• 제목/요약/키워드: Cystic Lesion

검색결과 335건 처리시간 0.026초

광범위한 낭성 변화를 보인 고분화성 흉선암종 1예 (A Case of Well-Differentiated Thymic Carcinoma with Extensive Cystic Degeneration)

  • 김경욱;김형중;안철민;이두연;김상진;양우익
    • Tuberculosis and Respiratory Diseases
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    • 제46권5호
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    • pp.718-722
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    • 1999
  • 14세 여자 환자에서 무증상의 전종격동 낭성 종괴가 있어 절제적 생검을 시행하여 고분화성 흉선암종의 광범위한 낭성 변화로 확진되어 제1기의 흉선종을 완전 적출 후 방사선 치료 혹은 병합화학요법 없이 추후 흉부전산화단층촬영 예정으로 외래에서 경과 관찰 중인 1예를 경험하여 문헌 고찰과 함께 보고하는 바이다.

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CT and US Findings of Multilocular Cystic Renal Cell Carcinoma

  • Jong Chul Kim;Kie Hwan Kim;Jun Woo Lee
    • Korean Journal of Radiology
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    • 제1권2호
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    • pp.104-109
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    • 2000
  • Objective: Multilocular cystic renal cell carcinoma (MCRCC) is a recently described variety of renal cell carcinoma with characteristic pathologic and clinical features. The purpose of this study was to analyze the imaging findings of MCRCCs. Materials and Methods: Ten adult patients with pathologically proven unilateral MCRCC who underwent renal US and CT were included in this study. The radiologic findings were retrospectively evaluated for cystic content, wall, septum, nodularity, calcification and solid portion by three radiologists who established a consensus. Imaging and postnephrectomy pathologic findings were compared. Results: All patients were adults (six males and four females) and their ages ranged from 33 to 68 years (mean, 46). On US and CT images, all tumors appeared as well-defined multilocular cystic masses composed of serous or complicated fluid. In all patients, unenhanced CT scans revealed hypodense cystic portions, and in four tumors, due to the presence of hemorrhage or gelatinous fluid, some hyperdense areas were also noted. In no tumor was an expansile solid nodule seen in the thin septa, and in only one was there dystrophic calcification in a septum. Small areas of solid portion constituting less than 10% of the entire lesion were found in six of the ten tumors, and these areas were slightly enhanced on enhanced CT scans. In all patients, imaging and pathologic findings correlated closely. Conclusion: On US and CT images, MCRCC appeared as a well-defined multilocular cystic mass with serous, proteinaceous or hemorrhagic fluid, with no expansile solid nodules in the thin septa, and sometimes with small slightly enhanced solid areas. Where radiologic examinations demonstrate a cystic renal mass of this kind in adult males, MCRCC should be included in the differential diagnosis.

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상악동 실험병소에 관한 방사선학적 연구 (A RADIOGRAPHIC STUDY ON THE EXPERIMENTAL LESIONS OF THE MAXILLARY SINUS)

  • 김영일;김재덕
    • 치과방사선
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    • 제25권1호
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    • pp.39-49
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    • 1995
  • This study was performed to determine the each location of lesions in the maxillary sinus and to evaluate the relationship between the floor of the antrum and the apical regions of teeth by the comparison of the panoramic view and panoramic sinus view. For this study, experimentally with two dry skulls, jelly balls of 8mm and 15mm in diameter containing a short wire for the radiopacity similar to the cyst and clinically 5 patients having mucosal cyst in the antrum and 10 patients having periapical lesion of molar were used. The experimental cystic lesions were simulated with jelly ball being attached in turn to each wall of the antrum. The radiolucent periapical lesions of upper molars were formed by using round bur and the radiopaque periapical lesions were simulated by filling the former lesions with lead foil. Each panoramic view and each panoramic sinus view of the experimental lesions and patients were obtained by using panoramic machine and analyzed. The obtained results were as follows : 1. On the panoramic sinus view, the innominate line was approximately coincided with the most lateral portion of the antrum and the posterior wall appeared as the narrow area at the mesial side of the innominate line. The anterior wall occupied totally the mesial side of the innominate line, and the medial wall occupied the mesial half of the antrum. 2. In all cases of experimental cystic lesion attached to each wall of the antrum, the location of each lesion was able to be determined by applying Tube shift technic. 3. The palatal root and mesiobuccal root of the molar appeared as being transposed each other mesiolaterally on the panoramic and panoramic sinus views. 4. The panoramic sinus view was superior to the panoramic view in revealing the relationship between the floor of the antrum and the periapical lesion.

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프랙탈 분석을 통한 악골 내 낭종의 감압술 후 골 치유에 대한 방사선학적 평가 (RADIOLOGIC ASSESSMENT OF BONE HEALING BY FRACTAL ANALYSIS AFTER THE TREATMENT OF JAW BONE CYST BY DECOMPRESSION)

  • 백진우;석민;이의석;장현석;임재석
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.494-498
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    • 2007
  • Purpose: This study was done to know the usefulness of fractal analysis when evaluating the radiologic changes after decompression on jaw bone cystic lesions using fractal analysis. Materials and methods: 30cases of cystic lesions were followed up after decompression. Panoramic image was used to observe radiologic changes around the cystic lesion. The part of the panoramic image which showed radiologic change was defined as region of interest(ROI); The fractal dimension of the ROI was calculated using box-counting method. Results: Using sign-rank test, there was a statistically significant difference in fractal dimensions after decompression therapy(P<0.0001). The fractal dimensions statistically increased after decompression(the median of D:0.12). Conclusions: The ROI after decompression showed higher fractal dimensions which offer the objective proof of the bone healing around cystic lesions after decompression treatment.

기관지성 낭종의 외과적 치료 -7례 보고- (Surgical Treatment of Bronchogenic Cyst -A Report of 7 cases-)

  • 김창수
    • Journal of Chest Surgery
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    • 제23권3호
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    • pp.605-608
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    • 1990
  • Bronchogenic cyst is a congenital cystic lesion which is usually found within the lung parenchyme or mediasitnum. Since the surgical removal of asymptomatic lesions was adopted as the reasonable therapeutic principle and increased use of roentgenograms of the thorax, many more cases of bronchogenic cysts are being observed. Seven cases of bronchogenic cysts were presented and related literatures were reviewed.

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인체 유구낭미충증 환자에서 수거한 낭미충 낭액의 성분 단백질의 양상 (Component proteins in cystic fluid of Taenia sodium metacestodes collected surgically from neurocysticercosis patients)

  • Yoon Kong;Shin-Yong Kang;Seung-Yull Cho
    • Parasites, Hosts and Diseases
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    • 제28권2호
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    • pp.101-108
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    • 1990
  • 포도낭미충증을 포함한 유구낭미충증 환자의 신경외과적 수술 과정에서 수거한 낭미충 낭액의 성분 단백질을 비교 검토하였다. 7.5% gel에서 Disc-PAGE와 reducing condition의 10~15% gel에 SDS-PAGE를 실시하여 다음과 같은 결과를 얻었다. 1. 7.5% gel에서 실시한 Disc-PAGE 소견상 제주도와 Ecuador에서 수집한 돼지의 유구낭미충 낭액은 U, A, B, C, E, S의 6개 band로 구성되어 있었고 그 중 band C가 주 구성 성분이었다. 그리고 인체에서 수집한 낭액 은 band C가 주 구성 성분이었고 경우에 따라 band E가 주 구성 성분으로 관찰되고 있었다. 정상 뇌척수액은 band C, E 위치에서 ${\gamma}-globulin$과 albumin이 보이고 있었다. 2. 10~15% gel에서 실시한 SDS-PAGE상 제주도 낭액은 최소 25개 이상의 subunit로 구성되어 있었고 그 중 95, 64, 48, 39, 34, 24, 15, 10및 7 kDa band가 주 구성 성분이었다. 그리고 Ecuador감염 돼지의 유구낭미충 낭액은 전체적으로 비슷했으나 48, 39, 34, 24 kDa band가 의미한 반면 21, 17 kDa가 진하게 염색되었다. 인체 뇌낭미충증 환자에서 수집한 낭액들은 15~21개 정도의 band가 보이고 있었다. 그 중 94, 64, 15, 10 그리고 7 kDa band는 모든 낭액에 공통적으로 포함되어 있었다. 한편, 정상 뇌척수액의 SDS-PAGE에서는 77, 66 (albumin), 55 (heavy chain of ${\gamma}-globulin$), 22.5 (light chain of ${\gamma}-globulin$) 그리고 17 kDa band가 보였다. 환자의 낭액은 77, 66, 55, 22.5 kDa에서 진하게 염색되는 경우가 있었다. 이상의 결과로 인채 유구낭미충증에서 수집한 낭액에도 15, 10, 7kDa의 subunit로 구성된 150kDa의 band C protein이 주 성분으로 구성되어 있으며 수술장에서 수집하는 과정에서 뇌척수액이 섞이는 경우가 많음을 알 수 있었다.

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MR Imaging and Histological Findings of Experimental Cerebral Fat Embolism in Cats

  • Park Byung-Rae;Ko Seong-Jin;Kim Hwa-Gon
    • 대한의생명과학회지
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    • 제10권3호
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    • pp.285-291
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    • 2004
  • To determine the magnetic resonance (MR) imaging findings and natural history of cerebral fat embolism in a cat model, and to correlate the MR imaging and histologic fmdings. Intemel carotid artery of 11 cats was injected with 0.1 ml of triolein. T2-weighted, T1-weighted and Gd-enhanced T1-weighted images were obtained serially for 2 hours, 1 days, 4 days, 1 week, 2 weeks and 3 weeks after embolization. Any abnormal signal intensity was evaluated. After MR imaging at 3 weeks, brain tissue was obtained for light microscopic (LM) examination using hematoxylin-eosin (HE) and Luxol fast blue staining, and for electron microscopic examination. The LM examination with HE staining revealed normal histological findings in the greater part of an embolized lesion. Cystic change was observed in the gray matter of 8 cats, while in the gray and white matter of 3 cats. At LM examination, Luxol fast blue, staining demonstrated demyelination around the cystic change occurring in the white matter, and EM examination of the embolized cortex revealed sporadic intracapillary fat vacuoles (n=11) and disruption of the blood-brain barrier (n=4). Most lesions were normal, however, and perivascular interstitial edema and cellular swelling were mild compared with the control side. The greater part of an embolized lesion showed reversible findings at MR and histological examination. Irreversible focal necrosis was, however, observed in gray and white matter at weeks 3.

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종격동 림프관종 - 1예 보고 - (Mediastinal Lymphangioma - A case report -)

  • 김대현;김수철;조규석
    • Journal of Chest Surgery
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    • 제40권5호
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    • pp.392-394
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    • 2007
  • 14세 남자가 흉부 X-선 검사에서 이상이 발견되어 입원하였다. 흉부 컴퓨터단층촬영에서 전방부 종격동 및 비장에 $14\times14cm$$2\times2cm$크기의 낭성 병변이 보였다. 정중 흉골절개술을 통해 종격동의 병변을 완전 절제하였고, 최종 조직학적 진단은 낭성 림프관종이었다. 현재 수술 후 14개월째로 종격동에서 재발은 없고, 비장의 병변은 경과를 관찰 중이다.

Screening panoramic radiographs in a group of patients visiting a Health Promotion Center

  • Lee Jae-Seo;Kang Byung-Cheol
    • Imaging Science in Dentistry
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    • 제35권4호
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    • pp.199-202
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    • 2005
  • Purpose : To report the incidence of radiological findings from screening panoramic radiographs and verify the validity of the panoramic radiography for screening purposes. Materials and Methods : Six thousand one hundred and sixty panoramic radiographs taken from the patients visiting the Health Promotion Center of CNUH were selected for this retrospective study. Panoramic radiographs were examined into the following pathologic conditions : the presence of periodontal bone loss, dental caries, periapical radiolucencies, retained roots, impacted supernumerary teeth, impacted third molars, odontoma, cystic lesions other than radicular cyst, sialoliths, and mixed radiolucent-radiopaque lesions. Number of pathologic conditions and Prevalence values were recorded. Results: The prevalences of pathologic conditions were $72.9\%$ of periodontal bone loss, $32.2\%$ of dental caries, $11.9\%$ of periapical radiolucencies, $10.8\%$ of retained roots, $0.4\%$ of root fracture, $1.0\%$ of impacted supernumerary teeth, $1.0\%$ of impacted third molars, $0.06\%$ of odontoma, $0.08\%$ of cystic lesion other than radicular cyst, $0.2\%$ of prolonged retention of deciduous tooth, $0.1\%$ of sialolith, and $0.04\%$ of mixed radiopaque and radiolucent lesion. Conclusion : Although the panoramic radiograph should not be used to replace intraoral radiographic and clinical examinations, this study showed that many dental pathologic conditions could be detected on panoramic radiographs. The panoramic radiograph might serve as a diagnostic aid in dental health evaluation programs.

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Foraminal Synovial Cyst Associated with Ankylosing Spondylitis

  • Kim, Heyun-Sung;Ju, Chang-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • 제50권1호
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    • pp.54-56
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    • 2011
  • Ankylosing spondylitis (AS) is frequently associated with inflammatory lesions of the spine and continuous fatigue stress fractures; however, an association with an intraspinal synovial cyst has not been previously reported. A 55-year-old man with a five year history of AS who presented with back pain and a right radiculopathy was admitted to the hospital. Five years previously, he underwent a percutaneous vertebroplasty for an osteoporotic L1 compression fracture, and was diagnosed with AS at that time. Plain radiographs showed aggravated kyphosis and a stress fracture through the ossified posterior element, below the prior vertebroplasty. Magnetic resonance images revealed a right foraminal cystic lesion at the L2-L3 level with effacement of the nerve root. A 1.6 cm cystic lesion that appeared to arise from the L2-L3 facet joint without direct communication was excised from the L2-L3 foramen. Pathological examination confirmed synovial cyst. The patient's symptoms resolved immediately after surgery except for a mild dysesthesia of the right leg. We report herein a rare case of foraminal synovial cyst associated with AS accompanying posterior element fracture with a review of literature.