• Title/Summary/Keyword: Minor lobe

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Surgical treatment of congenital cystic lung disease -Report of 47 cases- (선천성 낭성 폐질환의 외과적 치료)

  • 문석환
    • Journal of Chest Surgery
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    • v.23 no.4
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    • pp.698-706
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    • 1990
  • Congenital Cystic Lung Disease is a spectrum of closed related anomalies that arise during an early stage of embryonic lung bud maturation-namely bronchogenic cyst, congenital lobar emphysema, pulmonary sequestration and congenital cystic adenomatoid malformation. And they show similar surgical strategies. So they are called as the term bronchopulmonary-foregut malformations, firstly proposed by Gerle[1968]. From Aug. 1979 to Aug 1989, 47 patients were operated upon on Dept. of Thoracic & Cardiovascular Surgery at the CUMC. There were 21 females and 26 males ranging in age from age of 21 day to age of 56 year [15 cases under 15 years old]. 30 patients had bronchogenic cysts - 23 of intrapulmonary type, 7 of mediastinal type in location. Affected lobes and locations were as follows: 11 in upper lobe, 3 in middle lobe, 11 in lower lobe and anterosuperior, middle, and posterior mediastinal type were 3, 2, 2 respectively. There were 9 pulmonary sequestrations[all intralobar type] with the distribution of 5 in right lower lobe and 4 in left lower lobe. And associated anomalies were presented with arterial supply originating from thoracic aorta[8 cases], abdominal aorta[1 case] and with venous drainage into azygos vein[1 case]. They all were operated upon lower lobectomy [8 case], pneumonectomy[1 case] in case of pulmonary hypoplasia Congenital lobar emphysema and congenital cystic adenomatoid malformation had 4 cases respectively. Their affected lobes were as follows: the former were 3 in upper lobes, 1 in middle lobe and the latter were 3 in upper lobe, 1 in lower lobe. They were treated with lobectomy and segmentectomy. Diagnosis was aided by chest X - ray, bronchography, aortography, DSA and CT scan, They all were confirmed by pathologic exams. There were no hospital death but few minor morbidities such as, atelectasis-pneumonia[2], wound infection[2], prolonged chest tube placement[2]. We experienced surgical treatments of 47 cases for 10 years and reported them with literature review.

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Epithelial-Myoepithelial Carcinoma of the Lung; one case report (폐의 상피-근상피세포암)

  • 조성우;지현근;이재진;신윤철;남은숙
    • Journal of Chest Surgery
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    • v.33 no.6
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    • pp.518-520
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    • 2000
  • Epithelial-myoepithelial carcinoma is a rate low-grade malignant salivary neoplasm that usually occurs in the parotid gland but can also arise in minor salivary glands. We report a case of a primary epithelial-myoepithelial carcinoma of the lung neoplasm. The patient was 48-year-old women who presented with dry cough of 1 month duration. A right middle lobe endobronchial lesion was identified bronchoscopically. The bilobectomy of RML & RLL was performed, the pathologic result was epithelial-myoepithelial carcinoma.

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The Effect of Directivity of Antenna for the Evaluation of Abnormal Area Using Ground Penetrating Radar (지하투과레이더를 이용한 이상구간 평가 시 안테나 지향성의 영향)

  • Kang, Seonghun;Lee, Jong-Sub;Lee, Sung Jin;Park, Young-Kon;Hong, Won-Taek
    • Journal of the Korean Geotechnical Society
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    • v.33 no.11
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    • pp.21-34
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    • 2017
  • The ground penetrating radar (GPR) signal can be measured with different amplitudes according to the directivity, so the directivity of the antenna should be considered. The objective of this study is to investigate the directivity of antenna by analyzing the reflection characteristics of electromagnetic waves radiated from the antenna, and to evaluate effective range of angle that can inspect an abnormal area according to the directivity of antenna. For the measurement of the directivity, a circular metal bar is used as reflector and the signals are measured by changing the angle and the distance between reflector and antenna in the E- and H-plane. The boundary distance between the near field and the far field is determined by analyzing the amplitudes of reflected signals, and two points with different distances from each of near and far fields are designated to analyze radiation patterns in near and far fields. As a result of radiation pattern measurement, in the near field, minor lobes are observed at angle section at more than $50^{\circ}$ in both E- and H-plane. Therefore, antenna has the directivity for the direction of main lobe and minor lobes in near field. In the far field, antenna has the directivity for a single direction of main lobe because minor lobes are not observed. The amplitude of the signal reflected from the near field is unstable, but it can be distinguished from noise. Therefore, in the near field, the ground anomaly can be detected with high reliability. On the other hand, the amplitude of the signal reflected from the far field is stable, but it is hard to distinguish between reflected signal and noise because of the excessive loss of electromagnetic wave. The analyses of directivity in the near and the far fields performed in this study may be effectively used to improve the reliability of the analyses of abnormal area.

Immuno-Electron Microscopic Studies on the Localization of Serotonin and Somatostatin in the Optic Lobes of Cephalopods (Todarodes pacificus and Octopus minor) Inhabiting the Korean Waters (한국 연근해산 두족류 (Todarodes pacificus and Octopus minor) 시엽 (Optic lobe)내 Serotonin 및 Somatostatin의 분포에 관한 면역전자현미경적 연구)

  • Chang, Nam-Sub;Han, Jong-Min;Kim, Sang-Won;Lee, Kwang-Ju;Hwang, Sun-Jong;Lee, Jung-Chan
    • Applied Microscopy
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    • v.32 no.3
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    • pp.247-255
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    • 2002
  • In this study, we carried out immunostaining and immunogold labeling with antibodies to serotonin and somatostatin to examine the characteristics and functions of the neurons that secrete neurotransmitters in optic lobes of Todarodes pacificus and Octopus minor. As a result of immunostaining with anti-somatostatin, the nerve cells of Todarodes pacificus reacted as similar to the anti-serotonin, but in Octopus minor, only large cells in the outer granule cell layer reacted positively. In the immunogold labeling with anti-serotonin, the nerve cells in the inner grande cell layer and medulla of Todarodes pacificus reacted strongly, 30 gold particles being labeled per $0.5{\mu}m^2$ of the cytoplasm. However, in Octopus minor, only 17 gold particles were labeled, which stated a weak reaction. On the other hand, in the anti-somatostatin case, the nerve cells in the outer and inner granule cell layers and medulla of Todarodes pacificus showed strong reaction, 30 gold particles being labeled per $0.5{\mu}m^2$ of the cytoplasm while the nerve cells in the outer granule cell layer of Octopus minor reacted weakly, about 3 gold particles being labeled per the equivalent area. As a result of immunostaining and immunogold labeling with two types of antibodies to each part of the optic lobes, we found that the reactive nerve cells were distributed differently in the two species. In particular, the degree of reactivity to the immunostaining and immunogold labeling appeared stronger in Todarodes pacificus than in Octopus minor.

Salivary Duct Carcinoma in Parotid Deep Lobe, Involving the Buccal Branch of Facial Nerve : A Case Report (이하선의 심엽에 위치하며 안면신경의 볼가지를 침범한 타액관 암종 1예)

  • Kim, Jung Min;Kwak, Seul Ki;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.2
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    • pp.125-128
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    • 2012
  • Salivary duct carcinoma(SDC) is a highly malignant tumor of the salivary gland. The tumor is clinically characterized by a rapid onset and progression, the neoplasm is often associated with pain and facial paralysis. The nodal recurrence rate is high, and distant metastasis is common. SDC resembles high-grade breast ductal carcinoma. Curative surgical resection and postoperative radiation were the mainstay of the treatment. If facial paralysis is present, a radical parotidectomy is mandatory. Regardless of the primary location of SDC, ipsilateral functional neck dissection is indicated, because regional lymphatic spread has to be expected in the majority of patients already at time of diagnosis. If there is minor gland involvement, a bilateral neck dissection should be performed, because lymphatic drainage may occur to the contralateral side. The survival of SDC patient is poor, with most dying within three years. We experienced a unique case of SDC in parotid deep lobe. We report the clinicopathologic features of this tumor with a review of literature.

Pulmonary Aspergilloma Associated Pulmonary Tuberculosis (폐결핵에 병발된 폐 Aspergilloma)

  • 심성보
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.1011-1018
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    • 1991
  • From September, 1985 to March, 1991, 33 patients under went thoracotomy for treatment of pulmonary aspergilloma with Pulmonary tuberculosis on the department of Thoracic and Cardiovascular Surgery, National Kongju Hospital. 1. There were 25 male and 8 female patients ranging from 19 to 57 years old [mean age, 36.2 years]. 2. Hemoptysis was the most common symptom [recurrent minor hemoptysis: 24cases, severe hemoptysis [200cc /day]: 4 cases, massive hemoptysis [600/day]: 4 cases]. 3. In the chest X-ray films, intracavitary fungus balls [air meniscus sign] were noted in 20 cases [61%] and upper lobe involvements were 29 cases [88%]. 4. All cases had a history of treatment with antituberculosis drugs under diagnosis of pulmonary tuberculosis for an average of 10 years and 2 months. 5. The most common indication for operation was hemoptysis [32 cases] - hemoptysis with total destroyed lung or lobe: 12cases, hemoptysis with open AFB [t-] cavity: 6cases, recurrent or massive hemoptysis: 14 cases. 6. The operative procedures was as follows - - - lobectomy . 16 cases, pneumonectomy: 8 cases, bilobectomy, segmentectomy, cavernoplasty and lobectomy with segmentectomy: each 2 cases, lobectomy with cavernoplasty: 1 case. 7. 6 complications appeared postoperatively which included empyema with BPF [2 cases], empyema [2 cases] and wound infection [2 cases]. In conclusion, surgical resection is the treatment of choice in the management of pulmonary aspergilloma associated pulmonary tuberculosis.

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A Case of Massive Pulmonary Gangrene Complicated by Klebsiella Pneumonia (클렙시엘라 폐렴의 합병증으로 발생한 광범위 폐괴저)

  • Ha, Jun-Wook;Eom, Kwang-Seok;Jang, Seung Hun;Bahn, Joon-Woo;Kim, Dong-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.4
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    • pp.381-385
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    • 2004
  • Pulmonary gangrene is a rare and severe complication of bacterial pneumonia, where a pulmonary segment or lobe is sloughed due to parenchymal devitalization of the parenchyma, with secondary anaerobic infection and necrosis caused by pulmonary vascular thrombosis. Prior to the antibiotic era, massive pulmonary gangrene was potentially fatal. Herein, a case of pulmonary gangrene in a 67-year-old man is reported. He complained of fever, chills, dyspnea and purulent sputum of 5 days duration. The plain chest radiograph showed well-marginated right upper lobe consolidation, with bulging minor fissure, suggestive of a Klebsiella infection. A contrast CT scan demonstrated consolidation of the right upper lobe, with a central necrotizing portion. Klebsiella species was confirmed from both sputum and blood cultures. After appropriate antibiotics, the chest X-ray and CT scan 3 weeks later showed a large cavity with an air-fluid level, sloughing-off and extrusion of necrotic lung tissue, suggestive of pulmonary gangrene. Seven months later, the right gangrenous lung showed severe volume loss on a chest radiograph. The management of pulmonary gangrene has been somewhat controversial. Herein, it was managed without surgical drainage or resection. If the antibiotic therapy had failed, then a surgical approach would have been considered.

Fine Structure of Optic Lobes of Cephalopods (Todarodes pacificus and Octopus minor) inhabiting the Korean Waters (한국 연근해산 두족류 (Todarodes pacificus and Octopus minor) 시엽 (Optic lobe)의 미세구조)

  • Han, Jong-Min;Chang, Nam-Sub
    • Applied Microscopy
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    • v.32 no.2
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    • pp.131-147
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    • 2002
  • Optic lobes of Todarodes pacificus and Octopus minor are largely divided into cortex and medulla, the cortex being composed of three layers (an outer granule cell layer, a plexiform layer, and an inner granule cell layer). The cortex of Todarodes pacificus is about $420{\sim}450{\mu}m$ thick, being $170{\sim}200{\mu}m$ thicker than that of Octopus minor of which thickness is about $250{\sim}290{\mu}m$. In the outer granule cell layer of Todarodes pacificus, three types of nerve cells (type-A, type-B and type-C) and neuroglial cells that surround or contact with the neurons are observed, while in the outer granule cell layer of Octopus minor, two types of nerve cells (type-A and type-B) and a single type of neuroglial cells are observed. In a plexiform layer, a presynaptic bag and nerve endings are connected to each other, consequently forming various types of synaptosomes. The synaptosomes of Todarodes pacificus contain electron dense vesicles, electron dense-core vesicles and electron lucent vesicles, either individually or in a mixture. On the other hand, three types of synaptosomes a mixture of electron dense-core vesicles and electron lucent vesicles, electron lucent vesicles only, and electron dense-core vesicles only are observed in Octopus minor. The structures of the inner granule cell layer are almost similar in the two species. It is composed of two types of nerve cells (type-A, type-B) and a single type of neuroglial cells. In the medulla of Todarodes pacificus, the cells of $7{\times}5{\mu}m$ are arranged to a line and form the palisade cell layer, but these are not observed in Octopus minor.

Osteoma of the Frontal Sinus with Secondary Subdural Empyema Formation

  • Cho, Sung-Yun;Kim, Jeong-Whun;Kim, Chae-Yong
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.202-205
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    • 2006
  • Osteomas of the paranasal sinuses rarely lead to intracranial manifestations. The authors report an unusual case of a frontal sinus osteoma leading to subdural emyema formation. A 19-year-old man presented with headache and fever one month after minor facial trauma. Neuroradiological studies revealed subdural empyema in left frontal lobe with moderate cerebral edema and a osteoma in the left frontal sinus with sinusitis of maxillary sinus. The patient was surgically treated in one stage operation of decompressive craniectomy, removal of subdural empyema with frontal sinus osteoma, and endoscopic sinus surgery via cranial and nasal route. The patient recovered very well after surgery and postoperative antibiotic therapy. The etiology of intracranial infection and the treatment strategy are to be discussed.