• 제목/요약/키워드: mass margins

검색결과 61건 처리시간 0.02초

A Case of Recurrent Dermatofibrosarcoma of the Scalp

  • Jo, Tae-Yeon;Kim, Sang-Dae;Kim, Se-Hoon;Park, Jung-Yul
    • Journal of Korean Neurosurgical Society
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    • 제37권3호
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    • pp.241-243
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    • 2005
  • We report a case of recurrent dermatofibrosarcoma in a 30-years-old woman who had undergone operations three times during 60 months and had received post-operative radiotherapy. On neurological examination, no neurological deficits were noticed. In brain magnetic resonance image(MRI), there was right parieto-occipital scalp mass with high signal in T2-weighted image, low signal in T1-weighted image with homogeneous enhancement. The removal was done including about 2cm uninvolved margins and pathologic examination of the lesion revealed dermatofibrosarcoma protuberans(DFSP). The prognostic factors of local recurrence may be related to surgical margins for resection; the length from the grossly intact margins, and the microscopically controlled excision in margins.

Imaging Features of Hepatic Adenoma in a Dog with Atypical Computed Tomographic Findings

  • Jin, Hansol;Cheon, Byunggyu;Lee, Gahyun;Park, Seungjo;Lee, Ju-Hwan;Choi, Jihye
    • 한국임상수의학회지
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    • 제35권2호
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    • pp.53-56
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    • 2018
  • Computed tomography (CT) findings of hepatic adenoma in veterinary medicine are variable and unlike in human medicine, not defined clearly. A 12-year-old neutered male Shih Tzu presented after a seizure, with weight loss, salivation, and cachexia. An abdominal mass was identified on radiography, and ultrasonographic images showed a mixed echo pattern with marked vascularity. CT showed that the mass originated from caudate lobe, was heterogeneously hypoattenuated compared with the hepatic parenchyma, and had irregular margins. Contrast enhanced CT showed that the mass enhanced like the surrounding liver parenchyma. However, it contained unenhanced areas and enhanced vessels were observed in the arterial phase at the periphery of the mass. The margins of mass were more enhanced in the venous phase than the arterial phase and the hypoattenuating regions within the mass were not enhanced. Greater enhancing in the venous phase is seen with adenomas; however, the heterogeneous enhancement pattern, especially the marginal vascular enhancement and internal hypoattenuating regions, is seen with malignancy. Although this is a single case of hepatic adenoma, the atypical enhanced pattern of this case can provide useful information to predict the malignancy of primary liver tumor.

Preoperative Magnetic Resonance Imaging Features Associated with Positive Resection Margins in Patients with Invasive Lobular Carcinoma

  • Jiyoung Yoon;Eun-Kyung Kim;Min Jung Kim;Hee Jung Moon;Jung Hyun Yoon;Vivian Y. Park
    • Korean Journal of Radiology
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    • 제21권8호
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    • pp.946-954
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    • 2020
  • Objective: To investigate preoperative magnetic resonance imaging (MRI) findings associated with resection margin status in patients with invasive lobular carcinoma (ILC) who underwent breast-conserving surgery. Materials and Methods: One hundred and one patients with ILC who underwent preoperative MRI were included. MRI (tumor size, multifocality, type of enhancing lesion, distribution of non-mass enhancement [NME], and degree of background parenchymal enhancement) and clinicopathological features (age, pathologic tumor size, presence of ductal carcinoma in situ [DCIS] or lobular carcinoma in situ, presence of lymph node metastases, and estrogen receptor/progesterone receptor/human epidermal growth factor receptor type 2 status) were analyzed. A positive resection margin was defined as the presence of invasive cancer or DCIS at the inked surface. Logistic regression analysis was performed to determine pre- and postoperative variables associated with positive resection margins. Results: Among the 101 patients, 21 (20.8%) showed positive resection margins. In the univariable analysis, NME, multifocality, axillary lymph node metastasis, and pathologic tumor size were associated with positive resection margins. With respect to preoperative MRI findings, multifocality (odds ratio [OR] = 3.977, p = 0.009) and NME (OR = 2.741, p = 0.063) were associated with positive resection margins in the multivariable analysis, although NME showed borderline significance. Conclusion: In patients with ILC, multifocality and the presence of NME on preoperative breast MRI were associated with positive resection margins.

Comparison of Two Nondestructive Methods of Leaf Area Estimation

  • Woo, Hyo-Jin;Park, Yong-Mok
    • Journal of Ecology and Environment
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    • 제32권1호
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    • pp.61-65
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    • 2009
  • We compared two nondestructive methods for leaf area estimation using leaves of 16 common plant species classified into six types depending on leaf shape. Relatively good linear relationships between actual leaf area (LA) and leaf length (L), width (W), or the product of length and width (LW) were found for ordinary leaves with lanceolate, oblanceolate, linear and sagitttate shapes with entire margins, serrate margins, mixed margins with a entire form and shallow lobes, and ordinary incised margins. LA was better correlated with LW than L or W, with $R^2$ > 0.91. However, for deeply incised lobes, LA estimation using LW showed low correlation coefficient values, indicating low accuracy. On the other hand, a method using photographic paper showed a good correlation between estimates of area based on the mass of a cut-out leaf image on a photographic sheet (PW) and actual leaf area for all types of leaf shape. Thus, the PW method for LA estimation can be applied to all shapes of leaf with high accuracy. The PW method takes a little more time and has a higher cost than leaf estimation methods using LW based on leaf dimensions. These results indicate that researchers should choose their nondestructive LA estimation method according to their research goals.

Long-Term Follow-Up Ultrasonographic Findings of Intrathyroidal Thymus in Children

  • Yun-Woo Chang;Hee Min Kang;Eun Ji Lee
    • Korean Journal of Radiology
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    • 제21권11호
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    • pp.1248-1255
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    • 2020
  • Objective: To analyze long-term follow-up sonographic findings of intrathyroidal thymus in children. Materials and Methods: Among 1259 patients with congenital hypothyroidism under 15 years of age who underwent thyroid ultrasonography (US), 41 patients were diagnosed with an intrathyroidal thymus based on US criteria, i.e., hypoechoic solid lesion with punctate and linear echogenicity. In 26 patients aged one to 14 years old, the last follow-up US was performed after 6 to 132 months and compared with the initial US. The lesion was considered to decrease in size if there was a change of more than 2 mm in any dimension. The margin change was divided into well-defined and indistinct, blurred. When the echogenicity changed to a hyperechoic from a characteristic thymic echogenicity pattern, the pattern was considered a hyperechogenic. The changes in size were compared with the changes in shape, margin, and echogenicity pattern. The changes in size, shape, margin, and echogenicity were analyzed the association with the age of last follow-up. Statistical analysis was conducted using the chi-squared test and logistic regression. Results: Fifteen (57.7%) cases were stable in size, and 11 (42.3%) decreased in size, including one that disappeared. Ten (38.5%) cases changed to indistinct margins from initially well-defined margins including one case of initially indistinct margin. Six (23.1%) changed to hyperechogenic, from initially characteristic thymic echogenicity patterns. When follow-up change was compared, decreases in size were significantly associated with lesion changes to indistinct margins (p = 0.004). The age at last follow-up was significantly associated with change to hyperechogenicity (odd ratio, 2.141; 95% confidence interval, 1.144-4.010, p = 0.017). Conclusion: On follow-up US, an intrathyroidal thymus may be decreased in size, with indistinct margins, or show changes to a hyperechoic mass. Decreases in size may be associated with changing to indistinct margins, and changes to hyperechogenicity may be associated with increasing age.

Infiltrative Lipoma Invading the Anal Sac in a Dog: A Rare Case Report

  • Junyoung Kim;Dai Jung Chung;Jihye Choi;Junghee Yoon
    • 한국임상수의학회지
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    • 제40권2호
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    • pp.147-151
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    • 2023
  • A 6-year-old female Chihuahua was presented to the Animal Medical Center for surgical resection of a perineal mass that had recently increased in size. Ultrasonography revealed a large, homogeneous fatty mass with irregular margins between the surrounding muscle layers due to infiltrating fatty tissues. Cytological findings from fine-needle aspirates revealed numerous sheets and clusters of adipocytes, which was consistent with the fatty mass. Based on ultrasonographic and cytological findings, an infiltrative lipoma was suspected. During the surgery, the perineal mass was found to be non-encapsulated, irregularly marginated, and extensively distributed into the surrounding muscles. The mass extended inside the pelvic cavity and left anal sac. The perineal mass was surgically removed and submitted for histopathologic examination. Histopathology confirmed that the mass was an infiltrative lipoma invading into the anal sac and surrounding muscles. The present report was an unusual presentation of infiltrative lipoma that invaded the anal sac in the perineum.

말티즈 견의 두개골에서 발생한 다엽성 종양 (Multilobular Tumor of Skull in a Maltese Dog)

  • 양철호;강민희;김승곤
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.48-50
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    • 2016
  • A 10-year-old spayed female Maltese dog weighting 3.4 kg was referred with growing firm mass at the parietal bone region from 2 weeks ago. A firm, partially calcified mass ($1.9cm{\times}4.4cm$) was palpated in the region of the frontal and parietal skulls but had no neurologic signs. Computed tomography (CT) characteristics of mass were round to oval shape, fine granular appearance, and well defined margins. Mass involving the calvarial bones had invasion into the cranial vault with a significant intracranial portion. Histologically, the tumor was characterized by the presence of multiple lobules containing osteoid or cartilage in the center that were separated by anastomosing fibrous septae. This is case report described the clinical and histopathological features of multilobular tumor of skull in a Maltese dog.

Velocity feedback for controlling vertical vibrations of pedestrian-bridge crossing. Practical guidelines

  • Wang, Xidong;Pereira, Emiliano;Diaz, Ivan M.;Garcia-Palacios, Jaime H.
    • Smart Structures and Systems
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    • 제22권1호
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    • pp.95-103
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    • 2018
  • Active vibration control via inertial mass actuators has been shown as an effective tool to significantly reduce human-induced vertical vibrations, allowing structures to satisfy vibration serviceability limits. However, a lot of practical obstacles have to be solved before experimental implementations. This has motivated simple control techniques, such as direct velocity feedback control (DVFC), which is implemented in practice by integrating the signal of an accelerometer with a band-pass filter working as a lossy integrator. This work provides practical guidelines for the tuning of DVFC considering the damping performance, inertial mass actuator limitations, such as stroke and force saturation, as well as the stability margins of the closed-loop system. Experimental results on a full scale steel-concrete composite structure (behaves similar to a footbridge) with adjustable span are reported to illustrate the main conclusions of this work.

Verrucous carcinoma arising from actinic keratosis: a case report

  • Jung, Ji Hyuk;Jeon, Yeo Reum;Kim, Hyo In;Lee, Mi Kyung;Chung, Seum
    • 대한두개안면성형외과학회지
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    • 제22권6호
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    • pp.333-336
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    • 2021
  • Verrucous carcinoma (VC) is a rare subtype of squamous cell carcinoma that commonly occurs in the oral cavity. However, VC of the facial skin is relatively rare. We report a case of a 91-year-old woman with VC of the facial skin in the left zygoma area. She was diagnosed with actinic keratosis (4×3 cm) of the same site approximately 12 years previously, but declined further treatment. The mass was excised with a minimum of 0.4 cm from gross margins with the result of free from tumor of all margins by frozen section, allowing for primary closure after skin undermining. Basal resection was performed in the preplatysmal plane. The diagnosis of VC was confirmed by histopathological examination. Postoperatively, the wound healed without incident and with no signs of facial nerve injury. To our knowledge, this is the first reported case of VC of facial skin arising from actinic keratosis.

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

  • Lee, Kanghun;Choi, Moon Hyung
    • Investigative Magnetic Resonance Imaging
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    • 제21권2호
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    • pp.119-124
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    • 2017
  • Chromophobe renal cell carcinoma (RCC) is an uncommon subtype of RCC having a better prognosis than clear cell RCC. Although there are several reports of seeding metastasis of RCC after biopsy, seeding metastasis of chromophobe RCC after surgical resection has seldom been reported. Here, we describe a case of multiple seeding metastases in the abdomen and pelvis 78 months after robot-assisted laparoscopic partial nephrectomy, without prior history of biopsy for chromophobe RCC in the right kidney. As magnetic resonance imaging (MRI) of the pelvic mass showed a similar appearance to the primary renal mass and displayed separate margins with the rectum and prostate gland, we were able to make a diagnosis before pathologic confirmation.