• Title/Summary/Keyword: cyst wall

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Development of Differential Diagnosis and Treatment Method of Reproductive Disorders Using Ultrasonography in Cows V, Differential Diagnosis of Ovarian Cysts in Slaughtered Cows (초음파검사에 의한 소의 번식장애 감별진단 및 치료법 개발 V, 도축우에서 난소낭종의 감별진단)

  • 손창호;강병규;최한선;강현구;임원호;박상국;오기석;서국현
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.138-144
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    • 1999
  • To establish the differential diagnosis and treatment method in bovine ovarian cysts, specially ovarian cysts with corpus luteum, serum progesterone (P$_4$) concentration and ultrasonography for measuring the cystic wall thickness and diameter of cyst and corpus luteum were investigated from slaughtered cows with ovarian cysts. Ovarian cysts were classified 8 types by the number of cyst, cystic wall thickness and present of corpus luteum. Ovarian cysts with corpus luteum were 11 (13.6%) of 81 cows and ovarian cysts without corpus luteum were 70 (86.4%) cows. The incidence rates of 8 various types of ovarian cysts were as follows; 2Ba 33.3%, 2Aa 25.9% and 2Bb 14.8%, respectively. The incidence rates of ovarian cysts without corpus luteum were follicular cyst 59.2% and luteal cyst 27.2%. The cystic wall thickness were 2Ab 3.7 mm and 2Bb 3.5 mm, and the serum P4 concentrations were above 2.0 ng/ml in 1Aa, 1Ab, 1Ba, 2Ab and 2Bb, respectively. In ovarian cysts with corpus luteum, the correlation coefficients between corpus luteum area and serum P$_4$ concentration were 0.45. In ovarian cysts without corpus luteum, there was significantly positive correlations between cystic wall thickness and serum P$_4$ concentration ($r^2$= 0.54, p<0.01). These results indicate that PGF$_2$$\alpha$ analogues can be choice for treatment of ovarian cysts with corpus luteum and above 3 mm the cystic wall thickness because serum P$_4$ concentrations were above 2.0 ng/ml in ovarian cysts with corpus luteum and thickened cystic wall. In conclusion, it is suggest that ultrasonography is useful diagnostic tool for diagnosis and selection of treatment remedy in cystic ovaries of bovine.

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Differential diagnosis of ovarian cysts and selection of therapeutic drugs in slaughtered cows (도축우 유래 난소낭종의 감별진단 및 치료제 선택)

  • 박상국;최동식;박장일;정대영
    • Korean Journal of Veterinary Service
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    • v.23 no.2
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    • pp.125-132
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    • 2000
  • To establish the differential diagnosis and treatment method in bovine ovarian cysts, specially ovarian cysts with corpus luteum, serum progesterone ($P_4$) concentration and ultrasonography for measuring the cystic wall thickness and diameter of cyst and corpus luteum were investigated from slaughtered cows with ovarian cysts. Ovarian cysts were classified 8 types by the number of cyst, cystic wall thickness and present of corpus luteum. Ovarian cysts with corpus luteum were 11 (13.6%) of 81 cows and ovarian cysts without corpus luteum were 70 (86.4%) cows. The incidence rates of 8 various types of ovarian cysts were as follows; 2Ba 33.3%, 2Aa 25.9% and 2Bb 14.8%, respectively The Incidence rates of ovarian cysts without corpus luteum were follicular cyst 59.2% and luteal cyst 27.2%. The cystic wall thickness were 2Ab 3.7mm and 2Bb 3.5mm, and the serum P4 concentrations were above 2.0 ng/$m\ell$ in IAa, tAb, IBa, 2Ab and 2Bb, respectively In ovarian cysts with corpus luteum, the correlation coefficients between corpus luteum area and serum $P_4$ concentration were 0.45. In ovarian cysts without corpus luteum, there was significantly positive correlations between cystic wall thickness and serum $P_4$ concentration($r^2$ = 0.54, p<0.01). These results indicate that $PGF_2$$\alpha$ analogues can be choice for treatment of ovarian cysts with corpus luteum and above 3mm the cystic wall thickness because serum $P_4$ concentrations were above 2.0 ng/$m\ell$ in ovarian cysts with corpus luteum and thickened cystic wall. In conclusion, it Is suggested that ultrasonography is useful diagnostic tool for diagnosis and selection of treatment remedy in cystic ovaries of bovine.

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Epicardial Cyst Originating from Right Ventricle

  • Kim, Joo Yeon;Koo, Hyun Jung;Lee, Miji;Kim, Gwan Sic;Jung, Sung-Ho
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.138-141
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    • 2013
  • Pericardial cysts are reported by some authors, but epicardial cysts are extremely rare. We report one case of epicardial cyst that was detected incidentally and was removed successfully. Furthermore, unusually, pathological examinations confirmed that the cyst wall was looked like a vessel wall.

A Case of Epidermoid Cyst Initially Misdiagnosed as Temporomandibular Joint Disorder

  • Choi, Yun-Jeong;An, Seo-young;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.43 no.2
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    • pp.56-60
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    • 2018
  • Epidermoid cyst in bony wall of external auditory canal (EAC) is a very rare pathologic condition. In addition to its extreme rarity, its positional proximity to temporomandibular joint (TMJ) might lead to clinical misdiagnosis as TMJ disorders, especially when it is accompanied by temporomandibular disorders-like symptoms. In this article, we report a patient with epidermoid cyst in anterior bony wall of EAC, which was misdiagnosed as TMJ disorder because the left TMJ pain aggravated during mastication.

Intracavitary Radiation Therapy for Recurrent Cystic Brain Tumors with Holmium-166-Chico : A Pilot Study

  • Ha, Eun Jin;Gwak, Ho-Shin;Rhee, Chang Hun;Youn, Sang Min;Choi, Chang-Woon;Cheon, Gi Jeong
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.175-182
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    • 2013
  • Objective : Intracavitary injection of beta-emitting radiation source for control of cystic tumors has been tried with a benefit of localized internal radiation. The authors treated cystic brain tumor patients with Holmium-166-chitosan complex (Ho-166-chico), composed of a beta-emitting radionuclide Holmium-166 and biodegradable chit polymer, and evaluated the safety and effective measurement for response. Methods : Twenty-two patients with recurrent cystic brain tumor and/or located in a deep or eloquent area were enrolled in this pilot study. The cyst volume and wall thickness were determined on CT or MRI to assess radiological response. The activity of Ho-166-chico injected via Ommaya reservoir was prescribed to be 10-25 Gy to the cyst wall in a depth of 4 mm. Results : There was neither complications related to systemic absorption nor leakage of Ho-166-chico in all 22 patients. But, two cases of oculomotor paresis were observed in patients with recurrent craniopharyngioma. Radiological response was seen in 14 of 20 available follow-up images (70%). Seven patients of 'evident' radiological response experienced more than 25% decrease of both cyst volume and wall thickness. Another 7 patients with 'suggestive' response showed decrease of cyst volume without definitive change of the wall thickness or vice versa. All patients with benign tumors or low grade gliomas experienced symptomatic improvement. Conclusion : Ho-166-chico intracavitary radiation therapy for cystic tumor is a safe method of palliation without serious complications. The determination of both minimal effective dosage and time interval of repeated injection through phase 1 trial could improve the results in the future.

Esophageal Duplication Cyst -A Case Report- (식도 중복 낭종 -수술 치험 1례-)

  • 이현석
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.869-871
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    • 1995
  • Esophageal duplication cysts are uncommon, benign lesions of the esophagus. They are rare congenital foregut anomalies. To be considered an esophageal duplication cyst, a lesion must meet the following criteria:1 the cyst in the esophageal wall 2 the cyst is covered with a muscularis propria,generally of two layers and 3 the cyst has an epithelial lining consistent with that of the 4 week embryo, which may be columnar or pseudostratified columnar, and may be ciliated. Herein we report a case of an esophageal cyst located within the thoracic cavity, which is, to the best of our knowledge, the first case reported in Korea. Surgery is generally the treatment of choice for esophageal cyst, and was indicated in this case for the diagnosis and management of symptoms attributable to the cyst.

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Epineural Ganglion Cyst of the Sural Nerve at the Foot: A Case Report (족부에서 발생한 장딴지신경의 신경외막 결절종)

  • Kim, Chul-Han;Kim, Hyun-Sung
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.839-842
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    • 2010
  • Purpose: Ganglion cysts of peripheral nerve are uncommon. Ganglion cysts located within the nerve and extraneural ganglia that cause symptomatic nerve compression have been reported. We report an unusual case of epineural ganglion cyst confined to the epineurium of the sural nerve at the foot. Methods: A 45-year-old woman was referred because of a mass on the foot. She had six months' history of pain and numbness in the right small toe. During the examination of the lesion, multinodular cystic mass was identified arising from the epineurium of the sural nerve. The nerve fascicles were compressed by the cyst, but the cyst wall clearly did not invade the fascicle. With the aid of surgical microscope, the epineural cyst was completely excised along with epineural tissue to which it was attached, and the sural nerve was decompressed. There was no relationship between the cyst and either the joint capsule or tendon sheath. Since the cyst was on the periphery of the nerve it was possible to remove the cyst intact without damaging the underlying fascicles. Results: The postoperative course was uneventful. Pathologic examination showed a ganglion cyst with a degenerated collagen fibers and contained a yellowish, jelly-like mucinous substance. No neural elements were identified within the cystic wall. Her sensory impairment improved progressively. At the 15 months follow-up, she was asymptomatic with no neurological deficits. Conclusion: Rarely, ganglion cysts can involve peripheral nerves, leading to varing degrees of neurological deficits. Intraneural intrafascicular ganglion may be difficult to separate from the neural elements without nerve injury. Epineural ganglion, subcategorized as intraneural extrafascicular ganglion, can be removed without damage to the underlying nerve.

Anterior Surgical Approach in Recurrent Cervical Neurenteric Cyst - Case Report - (재발한 경추 신경장성 낭종의 전방경유 치험 - 증 례 보 고 -)

  • Bae, Kwang Ju;Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1258-1261
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    • 2000
  • Intraspinal neurenteric cyst is rare congenital lesion derived from disorder of notochord formation. Most of these are located ventral to the spinal cord and conventional posterior approach is considered to be effective method as initial treatment modality. This cyst can recur, but the risk of reccurence after partial removal through long term follow-up has not been determined. We experienced one case of cervical neurenteric cyst which recurred after partial removal through laminectomy. The magnetic resonance imaging and postmyelography computerized tomography revealed an intradural extramedullary cystic lesion anterior to the cervical cord at the fifth cervical vertebra level. We performed anterior cervical corpectomy and cyst was totally removed. The patient's neurological symptom was improved postoperatively. Neurenteric cyst located ventrally to the cervical spinal cord should be removed through anterior route for direct visualization of the relationship between the cyst wall and the spinal cord.

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Bronchogenic Cyst, A Report of 2 cases [An Intraesophageal cyst and A Multiloculated cyst] (기관지성 낭종 2례 치험 보고)

  • 손동섭
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.800-805
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    • 1985
  • Bronchogenic cysts are a congenital cystic lesion which are usually found within the lung parenchyme or mediastinum. Two cases of bronchogenic cysts were presented and related literatures were reviewed. The first case of bronchogenic cyst was located in the wall of the esophagus. Preoperatively, this case was thought duplication cyst of esophagus, but postoperative microscopic examination showed the tumor was a bronchogenic cyst with respiratory epithelium. The second case had double cysts; one in the superior and posterior mediastinum, the other in the lung parenchyme. The cyst in the mediastinum was extirpated and the other cyst in the lung was removed by right upper lobectomy. Postoperative course were uneventful in both patients.

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A Case of Giant Epidermal Inclusion Cyst (거대 표피 낭종의 치험례)

  • Kim, Keun Sik;Cho, Pil Dong;Shin, Keuk Shun;Oh, Hwa Eun
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.803-806
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    • 2007
  • Purpose: The epidermal cyst is a very common skin lesion which usually occurs in the hairy regions. They are generally small but rarely reach more than 5 cm in diameter. We present a patient with a giant epidermal cyst on buttock area. Methods: A 50-year-old man with a slowly enlarging, huge mass in his left buttock was examined. There was no history of trauma in this area. Physical examination revealed a soft, nontender, $15{\times}15cm$-sized mass in his left buttock. T1-weighted magnetic resonance images demonstrated a well-circumscribed, multilocular cystic lesion with homogeneous, slightly high signal intensity. On T2-weighted images the lesion had wide areas of high signal intensity. The mass was totally excised. Results: A histopathological finding revealed that the cystic wall was lined with whole layers of stratified squamous epithelium. Keratin layers from the surface of the epithelium were seen to be sloughing into the cystic lumen. Multinucleted giant cells were found outside the cystic wall. Conclusion: Herein we report a rare case of giant epidermal cyst occurring on the buttock.