• Title/Summary/Keyword: 폴립

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Clinicopathologic Evaluation of Gastric Polyps Remainding in the Stomach after a Gastrectomy (위 절제술 후 발생한 위 폴립의 임상 병리학적 특징)

  • Yoon, Ki-Young;Cho, Sung-Jin;Kim, Jeong-Hon;Kim, Young-Sik;Lee, Sang-Ho
    • Journal of Gastric Cancer
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    • v.5 no.3 s.19
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    • pp.169-173
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    • 2005
  • Background: Gastric polyps encompass a wide variety of lesions that most commonly arise from the gastric epithelium. However, coincidental gastric carcinomas have rarely been reported, being found in $1.5{\sim}2.1%$ of patients with hyperplastic polyps. The sizes and the pathologies of polyps seem to be important in the application of treatment. Therefore, it is necessary to classily gastric polypoid lesions after a gastrectomy. Materials and Methods: During a follow-up endoscopy study, 23 patients were found to have developed gastric polyps after a gastrectomy. Most of those polyps were removed by using an endoscopic polypectomy. We performed clinical and pathologic evaluations of the gastric polyps in the remainding in the stomach after a gastrectomy, Results: The mean age of the patients was 64.5 years old with the incidence of polyps remainding in the stomach after a gastrectomy increasing after the first year following the gastrectomy. The sizes of the polyps ranged from 0.3cm to 3.5cm in diameter and the numbers of polyps below 1.0cm were 19 (82.6%). The anastomotic site was the most prevalent place 10 (43.2%), followed by the cardia 6 (26.0%) and the body 4 (17.3%). Among 23 gastric polypoid lesions Yamada types of gastric polyps in the remainding in the stomach were as follows: 1 case in type I, 12 cases in type II, 9 cases in type III, 1 case in type IV. The pathologic diagnoses of the polyps were hyperplastic polyps in 6 cases, tubular adenomas in 2 cases and inflammatory polyps in 15 cases. Conclusion: Endoscopic polypectomy is believed to be important in assessing the precise diagnosis of gastric polyps remainding in the stomach. In this study, hyperplastic polyps were found to have no malignant potential, despite their sizes. As a result aggressive biopsy with a polypectomy of gastric polyp afier gastrectomy is recommended and frequent follow-up be performed.

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편측 성대마비와 성대폴립 환자의 수술 전후 음성검사와 이미지 화상분석의 상관관계에 대한 객관적 비교연구

  • 김시찬;최홍식;홍정표;오종석
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.199-199
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    • 1999
  • 각종 음성질환에 있어서 음성검사는 진단뿐 아니라 치료를 위한 중요한 방법으로 알려져 왔다. 특히 수술전후 음성질환의 평가에는 음성검사 뿐 아니라, 후두스트로보스코피를 이용하여 비교함으로써 가능하다. 이중 후두스트로보스코피는 방법이 간단하여 직접 수술전후의 변화를 알 수 있는 장점이 있으나, 객관적인 자료로는 이용하기가 어려운 문제점이 있다. 후두스트로보스코피의 영상자료를 컴퓨터에 연결, 영상신호를 디지털화하여 후두의 움직임을 객관적으로 관찰하려고 시도되어왔다 특히 편측 성대마비 환자에서는 성대의 위치가 외전 될뿐만 아니라 피열연골의 위치가 마비 후 시간이 경과됨에 따라 외회전 하고 성대가 전방으로 위축되어 성대 막성부의 길이가 짧아지는 틀의 후두스트로보스코피의 영상을 보이고, 성대폴립환자에서는 수술전후에 폴립의 크기와 성문면적에 변화를 보이게 된다. 본 연구의 목적은 편측 성대마비와 성대폴립과 같은 각기 다른 두 질병에서 음성경사와 후두스트로보스코피를 이용한 이미지 화상분석을 통해 각 성대의 길이, 각도, 성문틈의 면적과 폴립의 크기등을 측정함으로써 수술전후의 차이를 알아보고, 이미지 화상분석과 음성검사 사이에 어떠한 상관관계가 있는지를 알아보고자 하였다. (중략)

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A Case of External Ear Osteoma as a Polyp in Dog (개에서 외이도내 발생한 폴립성 골종 증례)

  • Eom, Ki-dong;Oh, Tae-ho;Jang, Kwang-ho;Park, Soo-won
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.396-398
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    • 2003
  • A 2 year-old, 3.8 kg, intact female Maltese was presented with unilateral pain and reddish discharge from the left ear caused by a polyp in the horizontal ear canal. The polyp was diagnosed as osteoma histopathologically and removed through total ear canal ablation. Three months after surgery, osteoma was recurred and broken out of edematous skin lesion. It was considered that an inappropriate surgical removal of the tissue which attached base boarder of the polyp would be cause of the recurrence of the osteoma.

A Feature Extraction Method Based on Multi-Scale Image Analysis for Designing Convolutional Neural Network as to Polyp Detection (폴립 검출 컨볼루션 신경망 설계를 위한 캡슐내시경 영상의 멀티 스케일 분석 기반 특징 추출 기법)

  • Lim, Chang-Nam;Park, Ye-Seul;Lee, Jung-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2018.10a
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    • pp.669-672
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    • 2018
  • 캡술내시경은 식도부터 항문까지 소화기관 전체를 한번에 촬영할 수 있는 의료기기로, 한번의 검사에 평균 8~12 시간 정도의 길이와 5만장 이상의 프레임으로 구성된 영상을 생성한다. 그러나 생성된 영상에 대한 분석은 수작업으로 진행되고 있어, 캡술내시경 영상 분석 자동화에 대한 기술적인 수요가 높아지고 있는 추세이다. 이를 위해, 캡슐내시경 영상 분석에 대한 많은 연구가 진행되고 있는데, 본 연구에서는 그 중에서도 폴립 영상에 대한 검출 자동화 연구에 주목하였다. 폴립이란 위장관 내에서 발견될 수 있는 융기성 병변으로, 많은 연구에서 기계학습 혹은 딥러닝 방식을 적용하여 이를 검출하기 위한 연구를 수행하였다. 그러나 캡슐내시경 영상의 특성상, 병번이 있는 영상이 굉장히 적기 때문에 일반적인 딥러닝 방식의 적용으로 좋은 성능을 내기 어렵다. 따라서 본 논문에서는 폴립 검출 컨볼루션 신경망 설계를 위한 멀티 스케일에 대한 원형 검출기법을 결합하여 폴립이 의심되는 영역을 추출해주는 특징 추출 기법으로, 수집한 데이터 150장에 대한 실험한 결과 약 82%의 성능을 보였다.

U-net with vision transformer encoder for polyp segmentation in colonoscopy images (비전 트랜스포머 인코더가 포함된 U-net을 이용한 대장 내시경 이미지의 폴립 분할)

  • Ayana, Gelan;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.97-99
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    • 2022
  • For the early identification and treatment of colorectal cancer, accurate polyp segmentation is crucial. However, polyp segmentation is a challenging task, and the majority of current approaches struggle with two issues. First, the position, size, and shape of each individual polyp varies greatly (intra-class inconsistency). Second, there is a significant degree of similarity between polyps and their surroundings under certain circumstances, such as motion blur and light reflection (inter-class indistinction). U-net, which is composed of convolutional neural networks as encoder and decoder, is considered as a standard for tackling this task. We propose an updated U-net architecture replacing the encoder part with vision transformer network for polyp segmentation. The proposed architecture performed better than the standard U-net architecture for the task of polyp segmentation.

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The Clinical and Histopathological Study of Laryngeal mass (후두 종양의 임상적 및 병리조직학적 고찰)

  • 김화성;한경수;이준기;정덕희;박재훈
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.9.1-10
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    • 1981
  • The clinical study of 183 cases of laryngeal mass was observed and 88 cases of vocal nodule and polyp which is confirmed histopathologically, were clinically classified into 30 cases of vocal nodule, 48 cases of localized vocal polyp, 10 cases of diffuse vocal polyp, and the following results of microscopic examination were obtained. I. The clinical study of laryngeal mass 1. Among total cases of 183, vocal nodule is 82(45%) vocal polyp 53(29%) postintubation granuloma 3(1%) laryngeal papilloma 18(10%) tuberculosis 2(1%) cancer 25(14%). 2. The sex ratio of male to female is 3:4 in vocal nodule, 1:1 in vocal polyp, 1:2 in postintubation granuloma, 3:2 in laryngeal papilloma, 11:1 in cancer. 3. The age distribution is third-fourth decade in vocal nodule, fourth-fifth decade in vocal polyp, third decade in postintubation granuloma, second and fifth decade in laryngeal tuberculosis, sixth decade in laryngeal cancer. 4. The distribution of symptoms is 5 month. -1 year in vocal nodule and polyp, less than 1 year in laryngeal papilloma and postintubation granuloma, 1 year-3 year in laryngeal tuberculosis and cancer. 5. The location of the lesion is between the anterior 1/3 and middle 1/3 in vocal nodule and polyp and papilloma, middle 1/3 and posterior 1/3 in postintubation granuloma, and is diffusely spread on the entire vocal cord in laryngeal tuberculosis and cancer. 6. The side of the lesion is bilateral in vocal nodule and papilloma and the ratio of right to left is 5:3 in vocal polyp, 2:1 in postintubation granuloma. 7. The size is 1~2mm(67%) in vocal nodule, 3~5mm(42%) in vocal polyp, 6~10mm (67%) in postintubation granuloma, 1~2mm (39%) in papilloma, more than 10mm in tuberculosis and cancer. 8. Among the symptoms, the hoarseness is in more than 90% of disease entity, the sore-throat in tuberculosis and cancer, the dyspnea in postintubation granuloma and papilloma and tuberculosis and cancer. 9. In the past history, certain relationship with smoking is noted in cancer (40%) and tuberculosis(50%) and the history of frequent attack of URI is in papilloma(33%). 10. In occupation, certain statistical significance was not noted. II. The histopathological study of vocal nodule and polyp. 1. Most polyps and nodules were covered with stratified squamous epithelium, but focal hyperkeratosis, parakeratosis, acanthosis and atrophy were rather frequently observed. Hyperkeratosis and acanthosis was most frequently seen.

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The Phoniatric Evaluation of the Effect of the Laryngomicrosurgery for the Laryngeal Polyps and the Nodules (성대폴립및 결절의 치료 효과에 대한 음성의학적 고찰)

  • 김기령;홍원표;김광문;이경재;정태영;이명호
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.8.2-9
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    • 1983
  • Recently, the laryngomicrosurgery has been done for the removal of benign laryngeal mass and for the improvement of voice. For the evaluation of the effect of the treatment, there must be any objective method such as aerodynamic study, vocal fold vibration study, acoustic analysis, psycho-acoustic evaluation and the neuro-muscular study. The authors evaluated the phoniatric effect of the laryngomicrosurgery for the patients of 15 laryngeal polyps and 9 laryngeal nodules, who received pre-op. and post-op. vocal function study from Jun. 1981 to Mar. 1983. The results obtained were as follows ; 1) The post-op. mean value of the maximum phonation time was increased 40 % in the unilateral polyps, 62 % in the bilateral nodules and 18 % in the unilateral nodules. 2) The post-op. mean value of the phonation quotient was decreased 25 % in comparison with pre-op. value in the case of the bilateral polyps, 26 % in the unilateral polyps, 55 % in the bilateral nodules and 12 % in the unilateral nodules. 3) The post-op. mean value of the mean air flow rate was decreased 27 % in comparison with the pre-op. value in the case of the bilateral polyps, 25 % in the unilateral polyps, 65 % in the bilateral nodules, 25 % in the unilateral nodules. 4) The glottic chink of the 10 cases of polyps among the 11 cases were disappeared, and the glottic chink of the 5 cases of nodules among 7 cases were also disappeared after surgery. 5) The pre-op. hoarseness of the 10 cases of polyps among the pre-op. hoarseness of the 11 cases of polyps were changed to clear and the 3 cases of nodules were also changed to clear.

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양성 성대질환의 콜라겐 발현 및 분포양상

  • 손영익;고영혜;고석주
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.263-263
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    • 1997
  • 성대결절, 폴립, 부종 등은 성대의 남용이나 과용등의 성대손상이 그 공통된 주된 원인으로 거론되고 있다. 하지만 음성치료를 비롯한 보존적 치료에 대한 반응이 서로 상이하며, H&E 염색을 이용한 병리조직학적인 감별이 곤란하여 진단에 혼돈이 있으며, 치료의 방침을 결정하거나 예후를 예측함에 있어서도 어려움이 있다. 양성성대질환은 기저막부 위와 세포외 간질에 주된 변화가 발생함이 알려져 있고, collagen type IV의 발현양상이 성대결절과 폴립에서 서로 다름에 대하여는 보고된 바 있으나 기타 점막하층의 골격유지를 주기능으로 하는 대표적 세포외간질인 collagen subtype에 대하여는 아직 보고된 바가 없는 실정이다. Collagen 발현의 차이를 연구하는 것은 상기질환의 병인을 이해하고 질환분류의 guideline을 제시하며 나아가 적절한 치료방범을 제시하는 데에 큰 의미가 있을 것으로 기대된다. Paraffin에 고정되어 있는 5례 이상씩의 성대결절과 성대폴립, 육아 종 및 라인케씨 부종 조직을 collagen type I부터 VII에 대하여 peroxidase kit를 사용하여 염색한 후 각 군간에 collagen 분포양상과 발현정도에 차이가 있는가 비교하였다.

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Acoustic measures from normal and vocal polyp patients (정상인과 후두폴립환자 음성의 음향적 분석)

  • 최흥식;장미숙;이정준
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.15-15
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    • 1993
  • 정상 성대는 규칙척인 진동을 보이지만 병변이 있는 사람들은 진폭과 시간에 있어서 주기마다의 불규칙성을 보여준다. 이 때 각 주기마다의 시간의 불규칙성은 Jitter를 의미하며 강도의 불규칙성은 Shimmer로 표현된다. 본 연구는 우리나라 정상인 음성의 떨림을 객관적으로 조사해보고 이에 따라 병변이 있는 사람들의 음성의 떨림을 판별할 수 있는 가능성을 알아보기 위하여 저자들은 CSpeech를 이용해 정상인과 후두폴립환자의 jitter, shimmer, S R를 비교해보았다.(중략)

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Nasopharyngeal Polyp in a Domestic Short Hair Cat (단모종 집고양이의 코인두 폴립 증례)

  • Lee, Da-Mi;Yu, Do-Hyeon;Nho, Dong-Ho;Song, Ru-Hui;Kim, Jun-Hwan;Cho, Ho-Seong;Park, Jin-Ho;Park, Chul
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.435-437
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    • 2011
  • A 2-year-old, domestic short hair cat presented because of a 2-year history of chronic nasal discharge and chronic otitis. Examination of the oral cavity revealed a mass in the nasopharynx. For further examination, computed tomography (CT) was performed and large polyp was revealed on the nasopharyngeal area. Traction removal of the polyp was performed using a spay hook. After removal of the mass, Horner's syndrome was developed but resolved spontaneously within 14 days.