임상

설골에 발생한 양성 거대세포종양 치험 1례

오승철1, 이우섭1, 장일환1, 이상학1
Seung Cheol Oh1, Woo Sub Lee1, Il Whan Jang1, Sang Hag Lee1
Author Information & Copyright
1고려대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Giant cell tumor is a tumor involving extremities, especially lower extremities but rarely in the neck area. These tumors occur over 20 years age, female predominent, in oriental than in western. The tumor grow fast and the symptoms were developed less than 1 year before the operation. No distant metastases are reported, although there was local recurrence after mass excision.

Histopathologically, the giant cell tumor has the features of osteoclasts within a fibrous connective tissue stroma, metastatic bone formation and neovascularization. Also it is distinguished from malignant giant cell tumors by observing no feature of a high degree of cellularity of the stromal spindle cell tissue and no presence of numerous mitoses.

Recently, the authors experienced a case of giant cell tumor of the hyoid bone in 32-year old female presenting left painless palpable mass which is noted 3 months ago.

Keywords: Giant cell tumor; Hyoid bone


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

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