• Title/Summary/Keyword: 재발성

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Ultrasonographic Diagnosis of Recurrent Subungal Glomangiomyoma - Case Report - (재발성 손톱밑 사구맥관근종에 대한 초음파를 이용한 진단 - 증례보고 -)

  • Lee, Sang Young;Lim, Tae Kang
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.8 no.1
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    • pp.16-20
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    • 2015
  • Glomus tumors are rare benign neoplasm commonly found in the subcutaneous layer on nail bed that arises from a neuromyoarterial glomus. Histologically, they are classified into three group; solid glomus tumor, glomangioma, and glomangiomyoma which is the most uncommon. Unlike other type, glomangiomyomas have rarely been described in the nail bed. Although glomus tumors are often diagnosed primarily by their characteristic clinical symptoms, imaging modalities, such as ultrasonography and magnetic resonance imaging can be helpful. We present a rare case of a recurrent subungal glomangiomyoma that diagnosed by ultrasonography and treated with surgical excision.

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Recurrent Bronchoesophageal Fistula after Endoscopic Treatment (내시경적 치료 후 재발한 기관지식도루)

  • Kim, Ji-Hoon;Chung, Won-Sang;Kang, Jeong-Ho;Kim, Young-Hak;Kim, Hyuck;Jeon, Seok-Chol
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.462-465
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    • 2010
  • Acquired bronchoesophageal fistula rare. Conservative treatment such as endoscopy is widely used. The recurrence rate after endoscopic treatment, however, is not well known. We report here on a case of a 54-year-old female who presented with recurrent bronchoesophageal fistula after endoscopic treatment that filled the fistula tract with $Histoacryl^{(R)}$.

Recurrent or Habitual Type TMJ Dislocation Case Managed with Yinyang Balance Appliance of FCST, a TMJ Therapy for the Balance of the Meridian and Neurological System (FCST의 음양균형장치를 활용한 만성 재발성 턱관절 탈구의 증례 보고)

  • Lee, Young-Jun;Lee, Sang-bae;Choi, Jae-min
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.21-26
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    • 2014
  • Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in recurrent or habitual type temporomandibular joint (TMJ) dislocation. One Recurrent or habitual type TMJ dislocation case was managed with the Yinyang Balancing Appliance on TMJ, combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. The patient showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Although it is not clear the effect is sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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Reconstruction of Recurrent Posterolateral Rotatory Instability of the Elbow - A Case Report - (재발성 주관절 후외방 회전 불안정성의 재건술 - 증예보고 -)

  • Jeon In Ho;Kyung Hee Soo;Kim Poong Taek;Ihn Joo Chul
    • Clinics in Shoulder and Elbow
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    • v.4 no.2
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    • pp.191-195
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    • 2001
  • Posterolateral rotatory instability is the most common pattern of elbow instability especially which is recurrent, and is usually post-traumatic because of inadequate soft tissue healing. The lateral ulnar collateral ligament was reconstructed by using ipsilateral palmaris longus tendon. Functionally good result was obtained. This is a case report illustrating the posterolateral rotatory instability of the elbow and its reconstruction with palmaris longus.

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Clinical Characteristics of Recurred Patients with Stage I,II Non-Small Cell Lung Cancer (근치적 절제 후 재발한 1,2기 비소세포폐암 환자의 임상상)

  • Ham, Hyoung-Suk;Kang, Soo-Jung;An, Chang-Hyeok;Ahn, Jong-Woon;Kim, Ho-Cheol;Lim, Si-Young;Suh, Gee-Young;Kim, Kwhan-Mien;Chung, Man-Pyo;Kim, Ho-Joong;Kim, Jhin-Gook;Kwon, O-Jung;Shim, Yong-Mog;Rhee, Choong-H.
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.4
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    • pp.428-437
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    • 2000
  • Background : Five year survival rate of postoperative stage I non-small cell lung cancer(NSCLC) reaches to 66%. In the remaining one third of patients, however, cancer recurs and the overall survival of NSCLC remains dismal. To evaluate clinical and pathologic characteristics of recurred NSCLC, the patterns and factors for postoperative recurrence in patients with staged I and II NSCLC were studied. Method : A retrospective analysis was performed in 234 patients who underwent radical resection for pathologic stage I and II NSCLC. All patients who were followed up for at least one year were included in this study. Results : 1) There were 177 men and 57 women The median age was 63. The median duration of the follow up period was 732 days (range 365~1,695 days). The overall recurrence rate was 26.5%, and the recurrence occurred $358.8{\pm}239.8$ days after operation. 2) The ages of recurred NSCLC patients were higher ($63.2{\pm}8.8$ years) than those of non-recurred patients ($60.3{\pm}9.8$ years)(p=0.043). The recurrence rate was higher in stage II (46.9%) than in stage I (18.8%) NSCLC p<0.001. The size of primary lung mass was larger in recurred ($5.45{\pm}3.22\;cm$) than that of non-recurred NSCLC ($3.74{\pm}1.75\;cm$, p<0.001). Interestingly, there were no recurrent cases when the resected primary tumor was less than 2cm. 3) Distant recurrence was more frequent than locoregional recurrence (66.1% vs. 33.9%). Distant recurrence rate was higher in females and in cases of adenocarcinoma. Brain metastasis was more frequent in patients with adenocarcinoma than in those with squamous cell carcinoma (p=0.024). Conclusion: The tumor size and stage were two important factors for determining the possibility of a recurrence. Because distant brain metastasis was more frequent in patients with adenocarinoma, a prospective study should be conducted to evaluate the effectiveness of preoperative brain imaging.

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A Case of Perineal Hypospadias with Os Penis Deformity and Unilateral Cryptorchidism in a Boston Terrier (보스턴 테리어에서 발생한 음경골 이형성과 편측 잠복고환증을 가진 회음부 요도하열)

  • Park, Woo-Young;Bae, Chun-Sik;Kim, Hwi-Yool;Cho, Ki-Rae;Park, Woo-Dae
    • Journal of Veterinary Clinics
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    • v.26 no.2
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    • pp.185-188
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    • 2009
  • A six-month-old Boston terrier presented with an extruded penis caudally, incompletely formed preputial sheath, bifid scrotum, retained testicle and deformity of the os penis. On physical examination, the urethral orifice was located on the surface of the perineum and a fibrous band was observed running from the grans to the urethral orifice on the perineum. The dog also had urethritis that was infected by ascending bacteria entering through the contaminated urethral orifice. Corrective surgery was undertaken to excise the external genitalia and retained testicle. The prepuce, penis and retained testicles were successfully excised. After the urethral orifice was cleaned periodically and antibiotics were administrated, recurrent urethritis disappeared. Using this therapeutic regime it is not necessary to reconstruct the anomaly located urethral orifice, if the location of urethral orifice is not the cause of recurrent urethritis and urinary incontinence.

Thoracoscopic Surgery for Catamenial Pneumothorax (월경성 기흉에 대한 흉강경 수술)

  • Kim Dong-Jung;Kang Eun-Hee;Ryu Kyung-Min;Kim Tae-Hun;Sung Sook-Whan;Jheon Sang-Hoon
    • Journal of Chest Surgery
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    • v.39 no.4 s.261
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    • pp.328-331
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    • 2006
  • Recurrent spontaneous pneumothorax associated with menstrual cycle was described first by Maurer in 1958. Lilington and colleague established the term 'catamenial pneumothorax' and reported 5 patients in 1972. Catamenial pneumothorax is defined as recurrent spontaneous pneumothorax occurring within 72 hours before or after the onset of menstruation, but the pathophysiology is not clearly understood, We report a recent experience of 37 years-old woman with catamenial pneumothorax, who was treated by thoracoscopic surgery.

Iron Deficiency Anemia: The Possible Risk Factor of Complex Febrile Seizure and Recurrence of Febrile Seizure (철 결핍성 빈혈: 복합 열성경련과 열성경련의 재발의 가능한 위험인자)

  • Lee, Chan Young;Lee, Na Mi;Yi, Dae Yong;Yun, Sin Weon;Lim, In Seok;Chae, Soo Ahn
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.210-214
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    • 2018
  • Purpose: A relationship between Febrile seizure (FS) and iron deficiency anemia (IDA) has been found in several studies. However, few studies have focused on the role of IDA in complex febrile seizures (CFS) and simple febrile seizures (SFS) and there is no report on whether IDA is a risk factor for recurrence. The aim of this study was to investigate the role of IDA in SFS and CFS and to examine the effect of IDA on recurrence. Methods: Patients (n=166) who had been diagnosed with FS were enrolled in our study. Subjects were divided into the following groups for analysis: the SFS and CFS groups, recurrence and non-recurrence groups. The onset age was compared in each group of patients and laboratory test results based on IDA were compared. Results: Between the SFS and the CFS groups, there was no significant difference in laboratory test results based on IDA. There was a significant difference in onset age between the two groups and the onset age tended to be lower in the CFS group (24.00 vs. 16.49 months) (P=0.004). Comparing recurrence and non-recurrence groups, the mean corpuscular volume was significantly different (P=0.043) with the recurrence group having a lower mean corpuscular volume level (78.92 vs. 77.48). The onset age in the recurrence group was lower (26.02 vs. 19.68 months). Conclusion: This study suggests that onset age could be a risk factor for CFS, and IDA may not contribute to elevating the risk of CFS. However, IDA may play an important role in the recurrence of FS.

Direct Closure of Post-Incubation Tracheoesophageal Fistulas, -Report of 3 Cases- (기관내 삽관 후 발생한 기관식도루의 직접 봉합에 의한 수술적 치료 -3례 보고-)

  • Gang, Jong-Ryeol;Lee, Hong-Seop;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.29 no.9
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    • pp.1045-1049
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    • 1996
  • Post-intubation tracheoesophageal fistula is rare, and its management causes a serious problems to surgeons. We have experienced 4 cases in 3 patients. Simple ditcision and closure of the fistulas were done by trans-cervical approach after weaning of ventilator. The tracheal defect was closed by simple suture, and the esophageal defect was closed in two layers before a viable muscle flap was interposed between the two suture lines in order to prevent recurrence. There was one delayed tracheal stenosls and one recurrent fistula, and these complications were also managed success ully.

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PECTORALIS MAJOR MYOCUTANEOUS FLAP FOR THE COMPLICATIONS OF POSTIRRADIATION HEAD & NECK CANCER SURGERY (방사선 치료후 두경부암 수술의 합병증에 대한 Pectoralis Major Myocutaneous Flap의 이용)

  • 송달원;백재한;김중강
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.19.2-19
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    • 1987
  • 방사선치료후 재발성 또는 잔존성 두경부암의 수술후에 피부판의 괴사 및 slough, 감염, 누공, 부종과 경동맥 노출 심지어는 경동맥 파열 등의 술후 합병증이 빈발함으로 수술에 큰 어려움을 겪게 된다. Pectoralis major myocutaneous flap은 진행된 두경부암의 광범위한 절제후에 그 결손부를 보충해 주는 데 좋은 방법으로 사용할 수 있을 뿐아니라 방사선치료후에 생긴 합병증에도 이 flap을 이용하여 좋은 치료결과를 얻을 수 있다. 저자들은 수술 전에 방사선치료를 받고 심한 부종으로 후두조직의 괴사 및 기능이 손실된 환자와 방사선 치료후 재발된 상인두암환자의 경우에서 수술 후 생긴 pharyngocutaneous fistula와 피부판감염 및 경동맥노출 등으로 치유가 곤란하여 여기에 pectoralis major myocutaneous flap을 사용하여 pharyngostoma를 재건하고 노출된 경동맥부위를 보호하여 좋은 치료효과를 얻었기에 문헌을 고찰하여 보고하는 바이다.

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