1.Solitary necrotic nodule of the liver.
Zhong ZUO ; Jin-feng ZHANG ; Feng-xian TANG ; Liang FENG
Chinese Journal of Pathology 2006;35(5):317-317
Adenocarcinoma
;
complications
;
pathology
;
surgery
;
Aged
;
Colectomy
;
methods
;
Colonic Neoplasms
;
complications
;
pathology
;
Diagnosis, Differential
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Female
;
Hepatectomy
;
methods
;
Humans
;
Liver
;
pathology
;
surgery
;
Liver Diseases
;
complications
;
pathology
;
surgery
;
Necrosis
2.Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer.
Nam Ho KIM ; Jong Pil PARK ; Seong Hui JEON ; Youn Jeong LEE ; Hyeon Jong CHOI ; Keum Mo JEONG ; Jin Gu LEE ; Sun Pil CHOI ; Ji Hyun LIM ; Yang Ho KIM ; Yong Seok KIM ; Yong Moon KIM ; Min Ho HWANG ; Jin Woong CHO ; Young MOON ; Seok Kyu OH ; Jin Won JEONG
Journal of Korean Medical Science 2002;17(4):571-573
Bacterial pericarditis has been recognized as a rare disease since the development of antibiotics. Usually, the disease is associated with underlying conditions or a seeding of infection elsewhere to the pericardium. Here we describe a case of group G streptococcal pericarditis as an initial presentation of colon cancer. A 52-yr-old man was admitted because of dyspnea. An electrocardiogram showed a diffuse ST-segment elevation and a two-dimensional echocardiogram showed a large amount of pericardial effusion. A pericardiocentesis was done and purulent fluid was drained. Group G streptococci was cultured in pericardial fluid. The patient was treated with antibiotics and pericardiostomy with saline irrigation. A colonoscopy revealed a small mass with moderately differentiated adenocarcinoma in rectosigmoid colon. He underwent a mucosectomy and was recovered without any complication.
Adenocarcinoma/complications/*diagnosis/surgery
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Colonic Neoplasms/complications/*diagnosis/surgery
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Echocardiography
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Electrocardiography
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Humans
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Male
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Middle Aged
;
Pericardial Effusion
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Pericarditis/complications/drug therapy/*microbiology/surgery
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Streptococcal Infections/complications/drug therapy/*microbiology/surgery
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Streptococcus/*classification
3.Xanthogranulomatous Pancreatitis Combined with Intraductal Papillary Mucinous Carcinoma In Situ.
Yo Na KIM ; Shin Young PARK ; Young Kon KIM ; Woo Sung MOON
Journal of Korean Medical Science 2010;25(12):1814-1817
Xanthogranulomatous lesion is a rare condition in which lipid-laden histiocytes are deposited at various locations in the body. Xanthogranulomatous pancreatitis (XGP) associated with an intraductal papillary mucinous tumor (IPMT) is extremely rare. In this study, we described a case of XGP associated with IPMT and include a review of the literature. A pancreatic cystic mass was detected in a 72-yr-old woman by abdominal computed tomography. Pylorus-preserving pancreaticoduodenectomy was performed and diagnosis of XGP combined with intraductal papillary mucinous carcinoma in situ was made. After 13 months of follow-up, the patient is in good health without any evidence of tumor recurrence. Although XGP associated with IPMT is rare, we suggest that such cases should be brought to the attention of clinical investigators, as it may produce clinical features that mimic pancreatic cancer.
Adenocarcinoma, Mucinous/*diagnosis/pathology/surgery
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Aged
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Carcinoma in Situ/*diagnosis/pathology/surgery
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Carcinoma, Pancreatic Ductal/*diagnosis/pathology/surgery
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Carcinoma, Papillary/*diagnosis/pathology/surgery
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Diagnosis, Differential
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Female
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Granuloma/complications/*diagnosis
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Humans
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Magnetic Resonance Imaging
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Pancreatic Neoplasms/*diagnosis/pathology/surgery
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Pancreaticoduodenectomy
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Pancreatitis/complications/*diagnosis
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Tomography, X-Ray Computed
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Xanthomatosis/complications/*diagnosis
4.Repeatedly Recurrent Colon Cancer Involving the Appendiceal Orifice after Endoscopic Piecemeal Mucosal Resection: A Case Report.
Masau SEKIGUCHI ; Takahisa MATSUDA ; Shigeki SEKINE ; Taku SAKAMOTO ; Takeshi NAKAJIMA ; Ryoji KUSHIMA ; Takayuki AKASU ; Yutaka SAITO
The Korean Journal of Gastroenterology 2013;61(5):286-289
Local recurrence after endoscopic piecemeal mucosal resection (EPMR) for colorectal tumors is a crucial issue. However, such recurrence is usually detected within one year and cured with additional endoscopic treatment, which makes EPMR acceptable. Herein, we report a rare case of repeatedly recurrent colon cancer involving the appendiceal orifice after EPMR, which was not cured with additional endoscopic treatments. A 67-year-old man was referred to us for endoscopic treatment of a 25 mm cecal tumor spreading to the appendiceal orifice in May 2002. The tumor was resected with EPMR, showing well differentiated intramucosal adenocarcinoma with a positive lateral cut margin of tubular adenoma. Endoscopic surveillance was conducted and the first local recurrence was detected in August 2006. Although we resected it endoscopically, the second local recurrence was found in September 2007 and we removed it with endoscopic resection again. However, the third local recurrence was detected in March 2008. Although endoscopic resection was performed also for the third recurrence, curative resection was not achieved. In February 2009, laparoscopic assisted colectomy was performed and histopathological examination showed well differentiated adenocarcinoma with deep submucosal invasion. This case is important in considering indication for endoscopic resection in colorectal tumors involving the appendiceal orifice.
Adenocarcinoma/*diagnosis/pathology/surgery
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Aged
;
Appendiceal Neoplasms/complications
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Colectomy
;
Colonic Neoplasms/*diagnosis/pathology/surgery
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Colonoscopy
;
Humans
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Intestinal Mucosa/pathology
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Male
;
Neoplasm Recurrence, Local
;
Recurrence
5.A Case of Peutz-Jeghers Syndrome with Intraductal Papillary Mucinous Carcinoma of Pancreas.
Pyung Gohn GOH ; Hee Seok MOON ; Jae Kyu SUNG ; Hyun Yong JEONG ; Kyu Sang SONG
The Korean Journal of Gastroenterology 2010;55(1):73-77
Peutz-Jeghers syndrome (PJS), which is characterized by multiple hamartomatous polyps of the gastrointestinal tract and mucocutaneous pigmentation, is a rare autosomal dominant disease. This syndrome is often represented as a surgical emergency with complications of the polyps such as intussusception, small bowel obstruction, bleeding, and volvulus. In particular, many studies have reported that patients with this syndrome have a high risk of gastrointestinal or extragastrointestinal malignancy including gastric, duodenal, jejunal, ileal, and colonic carcinoma as well as malignancies involving other organs such as the gallbladder, biliary tract, pancreas, tonsils, breast, and reproductive system. However, there are few reported cases of an association of this syndrome with extraintestinal malignancy. In addition to that, there is no reported case of this syndrome with malignant tumor or intraductal papillary mucinous tumor of pancreas in Korea. We experienced a case of PJS accompanying intraductal papillary mucinous carcinoma of the pancreas, therefore we report this case with literatures reviewed.
Adenocarcinoma, Mucinous/*diagnosis/pathology/secondary
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Carcinoma, Papillary/*diagnosis/pathology/secondary
;
Humans
;
Intussusception/surgery
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Jejunum/surgery
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Male
;
Middle Aged
;
Pancreatic Neoplasms/complications/*diagnosis/pathology
;
Peutz-Jeghers Syndrome/complications/*diagnosis
;
Tomography, X-Ray Computed
6.A Case of Peutz-Jeghers Syndrome with Intraductal Papillary Mucinous Carcinoma of Pancreas.
Pyung Gohn GOH ; Hee Seok MOON ; Jae Kyu SUNG ; Hyun Yong JEONG ; Kyu Sang SONG
The Korean Journal of Gastroenterology 2010;55(1):73-77
Peutz-Jeghers syndrome (PJS), which is characterized by multiple hamartomatous polyps of the gastrointestinal tract and mucocutaneous pigmentation, is a rare autosomal dominant disease. This syndrome is often represented as a surgical emergency with complications of the polyps such as intussusception, small bowel obstruction, bleeding, and volvulus. In particular, many studies have reported that patients with this syndrome have a high risk of gastrointestinal or extragastrointestinal malignancy including gastric, duodenal, jejunal, ileal, and colonic carcinoma as well as malignancies involving other organs such as the gallbladder, biliary tract, pancreas, tonsils, breast, and reproductive system. However, there are few reported cases of an association of this syndrome with extraintestinal malignancy. In addition to that, there is no reported case of this syndrome with malignant tumor or intraductal papillary mucinous tumor of pancreas in Korea. We experienced a case of PJS accompanying intraductal papillary mucinous carcinoma of the pancreas, therefore we report this case with literatures reviewed.
Adenocarcinoma, Mucinous/*diagnosis/pathology/secondary
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Carcinoma, Papillary/*diagnosis/pathology/secondary
;
Humans
;
Intussusception/surgery
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Jejunum/surgery
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Male
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Middle Aged
;
Pancreatic Neoplasms/complications/*diagnosis/pathology
;
Peutz-Jeghers Syndrome/complications/*diagnosis
;
Tomography, X-Ray Computed
7.Adenocarcinoma in Ileal Pouch after Proctocolectomy for Familial Adenomatous Polyposis: Report of A Case.
Seung Hyun LEE ; Byung Kwon AHN ; Hee Kyung CHANG ; Sung Uhn BAEK
Journal of Korean Medical Science 2009;24(5):985-988
Restorative proctocolectomy with ileal pouch-anal anastomosis is one of the surgical treatments of choice for patients with familial adenomatous polyposis. Although the risk of cancer developing in an ileal pouch is not yet clear, a few cases of adenocarcinoma arising in an ileal pouch have been reported. We report a case of adenocarcinoma in ileal pouch after proctocolectomy with ileal pouch-anal anastomosis. A 56-yr-old woman was diagnosed as having familial adenomatous polyposis. Total colectomy with ileorectal anastomosis was performed. Six years later, she underwent completion-proctectomy with ileal J pouch-anal anastomosis including anorectal mucosectomy for rectal cancer. After 7 yr, she presented with anal spotting. Endoscopic biopsies revealed adenocarcinoma at the ileal pouch. Resection of the ileal pouch and permanent ileostomy were performed. The risk of cancer in an ileal pouch and its prevention with regular surveillance must be emphasized.
Adenocarcinoma/*diagnosis/etiology/pathology
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Adenomatous Polyposis Coli/complications/diagnosis/*surgery
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Colonic Pouches/*pathology
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Colorectal Neoplasms/*diagnosis/etiology/pathology
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Female
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Humans
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Middle Aged
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*Proctocolectomy, Restorative
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Tomography, X-Ray Computed
8.A Case of Simultaneous Xanthogranulomatous Cholecystitis and Carcinoma of the Gallbladder.
Hyo Sup LEE ; Kwang Ro JOO ; Do Ha KIM ; Neung Hwa PARK ; Yoong Ki JEONG ; Jae Hee SUH ; Chang Woo NAM
The Korean Journal of Internal Medicine 2003;18(1):53-56
Xanthogranulomatous cholecystitis (XGC) is a rare inflammatory disease of the gallbladder. Not only does XGC occasionally present as a mass formation with adjacent organ invasion like a malignant neoplasm, it can also infrequently be associated with gallbladder cancer. In the situation, it is difficult to make a differential diagnosis between the diseases. Here, we describe a case of a simultaneous XGC and a carcinoma of the gallbladder in a 61-year-old woman. To the best of our knowledge, there are only a small number of reports on this combination of diseases.
Adenocarcinoma/complications/diagnosis/*pathology/surgery
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Biopsy, Needle
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Cholangiopancreatography, Endoscopic Retrograde
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Cholecystitis/complications/diagnosis/*pathology/surgery
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Endosonography
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Female
;
Gallbladder Neoplasms/complications/diagnosis/*pathology/surgery
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Granuloma/complications/diagnosis/*pathology
;
Humans
;
Immunohistochemistry
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Middle Aged
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Neoplasm Staging
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Prognosis
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Risk Assessment
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Tomography, X-Ray Computed
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Xanthomatosis/complications/diagnosis/*pathology
9.Perforated Sigmoid Colon Cancer within an Irreducible Inguinal Hernia: a Case Report.
Kai Hsiung KO ; Chih Yung YU ; Chien Chang KAO ; Shih Hung TSAI ; Guo Shu HUANG ; Wei Chou CHANG
Korean Journal of Radiology 2010;11(2):231-233
A perforated sigmoid colon cancer within an inguinal hernia is extremely rare. This unexpected finding is usually discovered during surgery and causes an unavoidable septic evolution. Here, we describe the case of an 84-year-old man who presented with fever, abdominal distension, and a painful, enlarged, left scrotum. A CT showed a left, incarcerated, inguinal hernia containing a perforated sigmoid adenocarcinoma (which was confirmed by histopathology). The possibility of an irreducible inguinal hernia in association with perforated sigmoid colon cancer should be considered in the array of diagnoses. A pre-operative CT scan would be helpful in facilitating an accurate diagnosis.
Adenocarcinoma/complications/*radiography/surgery
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Aged, 80 and over
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Colon, Sigmoid/radiography/surgery
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Diagnosis, Differential
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Fatal Outcome
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Fever/etiology
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Hernia, Inguinal/complications/*radiography/surgery
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Humans
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Intestinal Perforation/complications/*radiography/surgery
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Male
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Pain/etiology
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Shock, Septic/complications
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Sigmoid Neoplasms/complications/*radiography/surgery
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Tomography, X-Ray Computed
10.Clear cell papillary cystadenoma of left mesosalpinx associated with von Hippel-Lindau disease: report of a case.
Xiang-lei HE ; Chun-nian WANG ; Jian-min ZHANG
Chinese Journal of Pathology 2009;38(5):349-350
Adenocarcinoma, Clear Cell
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complications
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metabolism
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pathology
;
surgery
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Adenoma
;
pathology
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Adnexal Diseases
;
pathology
;
Adult
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Carcinoma, Renal Cell
;
pathology
;
secondary
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Cystadenoma, Papillary
;
complications
;
metabolism
;
pathology
;
surgery
;
Diagnosis, Differential
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Fallopian Tube Neoplasms
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complications
;
metabolism
;
pathology
;
surgery
;
Female
;
Follow-Up Studies
;
Humans
;
Keratin-7
;
metabolism
;
Kidney Neoplasms
;
pathology
;
secondary
;
Mucin-1
;
metabolism
;
von Hippel-Lindau Disease
;
complications
;
metabolism
;
pathology
;
surgery