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유희철,조백환 의과학연구소 1996 全北醫大論文集 Vol.20 No.2
The malignant fibrous histiocytoma(MFH) was first introduced in 1963 to refer to a group of soft-tissue sarcomas characterized by a storiform or carwheel-like growth pattern and predominantly fibroblastic appearance, it was postulated that they were derived from histiocytes that could assume the appearance and function of fibroblasts. MFH has been recognized to be the most common sarcoma in the soft tissue of late adult life which involves the deep fascia or skeletal muscles of the extremities or retroperitoneum and has been noted in other organs. But, it rarely arise in the river. The myxoid subtype of the MFH is characteristically a tumor of late adult life with the majority of cases occurring in person between the age 50 and 70 and the better prognosis than other subtypes. Typically the lesions are solitary multilobulated fleshy masses between 5 and 10㎝ in diameter and a translucent mucoid appearance with extensive hemorrhage at about 5% that they present clinically as fluctuate masses and are diagnoses as cystic hematoma when first detected. So, we report a case of hitopathologically confirmed after surgical resection primary malignant fibrous histiocytoma-myxoid subtype of the liver at the age of 49 female patient and describe the clinical course, characteristic and pathologic aspect with review the relate literatures. (Key words : Malignant Fibrous Histiocytoma, Liver)
유희철,황홍필 대한외과초음파학회 2023 대한외과초음파학회지 Vol.10 No.2
IgG4-related disease is a multi-organ immune-medicated condition that mimics malignancies, infections, and inflammatory disorders. This report presents the case of a 62-year-old man with a history of repeated cellulitis and ulcers on his lower extremities who was diagnosed incidentally with IgG4-related disease during treatment. The patient’s unhealed ulcer was initially treated by debridement and aseptic dressing several times, but the wounds showed no improvement. Lower extremity venous ultrasound revealed unusually enlarged LN around the great saphenous vein (GSV) near the inguinal area and severe varicosity in both truncal veins. Lymphoscintigraphy was performed according to the ultrasound results, which showed secondary lymphedema in both legs. IgG4-released disease was diagnosed in an excisional biopsy of the lymph node near the great saphenous vein during stripping and ligation of the truncal vein. After continuous wound debridement and the administration of steroids and immunosuppressants, the patient's leg ulcer improved after approximately three months.