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비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예
노웅재(Woong Jae Noh),이형신(Hyoung Shin Lee),김성원(Sung won Kim),이강대(Kang Dae Lee) 대한두경부종양학회 2017 대한두경부 종양학회지 Vol.33 No.1
경동맥에서 발생하는 가성동맥류는 비교적 드문 질환으로 주로 외상, 감염, 수술의 합병증 또는 방사선치료 후에 합병증으로 발생할 수 있다. 비정형 결핵성 림프절염에 의한 경동맥 가성동맥류는 거의 보고된 바 없으며 따라서 비정형 결핵성 림프절염이 동반된 환자에서는 급성악화에 의한 농양형성으로 오인될 수 있다. 비정형 결핵성 림프절염으로 치료중인 81세 남자 환자에서 이러한 경험을 하였기에 문헌고찰과 함께 보고하고자 한다. An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a 6.0 cm x 4.0 cm sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass.
김민준,김정석,노웅재,박태정,Kim, Min Joon,Kim, Jung Suk,Noh, Woong Jae,Park, Tai Jung 대한두경부종양학회 2018 대한두경부 종양학회지 Vol.34 No.1
Brachial plexus schwannomas are rare tumors. They are benign nerve sheath tumors and only about 5% of Schwannoma arise from the brachial plexus. Due to its rarity and complex anatomical location they can pose a formidable challenge to surgeons. We present a case of a young patient who presented with an supraclavicular swelling three months, that were proven to be schwannoma on histopathology.
해면정맥동 및 시신경을 침범한 접형동 기원의 비부비동 미분화암 1예
박태정(Tae jung Park),정태영(Tae young Jung),노웅재(Woong jae Noh) 대한두경부종양학회 2016 대한두경부 종양학회지 Vol.32 No.2
Sinonasal undifferentiated carcinoma (SNUC) is an extremely rare, highly aggressive malignancy of the nasal cavity and paranasal sinuses. Patients with SNUC usually being asymptomatic until the tumor has extensively progressed therefore frequently present with invasion of the orbit or cranial vault. Most case series of SNUC report very poor prognosis despite aggressive multimodality therapy. We recently experienced a 78-year-old male patient diagnosed as SNUC occurred from the left sphenoid sinus with invasion to the cavernous sinus and orbital content, which was treated intranasal endoscopic debulking surgery combined with curative radiation therapy successfully, and report this case with a review of literature.
배교한(Gyo Han Bae),김정석(Jung Suk Kim),노웅재(Woong Jae Noh) 대한두경부종양학회 2020 대한두경부 종양학회지 Vol.36 No.1
Tuberculosis of parotid gland is extremely rare, even in countries where tuberculosis is endemic. It can occur by systemic dissemination from a distant focus or as primary involvement. Because of the clinical and radiological similarity, parotid tumor and parotid inflammatory disease take priority over the tuberculosis of parotid when it comes to differential diagnosis. As a result, clinicians often fail to make a timely diagnosis of tuberculosis of parotid gland in patient with a slowly growing parotid mass. However, its treatment is primarily medical if the positive diagnosis is well established. We have recently experienced a case of tuberculosis of parotid gland that was considered as the benign tumor preoperatively, but which was confirmed as tuberculosis of parotid gland after extracapsular dissection. We report it with a review of literature.
갑상선 후방 피막을 침범하는 갑상선미세유두암의 임상양상에 대한 고찰
장성욱(Seong Uk Jang),오정호(Jung Ho Oh),김서빈(Seo Bin Kim),김성원(Sung Won Kim),이형신(Hyoung Shin Lee),노웅재(Woong Jae Noh),이강대(Kang Dae Lee) 대한두경부종양학회 2015 대한두경부 종양학회지 Vol.31 No.2
Background and Objective : Papillary thyroid microcarcinoma(PTMC) is known as slow growing cancer with good prognosis. However, extrathyroidal extension may increase the risk of cervical lymph node metastasis and local invasion to surrounding structures. The aim of this study was to assess the characteristic features of the tumor invading the posterior thyroid capsule. Material and Methods : We made a retrospective review of 123 PTMC patients with thyroid capsule invasion, pathologically staged as T3 or T4. 74 patients (60.2%) had invasion to posterior thyroid capsule (group A) while 49 patients (39.8%) had invasion to-anterior thyroid capsule or anterior wall of trachea (group B). We assessed the clinicopathologic factors of the patients according to the location of capsular invasion of PTMC. Results : There was no difference regarding age, gender, T and N classification and incidence of lymph node metastasis between two groups. Local invasion rate to recurrent laryngeal nerve was 6.8% in patients with posterior thyroid capsule invasion, while the incidence was zero in those with capsular invasion to other locations Conclusion : Increased risk of local invasion to the recurrent laryngeal nerve should be considered in patients with PTMC presenting invasion of the posterior capsule.