. The recurrence was detected in 5 of 64 (7.8%) total cases and 4 of 32 (12.5%) cases of ruptured cyst, but not in 9 cases of intact extirpation. Rupture was more common in case of mucous retention cyst compared with epidermoid cyst (p=0.036). Subjective and objective voice parameters were measured at before and 3 months after surgery, which improved regardless of the cyst rupture. Conclusion : Although complete microsurgical extirpation of intracordal cyst while keeping the cyst wall intact is technically difficult, meticulous dissection with maximal preservation of surrounding tissue may warrant the improvement of voice outcomes.

  • PDF

Large Ossified Rathke's Cleft Cyst -A Case Report and Review of the Literature-

  • Lee, Choong-Hyun;Seo, Eui-Kyo;Cho, Yong-Jae;Kim, Sang-Jin
    • Journal of Korean Neurosurgical Society
    • /
    • v.44 no.4
    • /
    • pp.256-258
    • /
    • 2008
  • We report a rare case of symptomatic Rathke's cleft cyst with thick calcified wall. Brain CT scans revealed a large cystic mass with round thick calcified wall. In this case, we selected the pterional approach instead of transsphenoidal approach due to the possibility of cystic craniopharyngioma. Histopathologically, it was calcified Rathke's cleft cyst with focal epithelial metaplasia. This case illustrates that calcification of the suprasellar cyst does not always suggest craniopharyngioma and the calcification pattern of Rathke's cleft cyst is different from that of the craniopharyngioma.

Diagnostic Imaging of Paraprostatic Cyst with Osseous Metaplasia in a Dog (개에서 골화생을 동반한 전립선 주위종의 영상의학 증례)

  • Choi, Ji-Hye;Keh, Seo-Yeon;Kim, Sung-Soo;Choi, Hee-Yeon;Kim, Hyun-Wook;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
    • /
    • v.27 no.4
    • /
    • pp.468-473
    • /
    • 2010
  • A 6-year-old intact male Doberman pinscher presented with a thin soft stool and urinary signs. On radiography, three masses were observed in the caudal abdomen. One mass was described as a large, round, mineralized mass, with an "eggshell" appearance. The second mass was located caudal to the mineralized mass, and the third mass was located between the two masses. The second and the third masses had a soft tissue density. Ultrasonography was performed to identify the features and the origins of the masses. The first mass contained a large amount of anechoic fluid and had a thin wall; it was determined to be a cyst. Strong acoustic shadowing artifact was created by the mineralized cystic wall. Caudal to the cyst, the second mass was shown to be the prostate. A hypoechoic stalk connected the prostate and the cyst, which represented the cyst as a paraprostatic cyst with mineralization. The third mass was the normal urinary bladder. The cyst was removed surgically and confirmed by histopathologic examination. This report described typical clinical findings, diagnostic imaging, and treatment of a paraprostatic cyst.

Histopathological Observation of Spontaneous Pulmonary Keratinizing Cyst in Sprague-Dawley Rat (Sprague-Dawley 랫트에 자연발생한 Pulmonary Keratinizing Cyst의 병리조직학적 관찰)

  • 손화영
    • Korean Journal of Veterinary Pathology
    • /
    • v.1 no.2
    • /
    • pp.135-138
    • /
    • 1997
  • A pulmonary keratinizing cyst was found incidentally in a 30-week-old female Sprague-Dawley rat. The cyst was lobe of the lung, lined by stratified squamous epithelium and filled with concentric layers of desquamated keratin. The wall consisted of 2-4 layers of well differenciated squamous cells. The adjacent lung tissues were slightly compressed but not otherwise damaged by the cyst. There was no inflammatory reaction or mitotic figures observed in the cyst.

  • PDF

A Bronchogenic Cyst in the Wall of the Esophagus -Report of A Case- (식도(食道) 발생한 기관지성(氣管枝性) 낭종치험례(囊腫治驗例))

  • Rhee, Chong Bae;Kim, Kun Ho;Kim, Chun Woon;Kim, Ki Hong
    • Journal of Chest Surgery
    • /
    • v.9 no.1
    • /
    • pp.69-72
    • /
    • 1976
  • This is to report a case of bronchgenic cyst. While most of the bronchogenic cysts reported in the literature so far were located either in the lung parechym or in the mediastinum near the tracheal bifurcation or main bronchi. the cyst presenting in this study was originated in the wall of the esophagus and was reported to be very rare. The cystic tumor was found accidentally by X-ray fluoroscopic examination of the esophagus and stomach in the patient with gastric hemorrhage. X-ray study revealed that the cystic tumor was oval in shape and located in the left posterolateral wall of the esophagus in the thoracic lower third. Two surgical operations, gastrectomy for gastric hemorrhage and the resection of the cystic tumor, were carried out separately. Gastrectomy including the removal of prepyloric ulcer by the Billroth II type procedure was performed in regular fashion, and the cystic tumor was resected radically without any injury of the mucous membrane of the esophagus. The cyst removed appeared to be filled with mucinous material, and histological examination identified the tumor as a bronchogenic cyst with ciliated epithelial internal lining. Postperative course of the patient was uneventful.

  • PDF

Intrapulmonary Enterogenous Cyst (폐내의 장관성 낭종 1례 보)

  • 서의수
    • Journal of Chest Surgery
    • /
    • v.20 no.3
    • /
    • pp.578-581
    • /
    • 1987
  • A very rare form of intrapulmonary cyst is an enterogenous cyst two examples of which were described by Ward and Krahl [1942]. Microscopically, the cyst wall is lined by gastric or intestinal type of mucous membrane which may include islets of pancreatic tissue; their walls contain muscle but no cartilage. We recently experienced a case of intrapulmonary enterogenous cyst. The patient was 30-year-old-male who showed chest pain and tightness after chest trauma. Chest X-ray revealed pneumothorax in both lung field with giant bullae in left upper lung field, right 6th and 7th rib fracture. Left lower lobectomy including cyst was done and the postoperative course was uneventful.

  • PDF

A RADIOGRAPHIC STUDY OF SOLITARY BONE CYSTS (고립골낭에 관한 X선학적 연구)

  • KIM Kyung Rak;Hwang Eui Hawn;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.24 no.1
    • /
    • pp.95-105
    • /
    • 1994
  • The aim of this study was to evaluate the clinical, radiographic and histopathologic features of 23 cases of solitary bone cyst by means of the analysis of radiographs and biopsy specimens in 23 persons visited the Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University and Chunbuk National University. The obtained results were as follows; 1. The incidence of solitary bone cyst was almost equal in males(52.2%) and in females(47.8%) and the prevalent age of the solitary bone cyst were the second decade(47.8%) and the third decade (21.7%). 2. In the signs and symptoms of solitary bone cyst, pain or tenderness revealed in 17.4%, swelling revealed in 13.0%, pain and swelling revealed in 21.7%, paresthesia revealed in 4.4% and 43.5% were asymptom and the tooth vitality involved in the solitary bone cyst, 76.5% were positive and 23.5% were either positive or negative. 3. In the location of the solitary bone cyst, 47.8% present posterior region, 21.7% present anterior region, 21.6% present anterior and posterior region, 4.4% present condylar process area. 4. In the hyperostotic border of the solitary bone cyst, 47.8% were seen entirely, 21.8% were seen partialy, and 30.4% were not seen. 5. In the change of tooth, 59.1% were intact, 18.2% were loss of the alveolar lamina dura, 13.6% were root resorption 4.55% were tooth displacement, 4.55% were root resorption and tooth displacement. 6. In the change of cortical bone of the solitary bone cyst, 39.1% were intact and 60.9% were thinning and expansion of cortical bone. 7. In the histopathologic findings of 9 cases, 33.3% were thin connective tissue wall, 11.1% were thickened myxofibromatous wall, 55.6% were thickened myxofibromatous wall with dysplastic bone formation.

  • PDF

Common and signifiacant cysts at the dental clinic (치과 임상에서 흔하고 의미있는 낭종)

  • Jang, Hyun-Seon
    • The Journal of the Korean dental association
    • /
    • v.55 no.7
    • /
    • pp.489-496
    • /
    • 2017
  • Oral and maxillofacial cyst is defined as an pathogenic cavity with an lining epithelium and connective tissue wall. Cysts of the jaws and periapical regions vary in histogenesis, treatment and prognosis. Cysts with similar clinical and radiographic can be shown different histopathologic features. Cysts are classified into odontogenic cysts and nonodontogenic cysts. Cysts are also divied into true cysts and pseudocyst. True cysts are lined with an epithelium, however pseudocysts are not lined with epithelium. A periapical cyst, dentigerous cyst and odontogenic keratocyst is clinically common and important lesions at dental clinic.

  • PDF

Response of Ovaries and Cyst According to Treatment with Dinoprost or Fenprostalene in Dairy Cows with Ovarian Luteal Cyst (황체낭종우에서 Dinoprost 또는 Fenprostalene 치료에 대한 난소 및 낭종의 반응)

  • 강현구;김일화;백인석;손창호;이청산
    • Journal of Veterinary Clinics
    • /
    • v.21 no.2
    • /
    • pp.154-160
    • /
    • 2004
  • This study was carried out to monitor the response of ovaries and cyst according to treatment with dinoprost or fenprostalene in dairy cows with ovarian luteal cyst. Twenty cows were diagnosed as luteal cysts by rectal palpation, ultrasonography and progesterone analysis. The cystic cows were treated with dinoprost or fenprostalene. All the animals were re-examined by ultrasonography and blood was collected for the measurement of plasma progesterone concentration at day 0 (the day of treatment), 3, 13 and 24, respectively. Mean plasma progesterone concentrations on day -11 and day -1 before treatment were 2.1$\pm$0.2 ng/ml and 2.8$\pm$0.3 ng/ml, respectively. On day 3 and day 13 were 0.3$\pm$0.1 ng/ml and 4.3$\pm$0.2 ng/ml, respectively. Mean cystic wall thickness on day -11 and day -1 were 3.2$\pm$0.2 mm and 3.9$\pm$0.2 mm, respectively. And on day 3 was 2.4$\pm$0.3 mm. The responses of luteal cyst after treatment noted during ultrasonography included dramatical degeneration of the luteal tissue of cystic wall on day 3 (all cows), slowly reduction of cyst size (cyst resolution) until last examination (8 cows), complete disappearance on day 13 (7 cows) and no changes of cyst size (5 cows). A group of 10 cows with luteal cysts injected fenprostalene compared with another 10 cows treated dinoprost showed a slightly higher pregnancy rate on first service after initial treatment (50.0 vs 30.0%). But treatment effects of dinoprost or fenprostalene did not significantly different results for each groups. This study suggested that the response of the cyst according to treatment revealed various types. Therefore, veterinarians should have attention on monitoring of the response of cystic ovaries after treatment, specially on no change of cyst size after treatment.

DERMOID CYST IN AN INFANTILE UPPER LIP (영아의 상순에 발생한 유피낭종)

  • Kim, Seong-Oh;Moon, Sung-Hwan;Lee, Jae-Ho;Choi, Hyung-Jun;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.31 no.3
    • /
    • pp.501-505
    • /
    • 2004
  • Dermoid cyst is a developmental cyst that is lined by epidermis-like epithelium and contains dermal adnexal structures in the cyst wall. Dermoid cyst most occur in the eye brow although occasionally develop in other locations such as midline of the floor of the mouth, tongue, lip and buccal mucosa. The lesion is slow growing and painless without lympadenopathy. The contents of the dermoid cyst can be caseous or sebaceous. The size can vary from a few millimeters to 12cm in diameter. Histologically, dermoid cyst is lined by epidermis and adnexaes such as sweat gland, sebaceous glands and hair follicles are present in the cyst wall. The 2-year-old female of this case visited Department of Pediatric Dentistry, College of Dentistry, Yonsei University with a chief complaint of the emergence of mass on her upper lip. An excisional biopsy was carried out for a histological examination and sebaceous gland was observed in the cyst wall. The lesion was diagnosed as dermoid cyst. Dermoid cyst does not recur if complete excision is accomplished.

  • PDF