• Title/Summary/Keyword: 혈액종양

Search Result 299, Processing Time 0.034 seconds

CLINICAL STUDY OF JUVENILE NASOPHARYNGEAL ANGIOFIBROMA (유년기성 비인강 혈관섬유종에 관한 임상적 고찰)

  • 민양기;박상후;신시옥;김진영
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1987.05a
    • /
    • pp.23.2-23
    • /
    • 1987
  • 저자들은 1977년부터 1986년까지 10년동안 서울대학병원 이비인후과에서 유년기성 비인강 혈관섬유종의 진단하에 치료받았던 27명의 환자에 대해 임상적 조사를 시행하여 다음과 같은 결과를 얻었다. 1) 남녀비율은 전례에서 남성이었으며 연령은 9세∼22세의 분포를 보였고 16∼17세가 가장 많았다. 2) 주증상으로는 전례에서 비출혈을 동반하는 비폐색증을 보였으며 편측인 례가 7례였다. 3) 종양의 크기는 21례에서 비인강 및 비강내에 국한되어 있었고, 4례에서 익상상악와, 2례에서 두개내 침습을 보였다. 4) 종양의 혈액공급은 동측의 내상악동맥에서 이루어지는 경우가 27례, 동측의 상행인두동맥이 13례, 양측에서 이루어지는 경우가 9례 있었다. 5) 치료는 23례에서 수술적 요법을, 4례에서 방사선치료를 시행하였다. 수술적 요법 23례중 11례 에서 경반구개제거술(hemipalatal approach), 8례에서 경전구개제거술(transpalatal appoach), 2례에서 경전구개 및 경상악동제거술(transantral approach), 2례에서 외비절제술(lateral rhinotomy approach)에 의해서 종양을 적출하였다.

  • PDF

Angiomatoid Fibrous Histiocytoma : A Case Report

  • Choi, Joon-Hyuk;Sung, Woo-Jung;Lee, Nam-Hyuk
    • Journal of Yeungnam Medical Science
    • /
    • v.24 no.2
    • /
    • pp.315-321
    • /
    • 2007
  • Angiomatoid fibrous histiocytoma is a rare soft tissue tumor that generally affects children and young adults. We report a case of angiomatoid fibrous histiocytoma in an 11-year-old boy who complained of a back mass for 3 years. Surgical excision was performed. The excised specimen showed a $4.0{\times}3.6{\times}3.0cm$, well circumscribed, grayish white tumor, with multicystic changes. Histological examination showed proliferation of spindle or round shaped tumor cells. There was a dense fibrous pseudocapsule with prominent chronic inflammatory cell infiltrates.

  • PDF

Evaluation of saliva and cariogenic activity in patients with hematologic malignancy (혈액종양환자의 타액과 치아우식활성도 평가)

  • Kim, Hyeoung-Joon;Jeong, Kyung-Yi;Park, Ji-Il
    • Journal of Korean society of Dental Hygiene
    • /
    • v.13 no.3
    • /
    • pp.509-515
    • /
    • 2013
  • Objectives : This study was performed to evaluate the salivary secretion, salivary pH and cariogenic activity using unstimulated whole saliva in patients with hematologic malignancy. Methods : Nineteen patients (9 male, 10 female) who had hematologic malignancy and were treated with chemotherapy or bone marrow transplantation, and nineteen normal volunteers (7 male, 12 female) as control group were included. The mean age of patients group and control group was 45.1 and 46.7 years, respectively. Patients group was examined salivary secretion, salivary pH, and cariogenic activity using unstimulated whole saliva and was compared with control group. Results : In comparison with control group, salivary secretion, salivary pH and salivary buffer capacity were significantly lower in patients with hematologic malignancy (p<0.01). Both cariogenic activity(p<0.01) and the number of Lactobacilli(p<0.05) are higher in patients group than control group. Conclusions : These results suggest that the unstimulated whole salivary secretion, pH and buffer capacity were lower in patients with hematologic malignancy than control group. Cariogenic activity is higher in patients with hematologic malignancy than control group. Such salivary factor and cariogenic activity can increase the possibility of induction of dental caries.

Correlation of Gross Appearance or RBCs Numbers with Pleural Histocytology and Pleural Fluid Carcinoembryonic Antigen Values in Malignancy Associated Pleural Effusions (악성 종양에 의한 흉막삼출에서 적혈구수 몇 Carcinoembryonic Antigen 그리고 세포진 검사와의 관계)

  • Ahn, Kang-Hyun;Park, Soo-Jin;Park, Jae-Min;Lee, Jun-Gu;Chang, Yoon-Soo;Choi, Seung-Won;Jo, Hyeon-Myeong;Yang, Dong-Kyu;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
    • /
    • v.45 no.5
    • /
    • pp.1031-1038
    • /
    • 1998
  • Background: Most of malignant pleural effusions are serous but 8-33% of them are bloody. We wanted to evaluate the relationships between gross appearance and pleural CEA level or results of histocytology in malignancy associated pleural effusions. We also tried to reevaluate the meaning of CEA measurement in histocytologically proved or unproved malignancy associated pleural effusions. Methods: We studied 98 cases of malignancy associated pleural effusions, 50 cases of histocytologically proven malignant effusions and 48 cases of histocytologically unproven paramalignant effusions. We had observed gross appearance and conventional laboratory values and CEA levels for pleural effusions. Results: 44.9% of malignancy associated effusions were bloody(63.6% of bloody effusions were histocytologically proven malignant effusion). 65.0% of malignancy associated pleural effusions which have RBCs numbers over $100,000/mm^3$ were cytologically proven malignant effusions. 72.7% of cytologically proven malignant effusions had increased pleural fluid CEA level over 10 ng/ml. 58.2% of cases with pleural CEA over 10 ng/ml had positive results in pleural bistocytology. There was no definable relationships between pleural fluid CEA elevation and RBCs numbers and results of pleural fluid cytology. Conclusion: About half of the cases with malignancy associated pleural effusions were bloody. Histocytologically proven malignant effusions were more common in bloody effusion than non-bloody effusion(63.6% Vs 38.9%). But increased red blood cell numbers was not associated with positivity of pleural histocytology. Pleural fluid CEA elevation(over 10 ng/ml) was not correlated with positive pleural histocytology. But pleural fluid CEA elevation was rare in nonmalignant pleural effusions, and than pleural CEA measurement in uncertain pleural effusions maybe helpful to distinguishes its origin.

  • PDF

Central and Peripheral Distribution of Bone Marrow on Bone Marrow Scintigraphy with Antigranulocytic Antibody in Hematologic Malignancy (혈액 종양 질환에서 항과립구항체 골수 스캔을 이용한 중심 골수와 말초 골수 분포의 분석)

  • Kang, Do-Young;Lee, Jae-Tae;Sohn, Sang-Kyun;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
    • /
    • v.36 no.5
    • /
    • pp.298-305
    • /
    • 2002
  • Purpose: Bone marrow scintigraphy has been used to evaluate the status of bone marrow in various hematologic disorders. We have analyzed the peripheral distribution pattern and central uptake ratio of bone marrow using anti-NCA-95 monoclonal antibody and the their correlation in patients with various hematologic malignancy. Materials and Methods: Bone marrow immunoscintigraphy was performed using Tc-99m anti-granulocyte monoclonal mouse antibody BW 250/183. Fifty patients were classified into four groups; 11 with acute myelogenous leukemia, 12 with acute lymphocytic leukemia, 15 with lymphoma and 12 with myelodysplastic syndrome. The extension of peripheral bone marrow was categorized into four grades: I, II, III and IV. The activity of central bene marrow was expressed as sacroiliac uptake ratio. Results: The patient's number was 4 in grade I, 27 in grade II, 15 in grade III and 4 in grade IV according to extension of peripheral bone marrow. The extension of peripheral bone marrow was marked (58% in grade III and IV) in myelodysplastic syndrome and acute lymphocytic leukemia and mild (93% in grade I and II) in lymphoma. Sacroiliac uptake ratio was highest ($8.5{\pm}4.0$) in myelodysplastic syndrome and lowest ($5.9{\pm}3.6$) in acute myelogenous leukemia, but not significantly different among four patient groups (p>0.05). Sacroiliac uptake ratio of whole patients was significantly different among four grades (p=0.003), but there was not correlated between grade of peripheral bone marrow and sacroiliac uptake ratio (r=0.05). Conclusion: The pattern of peripheral bone marrow extension and activity of central hemopoietic marrow were not specific to the disease entities. Response of hemopoietic bone marrow may be evaluated on both peripheral and central bone marrow in patients with hematologic malignancy.

The Effects of Radiation Therapy on Peripheral Lymphocytes in Head and Neck Cancers (방사선 치료가 두경부 악성종양 환자의 말초혈액 림프구에 미치는 영향)

  • 김상윤;김효준;최은경;조영주;추광철
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1993.05a
    • /
    • pp.92-92
    • /
    • 1993
  • It is generally agreed that cellular immune functions are damaged by radiation therapy(RT). However, the exact effects of RT on peripheral lymphocytes are not yet clear. Authors previously reported the radiation effects on lymphocytes subpopulations, but these results merely showed the alteration of proportion of lymphocytes subpopulations after RT. So we try to evaluate the number of lymphocytes in each subpopulations as well as the proportion of subpopulations, and the recovery patterns of these alterations by time duraion after RT. The result shows that the proportion of subpopulations and number of lymphocytes in each subpopulations are decreased after RT except natural killer cells(NK cells), which proportion is increased but number is not changed, and these changes are stationary continued for post RT 6 months and then gradually recovered. However, the radiation effects on peripheral lymphocytes still remain after one year.

  • PDF

Prognosis and Surgical Treatment of the Urethra Embedding Leiomyosarcoma in a Dog (개에서 요도를 포매한 평활근육종의 수술적 처치 및 예후)

  • Kim, Ji-Hyun;Lee, Jun-Am;Kim, Ill-Hwa;Jang, Dong-Woo;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
    • /
    • v.31 no.4
    • /
    • pp.307-312
    • /
    • 2014
  • A 16-year-old female Shih-Tzu, weighing 5 kg, presented with clinical symptoms of abdominal distension and urinary and fecal incontinence. Abdominal palpation detected a large mass. According to the radiographic findings, the bladder had been moved to the umbilicus by the mass and a large abdominal mass was confirmed in the lower abdominal area. Ultrasonography indentified a large heterogeneous mass with heterogeneous parenchyma and a focal anechoic area in the lower abdominal area. The complete blood count abnormalities suggested thrombocytosis and mild neutrophilia, and the serum chemistry indicated an elevated alkaline phosphatase value. During laparotomy, a firm mass that measured $10.5{\times}9.6cm$ was found between the uterine cervix and urinary bladder. The urethra was embedded in the mass. A diagnosis of leiomyosarcoma was established based on histopathology and histochemistry. One week after surgery, urinary retention symptoms that did not appear to be related to mechanical obstruction presented suddenly, but they did not respond to several drug treatments, thus long-term conservative therapy was adopted. The urinary symptoms disappeared on day 27 and the patient started to void large quantities of urine in a smooth and frequent manner. This case report describes the serial changes in the patient's status and the response after surgical remove of the urethra embedding leiomyosarcoma.

Magnetic Resonance Imaging Diagnosis: Nasal Adenosquamous Cell Carcinoma in a Dog (개 비강종양의 자기공명영상학적 평가 1예)

  • Choi Chi-Bong;Cho Ik-Hyun;Kim Hwi-Yool;Bae Chun-Sik
    • Journal of Life Science
    • /
    • v.15 no.4 s.71
    • /
    • pp.668-672
    • /
    • 2005
  • Nasal tumors have been reported frequently in dogs and nasal discharge has been the primary presenting complaint in nasal tumor patients. A 10-year-old 7 kg male mixed breed dog was presented to the animal hospital for evaluation of severe bloody nasal discharge. After physical examination, blood examination and X-ray examination, magnetic resonance imaging (MRI) examination was also conducted. Based on MRI nasal tumor which does not extend cranial vault was diagnosed. The nasal tumor was confirmed as adenosquamous cell carcinoma by histopathological examination after necropsy. The invasive characteristics of the neoplasm were documented by MRI. MRI was very valuable diagnostic tool for identifying extracranial and intracranial tumor invasion in a small animal.

Microwave Radiometry for functional Diagnosis of Biological tissue (생체 기능적 진단을 위한 Microwave Radiometry의 응용)

  • Lee, J.W.;Kim, K.S.;Lee, S.M.;Yoon, G.
    • Proceedings of the KIEE Conference
    • /
    • 2000.11d
    • /
    • pp.845-847
    • /
    • 2000
  • 깊은 생체 조직에서 전자기 에너지의 일부가 피부로 전달되는데, 이때 생체 내부에서 피부로 전달되는 전자기 에너지의 세기는, 주파수 대역과 전자기파를 흡수, 반사, 투과시키는 인체의 매질에 따라 다르다. Microwave Radiometry는 인체 내부 조직에서 방출되는 1-6 GHz 대역의 전자기 에너지 일부를 피부 표면에서 측정하여 일정한 체적내의 인체 내부 온도 평균온도를 추정하는 방법이다. 이러한 Radiometry로 암이나 종양 등의 이상 조직을 진단하는 의학적 가설은, 암이 진행시 악성 종양의 세포의 신진대사가 정상 세포보다 활발하게 되고 또한 종양 세포 주위로 혈액의 유입이 증가하게되어, 주위의 정상 세포 보다 열을 보다 더 방출하는 데 있다. 이때 발생된 열은 일정한 주파수 대역의 마이크로파 에너지를 방출하게 되고, 이에 Radiometry로 인체에 무해하고(passive), 비침습적(non-invasive), 방사능의 영향이 없는 (non-ionizing) 방법으로 인체 내부에서 전달되는 전자기 에너지 강도를 측정하여 종양 부위와 주위 정상부위의 온도 차이를 추정 의학진단에 응용할 수 있다. 본 논문에서는 이러한 Microwave Radiometry의 의학적 응용과 생리학적 특성을 고려한 인체모델용 팬텀에 대하여 살펴본다.

  • PDF

Prognostic Values of Preoperative Hematologic Parameters in Gastric Cancer (위암에서 수술 전 혈액학적 검사의 예후인자로서의 가치)

  • Kim Hyoung-Ju;Kwon Sung Joon
    • Journal of Gastric Cancer
    • /
    • v.5 no.1
    • /
    • pp.29-33
    • /
    • 2005
  • Purpose: To determine the prognostic values of the hematologic parameters checked preoperatively in gastric cancer patients, we evaluated and compared the relationship between hematologic parameters and clinicopathologic factors of gastric cancer patient. Materials and Methods: The medical records of 357 consecutive patients who had undergone surgery for gastric cancer at the Department of Surgery, Hanyang University Hospital, between Dec. 2,000 and Dec. 2003 were reviewed. To exclude any adverse effect of invasive procedures to hematologic parameters, the samples taken immediately at outpatient department was used. The normal range of serum albumin was defined above 3.5 g/dl, serum hemoglobin above 12 g/dl, and serum platelet count under $400\times10^{3}{\mu}l$. Patients were defined as group 1 when any of these parameters was abnormal, and defined as group 2 when all parameters were normal. The relationships between hematologic parameters and survival rate were investigated. Results: The mean values of platelet count increased, but level of serum albumin and serum hemoglobin decreased significantly according to the advancement of the disease stage (P=0.000). The differences of depth of tumor invasion and lymph node metastasis between the group 1 and the group2 was statistically significant (P=0.001). Three-year survival difference between group 1 and group 2 was significant (P=0.037). Conclusion: The hematologic parameters checked preoperatively in patients of gastric cancer are simple and cheap, meanwhile reflect the general condition of the patients. Any presence of anemia, hypoalbuminemia, or thrombocytosis can predict the progression of the disease and poor survival rates.

  • PDF