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Tracheoplasty for Congenital Tracheal Stenosis-Two case reports- (선천성 기관 협착 환자의 기관성형술 2예)

  • Lim Hong Gook;Lee Chang-Ha;Hwang Seong Wook;Lee Cheul;Kim Jae Hyun;Seo Hong Joo;Jung Sung Chol
    • Journal of Chest Surgery
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    • v.38 no.8 s.253
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    • pp.583-588
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    • 2005
  • Congenital tracheal stenosis can be a life-threatening disease, especially in cases involving the long-segment of the trachea. When patients are symptomatic immediately after birth or develop an accompanying complex cardiac anomaly, surgical repair can be a considerable challenge. We experienced a tracheoplasty in one early infant weighing 2.6 kg and one neonate who had ventilator dependency from long-segment congenital tracheal stenosis and congenital cardiac anomaly. One early infant, who had diffuse stenosis of distal trachea after ventricular septal defect closure, underwent resection and extended end to end anastomosis. One neonate who had diffuse stenosis of proximal trachea with tetralogy of Fallot (TOF), underwent slide tracheoplasty with total correction for TOF Postoperative chest computed tomography showed widely patent trachea. Both infants are now well without symptoms.

A Case of Lymphoma Developing From the Wall of Chronic Empyema (악성 늑막 림프종이 합병된 만성 농흉 1례)

  • 김길동
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.571-574
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    • 1993
  • We present a rare case of malignant lymphoma developing from the wall of chronic empyema thoracis. A 54-year old man with a 35 year history of tuberculosis empyema was admitted due to right chest pain and general weakness for 2 months. Under the impression of chronic empyema thoracis with destroyed right lung and tumor on posterior costophrenic sulcus, pleuropneumonectomy including tumor was performed as a single procedure through a right thoracotomy. The tumor arose from the thickened pleura, and it was histologically and immunologically diffuse large cell[non-cleaved] B-cell non-Hodgkin`s lymphoma [NHL]

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Splenic Absorption of Radiopharmaceutical in Systemic Bone Scans Performed after Liver Transplantation

  • Sang-Hyeong Kil;Kyung-Nam Jo;Yung-Hyun Lim
    • The Korean Journal of Nuclear Medicine Technology
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    • v.27 no.1
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    • pp.4-6
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    • 2023
  • Technetium-labeled phosphate bone scan was shown to detect bone fractures and bone metastasis in early stage than general radiographs. Therefore, bone scan has become one of the most frequently performed nuclear medicine imaging examination. However, non-osseous radiopharmaceutical uptake on the bone scan are unusual findings. We report a case of diffuse splenic absorption of Tc-99m dicarboxypropane diphosphonate in patients who undergo liver transplantation.

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A Case of Clonorchiasis with Clinical Presentation of Eosinophilic Pneumonia (호산구성 폐렴으로 발현된 간흡충증 1예)

  • Lee, Deog-Young;Kim, Sung-Jun;Lee, Jong-Hyun;Kim, Dong-Wook;Lee, Jin-Kwan
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.3
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    • pp.643-648
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    • 1998
  • Although clonorchiasis is one of the most common parasitic infections in Korea, it is unusual that the disease presents peripheral eosinophilia and pulmonary infiltrations.(eosinophilic pneumonia) A case of clonorchiasis manifested as diffuse nodular pulmonary infiltrations was presented. The patient had a mild to moderate pain on the right upper quadrant of the abdomen, cough, dyspnea, and unknown cause of marked eosinophilia (up to 71.4% of total white blood cell count). The causal organism, clonorchis sinensis was found by the identification of parasite ova in the stool We confirmed eosinophilic pneumonia with bronchoalveolar larvage analysis and transbronchial lung biopsy. With corticosteroid and praziquantel treatment, clinical symtoms and pulmonary infiltrations on the chest roentgenograms had rapidly improved. We report a case of eosinophilic pneumonia related to clonorchiasis and review the pertinent literature.

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Occult Gastric Cancer Presenting as Hypoxia from Pulmonary Tumor Thrombotic Microangiopathy

  • Mandaliya, Rohan;Farhat, Salman;Uprety, Dipesh;Balla, Mamtha;Gandhi, Apurva;Goldhahn, Richard;Auerbach, Herbert;Christensen, Chris;Reed, Conrad;Cohen, Sidney
    • Journal of Gastric Cancer
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    • v.14 no.2
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    • pp.142-146
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    • 2014
  • Pulmonary tumor thrombotic microangiopathy (PTTM) causing fatal pulmonary hypertension is a rare presentation of malignancy. In general, patients with PTTM rapidly succumb to death due to severe hypoxia. To date, very few cases of PTTM have been reported in the literature; and most of these cases were from gastric cancer and were diagnosed on post mortem autopsy, as it is extremely challenging to make an ante mortem diagnosis. We here report on a case of undiagnosed diffuse gastric cancer, presenting as worsening hypoxia. The clinical, radiographic, and echocardiographic features, and laboratory and pathological results were consistent with PTTM from gastric cancer. The patient was started on anticoagulation therapy, corticosteroids, and high-flow oxygen. However, her hypoxia worsened to the extent that she required ventilator support, and she died soon after intubation due to cardiac arrest. Since diffuse gastric cancer is associated with hereditary diffuse gastric cancer syndrome, cadherin 1 gene mutation analysis was performed to estimate the risk to her daughters. The test came back negative.

Melanin Depigmentation by 90% Phenol Application in Canine Gingiva (성견 치은에서 90% Phenol을 이용한 멜라닌 색소의 제거에 관한 연구)

  • Jeong, Tae-Sool;Kim, Young-Jun;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.31 no.2
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    • pp.357-369
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    • 2001
  • In this present study, the healing process and the recurrence of pigmentation were evaluated clinically and histologically in accordance with the extent and the range of pigmentation after phenol was applied to remove melanin pigmentation in gingiva. Six mongrel dogs were used. The melanin pigmentation in canine gingiva were classified into slight, moderate and severe according to the extent of pigmentation and divided into local and diffuse types according to the range. Following general and local anesthesia, 90% phenol was applied to the pigmented gingiva of the subjects with small cotton balls until the surface was etched to be whitish and was neutralized with small cotton balls soaked by 95% alcohol. The contralateral pigmented gingiva to the one treated with phenol, was treated by surgical deepithelialization. At 1, 3 and 8 weeks, the treated gingiva was examined clinically and evaluated histologically following H-E stain, and HMB 45 stain for melanocyte after biopsy. In the phenol treated sites, epithelium and connective tissue healed normally and there was no pigmentation at 1 week. At 3 weeks of healing, melanin repigmentation was observed in the severe local type and moderate to severe diffuse type. In the surgically deepithelialized sites, healing was delayed, compared to phenol treated sites and the infiltration of the inflammatory cells and congestion in connective tissue was shown at 1 week. At 3 weeks, healing was completed and there was a partial melanin repigmentation. At 8 weeks of healing, the extent and the range of repigmentation were increased in both group according to the extent or range priot to depigmentation procedure. These results suggpriorest that the removal of melanin pigmentation with 90% phenol application result in normal healing process of gingiva. However, in the severe local type and moderate to severe diffuse type, sites treated with phenol showed repigmentation at 3 week, which was earlier than surgical deepithelialized sites. Therefore it is required to select appropriate method according to initial condition of pigmentation.

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FUV spectral images of the Orion-Eridanus Superbubble region

  • Jo, Young-Soo;Min, Kyoung-Wook;Seon, Kwang-Il;Edelstein, Jerry;Han, Won-Yong
    • The Bulletin of The Korean Astronomical Society
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    • v.36 no.1
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    • pp.88.2-88.2
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    • 2011
  • The far-ultraviolet (FUV) continuum and spectral images of C IV and H2 emission lines for the region of Orion-Eridanus Superbubble (OES) are hereby presented and compared with the maps obtained in other wavelengths. While the region shows complex structures, consisting of hot gases and cold dust, a close examination reveals that the FUV emission in this region can be understood reasonably as the result of their interactions. We confirm the origin of most diffuse FUV continuum to be starlight scattered by dust, but we also find that the ionized gas also contributes 50-70% of the total FUV intensity in the regions of H_alpha arcs. We note the bright diffuse FUV continuum in the eastern part of the northern dust-rich region, and attribute it to the bright early-type stars more abundant in this region than in the west as the amount of dust itself does not seem to be much different across 'arc A' that separates the two regions. In addition, two P Cygni-type stars are identified in this eastern region and their peculiar spectral profiles around the C IV emission line are anifested in the scattered diffuse spectrum. Besides this, the C IV emission is generally enhanced at the boundaries of the hot X-ray cavities where thin dust regions are located, confirming the thermal interface nature of the origin of this cooling emission line. The morphology of the H2 emission shows a general correlation with dust extinction features but its intensity peaks are rather located in thin dust areas, off the peak dust regions. Furthermore, H2 emission is seen to be weak in the arc A region though the arc passes through the center of the dust-rich area. Hence, the H2 emission and dust features, together with those of X-ray and ion lines emissions, show stratified structure of arc A quite well, again confirming its thermal interface nature.

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CLINICAL OBSERVATIONS ON MANDIBULAR CHRONIC OSTEOMYELITIS - COMBINATION THERAPY OF DECORTICATION AND INTRA-ARTERIAL INFUSION CHEMOTHERAPY - (만성경화성 하악골골수염의 임상적검토 - 외측피질골제거술 및 동주요법(국소화학요법) 병용의 증례에 관하여 -)

  • Yuichiro, Kuroiwa;Hiroaki, Matsuura;Atsushi, Abe;Mugio, Kato;Yoshiko, Ariji;Kenichi, Kurita
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.3
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    • pp.350-354
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    • 2008
  • Mandibular chronic osteomyelitis with diffuse osteosclerosis is recognized as an intractable infectious disease. We emplyed decortication and intraarterial infusion of antibiotics in 6 cases. Decortication on the affected mandible was performed with retrocatherization to the superficial temporal artery of affected side under general anesthesia. Antibiotics, IPM/CS or FOMX was used through the artery for 4-11 days. In addition, we administered FOMX, PIPC intravenously for 8-17 days. CT and MRI were taken postoperatively. The postoperative follow-up period ranged from 1 year and 6 months to 2 years and 5 months. Postoperative MR showed that bone marrow signal was recovered to approximately normal in 4 cases. High signal area of bone marrow and osteosclerosis image remained in 2 cases, but showed improvement. The results were satisfactory without recurrence in all of 6 cases.

Pattern alopecia in a miniature pinscher dog (미니어쳐 핀셔견에서 발생한 형태탈모증(pattern alopecia) 1례)

  • Kang, Jongil;Lee, Wanghui;Park, Jeongho;Oh, Taeho;Cho, Seongwhan;Park, Seongjun
    • Korean Journal of Veterinary Research
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    • v.51 no.4
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    • pp.315-318
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    • 2011
  • A dog (5.6 kg, 4-year-old, castrated male, Miniature pinscher) with diffuse symmetric alopecia on the chest and excessive scales was referred to Veterinary Medical Teaching Hospital of Chungnam National University, Korea. On physical examination, diffuse alopecia on ventral aspect of the neck and caudomedial thighs, and severe scales were presented. Dermatologic tests of lesions revealed bacterial infections. Histopathologically, atrophy of hair bulb was observed in the severely alopecic lesion of caudomedial thighs. ACTH stimulation test was performed to differentiate the endocrine disorder related to generalized alopecia. The pre-ACTH serum testosterone and progesterone concentrations were above normal ranges and the post-ACTH serum testosterone concentration was high. The pre- and post-ACTH serum estradiol and cortisol concentrations were within normal ranges. Canine pattern alopecia was diagnosed based on history, physical examination, hormonal assay and dermatohistopathologic examination. After 3 months of melatonin administration, multifocal alopecia on the trunk was improved and general hair regrowth was identified.

Diffuse Large B-cell Lymphoma Arising from Chronic Tuberculous Empyema

  • Yun, Ju Sik;Kang, Seung Ku;Kim, Jo Heon;Jung, Yochun;Choi, Yoo Duk;Song, Sang Yun
    • Journal of Chest Surgery
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    • v.48 no.1
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    • pp.82-85
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    • 2015
  • Pyothorax-associated lymphoma is a relatively rare type of lymphoma that occurs in patients who have long histories of tuberculous pleuritis or induced pneumothorax. It is a type of non-Hodgkin's lymphoma of mainly the B-cell phenotype and is strongly associated with Epstein-Barr virus infection. A majority of these cases have been reported in Japan, although some cases have occurred in Western countries. Here, we describe a case of pyothorax-associated lymphoma in a patient with a 30-year history of chronic tuberculous empyema. The patient underwent decortication under the impression of chronic empyema with fistula. The histopathologic diagnosis was a diffuse large B-cell lymphoma associated chronic inflammation.