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腎臟에 發生한 癌肉腫 1症例 : One Case Report
盧在,崔松林,李有福 中央醫學社 1969 中央醫學 Vol.17 No.6
Carcinosarcoma is a rare malignant neoplasm consisting of both epithelial and non-epithelial components, that is, carcinoma and sarcoma, in the same tumor. It is most common in the uterus and has also been found in the lung, esophagus, thyroid gland, stomach, and so forth. However, carcinosarcoma of the kidney has been considered to be very rare. The patient was 52 year-old housewife and complained slow growing palpable mass at right lower quadrant accompanies by hematuria without subjective symptoms, such as pain, for six months duration.. Except for palpable mass at right lower quadrant physical examination was negative. Laboratory examination disclosed hemoglobin 7.4 gm per 100m1., hematocrit 27 percent and white blood cells count 10,200 per cu. mm. Urinalyses disclosed 10 to 20 erythrocytes per high power field. An intravenous pyelogram revealed large tumor mass with complete. filling defect of the right kidney. Grossly,-the removed kidney measured 16 X 12.5 X 8cm, and weighed 700gm. The, renal parenchyma was completely replaced by an oval shaped tumor mass without encapsulation. The tumor revealed yellowish-red in color and soft friable consistency with focal calcifications on the cut surface. The histopathology of the lesion revealed a malignant neoplasm comprised of both epithelial and. mesenchymal elements. The former was characterized by clusters and large groups of polygonal cells with clear cytoplasm. Nuclei were large, pleomorphic and intensely hyperchromatic. Mitoses were frequent. In some areas, there were hemorrhagic necrosis and calcifications. The mesenchymal portion of the tumor was comprised of spindle shaped phleomorphic cells with occasionally mitoses. A brief review of literature was made.
腸嵌入을 誘發한 小腸(回腸)腺癌 1症例 : One Case Report
盧在胤,崔松林,金建鐘,朴泰成,金春圭 中央醫學社 1970 中央醫學 Vol.18 No.2
Because of its relatively infrequency, difficulty of proper preoperative diagnosis and combined intussusception, one case of adenocarcinoma of the ileum is re2ported. The patient was 46 year-old male and complained intermittent abdominal pain and a palpable mass at right lower quadrant with the duration of one year. Except for a right lower abdominal mass, physical examination was negative. Laboratory examination disclosed hemoglobin 13.3 gm. per 100ml., hematocrit 43 per cent and white blood cell count 10,100 per cu. mm. Urinalyses and stool examination disclosed within normal limit. Barium enema revealed complete filling defect below the mid portion of the ascending colon. Grossly, the specimen was partial segment of surgically resected ileum and measures 9.2 cm in length and 3 cm in diameter. On the center of the specimen, relatively well circumscribed tumor mass revealed yellowish white in color and slightly hard in consistency. The histopathology of the lesion revealed focal ulceration and moderately well differentiated adenocarcinoma spread to muscle layer. A brief review of the literature was done.