• Title/Summary/Keyword: 흉부 상해

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Atypical Thymic Carcinoid Tumor with Thymic Cyst - 1 case report - (흉선 낭종을 동반한 비정형 흉선유암종 - 1례 보고 -)

  • 정재일;김재욱;김승우;구본일;강윤경
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.634-637
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    • 2002
  • Thymic carcinoid or neuroendocrine tumor of thymus is a very rare disease and has poor prognosis due to frequent recurrence and distant metastasis. A 43-year-old man was refered to our hospital because of Rt. chest pain and tightness. Chest X-ray revealed $7{\times}8$cm sized mass on Rt. anterior mediastinum. Surgical excision was performed and light microscopic, immunohistochemical and electron microscopic findings were confirmed as atypical thymic carcinoid tumor with thymic cyst. The patient has been followed up without recurrence or distant metastasis postoperatively for 3 months to now. We report a case of atypical thymic carcinoid with thymic cysts.

Complete Fracture of Totally Implantable Venous Catheter (완전 거치형 정맥도관의 완전 절단)

  • Kim, Jung-Tae;Chang, Woon-Ha;Oh, Tae-Yoon
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.946-948
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    • 2006
  • The patient was a 42-year-old female with breast cancer who had an implantable central venous catheter inserted percutaneously into left subclavian vein for chemotherapy. The postinsertion chest x ray revealed that there was no compressive sigh of catheter. Three months after insertion of the catheter, the patient was admitted to the hospital for 4th chemotherapy. The port was accessed but blood could not be aspirated and the catheter could not be flushed. A chest x ray revealed that the catheter was completely transected at the point where the catheter passed under the clavicle. Percutaneous removal of the distal fragment of the catheter was accomplished. The patient was discharged after successful removal of fragment of catheter.

Muscle Flap Operation in Complicated Bone Tuberculosis Infection -A case report- (골감염을 동반한 결핵 감염에서의 근판 전이술 -치험 1례)

  • 허진필
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.89-91
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    • 1998
  • Tuberculosis infection is wide spread disease and makes troublesome complications in some cases. A 50 - year old male visited Andong Hospital with coughing and sputum, dyspnea on exertion, bulging left anterior chest wall mass. Chest X-ray showed right pleural effusion, both side streaky infiltraion, and pleural thickness in apex. Chest CT scan showed bone destruction of left clavicle head, manubrium and large abscess pocket in pectoralis muscle. In May 1996 he underwent en bloc resection of left upper anterior chest wall including pectoralis major and minor muscle, left clavicle head, manubrium and covering infected skin, then contralateral pectoralis major muscle flap and skin graft was done. Patient shows no evidence of recurrence during follow up.

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Bronchogenic Cyst Causing Mitral Regurgitation (승모판막 폐쇄부전을 유발한 기관지성 낭종)

  • 송종필;정승혁;강경훈;김병열;강경민
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.66-69
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    • 1999
  • Bronchogenic cyst is an uncommon congenital lesion which is derived from the primitive foregut. Most bronchogenic cyst may develope at the tracheal bifurcation, both main bronchi, the lung parenchymeand the mediastinum. A 40-year old male was evaluated for dyspnea and chest tightness. Computed tomography revealed a well dermarcated, 7.2 ${\times}$ 7.9 cm sized, homogeneous mass compressing the left atrium. 2D-echo showed grade III mitral regurgitation. We completely removed the cystic mass and then confirmed the bronchogenic cyst in the pathological diagnosis. During the follow up period, the patient progressed well without any symptoms and showed grade I mitral regurgitation on the 2D-Echo. Therefore, we report a case of the bronchogenic cyst causing grade III mitral regurgitation.

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Staged Total Correction of Complexes Anomalous Origin of Right Pulmonary Artery from the Ascending Aorta One Case Report (상행 대동맥에서의 우폐동맥 이상기시증을 동반한 복잡 심기형의 단계적 완전 교정술-1례 보고-)

  • 정일상;한재진
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.322-325
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    • 1997
  • We experienced a case of anomalous origin of right pulmonary artery from the ascending aorta associated with pulmonary atresia, ventricular septal defect, absence of left pulmonary artery afld multiple major aortopulmonary collateral artery (MAPCA). At ten month of age, left pulmonary artery creation with unifocalization and right pulmonary artery banding were performed as the Urst stage, followed by coil embolization of right MAPCA 1 month later, and 1 year later, the total correction was done. After total repair, the patient showed good postoperative course and excellent angiographic and hemodynamic results at 1 year follow-up study.

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Malignant Solitary Fibrous Tumor of the Pleura -one case report- (늑막의 악성 고립성 섬유성 종양 -1례 보고-)

  • 이희성;지현근;홍기우;안현성;박혜림
    • Journal of Chest Surgery
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    • v.34 no.1
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    • pp.97-100
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    • 2001
  • 흉막의 고립성 섬유성 종양은 중피하에 존재하는 미분화 중배엽성 기원의 섬유 세포에서 기원하는 종양으로 알려졌다. 이 종양은 대부분 양성으로 보고되고 있으나 병리학적으로 높은 세포 밀도, 유사분열의 수가 많고(10개의 고배율 시야에서 4개 이상), 핵의 다양성, 출혈, 괴사등이 있으며 악성의 판단기준으로 보고된다. 환자는 62세 여자로 호흡곤란 및 기침을 주소로 본원에 입원하였으며 단순 흉부 방사선 및 전산화 단층 촬영상 우측 흉강내에 거대한 종양소견이 보였다. 이 종양은 23$\times$18$\times$12 cm, 2 kg의 크기와 무게를 가졌으며 우측폐 하엽과 중엽은 압박되어있었으나 종양 절개 후 재 팽창됨을 확인하였다. 또한 횡경막과 심하게 유착되어 박리도중 손상이 동반되어 봉합술이 필요하였다. 병리학적으로 종괴는 세포밀도가 높았고 방추형세포의 다발로 이루어져 있었으며 유사분열의 수가 많이(27 mitosis/10HPF)보였다. 면역 조직 화학 검사상 vimentin과 CD34에 양성 반응을 보였다. 이에 악성 고립성 섬유성 종양으로 확진되었다. 본 교실에서는 흉막에 발생한 악성 고립성 섬유성 종양을 치험하였기에 문헌 고찰과 함께 보고한다.

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A terminology for the taxonomy of Weevil larvae (Coleoptera : Curculionoidea)

  • Lee, Chan-Young;Morimoto, Katsura
    • Journal of Forest and Environmental Science
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    • v.6 no.1
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    • pp.29-44
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    • 1989
  • 바구미 상과(上科) 갑충(甲蟲)은 세계적(世界的)으로 6만종(萬種)의 기록(記錄)이 있는 동물계(動物界) 최대(最大)의 분류군(分類群)으로서 특히 바구미과(科), 소나무좀과(科)는 임목(林木)의 천공성(穿孔性) 해충(害蟲)으로서 중요시(重要時)되고 있다. 이들 유충(幼蟲)의 연구(硏究)는 계통분류학상(系統分類學上) 중요(重要)할 뿐만 아니라 해충(害蟲)을 유충(幼蟲)으로서 동정(同定)한다는 응용면(應用面)으로도 임업적(林業的)인 차원(次元)에서 대단히 필요(必要)함에 본(本) 논문(論文)에서는 바구미상과(上科) 유충(幼蟲)의 형태(形態)를 상세(詳細)히 관찰 비교연구(比較硏究)에 Key가 되는 형질(形質)에 관하여 조사(調査)하였다. 1. 두부(頭部) : 단안(單眼), 촉각(觸角), 상진(上唇), 하진(下唇), 두순(頭楯), 대시 소시수, 자모(刺毛), 감각공(感覺孔), 전두봉합선상인두(前頭縫合線上咽頭), 상인두대(上咽頭帶) 2. 흉부(胸部) 복부(腹部) : 전배판(前背板), 후배판(後背板), 기문(氣門), 상측판측판(上側板側板), 지부(肢部), 흉부(胸部)와 제(第)1복절(腹節)의 추(皺)와 근육(筋肉)의 관계(關係), 자모(刺毛)

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Results of a Ivor-Lewis Operation for Esophageal Squamous Cell Carcinoma (식도 편평세포암에시 Ivor-Lewis수술 성적)

  • Cho, Seong-Ho;Kim, Jong-In;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.12
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    • pp.843-850
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    • 2007
  • Background: The Ivor-Lewis operation has been widely applied for treating thoracic esophageal cancer, but more acceptable results from three-field lymph node dissection have recently been reported. In this study the efficacy of the Ivor-Lewis operation was evaluated. Material and Method: Among the 273 patients, who underwent operation for esophageal cancer between September 1994 and August 2004, we retrospectively studied 172 patients with esophageal squamous cell carcinoma and who had no other primary cancer and who underwent complete resection with an Ivor-Lewis operation. The postoperative complications, the short and long-term survival and the recurrence patterns were analyzed. Result: The postoperative staging was as follows: stage I in 40 cases, IIA in 48 cases, IIB in 18 cases, III in 55 cases, IVA in 5 cases and IVB in 6 cases. The operative mortality rate was 4% (7 of 172 pts). Postoperative complication occurred in 32 patients (18%) and tumor recurred in 55 patients (32%). The overall 5-year survival rate was 48%; it was 85.6% in stage I patients, 47.6% in IIA patients, 65% in IIB patients, 22.8% in III patients and 0% for those in IV (p<0.05). The 5-year survival rate according to the location of esophageal cancer was 26.5% for patients with tumor in the upper 1/3 of the esophagus and 52.4% for patients with tumor in the mid and lower 1/3 (p>0.05). Conclusion: The Ivor-Lewis operation is an acceptable surgical procedure for thoracic esophageal squamous cell carcinoma. Yet it is necessary to consider other surgical procedures, and especially three-field lymph node dissection for treating upper 1/3 esophageal cancer.

Association of Aortic Calcification on Plain Chest Radiography with Obstructive Coronary Artery Disease (흉부 단순 촬영에서 관찰되는 대동맥 궁 석회화와 폐쇄성 관상동맥 질환과의 관련성)

  • Kang, Yeong-Han;Chang, Jeong-Ho;Park, Jong-Sam
    • Journal of radiological science and technology
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    • v.32 no.1
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    • pp.33-38
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    • 2009
  • Objective : This study was conducted to determine an association between aortic calcification viewed on plain chest radiography and obstructive coronary artery disease. Method : Retrospective review of all chest radiography obtained from consecutive patients undergoing coronary angiography. Chest PA images were reviewed by technical radiologist and radiologist. Considering the presence of aortic arch calcification, images were compared with the results of coronary angiography. In addition, the size of aortic arch calcification were divided into two groups - the smaller and the larger than 10 mm. Results : Among the total 846 patients, the number of the patients with obstructive coronary artery disease is total 417 (88.3%) in males and 312 (83.4%) in females. Considering the presence of aortic arch calcification, the positive predictive value of relation between aortic arch calcification and obstructive coronary artery disease was 91.4% and the relative risk of the group with aortic arch calcification to the opposite group was 1.10. According to the size of aortic arch calcification and obstructive coronary artery disease, the positive predictive value was 91.9% and the relative risk between two groups was 1.04. Conclusions : This study shows that aortic calcification was closely associated with obstructive coronary artery disease. If the aortic calcification is notified on plain chest radiography, we strongly recommend to consult with doctor.

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