• Title/Summary/Keyword: local recurrence

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A Metastatic Giant Cell Tumor of the Soft Tissue of the Thoracic Wall - A case report - (흉벽 연부조직에 발생한 전이성 거대세포종 - 1예 보고 -)

  • Shin, Duk-Seop;Lee, Jang-Hoon;Choi, Jun-Hyuk;Chung, Tae-Eun
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.526-528
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    • 2007
  • A giant cell tumor of bone is a benign bone tumor, but has very high local recurrence rate and, very rarely metastasizes to the lung or a distant area. We report a case of a 29-year-old male patient presenting with a metastatic giant cell tumor of the soft tissue of the chest wall, who underwent a total resection of the radius for recurrence of the giant cell tumor. The tumor was not related to any bony structure of the thorax. We resected the tumor with a wide surgical margin. No evidence of malignancy was seen in the frozen and permanent pathological report.

MR Imaging of Aggressive Angiomyxoma of the Female Pelvis: Case Report (여성 골반에 생긴 공격성 혈관점액종의 자기공명영상: 증례 보고)

  • Kim, Hye-Mi;Pyo, Ji-Eun;Cho, Nam-Hoon;Kim, Nam-Kyu;Kim, Myeong-Jin
    • Investigative Magnetic Resonance Imaging
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    • v.12 no.2
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    • pp.206-210
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    • 2008
  • Aggressive angiomyxoma is a rare tumor that predominantly occurs in the female genital tract. Because of its high tendency for local recurrence, preoperative diagnosis is important to ensure wide excision and reduce recurrence risk. But it is often misdiagnosed due to its rarity. We present two cases of aggressive angiomyxoma: a recurrent case that was initially misdiagnosed and a preoperatively diagnosed case.

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Immune Checkpoint Inhibitors: Therapeutic Tools for Breast Cancer

  • Su, Min;Huang, Chun-Xia;Dai, Ai-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.905-910
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    • 2016
  • Breast cancer is one of the major threats to female health, and its incidence is rapidly increasing in many countries. Currently, breast cancer is treated with surgery, followed by chemotherapy or radiation therapy, or both. However, a substantial proportion of breast cancer patients might have a risk for local relapse that leads to recurrence of their disease and/or metastatic breast cancer. Therefore searching for new and potential strategies for breast cancer treatment remains necessary. Immunotherapy is an attractive and promising approach that can exploit the ability of the immune system to identify and destroy tumors and thus prevent recurrence and metastatic lesions. The most promising and attractive approach of immunotherapeutic research in cancer is the blockade of immune checkpoints. In this review, we discuss the potential of certain inhibitors of immune checkpoints, such as antibodies targeting cytotoxic T-lymphocyte antigen 4 (CTLA-4), programmed death 1 (PD-1) and lymphocyte activation gene-3 (LAG-3), in breast cancer therapeutics. Immune checkpoint inhibitors may represent future standards of care for breast cancer as monotherapy or combined with standard therapies.

Cancer Stem Cells and Stemness Markers in Oral Squamous Cell Carcinomas

  • Patel, Shanaya Saurin;Shah, Kanisha Atul;Shah, Manoj Jashwantbhai;Kothari, Kiran Champaklal;Rawal, Rakesh Mahesh
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8549-8556
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    • 2014
  • Head and neck squamous cell carcinoma (HNSCC) is one of the world top ten most common cancers with its highest occurrence in the Indian subcontinent and different aggressive and etiological behavioural patterns. The scenario is only getting worst with the 5 year survival rates dropping to 50%, persistent treatment failures and frequent cases of relapse/recurrence. One of the major reasons for these failures is the presence of cancer stem cells (CSCs), a small population of cancer cells that are highly tumourigenic, capable of self-renewal and have the ability to differentiate into cells that constitute the bulk of tumours. Notably, recent evidence suggests that cancer stem cells are especially resistant to conventional therapy and are the "drivers" of local recurrence and metastatic spread. Specific markers for this population have been investigated in HNSCC in the hope of developing a deeper understanding of their role in oral cancer pathogenesis, elucidating novel biomarkers for early diagnosis and newer therapeutic strategies. This review covers the fundamental relevance of almost all the CSC biomarkers established to date with a special emphasis on their impact in the process of oral tumourigenesis and their potential role in improving the diagnosis, prognosis and treatment of OSCC patients.

COMBINATION TREATMENT OF OSMIDROSIS BY LIPOSUCTION AND RASPING (지방흡입술 및 강판을 이용한 진피하 긁어냄을 병용한 액취증의 치료)

  • Han, Jun;Hong, Yong Taek;Lim, Young kook;Kim, Hoon Nam
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.51-55
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    • 2009
  • Purpose: Excessive apocrine gland secretion and bacterial decomposition cause axillary osmidrosis, which results in physical discomforts and social problems of patients. Many surgical procedures have been introduced such as skin excision and simple closure, local flap, skin graft, subcutaneous shaving and liposuction method, but the result was not satisfactory to patients and several complications, such as symptom recurrence, hematoma, seroma, delayed wound healing, skin flap necrosis and scarring remain as problems. Methods: For the purpose of reducing these problems, we employed combination treatment of liposuction and rasping method. From January 2006 to February 2008, Total 54 patients were treated with this procedure for bilateral axillary osmidrosis. Results: Follow - up evaluation period was from 2 months to 12 months, and the results were satisfactory. In our method, the length of skin incision is less than 1 cm, so the resultant scar is negligible. Apocrine glands in subcutaneous tissue were mostly removed by liposuction apparatus and remained other glands in subdermal area were mostly removed by rasping. The recurrence rate and postoperative complication were minimal. Conclusion: Our method is very simple, short operation time and excellent results without specific complication.

Low Grade Myofibroblastic Sarcoma of the Sternocleidomastoid Muscle (흉쇄유돌근에서 기인한 Low-Grade Myofibroblastic Sarcoma 1예)

  • Sim, Nam Suk;Hong, Hyun Jun;Song, Kee-Jae;Choi, Sung-Eun;Suh, Yun Suk;Lee, Eun Jung
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.1
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    • pp.23-27
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    • 2014
  • Low-grade myofibroblastic sarcoma is a rare disorder of malignant soft tissue tumor and is usually occurred various regions that often manifests in the head and neck region. The most common clinical presentation of this entity is non-tender cervical lymphadenopathy. This disease usually presents high possibility of local recurrence and low possibility of distant metastasis. We report a rare case of low-grade myofibroblastic sarcoma occurring in the sternocleidomastoid muscle and invading to the mastoid tip. A 56-year-old male visited the clinic with a complaint of slowly growing postauricular mass for 6 months. Mass originating from sternomastoid muscle and invasion to mastoid tip was observed by imaging studies. Surgical complete excision with simple mastoidectomy was performed via modified facelift approach. The histopathologic findings revealed malignant spindle cell tumor with positive staining with smooth muscle actin. The patient has no recurrence for 2years without any complication.

Pedicled Anterolateral Thigh Flaps for Reconstruction of Recurrent Trochanteric Pressure Ulcer

  • Bahk, Sujin;Rhee, Seung Chul;Cho, Sang Hun;Eo, Su Rak
    • Archives of Reconstructive Microsurgery
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    • v.24 no.1
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    • pp.32-36
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    • 2015
  • The reconstruction of recurrent pressure sores is challenging due to a limited set of treatment options and a high risk of flap loss. Successful treatment requires scrupulous surgical planning and a multidisciplinary approach. Although the tensor fascia lata flap is regarded as the standard treatment of choice-it provides sufficient tissue bulk for a deep trochanteric sore defect-plastic surgeons must always consider the potential of recurrence and accordingly save the second-best tissues. With the various applications of anterolateral thigh (ALT) flaps in the reconstructive field, we report two cases wherein an alternative technique was applied, whereby pedicled ALT fasciocutaneous island flaps were used to cover recurrent trochanteric pressure sores. The postoperative course was uneventful without any complications. The flap provided a sound aesthetic result without causing a dog-ear formation or damaging the lower-leg contour. This flap was used as an alternative to myocutaneous flaps, as it can cover a large trochanteric defect, recurrence is minimized, and the local musculature and lower-leg contour are preserved.

Chondrosarcoma of Thoracic Spine - A case report - (제 12 흉추체에 발생한 일차적 연골 육종 (증례 보고))

  • Rhee, Seung-Koo;Kim, Ki-Won;Kim, Jeong-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.3 no.2
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    • pp.131-136
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    • 1997
  • Although chondrosarcoma is a common primary malignant bone tumor, its occurrence in the spine is very rare. It is also well known that even after complete removal of chondrosarcoma in bone, not a few recurrence is possible. Surgical cure of a spinal chondrosarcoma is even more difficult because total excision of chondrosarcoma is usually impossible in the spine. No patients with spinal chondrosarcoma surviving more than 18 years has been reported in literature. We are reporting one patient(32 year old housewife) with chondrosarcoma at the $12^{th}$ thoracic spine which was treated with complete corpectomy of the $12^{th}$ thoracic vertebral body and rib and cancellous bone graft fixed with plating. She was followed for more than 3 years without local recurrence or distant metastasis.

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A CASE REPORT OF AMELOBLASTIC FIBROSARCOMA IN THE MANDIBLE (하악에 발생한 법랑아세포 섬유육종의 치험례)

  • Yoon, Byong-Wook;Lee, Baek-Soo;Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.5
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    • pp.439-443
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    • 2007
  • Ameloblastic fibrosarcoma(AFS) is a rare malignant odontogenic tumor presented as painful swelling and intraosseous mass with occasional ulceration. The most frequent site is the mandible body. AFS of the jaw generally occurs in all ages($3{\sim}83$ years old), with the average age of 27.3. AFS was associated with high local recurrence rate of 37% in the areas of gingiva, floor of mouth and neck. Although metastasis is not a special feature of this lesion, 20% have died within 3 months to 19 years, due to locally aggressive tumor growth. This report describes an ameloblastic fibrosarcoma occurring in the mandible of a twenty-five year old male. The tumor was treated by partial mandibulectomy and reconstructed with a fibular flap. The patient has shown no signs of recurrence or complications during 18 months postoperatively. In this study, we report our case with a review of literatures.

Laboratory study on the modulation evolution of nonlinear wave trains

  • Dong, G.H.;Ma, Y.X.;Zhang, W.;Ma, X.Z.
    • Ocean Systems Engineering
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    • v.2 no.3
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    • pp.189-203
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    • 2012
  • New experiments focusing on the evolution characteristics of nonlinear wave trains were conducted in a large wave flume. A series of wave trains with added sidebands, varying initial steepness, perturbed amplitudes and frequencies, were physically generated in a long wave flume. The experimental results show that the increasing wave steepness, increases the speed of sidebands growth. To study the frequency and phase modulation, the Morlet wavelet transform is adopted to extract the instantaneous frequency of wave trains and the phase functions of each wave component. From the instantaneous frequency, there are local frequency downshifts, even an effective frequency downshift was not observed. The frequency modulation increases with an increase in amplitude modulation, and abrupt changes of instantaneous frequencies occur at the peak modulation. The wrapped phase functions show that in the early stage of the modulation, the phase of the upper sideband first diverges from that of the carrier waves. However, at the later stage, the discrepancy phase from the carrier wave transformed to the lower sideband. The phase deviations appear in the front of the envelope's peaks. Furthermore, the evolution of the instantaneous frequency exhibits an approximate recurrence-type for the experiment with large imposed sidebands, even when the corresponding recurrence is not observed in the Fourier spectrum.