• 대한세포병리학회지
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• 제19권2호
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• pp.194-199
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• 2008

The recent WHO classification has recognized mucinous tubular and spindle cell carcinoma (MTSCC) as a distinct entity of renal cell carcinoma, exhibiting a mixed pattern of tubules and a surrounding spindle cell proliferation within a myxoid stroma, with low-grade nuclear features. A 51-year-old woman had an incidentally discovered renal mass. Radiologic examination revealed a large, well defined mass in the lower pole of the right kidney; a right radical nephrectomy was performed. Imprint cytologic smears from fresh surgical specimens showed cellular, cohesive clusters with thick, broad trabecular arrangements and branching structures. On high power fields, the tumor was composed of round-to-oval low-grade nuclei with vesicular chromatin and small nucleoli. The tumor cells had indistinct borders and pale, eosinophilic cytoplasm, In some areas, round-to-elongated tubular structures and spindle cell patterns were noted. Chronic inflammatory cell infiltration was noted, along with a mucinous back-ground and occasional psammoma bodies. Neither significant cytologic atypia nor mitosis was seen.

• 대한디지털의료영상학회논문지
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• 제10권1호
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• pp.29-34
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• 2008

Purpose To analyze the input and output error of data CD which records the image information and the problems of the server of the compatibility. And to report a compatibility assessment and verification of suitable to DICOM of PACS data CD with investigation of current situation of Korea METHOD AND MATERIALS Date CD of each 8 vendors in 30 hospitals was analyzed. We grasped a main verification element existence of a generation compatibility of data CD. The items of element are media identification, DICOM compression, DICOM viewer send, specified object information modify, auto-run, DICOM content type, etc, and give 1 point for each item. We divided the assessment about an each item into 5 levels. Verification about. DICOM conformance by using DICOM validation tool kit is shown to be classified pass or fail according to error occurrence of tag valus. Classify the prequency of tag occurrence as the item. RESULTS The average point of date CD compatibility is 8 point (very good), lowest is 5 point (6.6%), and highest is 10 point (23%_. Most high occurrence frequency's distribution is 7 point (36.6%). As a result of verification about DICOM conformance, PASS in 8 occurrence frequency's distribution is 7 point (36.6%). As a result of verification about DICOM maximum length numbers (14 items), DICOM error of modality (10 items), discord of pixel data length (6 items). etc.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.137-139
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• 2007

Purpose: The mandibular ramus sagittal split osteotomy is a common procedure in cosmetic surgery. A late complication of this procedure, pseudoaneurysm rarely happens. The purpose of this case is to present our experience that is rare late vascular complication after mandibular ramus sagittal split osteotomy. Methods: A 21-year-old male was operated by local plastic surgeon for treatment of mandibular prognathism. After 9 days, the man was transferred to our hospital with persistent bleeding and swelling on the mandibular area. We operated the man three times and failed to control hemorrhage. Therefore, we did angiography and found the pseudoaneurysm on the buccal and pterygoid branches of internal maxillary artery. Then we did selective embolization for removal of the pseudoaneurysm. Results: The man was operated using the therapeutic embolization, and the pseudoaneurysm was removed. The results were successful, and we couldn't find any bleeding and the pseudoaneurysm during the follow-up of 12 months. Conclusion: The selective embolization is the good therapeutic method of late vascular complication after mandibular ramus sagittal split osteotomy.

• Journal of Chest Surgery
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• 제38권6호
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• pp.441-444
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• 2005

복강내 종양이 혈관을 통해 전이될 수는 있으나 우심장까지 침범되는 경우는 드물다. 자궁에서 기원하는 정맥내 평활근종증은 매우 드물며 조직학적으로는 양성이지만 임상적으로는 하대 정맥, 우심장 또는 폐동맥의 폐쇄를 동반함으로써 치명적인 결과를 초래할 수 있는 질환이다. 치료 방법은 심폐 순환기를 통한 완전 순환정지하에 종괴를 완전절제하는 것이다. 자궁에서 기원한 정맥내 평활근종증을 개복술과 개심술을 이용해 일차 수술로 성공적으로 치유하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제32권12호
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• pp.1115-1117
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• 1999

A persistent left superior vena cava draining into the coronary sinus is the most benign and widely encountered abnormality and can easily be explained embryologically as the persistence of the usual pattern of vnous circulation in the embryo,. However a persistent left superior vena cava draining into the left atrium with absent right superior vena cava is an extremely rare anomaly. We report this situation in an infant with tetralogy of Fallot. The most common approach has traditionally been intraatrial baffle repair to create a tunnel to the right atrium or rerouting of the left superior vena cava flow by directly anastomosing the left superior vena cava to the right atrium In the present study the left superior vena cava was transposed to the left pulmonary artery after the correction of tetralogy of Fallot. The most common approach has traditionally been intraatrial baffle repair to create a tunnel to the right atrium or rerouting of the left superior vena cava flow by directly anastomosing the left superior vena cava to the right atrium. In the present study the left superior vena cava was transposed to the left pulmonary artery after the correction of tetralogy of Fallot.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권1호
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• pp.92-97
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• 2006

선천성 횡격막 내장탈출은 드문 질환으로 산전 초음파로 횡격막 헤르니아와 감별하는 것은 쉽지 않다. 선천성 횡격막 내장탈출과 횡격막 헤르니아의 예후가 다르고 수술적 접근 방식이 다를 수 있어 정확한 감별 진단이 필요하다. 저자들은 산전 초음파 검사에서 선천성 횡격막 헤르니아로 진단되었으나 수술 시에 선천성 횡격막 내장탈출로 진단된 두 증례의 후향적 분석을 통하여 비록 출생 직후의 단순 흉부 사진으로는 두 질환의 감별 진단이 어려웠으나 연속적인 단순흉부사진에서 뚜렷하게 드러나는 병변 측 횡격막을 확인하는 경험을 하였다. 따라서 산전 초음파 검사에서 횡격막 헤르니아로 진단되었다 하더라도 출생 이후에 촬영한 연속적인 단순흉부사진의 주의 깊은 판독을 통한 재평가를 강조하고자 한다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권1호
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• pp.108-112
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• 2002

저자들은 복부 외상 후 크기가 증가하는 종괴와 동통을 주소로 내원한 13세 여아에서 췌장 원위부 절제술을 시행하여 조직학적으로 췌장 고형유두상피 종양을 진단하였기에 문헌고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권1호
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• pp.96-100
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• 2002

저자들은 최근 본원에서 항문으로의 종괴 돌출 및 출혈을 주소로 내원한 7개월 여자 환아에서 직장내시경을 시행함으로써 다수의 큰 용종을 발견하였다. 내시경적 절제를 시행하여 조직병리학적으로 심재성 낭성 대장염과 연소성 정류 용종이 혼재한 것을 관찰하였고, 추적 내시경을 시행하여 남은 용종을 제거하였다. 영아에서 첫 증례이며, 내시경으로 진단 및 치료를 행함으로써 성공적으로 치료되어 이에 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권2호
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• pp.262-266
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• 1999

Obstruction of the extrahepatic bile ducts is the most common cause of conjugated hyperbilirubinemia in early infancy. More than 90% of such obstructive lesions are accounted for by extrahepatic biliary atresia. A rare lesion is obstruction of the common duct by impacted, thickened secretions and bile. Bile plug syndrome is defined as extrahepatic obstruction of the bile ducts by bile sludge in term infants without anatomic abnormalities, congenital chemical defects of bile, or hepatocellular lesions. Obstruction of extrahepatic ducts by plugs of biliary material apperas to be due to the inspissation and precipitation of bile and mucus within the lumen of the ducts. Cholestasis and precipitation of bile develop in association with abnormal composition of bile in cystic fibrosis, hepatocellular damage, prolonged erythroblastic jaundice, altered biliary dynamics with total parenteral nutrition, gut dysfunction, diuretic therapy, exchange transfusions and perinatal hemolysis. In those cases, the term inspissated bile syndrome is used. The clinical and laboratory findings in bile plug syndrome are identical to those observed in biliary atresia and choledochal cyst. The diagnosis can be suspected based on the findings of clinical and laboratory examinations together with hepatobiliary imaging, ultrasonography, radionuclide scan and liver biopsy. We experienced a case of spontaneous resolution of bile plug syndrome in a 4-year-old girl. We report this case with brief review related literatures.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권2호
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• pp.211-216
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• 1999

식도열공 탈장은 그 형태에 따라 진단 및 치료가 지연될 경우 반복되는 구토, 빈혈, 영양실조, 출혈, 감돈, 위궤양, 급성 위팽만 등의 합병증이 발생하여 치명적일 수 있다. 저자들은 심한 탈수와 영양 실조를 주소로 내원한 10개월 남아에서 단순 흉부촬영에서 우측 흉부 종괴로 오인되었으나 선천성 식도열공 탈장과 위의 회전에 의해 상부 위장관 바륨조영술에서 우측 흉강내에 위가 위치한 것처럼 보였던 경우로 탈장 정복술과 위식도 역류방지술을 시행한 후 상기 증상이 호전된 제 3형의 선천성 식도열공 탈장 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.