• Title/Summary/Keyword: extraosseous

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A Case of an Upper Cervical Extraosseous Intradural and Extradural Dumbell-shaped Chordoma Mimicking Schwannoma - Case Report - (신경초종과 유사한 아령형 형태의 상부경추 골외 척추척삭종 1례 - 증례보고 -)

  • Baek, Won-Cheol;Youm, Jin-Young;Kim, Seon-Hwan;Koh, Hyeon-Song;Song, Shi-Hun;Kim, Youn
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.149-152
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    • 2001
  • The authors report a case of an extremely rare extraosseous chordoma in the upper cervical spine of a 70-year-old woman, which occupied the intradural and extradural portions, simultaneously. She underwent the operation with C2,3 total laminectomy and grossly total removal and postoperative radiation therapy. Extraosseous chordoma was very rare in the literatures. In addition, it was the first reported case of the extraosseous chordoma occupeid the intradural and extradural portions, simultaneously. And extraosseous chordoma must be distinguished from ecchordosis physaliphora, which is benign nature, usually asymptomatic.

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Evaluation of Extraosseous Abnormalities Detected in Bone Scan ($^{99m}Tc-Methylene$ Diphosphonate (MDP)골(骨)스캔에서 골격외(骨格外) 섭취(攝取) 및 신요로계(腎尿路系) 이상소견(異常所見)에 관(關)한 연구(硏究))

  • Rhim, Sang-Moo;Park, Ran-Jae;Kim, Byung-Tae;Lee, Myung-Chul;Cho, Bo-Yeon;Lee, Hong-Kyu;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.16 no.1
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    • pp.31-39
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    • 1982
  • The purpose of the present study is to evaluate the clinical and diagnostic significance of incidental findings of renal and urinary tract abnormalities, and extraosseous uptake of bone scans. The authors analyzed bone scans using $^{99m}Tc-MDP$(methylene diphosphonate) in 1238 cases of bone disease from April, 1979 to March, 1981. The results obtained were as follows. 1. Total extraosseous abnormalities were 112 cases (9%), which include 64 cases (5%) of renal and urinary tract abnormalities and 48 case(4%) of other extraosseous uptakes. 2. Renal and urinary tract abnormalities were 32 cases(50%) of obstruction, 14 cases(22%) of nonvisualization, 6 cases of space occupying lesion in kidney, 8 cases of kidney displacement and 4 cases of urinary bladder deformities. 3. Other extraosseous uptakes were 16 cases (33%) of body fluid collection, 15 cases of tumor uptake, 9 cases of free pertechnetate uptake and 8 others.

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Infantile Extraosseous Ewing's Sarcoma in the Left Arm: A Case Report (영아의 좌측 상완에 발생한 골격외 유잉 육종 1예)

  • Jung, Eun-Young;Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.15 no.1
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    • pp.80-85
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    • 2009
  • Extraosseous Ewing's sarcoma is a rare primary malignant soft tissue tumor which is histologically identical to Ewing's sarcoma. This tumor tends to involve the soft tissue of the lower extremity and paravertebral region of adolescents and young adults but particularly rare in infants. We recently experienced a case of extraosseous Ewing's sarcoma which presented in the left arm of 4 months infant.

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Extraosseous Osteochondroma of the Foot - A case report - (족저부에 발생한 골외 골연골종 - 1례 보고 -)

  • Ahn, Byung-Woo;Lee, Saeng-Guk;Jin, Jin-Woo;Kim, Kwon-Ho;Kim, Kang-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.217-220
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    • 2002
  • Although osteochondromas are common bone lesions, extraosseous osteochondromas are rare. The most common sites of involvement are the hand, knee, and foot. The authors experienced a case of soft tissue osteochondroma in the plantar aspect of the left foot. The patient complained of a palpable mass for 5 years. The mass grew slowly and had been asymptomatic until 5 months prior to admission when the patient developed slight pain on ambulation and numbness distal to the mid foot. Radiologic studies demonstrated well-circumscribed, lobulated, ossified mass in the plantar aspect of the mid foot. Histological examination confirmed a osteochondroma of soft tissue origin.

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Osteogenic Sarcoma with Osseous, Pulmonary, and Pericardial Metastases Simultaneously Demonstrated on Bone Scintigraphy at Initial Presentation (초기 골스캔에서 뼈, 폐와 심낭으로의 전이를 보인 골육종)

  • Lim, Seok-Tae;Kim, Min-Woo;Sohn, Myung-Hee;Hwang, Pyoung-Han
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.5
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    • pp.336-339
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    • 2003
  • Purpose: A 6-year-old boy with osteogenic sarcoma of the left humerus underwent bone scintigraphy. Tc-99m MDP was accumulated not only in the primary tumor but also in the osseous and extraosseous (pulmonary and pericardial) metastases. Osteogenic sarcoma directly produces osteoid, both in the primary and metastatic lesions. Tc-99m MDP is avidly taken up by tumor osteoid. At initial presentation, only 2% of cases have both pulmonary and osseous metastases. The patient had osseous, pulmonary, and pericardial metastases at presentation. This case presents that increased uptakes of Tc-99m MDP by the primary and metastatic tumor were demonstrated on bone scintigraphy at presentation.

Thoracic Extraosseous Epidural Cavernous Hemangioma

  • Yaldiz, Can;Asil, Kiyasettin;Ceylan, Davut;Erdem, Sahin
    • Journal of Korean Neurosurgical Society
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    • v.57 no.1
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    • pp.65-67
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    • 2015
  • Cavernous hemangiomas were first reported in 1929 by Globus and Doshay, and are defined as benign vascular structures developed between the neural tissues occurring in the central nervous system, consisting of a dilated vascular bed. Cavernous hemangiomas comprise nearly 5-12% of all spinal vascular malformations; however, existence in the epidural space without bone involvement is rare. Only 4% of all cavernous hemangiomas (0.22/1.000.000) are purely epidural cavernous hemangiomas. In this case report, we removed a hemorrhagic thoracic mass presenting with progressive neurological deficits in a 55-year-old male patient. We found this case to be appropriate for presentation due to the rare occurrence of this type of cavernous hemangioma.

Extraosseous Extradural Cervical Tuberculoma (경 척수강에 발생한 경막외결핵성 육아종)

  • Cho, Soo-Ho;Choi, Byung-Yearn;Moon, Choong-Bae
    • Journal of Yeungnam Medical Science
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    • v.1 no.1
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    • pp.135-138
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    • 1984
  • A 44-year-old female with cervical cord compression signs had myelographic and computerized tomographic evidence of extradural spinal cord compression without any tuberculous bony lesion or cold abscess. At surgery, cervical spinal cord was compressed by extraosseous extradural granulomatous tissue which was histologically proved a very rare localized extradural tuberculous granuloma.

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Extraosseous Uptake of Ureteral Transitional Cell Cancer on $^{99m}Tc-MDP$ Bone Scan (뇨관(尿管) 이행세포암종(移行細胞癌腫)에 $^{99m}Tc-MDP$가 섭취(攝取)된 1예(一例))

  • Ahn, Il-Min;Rhim, Sang-Moo;Sohn, In;Lee, Myung-Chul;Cho, Bo-Youn;Koh, Chang-Soon;Kim, Kyung-Do
    • The Korean Journal of Nuclear Medicine
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    • v.16 no.1
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    • pp.79-82
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    • 1982
  • A case of extraosseous uptake of ureteral transitional cell Cancer on $^{99m}Tc-MDP$ bone scan was experienced. The Hot spot seemed to be caused by the tumor uptake of $^{99m}Tc-MDP$ ifself.

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Extraosseous Ewing's Sarcoma Presented as a Rectal Subepithelial Tumor: Radiological and Pathological Features

  • Bae, Heejin;Chung, Taek;Park, Mi-Suk;Kim, Myeong-Jin;Lim, Joon Seok;Kim, Honsoul
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.1
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    • pp.51-55
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    • 2017
  • Purpose: Extraosseous Ewing's sarcoma (EOE) of the rectum is extremely rare: only three cases have been reported in the literature and none of these reports described their imaging findings in detail. Herein, we describe the tumor imaging and pathological features in detail. Materials and Methods: We report a case of rectal EOE in a 72-year-old female who received local excision and was provisionally diagnosed with a rectal submucosal spindle cell tumor. We used immunohistochemistry, histopathology, and fluorescence in situ hybridization to characterize the tumor and provide a definitive diagnosis of EOE. Results: MRI revealed a well-demarcated submucosal tumor with heterogeneous enhancement and hemorrhagic foci in rectum. EOE was diagnosed by positive staining of tumor cells for CD99 and Fli-1 by immunohistochemistry and the presence of the EWSR1 gene translocation by fluorescence in situ hybridization. Although the patient underwent radiation treatment and surgery, the tumor recurred after 4 months as revealed by computed tomography and magnetic resonance imaging. Conclusion: Rectal EOE may present as a rectal submucosal tumor. The understanding of imaging and histological characteristics of this tumor are critical for accurate diagnosis and appropriate aggressive treatment.

Epithelial-mesenchymal transition in osteogenic sarcoma of the neck following oral squamous cell carcinoma (구강 편평세포암종 제거 후 발생한 경부 골육종에서의 상피간엽이행)

  • Kim, Hyun-Sil;Kim, Nam-Hee;Han, Seon-Hui;Cha, In-Ho;Seo, Dong-Jun;Park, Won-Se;Yook, Jong-In;Kim, Hyung-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.3
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    • pp.172-176
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    • 2010
  • Postirradiation extraosseous osteogenic sarcomas are uncommon in the head and neck, despite the extensive use of high-dose radiation. It has been described as de novo radiation-induced neoplasm. We present a 73-year-old male who had been treated by radiotherapy for gingival cancer 7 years earlier and later developed extraosseous osteogenic sarcomas (EOSs) of the neck. Microscopically, the neck mass was composed with mesenchymal malignant cells with cartilaginous and osteogenic differentiation. Immunohistochemical stain demonstrated strong positivity of tumor cells for Snail, the one of major epithelial-mesenchymal transition (EMT) inducer. The E-cadherin expression was scarce, showing inverse relationship to Snail expression. Compared with previous squamous cell carcinoma (SCC) of the gingiva, the present EOS sample revealed the remained epithelial cells on cytokeratin immunohistochemistry, suggesting the tumor arise from the cells of epithelial origin. We have also reviewed the previous 6 cases of head and neck EOSs carefully. The clinicopathologic features of the unusual lesion suggest that it is an incomplete EMT of precedent epithelial malignancy rather than de novo pathology.