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A Case Report of Cutaneous Low-grade Myofibroblastic Sarcoma in the Neck 颈部皮肤低级别肌成纤维细胞肉瘤1例报告
Pub Date : 2022-11-30 DOI: 10.21593/kjhno/2022.38.2.15
H. Park, J. Lim, Hyochun Park, Hyeonjung Yeo
Myofibroblastic sarcoma can be classified as low-, intermediate-, and high-grade. Low-grade myofibroblastic sarcoma (LGMS) is uncommon and rarely appears on the skin. LGMS is diagnosed based on histopathological and immunohistochemical findings. Additionally, LGMS metastases are rare as well. Herein, the authors describe a case of cutaneous LGMS in the neck. To the best of our knowledge, there are no cases regarding cutaneous LGMS in the neck present in the existing literature. Surgical resection is considered as the most important treatment for LGMS. Therefore, a complete tumor resection was performed in this case. However, another mass in the uterus was identified on abdominal computed tomography performed post-surgery.
肌成纤维细胞肉瘤可分为低、中、高级别。低级别肌成纤维细胞肉瘤(LGMS)是罕见的,很少出现在皮肤上。LGMS的诊断基于组织病理学和免疫组织化学结果。此外,LGMS转移也很罕见。在此,作者描述了一例皮肤LGMS在颈部。据我们所知,在现有文献中没有关于颈部皮肤LGMS的病例。手术切除被认为是LGMS最重要的治疗方法。因此,在这个病例中进行了完全的肿瘤切除。然而,术后腹部计算机断层扫描发现子宫内另一个肿块。
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引用次数: 0
A Case of Self-induced Pneumoparotid Improved with Conservative Treatment 保守治疗改善自发性腮腺炎1例
Pub Date : 2022-11-30 DOI: 10.21593/kjhno/2022.38.2.19
Jeong-Soon Kim, G. Kim
Pneumoparotid is a rare diagnosis to consider when faced with unexplained parotid swelling. It is caused by an excessive increase of intraoral pressure and reflux of air through the Stensen duct and its glandular branches. It is more likely to occur in persons who have regularly raised intraoral pressure, for example glass and balloon blowers and wind instrument players. It can also be self-induced by habitual tic. Herein, we report a rare case of pneumoparotid with initial presentation of painless swelling in left parotid region. It was caused by habitual cheek inflating and improved with conservative management.
当面对不明原因的腮腺肿胀时,腮腺肿是一种罕见的诊断。它是由口内压力过度增加和空气通过斯坦森管及其腺分支回流引起的。它更可能发生在经常升高口内压的人身上,例如吹玻璃和气球的人和吹管乐器的人。它也可能是由习惯性抽搐引起的。在此,我们报告一例罕见的腮腺肺炎,最初表现为左侧腮腺区域无痛性肿胀。它是由习惯性的脸颊肿胀引起的,通过保守治疗得到改善。
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引用次数: 1
A Case of Squamous Cell Carcinoma arising from an Odontogenic Keratocyst 牙源性角化囊肿引起的鳞状细胞癌1例
Pub Date : 2022-11-30 DOI: 10.21593/kjhno/2022.38.2.37
Jae Eun Oh, Chan Yeong Lee, Kyeong Min Kim, Min Sung Tak, H. Byeon
Odontogenic keratocyst (OKC) accounts for 3-11% of all odontogenic cysts. OKC is a benign intra-osseous odontogenic tumor, but what makes this cyst special is its aggressive behavior and high recurrence rate. OKC is relatively aggressive compared to other odontogenic cysts, but its malignant transformation is considered extremely rare. Squamous cell carcinoma associated with odontogenic keratocysts have rarely been reported in the medical literature. We recently experienced a case of a 63-year-old man finally confirmed with squamous cell carcinoma of the mandible, which was initially diagnosed as a benign odontogenic keratocyst. Surgical resection was performed as definitive treatment. Therefore, we present this unique case with a review of the literature.
牙源性角化囊肿(OKC)占所有牙源性囊肿的3-11%。OKC是一种良性骨内牙源性肿瘤,但其独特之处在于其侵袭性和高复发率。与其他牙源性囊肿相比,OKC具有相对的侵袭性,但其恶性转化被认为是极其罕见的。鳞状细胞癌合并牙源性角化囊肿在医学文献中很少报道。我们最近经历了一个63岁的男性,最终确诊为下颌骨鳞状细胞癌,最初诊断为良性牙源性角化囊肿。手术切除作为最终治疗。因此,我们提出这个独特的情况下,回顾文献。
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引用次数: 0
A Case of Systemic Lupus Erythematosus Presenting as Cervical Lymphadenopathy 以颈部淋巴结病为表现的系统性红斑狼疮1例
Pub Date : 2022-11-30 DOI: 10.21593/kjhno/2022.38.2.23
Hyun-Seok Kang, J. Park, Tae Hwan Kim, Sang Hyuk Lee
Systemic lupus erythematosus(SLE) is a multisystemic disorder of autoimmune etiology. SLE can occur commonly in young women, and the early symptoms include fever, myalgia, arthralgia, weight loss, lymphadenopathy and these nonspecific symptoms develop into skin rash, splenomegaly, serositis and encephalopathy. Diagnosis of SLE requires clinical and serologic criteria, and treatment choices are hydroxyquinolone and NSAIDs for mild disease, corticosteroids and immunosuppressant for severe disease.In lupus patient, the prevalence of lymphadenopathy is 12~59%. Although lymphadenopathy is common finding in SLE, it is hard to distinguish in early phase of SLE.A 38-year-old woman visited our hospital for cervical lymphadenopathy with polyarthritis and malaise. Multiple cervical lymph nodes enlargement was found on Neck CT, and serologic laboratory test including ANA, antiphospholipid antibody, and anti-dsDNA was positive. For excluding lymphoma, PET-CT and excisional biopsy were performed. The patient finally diagnosed with SLE, and got regular follow-up without complication.
系统性红斑狼疮(SLE)是一种多系统自身免疫性疾病。SLE常见于年轻女性,早期症状包括发热、肌痛、关节痛、体重减轻、淋巴结病,这些非特异性症状可发展为皮疹、脾肿大、浆液炎和脑病。SLE的诊断需要临床和血清学标准,治疗选择为轻度疾病时使用羟基喹诺酮类药物和非甾体抗炎药,重度疾病时使用皮质类固醇和免疫抑制剂。在狼疮患者中,淋巴结病的患病率为12~59%。虽然淋巴病变在SLE中很常见,但在SLE早期很难区分。一名38岁妇女因颈淋巴肿大合并多发性关节炎及全身不适来我院就诊。颈部CT示多发颈部淋巴结肿大,血清学实验室检测ANA、抗磷脂抗体、抗dsdna阳性。排除淋巴瘤,行PET-CT及切除活检。患者最终确诊为SLE,并定期随访,无并发症。
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引用次数: 0
Recent Trends in the Incidence of Salivary Gland Malignancies 涎腺恶性肿瘤发病率的最新趋势
Pub Date : 2022-11-30 DOI: 10.21593/kjhno/2022.38.2.1
Jungirl Seok, E. Park, K. Jung, J. Chang
Due to the low incidence and histologic diversity of salivary gland cancer, analyzing the incidence of salivary gland cancer is necessary to understand the macroscopic aspects. We intend to investigate the international trend of the reported incidence rate of salivary gland cancer. Using the Korea Central Cancer Registry data, the domestic change in the incidence rate was examined. As a result, a significant increasing trend was confirmed, consistent with the United States and Japan trends. The etiology of the change is unclear, and various factors that may influence the direction are reported. Additional research is needed to understand the pathophysiology of salivary gland cancer, and further efforts are required to understand salivary gland cancer.
由于唾液腺癌发病率低,组织学多样性大,分析唾液腺癌的发病率对宏观方面的了解是必要的。我们打算调查唾液腺癌发病率报道的国际趋势。使用韩国中央癌症登记处的数据,检查了国内发病率的变化。结果,与美国和日本的趋势一致,证实了显著增加的趋势。这种变化的病因尚不清楚,各种可能影响方向的因素都有报道。对唾液腺癌的病理生理需要进一步的研究,对唾液腺癌的认识需要进一步的努力。
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引用次数: 1
Case Report: Intracapsular Carcinoma Ex Pleomorphic Adenoma of Parotid Gland 1例腮腺多形性腺瘤囊内癌
Pub Date : 2022-05-30 DOI: 10.21593/kjhno/2022.38.1.43
Seungyeol Lee, H. Son, H. Park, C. Song
Among a variety of malignant types for parotid gland tumors, intracapsular carcinoma ex pleomorphic adenoma which is classified as a non-invasive tumor has been reported rarely. We report a case of a 69-years old patient, who presented with a left parotid mass that was detected 30 years ago. Fine needle aspiration biopsy result of the mass was “suggestive of pleomorphic adenoma”. Superficial partial parotidectomy was performed for the mass and the permanent pathologic finding was “intracapsular carcinoma ex pleomorphic adenoma” which was a salivary ductal carcinoma with well-preserved myoepithelial cells surrounding the malignant epithelial cell clusters. Surgical resection is the main treatment modality for the treatment of intracapsular carcinoma ex pleomorphic adenoma. Herein, we present the case with a review of literature.
在腮腺肿瘤的多种恶性类型中,被归类为非侵袭性肿瘤的囊内癌多形性腺瘤报道甚少。我们报告一个病例69岁的病人,谁提出了一个左腮腺肿块,发现30年前。肿块细针穿刺活检结果“提示多形性腺瘤”。对肿物行腮腺部分浅表性切除,病理发现为“囊内癌外多形性腺瘤”,是一种涎腺导管癌,恶性上皮细胞簇周围有保存完好的肌上皮细胞。手术切除是囊内癌多形性腺瘤的主要治疗方式。在此,我们提出的情况下,回顾文献。
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引用次数: 0
A Case of the Soft Palate Reconstruction Using the Bilateral Palatal Mucomuscular Flap and Pharyngeal Flap after Wide Resection 双侧腭肌肌瓣和咽瓣广泛切除后重建软腭1例
Pub Date : 2022-05-30 DOI: 10.21593/kjhno/2022.38.1.31
G. Gu, Hyesan Lee, J. Jang
The soft palate of carcinoma limited to the uvular region is infrequent among oropharyngeal cancers. The oropharynx regulates swallowing and speech through dynamic motions. Failure to reconstruct after surgical resection of the oropharynx structure can lead to permanent velopharyngeal insufficiency. Therefore, suitable reconstruction is important in establishing proper functional outcomes while maintaining oncological safety.We present a case of a 66-year-old male who was diagnosed with oropharynx cancer limited in the uvula accompanied by lymph node metastasis. After surgical resection, reconstruction was performed with the united arrangement of bilateral palatal mucomuscular flap and superiorly based posterior pharyngeal flap. There was no aspiration or reflux after feeding and epithelialization completely occurred after 1 month postoperatively. We report a successful case that the reconstruction with the local flap described above could preserve proper oropharyngeal function after primary surgery in small-sized oropharyngeal cancer.
局限于小舌部的软腭癌在口咽癌中并不常见。口咽部通过动态运动调节吞咽和说话。手术切除口咽结构后重建失败可导致永久腭咽功能不全。因此,在维持肿瘤安全的同时,适当的重建对于建立适当的功能结果非常重要。我们报告一个66岁男性的病例,他被诊断为局限于小舌的口咽癌并伴有淋巴结转移。手术切除后,采用双侧腭肌瓣和上基咽后瓣联合布置重建。喂养后无误吸或反流,术后1个月上皮化完全。我们报告一个成功的案例,在小口咽癌的初次手术后,用上述的局部皮瓣重建可以保持适当的口咽功能。
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引用次数: 0
Scalp Reconstruction and Cranioplasty using the Latissimus Dorsi Musculocutaneous Flap in a Patient with Recurrent Wound Dehiscence Accompanied by MRSA Infection 背阔肌皮瓣重建头皮及颅骨成形术治疗复发性创面裂开伴MRSA感染1例
Pub Date : 2022-05-30 DOI: 10.21593/kjhno/2022.38.1.59
Taekeun Yoon, S. Kim
The latissimus dorsi flap has high vascularity and is helpful for the reconstruction of infected areas. Herein, we present a patient with recurrent infections and soft-tissue defects who underwent cranial reconstruction using a free latissimus dorsi flap. The patient had undergone craniectomy and reconstruction using alloplastic bone 18 years previously. A scalp defect accompanied by infection occurred five years ago, and patient underwent reconstruction using a free flap at another hospital; however, the problem persisted. After debridement and bone flap removal, the right latissimus dorsi musculocutaneous flap was elevated, and the thoracodorsal artery and vein were anastomosed end-to-end to the right superficial temporal artery and vein. Methicillin-resistant Staphylococcus aureus was eradicated, and the flap survived. Cranioplasty was performed eight months later, and one year follow-up proceeded without complications. Effective reconstruction and cranioplasty are possible using the free latissimus dorsi musculocutaneous flap, even on scalp with persistent infections and soft-tissue defects.
背阔肌皮瓣具有丰富的血管性,有助于感染部位的重建。在此,我们报告一位复发性感染和软组织缺损的患者,使用游离背阔肌瓣进行颅骨重建。患者在18年前接受了颅骨切除术和异体骨重建。五年前,患者因头皮缺损并发感染,在另一家医院接受了游离皮瓣重建;然而,问题依然存在。清创、去骨瓣后,抬高右侧背阔肌肌皮瓣,将胸背动脉、静脉端对端与右侧颞浅动、静脉吻合。耐甲氧西林金黄色葡萄球菌被根除,皮瓣存活。8个月后行颅骨成形术,随访1年无并发症。游离背阔肌皮瓣可以有效地重建和颅骨成形术,即使在持续感染和软组织缺损的头皮上。
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引用次数: 1
Simultaneous Reconstruction of a Subtotal Maxillectomy and Columella Deficit using Radial Forearm and Preauricular Free Flaps 桡骨前臂及耳前游离皮瓣同时重建上颌次全切除及小柱缺损
Pub Date : 2022-05-30 DOI: 10.21593/kjhno/2022.38.1.53
Taekeun Yoon, S. Eun, Sung-Woo Cho, C. Rhee
Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case of facial reconstruction using a free radial forearm flap and a free preauricular flap for the maxillectomy and columella deficit. A 73-year-old woman was diagnosed with recurrent sebaceous carcinoma of the nose. We performed wide excision, including areas of the right cheek, nose, upper lip, maxilla, and columella. The resultant subtotal maxillectomy defect was reconstructed using a three-dimensional flap. First, a free radial forearm flap was transfered to resurface the nasal, oral, and external facial side. Second, a preauricular flap was positioned into the columella defect and anastomosed with the distal portion of the radial forearm flap pedicle. The two flaps survived, and the patient recovered uneventfully. We believe the radial forearm and preauricular double free flaps with the pedicle connection method were effective in reconstructing the present case of subtotal maxillectomy defect.
上颌次全切除术后小柱缺损的重建具有挑战性。我们报告一个独特的情况下,面部重建使用游离桡骨前臂皮瓣和游离耳前皮瓣上颌切除术和小柱缺陷。一位73岁妇女被诊断为复发性鼻皮脂腺癌。我们进行了广泛的切除,包括右脸颊、鼻子、上唇、上颌骨和小柱。所产生的上颌次全切除缺损用三维皮瓣重建。首先,将前臂游离桡骨皮瓣转移至鼻腔、口腔和面部外侧。第二步,将耳前皮瓣置入小柱缺损,与前臂桡侧皮瓣远端蒂吻合。两个皮瓣存活了下来,病人平静地康复了。我们认为前臂桡侧及耳前双游离皮瓣带蒂连接法是修复上颌次全切除术缺损的有效方法。
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引用次数: 0
A Case of Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in Buccal Mucosa 口腔黏膜相关淋巴组织淋巴瘤1例
Pub Date : 2022-05-30 DOI: 10.21593/kjhno/2022.38.1.49
H. A. Lee, J. Myung, K. Tae
Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is a lowgrade B-cell lymphoma that typically follows an indolent clinical course. It occurs in a variety of mucosal linings extranodal tissue, most commonly in the stomach. Other commonly involved sites include other parts of the gastrointestinal tract, thyroid, salivary gland, lung, lacrimal gland, synovium, dura mater, breast, skin, and eyes. It occurs very rarely in the buccal mucosa. A 50-year-old man came to the clinic while presenting a 5-month history of rightsided buccal mass. The incisional biopsy did not confirm the diagnosis of the lesion. He underwent complete excision of buccal mass for the diagnosis and treatment. The final pathology confirmed MALT lymphoma immunohistochemically. After surgery, he received radiotherapy with 30.6 Gy. There is no recurrence for 8 months after treatment. Herein we report a rare case of buccal MALT lymphoma with a review of the literature.
结外边缘区粘膜相关淋巴组织b细胞淋巴瘤(MALT淋巴瘤)是一种低级别b细胞淋巴瘤,通常具有惰性临床病程。它发生在各种粘膜衬里结外组织,最常见于胃。其他常见受累部位包括胃肠道、甲状腺、唾液腺、肺、泪腺、滑膜、硬脑膜、乳房、皮肤和眼睛的其他部位。它很少发生在颊粘膜。一名50岁男性,以5个月的右侧颊肿块病史就诊。切口活检不能确认病变的诊断。他接受了完全切除颊肿块的诊断和治疗。最终病理证实MALT淋巴瘤免疫组织化学。术后行放疗,放疗剂量为30.6 Gy。治疗后8个月无复发。在此,我们报告一例罕见的口腔MALT淋巴瘤,并复习文献。
{"title":"A Case of Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in Buccal Mucosa","authors":"H. A. Lee, J. Myung, K. Tae","doi":"10.21593/kjhno/2022.38.1.49","DOIUrl":"https://doi.org/10.21593/kjhno/2022.38.1.49","url":null,"abstract":"Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is a lowgrade B-cell lymphoma that typically follows an indolent clinical course. It occurs in a variety of mucosal linings extranodal tissue, most commonly in the stomach. Other commonly involved sites include other parts of the gastrointestinal tract, thyroid, salivary gland, lung, lacrimal gland, synovium, dura mater, breast, skin, and eyes. It occurs very rarely in the buccal mucosa. A 50-year-old man came to the clinic while presenting a 5-month history of rightsided buccal mass. The incisional biopsy did not confirm the diagnosis of the lesion. He underwent complete excision of buccal mass for the diagnosis and treatment. The final pathology confirmed MALT lymphoma immunohistochemically. After surgery, he received radiotherapy with 30.6 Gy. There is no recurrence for 8 months after treatment. Herein we report a rare case of buccal MALT lymphoma with a review of the literature.","PeriodicalId":336823,"journal":{"name":"Korean Society for Head and Neck Oncology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121635178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Korean Society for Head and Neck Oncology
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