• Title/Summary/Keyword: multinodular

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Gastric Plexiform Fibromyxoma with Two Different Growth Patterns on Histological Images: a Case Report

  • Li, Zhenyu;Jiang, Qingming;Guo, Dongfang;Peng, Yangling;Zhang, Jing;Chen, Xinyu
    • Journal of Gastric Cancer
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    • v.21 no.2
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    • pp.213-219
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    • 2021
  • Plexiform fibromyxoma (PF) of the stomach is a very rare mesenchymal tumor of the gastrointestinal tract. We report the first case of PF with 2 different growth patterns pathologically confirmed after surgical resection. The tumor was characterized microscopically as infiltrative; it demonstrated diffuse growth into the smooth muscle bundles of the muscularis propria and was also multinodular and plexiform within the myxoid stroma. Immunohistochemical analysis revealed that the tumor cells were positive or weakly positive for smooth muscle actin, vimentin, and H-caldesmon and negative for desmin, CD117, CD34, CK-20, Pan-CK, Dog1, S100, ER, PR, and CD10. No mutations of C-kit and platelet-derived growth factor receptor alpha were detected. No genetic disruption of glioma-associated oncogene homolog 1 was detected by fluorescence in situ hybridization. The final diagnosis of PF was mainly based on the morphological and immunohistochemical findings.

Histopathologic and electron microscopic findings of canine malignant melanoma from the lower limb and digit

  • Woo, Gye-Hyeong;Kim, Ha-Young;Park, Jung-Won;Bak, Eun-Jung;Kim, Jin-Young;Choi, Cheong-Up
    • Korean Journal of Veterinary Service
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    • v.30 no.4
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    • pp.533-538
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    • 2007
  • A 16-year-old female mixed dog was submitted for examination at the pathology division of national veterinary research and quarantine service (NVRQS). Grossly, white or grayish spherical, multinodular, firm to friable masses were present in the tibiofibula to the pharenge area of the right limb, and dysphagia, breathing difficulties and tachypnea were shown. Various-sized white or grayish black masses were scattered in lungs and diaphragm and one mass was observed in the trachea and in the jejunum, respectively. Histopathologically, the neoplastic cells were composed of polygonal or spindle shaped cells with various sized round to oval nuclei and abundant cytoplasm. These cells formed lobules or nests separated by fine connective tissue and contained little amount of melanin pigments. Melanin pigments were stained dark gray or black with Fontana-Masson method. Melanosomes were also ultrastructurally demonstrable by electron microscopy. Based on above results, the present case was diagnosed as canine malignant melanoma originating from the lower limb and digit.

Three Cases of Thyroid Hemiagenesis (갑상선 일측 무형성증 3예)

  • Kim, Ki-Hyun;Chung, Hyun-Pil;Kim, Jae-Wook;Koh, Yoon-Woo
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.2
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    • pp.183-187
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    • 2006
  • Thyroid hemiagenesis is a very rare congenital anomaly in which one thyroid lobe fails to develop. The cause of thyroid hemiagenesis is still unknown. The true prevalence of thyroid hemiagenesis is not known, but it is estimated to be from 0.05% to 0.2% in normal children. Thyroid hemiagenesis is common in female with the left lobe being absent. The common disease in the remaining lobe is hyperthyroidism, benign adenoma, a toxic multinodular goiter, chronic thyroiditis, primary myxedema, and rarely carcinoma. Tc-99m pertechnate scintigraphy, ultrasonography and computerized tomography can be used to confirm this anomaly. Here we report three cases with left lobe agenesis. Two of them were euthyroid state while the other hypothyroid patient had a ectopic lingual thyroid.

A Case of Acute Respiratory Failure Presenting Lobar Consolidation (대엽성 폐경화로 나타난 급성 호흡부전 1예)

  • Shin, Tae-Rim;Maeng, Sun-Hee;Lee, Hyun-Kyung;Kim, Hae-Young;Chang, Jung-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.3
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    • pp.654-660
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    • 1998
  • Pulmonary embolism is one of the moot common acute pulmonary disease in the adult general hospital population However, the disease is still frequently unsuspected and underdiagnosed due to the nonspecificity of both clinical findings and laboratory tests. The chest radiography in a patient suspected acute pulmonary embolism do not provide adequate information to establish or exclude the diagnosis of pulmonary embolism. Even in the case of infarction, there is no pathognomonic clues on the chest film. Rarely infarction presents unusual roentgenologic manifestation such as lobar consolidation, coin lesion, multinodular opacity, or massive pleural effusion Especially, lobar consolidation in pulmonary embolism might mislead into the diagnosis of pneumonia. We experienced a case of pulmonary embolism presenting lobar consolidation in a 62 years old woman, originated from deep vein thrombosis. She took a compression stocking and underwent anticoagulant therapy with excellent outcome.

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Tenosynovial Chondromatosis on Plantar Area (A Case Report) (족저부에 발생한 건활막 연골종증(1예 보고))

  • Hwang, Chung-Soo;Chung, Phil-Hyun;Kang, Suk;Kim, Jong-Pil;Kim, Young-Sung;Yang, Chul-Ho;Lee, Jong-Im
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.214-217
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    • 2009
  • Tenosynovial chondromatosis is a multinodular cartilaginous proliferation that arises from the tenosynovial membranes. It is rare, benign neoplasm, most commonly affects the tendon of the wrist and hand. It is clinically important because of its high rate of recurrence with a unique histopathological pattern which not infrequently displays considerable focal cellular atypia and hypercellurality nevertheless it is benign, but it has not been well recognized because of its rarity. We report here a rare case of tenosynovial chondromatosis of the tendon sheath of flexor hallucis longus and flexor digitorum longus in plantar area.

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Proximal-type Epithelioid Sarcoma Involving Perineum - Case Report - (회음부를 침범한 근위형 유상피육종 - 증례보고 -)

  • Park, Yong-Koo;Park, Ho-Chul
    • The Journal of the Korean bone and joint tumor society
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    • v.7 no.2
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    • pp.64-67
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    • 2001
  • Epithelioid sarcoma has been well characterized as a distincitve entity. In the classic form, it occurs in the distal extremities of young adults. However, in the proximal form, it was found mostly in the pelvis, perineum, and genital tract of young to middle-aged adults. Morphologically, the tumor cells had promient epithelioid or rhabdoid features with marked cytologic atypia, and grew in a multinodular pattern. Immunohistochemically, cytokeratin, epithelial membrane antigen, and vimentin were positive in the tumor cells. This reports dealt with 32-year-old male lesion on his perineum. The tumor shows typical features of proximal type epithelioid sarcoma. We also discussed pathological differential diagnosis and prognosis on this particular disease.

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A case of malignant dysgerminoma in a slaughtered dairy cow (도축 젖소에서 발생한 악성 난소생식세포종 증례보고)

  • Jung, Ji-Youl;Her, Ji-Woong;Jeong, Yea-Ji;Ku, Kyung-Nyer;Choi, Kwon-Rac;So, Byung-Jae;Yoon, Soon-Seek
    • Korean Journal of Veterinary Research
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    • v.55 no.2
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    • pp.149-152
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    • 2015
  • An abnormally enlarged right ovary and a mass in fat surrounding the right kidney were discovered in a dairy cow during routine postmortem examination at slaughter. The ovary was dark reddish and multinodular in shape. Numerous cystic structures were identified in the mass. Histopathologically, the ovary was completely replaced with large, uniform, polyhedral neoplastic cells containing vesicular nuclei and prominent nucleoli. The mitotic index was high. In the lymphatic vessels, tumor emboli were observed. Another mass in the fat surranding the right kidney had the same histological features as the ovarian mass. This animal was diagnosed with malignant dysgerminoma and metastasis to other peritoneal organs.

Esophageal Plexiform Schwannoma -A case report- (식도 얼기형 신경집종 -1예 보고-)

  • Jang, Jae-Seok;Park, Ki-Sung
    • Journal of Chest Surgery
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    • v.39 no.11 s.268
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    • pp.875-878
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    • 2006
  • A 39-year-old man presented with a esophageal submucosal tumor on regular check up examination. Preoperative exams showed the typical submucosal tumor as leiomyoma and operative procedure was enucleation for complete resection. Postoperative pathologic diagnosis including histologic and immunohistochemical study was compatible with plexiform schwannoma. Plexiform schwannoma is one of the least common variant of schwannoma that typically shows a plexiform or multinodular pattern. To our knowledge, there is rare case report of plexiform schwannoma originating in the esophagus and we report ore case with related literature.

Plexiform Angiomyxoid Myofibroblastic Tumor of the Stomach: a Rare Case

  • Kim, Su Mi;An, Ji Yeong;Choi, Min-Gew;Lee, Jun Ho;Sohn, Tae Sung;Kim, Kyung-Mee;Kim, Sung;Bae, Jae Moon
    • Journal of Gastric Cancer
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    • v.17 no.3
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    • pp.277-281
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    • 2017
  • Plexiform angiomyxoid myofibroblastic tumor (PAMT) of the stomach is a very rare mesenchymal tumor of the gastrointestinal tract. We report a case of asymptomatic gastric PAMT that was pathologically confirmed after surgical resection. The tumor had a multinodular plexiform growth pattern, bland-looking spindle cells, and an Alcian bluepositive myxoid stromal matrix rich in small blood vessels. Immunohistochemistry analysis revealed that the tumor cells of the PAMT were positive for smooth muscle actin (SMA) and negative for c-kit, CD34, S-100 protein, epithelial membrane antigen (EMA), and desmin. PAMT should be differentiated from other submucosal tumors of the stomach by immunohistochemical findings. Considering the benign features of this tumor, observation without resection may be an option for the treatment of PAMT if the tumor is asymptomatic.

BENIGN AND MALIGNANT MYOEPITHELIOMAS IN SALIVARY GLAND: CASES REPORT AND IMMUNOHISTOCHEMICAL STUDY (양성 및 악성 타액선 근상피종: 증례보고 및 면역조직화학적 연구)

  • Byun, June-Ho;Lee, Jong-Sil;Kim, Jong-Ryoul;Park, Bong-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.71-76
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    • 2009
  • Benign myoepithelioma (BME) and malignant myoepithelioma (MME) of the salivary gland are very rare and its biologic behavior has not been clarified fully. Although, cases reports for BME and MME were increased in recent, their diagnostic criteria were not completely established. We describe herein a case of BME of the parotid gland and a case of MME of the palatal minor gland, respectively. Histologically, multinodular growth pattern, infiltration to adjacent tissues, and hyalinized and myxoid matrix were observed in MME, that were different histologic features compared with BME. Strong immunoreactivities for the S-100 protein and vimentin were detected in the tumor cells of BME and MME. In specimen of MME, moderately expressed p53 and strongly expressed p63 were detected. However, in specimen of BME, p53 was negatively and p63 was weakly expressed, respectively. In conclusion, the expression patterns of p53 and p63 as well as histologic aggressiveness might be used to diagnose the MME.