• Title/Summary/Keyword: skin lesion

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$^{67}Ga-Citrate$ Scan in A Case of Granulocytic Sarcoma with Bone Marrow Remission of Acute Myelogenous Leukemia (관해된 급성 골수성 백혈병 환자에서 발생한 과립성 육종의 $^{67}Ga-citrate$ Scan 소견)

  • Kim, Gwang-Weon;Chung, Byung-Cheon;Lee, Jae-Tae;Lee, Kyu-Bo;Whang, Kee-Suk
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.337-342
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    • 1990
  • A case of a 39-year-old man with granulocytic sarcoma documented by positive Ga-67 scan is described and brief review of literature was performed. He was diagnosed as acute myelogenous leukemia and got complete remission with antileukemic chemotherapy for 7 months. On admission, picture of his bone marrow and peripheral blood showed remission state of leukemia. Radiologic examinations were performed for evaluation of lesions in head and chest, and findings of granulocytic sarcoma were suspected. So we got $^{67}Ga-citrate$ scan and pleural biopsy for identification of causes of intractable pleural effusion and skin lesion. Myeloblastomas (or granular sarcomas) proved by pleural biopsy were correctly identified by $^{67}Ga-citrate$ scan, and disease extent was clearly delineated. We believe that $^{67}Ga-scintigraphy$ is very helpful in localizing and follow-up evaluation of granulocytic sarcoma.

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Stellate Ganglion Block for the Treatment of Atopic Dermatitis -A case report- (아토피성 피부염 환자의 성상신경절 차단 -증례보고-)

  • Kim, Seong-Kon;Lee, Kyu-Chang;Kang, Po-Sun;Woo, Nam-Sik;Lee, Ye-Chul
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.124-126
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    • 1995
  • Atopic allergy implies a familial tendency to manifest alone or in combination such as asthma, rhinitis, urticaria and atopic dermatitis. The patient with atopic dermatitis shows a variety of humoral and cell-mediated immune dysfunction, including an elevation of serum IgE level, multiple positive immediate skin tests to a variety of antigen. A 30 year old female patient suffering from an atopic dermatitis on face, has been administered a stellate ganglion block(SGB) with a 1% mepivacaine 5cc. She complained of bronchial hyperresponsivness such as cough, soreness, and inspiration difficulty for 5 days following the treatment, so we have reduced 1% mepivacaine dose from 5cc to 3cc. She had no complain of bronchial hyperresponsivenss and the lesion of atopic dermatitis was improved. From our result we conclude that SGB appears to be a good choice for the treatment of the atopic dermatitis and only 1% mepivacaine 3cc is possible in complete SGB.

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Surgical Approach to the Oral Cavity and Oropharyngeal Cancer; Visor Flap Approach (구강 및 구인두암의 수술적 접근방법 ; 면갑피판(Visor Flap)의 임상적 평가)

  • Choi Eun-Chang;Choi Yoon-Suk;Kim Dong-Young
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.226-231
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    • 1999
  • Objectives: Visor flap is one of the useful surgical approach to the oral cavity cancer, but the report on its specific indications, advantages and disadvantages is lacking. Material and Methods: Seven patients treated with visor flap for oral cavity and oropharyngeal cancer were reviewed. Result: Visor flap provided excellent visual field to anterior oral cavity without splitting the lip and chin skin. Postoperative cosmesis was satisfactory. One complication associating with this flap was salivary leak through gingivo-labial and gingivo-buccal suture which was successfully repaired. Conclusion: Visor flap is an excellent approach on extirpation of the oral cavity and oropharyngeal cancer in case of combining with segmental mandibulectomy. Especially it was useful for the approach to the anterior floor of the mouth and oral tongue lesion. But, it has no actual advantage over the other approaches in cases without mandibulectomy.

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A Case of External Ear Osteoma as a Polyp in Dog (개에서 외이도내 발생한 폴립성 골종 증례)

  • Eom, Ki-dong;Oh, Tae-ho;Jang, Kwang-ho;Park, Soo-won
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.396-398
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    • 2003
  • A 2 year-old, 3.8 kg, intact female Maltese was presented with unilateral pain and reddish discharge from the left ear caused by a polyp in the horizontal ear canal. The polyp was diagnosed as osteoma histopathologically and removed through total ear canal ablation. Three months after surgery, osteoma was recurred and broken out of edematous skin lesion. It was considered that an inappropriate surgical removal of the tissue which attached base boarder of the polyp would be cause of the recurrence of the osteoma.

Infectious of Proteus vulgaris in Black-spotted Porcupine Fish (Black-spotted porcupine fish에서의 Proteus vulgaris 감염증)

  • Kim Ji-Hyung;Baeck Gun-Wook;Kim Kyong-Yeon;Oh Tae-Youp;Gomez Dennis K;Park Se-Chang
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.42-45
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    • 2007
  • The genus Proteus has been rarely isolated from cultured fish. In this study, we reported Proteus vulgaris isolated from fish skin lesion of Black-spotted porcupine fish (Diodon hystrix). Identification of f vulgaris was performed by general biological test, including API 20E and API ZYM. The sensitivity of isolated strains to different groups of antibiotics was evaluated using the disc diffusion method. It showed that the isolate is sensitive to ciprofloxacin $(5{\mu}g)$, norfloxacin $(10{\mu}g)$, enrofloxacin $(5{\mu}g)$, cefotaxime $(30{\mu}g)$.

Meningothelial hamartoma of the scalp

  • Kim, Taeki;Kim, Junhyung;Choi, Jaehoon;Oh, Sangho;Kwon, Sunyoung;Jeong, Woonhyeok
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.180-183
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    • 2020
  • Meningothelial hamartoma is a benign tumor composed of ectopic meningothelial elements in the dermis and subcutaneous tissue. It mainly occurs in the scalp; however, the incidence is extremely low. The origin of meningothelial hamartoma has not been elucidated; nevertheless, it has been theorized that it derives from ectopic meningothelial rests displaced during embryologic development. It can be diagnosed histologically as proliferation of connective tissue elements and cells arranged in solid nests, resembling vascular tumors. On immunohistochemistry, it stains positively for epithelial membrane antigen and vimentin. At least 17 cases have been reported, verifying the rarity of the lesion. We present the case of a 16-year-old male patient with a soft scalp mass which was thought to be a lipoma, but turned out to be a meningothelial hamartoma on histology.

Basal cell carcinoma misdiagnosed as trichoepithelioma

  • Wee, Sung Jae;Park, Myong Chul;Chung, Chan Min
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.202-205
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    • 2020
  • Trichoepithelioma is a benign hair follicle tumor that can undergo malignant transformation into basal cell carcinoma in rare cases. Due to the similar clinical and histological features of trichoepithelioma and basal cell carcinoma, distinguishing between these types of tumors can be a diagnostic challenge. Punch biopsy obtains only a small sample of the entire lesion, and thus inherently involves a risk of misdiagnosis between histologically similar diseases. Therefore, if the possibility of misdiagnosis can reasonably be suspected, clinicians should conduct an excisional biopsy or immunohistochemical staining (e.g., CD10 and Bcl-2) to ensure an exact diagnosis. Although trichoepithelioma is benign, the surgical excision of solitary trichoepithelioma should be considered in order to avoid the possibility of malignant transformation, which has occasionally been documented for multiple familial trichoepitheliomas. Herein, we report a case that was initially misdiagnosed as trichoepithelioma before ultimately being diagnosed as basal cell carcinoma through excision and immunohistochemical staining.

Case Report of the Squamous Cell Carcinoma in a Patient with Oral Lichen Planus

  • Woo, Keoncheol;Oh, Duwon;Kwon, Jeong-Seung;Ahn, Hyung-Joon;Choi, Jong-hoon
    • Journal of Oral Medicine and Pain
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    • v.41 no.2
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    • pp.72-75
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    • 2016
  • Lichen planus is a chronic disease characterized by bilateral and multiple lesions on the skin or oral mucosa. Lichen planus is caused by immune mediated degeneration along the border between epithelium and connective tissue. The incidence of oral squamous cell carcinoma in patients diagnosed with oral lichen planus (OLP) is reported to be between 0.4%-5.6% in different studies and the World Health Organization has categorized lichen planus as "a potentially malignant disorder". However, the correlation between OLP and oral cancer still remains controversial as some reported that the reason for increased incidence of squamous cell carcinoma in OLP patient is misdiagnosis of dysplastic lesion as OLP. This report aims to discuss the correlation between OLP and oral cancer through a case of middle aged woman diagnosed with OLP who was successfully treated but developed squamous cell carcinoma 8 years later.

A Case of Primary Malignant Hemangiopericytoma of the Lung (폐에 발생한 원발성 악성 혈판주위세포종 1예)

  • Lee, Kang-Moon;Ahn, Joong-Hyun;Lee, Kyo-Young;Jang, Theresa;Moon, Hwa-Sik;Park, Sung-Hak;Song, Jeong-Sup
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.655-660
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    • 1997
  • Hemangiopericytoma is a rare vascular tumor arising from pericytes. The tumor usually develops in the skin or subcutaneous tissue, particularly in the extremities. A pulmonary origin of hemangiopericytoma is known to be quite rare. It has the potential to become a highly malignant lesion, so wide excision is the treatment of choice. We present a case of primary malignant hemangiopericytoma of the lung and discuss the clinical symptoms, diagnosis, therapy and prognosis within the context of a brief review.

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Metastatic Melanoma Mimicking a Papillary Carcinoma of the Thyroid in Fine Needle Aspiration Cytology -A Case Report- (갑상샘 유두암을 닮은 전이성 흑색종의 세침 흡인 세포 소견 -1예 보고-)

  • Hong, Young-Ok;Suh, Jae-Hee;Cha, Hee-Jeong;Choi, Hye-Jeong;Kim, Young-Min
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.161-164
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    • 2007
  • Metastasis to the thyroid gland is very rare in clinical practice. We recently encountered a 65-year-old woman who presented with a large thyroid nodule that mimicked the cytologic features of a papillary thyroid carcinoma on fine needle aspiration biopsy (FNAB). Although initially diagnosed as a papillary thyroid carcinoma, a thorough clinical work-up revealed multiple lesions in the bones, liver, and nasal cavity, which were confirmed as metastases of a malignant melanoma. Despite a thorough physical examination, however, the primary skin lesion could not be identified. Although FNAB shows a high degree of accuracy in diagnosing primary thyroid tumors, it is less accurate in diagnosing metastases to the thyroid gland. A thorough clinical history with appropriate immunohistochemical staining assays is necessary for the accurate diagnosis of metastatic malignant melanoma.