• 대한두경부종양학회지
• /
• 제15권1호
• /
• pp.89-91
• /
• 1999

We experienced a case of the papillary thyroid carcinoma seen as a huge solid lateral neck mass. The mass grew very slowly over the period of 30years up to 10cm in diameter while relatively well sparing the surrounding tissues. Physical examinations, CT scan, and fine needle aspiration cytology did not reveal any strong suggestions for evidence of malignancy. But it was pathologically diagnosed as metastatic thyroid carcinoma by excisional biopsy. We emphasize that for a large solitary neck mass which persists for several decades, head and neck surgeons should always keep in mind the possibility of metastasis from the malignancy of thyroid gland.

• Clinics in Shoulder and Elbow
• /
• 제8권1호
• /
• pp.43-48
• /
• 2005

We report the case of a heterotopic ossification in the subscapularis muscle. A 30-year-old woman was diagnosed as a heterotopic ossification in the right subscapularis muscle. X-rays, a CT scan and a MRI showed bone-like lesions in the muscle. The location of the ossification was both inferior and anterior to the joint. The mass nearly bridged between the proximal humerus and the inferior portion of the coracoid process. Symptoms did not respond to rest, NSAIDs for 3 months and to stretching exercises treatment for 6 months. Excision and biopsy was performed through deltopectoral approach. Disodium Etidronate was administered during the postoperative period. She regained normal range of motion postoperatively and improved in the shoulder pain after performing strengthening exercises with Therabands. We think that a cause of limitation of the shoulder was impingement between the mass and the coracoid process, and that another cause was adhesion between the mass and the joint capsule. We conclude that excision and postoperative rehabilitation exercises are good methods for a heterotopic ossification in the subscapularis muscle for those that are nonresponsive to nonoperative treatments.

• 대한두경부종양학회지
• /
• 제35권2호
• /
• pp.27-30
• /
• 2019

Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review.

• Advances in pediatric surgery
• /
• 제14권2호
• /
• pp.173-177
• /
• 2008

Sialoblastoma is a rare tumor of salivary gland origin, developing in the fetal or neonatal period. Most tumors arise in parotid gland, and rarely in submandibular gland. Because of its rare incidence, diagnosis of the sialoblastoma in head and neck tumors of children is not easy. The case of a congenital submandibular gland sialoblastoma is presented. A neonate was transferred right after birth due to a submandibular mass. CT scan showed a lobulating mass located posterior to the left submandibular gland, suggesting neurogenic tumor or myofibroma. The tumor was excised easily after division of a duct-like structure connecting with the submandibular gland. The microscopic findings showed the basaloid cells and ductules forming cellular nests, separated by thin fibrous tissue. Immunohistochemical staining was positive for cytokeratin, vimentin and Ki-67, which was consistent with sialoblastoma.

• KSBB Journal
• /
• 제13권2호
• /
• pp.220-222
• /
• 1998

페놀수지인 resole을 유일 탄소원으로 분해할 수 있는 능력을 가진 3개의 미생물 컨소시염이 분리되었다. 이들 마생물 컨소시 염은 페놀수지 resole 제조공장 주변의 토양샘플로 부터 유래하였다.그들 컨소시엄 가운데 MS2로 명명된 미생물 컨소시엄은 배양 12일 이내에 초기에 배지내에 주어진 resole (100 mg/L) 의 70%까지 분해되었으나, 완전분해는 이루어지지 않았다 배양 기간동안 pH가 7.0에서 2.7로 감소되었으며 이러한 조건하에서 resole 분해는 억제되었다 UV /vis-spectrophotometer가 잔존 resole의 정량적 측정을 위하여 이용되었으며, 배양가간중에 채 취된 시료에서 resole의 농도는 UV-scans으로 261 nm에서 최대 흡광치룹 토대로 측정되었다.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2007년도 제38회 하계학술대회
• /
• pp.1406-1407
• /
• 2007

본 논문에서 제안한 ac-PDP(Plasma display panel) 셀구조는 Long gap의 전극 사이에 보조 전극을 삽입한 구조이다. 일반적으로, long gap 구조를 가진 PDP cell은 높은 방전 개시 전압을 가지므로, Long gap 전극 사이에 보조전극을 삽입하여 방전 개시 전압을 낮춤과 동시에 휘도 상승, 소비 전력의 감소효과로 발광효율의 향상을 가져왔다. 제안한 구조의 구동을 위하여 asymmetric mode와 long gap mode라는 2가지 파형을 가지고 실험하였다. 두 파형은 공통적으로 기존의 ADS(Address and Display period Separated)파형을 Y(Scan), Z(Common), A(Address) 전극에 인가하였으며, 보조적극에는 Z(Common) 전극의 파형을 수정한 형태로 인가하였다. Asymmetric mode는 보조전극에 Z(Common) 전극에 인가되는 파형과 같은 형태의 파형을 인가하여 Long gap의 구조를 가지지만 Short gap에서 방전이 가능하도록 설계하였고, long gap mode는 보조전극에 인가되는 Z(Common) 파형 중 sustain pulse를 초기 3개만을 주어 Short gap에서 방전을 개시함과 동시에 priming 입자를 생성하고, 나머지 sustain 구간에서는 floating시켜 이미 생성된 priming 입자를 long gap에서 구동을 가능하도록 하였다.

• Journal of Korean Neurosurgical Society
• /
• 제60권5호
• /
• pp.591-596
• /
• 2017

Objective : Frameless stereotactic aspiration of a hematoma can be the one of the treatment options for spontaneous intracerebral hemorrhage in the basal ganglia. Postoperative hematoma enlargement, however, can be a serious complication of intracranial surgery that frequently results in severe neurological deficit and even death. Therefore, it is important to identify the risk factors of postoperative hematoma growth. Methods : During a 13-year period, 101 patients underwent minimally invasive frameless stereotactic aspiration for basal ganglia hematoma. Patients were classified into two groups according to whether or not they had postoperative hematoma enlargement in a computed tomography scan. Baseline demographic data and several risk factors, such as hypertension, preoperative hematoma growth, antiplatelet medication, presence of concomitant intraventricular hemorrhage (IVH), were analysed via a univariate statistical study. Results : Nine of 101 patients (8.9%) showed hematoma enlargement after frameless stereotactic aspiration. Among the various risk factors, concomitant IVH and antiplatelet medication were found to be significantly associated with postoperative enlargement of hematomas. Conclusion : In conclusion, our study revealed that aspirin use and concomitant IVH are factors associated with hematoma enlargement subsequent to frameless stereotactic aspiration for basal ganglia hematoma.

• Journal of Korean Neurosurgical Society
• /
• 제61권6호
• /
• pp.700-706
• /
• 2018

Objective : Percutaneous vertebroplasty (PV) is a minimally invasive procedure designed to treat various spinal pathologies. The maximum number of levels to be injected at one setting is still debatable. This study was done to evaluate the usefulness and safety of multilevel PV (more than three vertebrae) in management of osteoporotic fractures. Methods : This prospective study was carried out on consecutive 40 patients with osteoporotic fractures who had been operated for multilevel PV (more than three levels). There were 28 females and 12 males and their ages ranged from 60 to 85 years with mean age of 72.5 years. We had injected 194 vertebrae in those 40 patients (four levels in 16 patients, five levels in 14 patients, and six levels in 10 patients). Visual analogue scale (VAS) was used for pain intensity measurement and plain X-ray films and computed tomography scan were used for radiological assessment. The mean follow-up period was 21.7 months (range, 12-40). Results : Asymptomatic bone cement leakage has occurred in 12 patients (30%) in the present study. Symptomatic pulmonary embolism was observed in one patient. Significant improvement of pain was recorded immediate postoperative in 36 patients (90%). Conclusion : Multilevel PV for the treatment of osteoporotic fractures is a safe and successful procedure that can significantly reduce pain and improve patient's condition without a significant morbidity. It is considered a cost effective procedure allowing a rapid restoration of patient mobility.

• 대한한방내과학회지
• /
• 제44권4호
• /
• pp.814-822
• /
• 2023

Objective: This case report details the successful management of bowel perforation through traditional Korean medicine. Often, emergency surgery is required due to potential complications, such as peritonitis. In this case, the patient had previously undergone a total colectomy, making surgical treatment complicated. Methods: The patient revealed persistent abdominal pain and over 20 instances of diarrhea per day. During the course of treatment, which included two hospitalizations and one outpatient visit, acupuncture treatment and herbal medicine were administered. Throughout the treatment period, the intensity of abdominal pain and the frequency of diarrhea gradually decreased. Results: At the end of treatment, a follow-up abdominal computed tomography (CT) scan showed no evidence of perforation. Additionally, blood tests revealed no abnormalities in liver or kidney function, confirming the safety of the treatments.

• Childhood Kidney Diseases
• /
• 제11권2호
• /
• pp.203-211
• /
• 2007

목 적 : 본 연구에서는 소아에서의 연령과 성별, CRP, 그리고 혈액 내 백혈구 등의 독립적 요소들을 방사선학적 검사와 각각 비교평가하고 배뇨성방광 요도 조영술의 시행이 필요한지에 대하여 평가를 해보고자 한다. 방 법 : 본 연구에는 2002년 1월부터 2005년 1월까지 OO대부속병원 소아청소년과에서 $38^{\circ}C$ 이상의 발열을 주소로 내원하여 요로감염으로 처음 진단받은 98명이 포함되었다. 요로감염의 진단은 소변 배양 검사상 단일 균주가 105 CFU/mL 이상 자랐을 때로 정의하였으며, 신경학적 신장 기능이상이 보이는 환자들은 검사에서 제외하였다. 이들 모두에게 치료시작 전후의 발열기간을 기록하고 CRP, 백혈구 등을 검사하였으며, $^{99m}Tc$-DMSA 신장스캔과 복부-신장초음파, 퇴원 2근주 후 방광요로조영술 등을 시행하였다. 성별에 따른 방사선학적 이상의 빈도와의 관계는 chi-square test로 검정하였고, 연령에 따른 방사선학적 이상의 빈도와의 관계는 logistic regression model로 검정하였다. 방사선학적인 이상을 보인 환자군에서 진단당시의 발열기간, 백혈구, CRP 수치의 차이가 있는지를 알아보기 위하여 t-test를 사용하여 검증하였고 방사선 검사들을 chi-square test로 비교하여 양성간의 상관관계를 분석하였으며 유의 수준은 P<0.05로 하였다. 결 과 : 요로감염이 진단된 98명의 환아 중에서 52명이 남자 환자였고 46명이 여자 환자였다. 총98명의 환자들 중 배뇨성 방광 요도 조영술 검사상 이상소견을 보인 경우가 총18명이었고, 신장-복부초음파 결과에서 이상소견을 보인 경우는 총17명이었으며, $^{99m}Tc$-DMSA 신장 스캔에서 부분적 결손이나 미만성 섭취감소를 보인 경우는 총20명이었다. 각 연령과 성별에서의 방사선검사 결과들과의 상관관계는 통계학적으로 유의 한 차이를 보이지 않았다(Table 1, 2). 치료 전의 발열기간에서 신반흔을 보인 군이 음성인 군보다 발열기간이 길었다(Table 3). CRP, 백혈구는 방사선학적 이상소견이 있는 군에서 통계학적으로 유의하게 높았다(Table 4, 5). $^{99m}Tc$-DMSA 신장 스캔과 신초음파 검사의 양성유무는 배뇨성 방광 요도 조영술 검사의 양성유무와 통계적으로 유의한 상관관계를 보였다(Table 6, 7). 결 론 : 치료 전 발열기간, 입원 당시 백혈구, CRP에 기초한 임상적 평가는 첫 요로감염 질환에 걸린 환아들의 방광 요관 역류 여부를 예측하는데 유용하며, 추가적인 방사선학적 검사가 필요한지 에 대해 지침을 제공할 수 있다. 소아의 첫 요로감염시 초음파나 $^{99m}Tc$-DMSA 신장 스캔상에서 양성소견이 있을 경우 배뇨성 방광 요도 조영술 검사를 시행하는 것이 좋으며, 초음파와 $^{99m}Tc$-DMSA 신장 스캔상에서 양성소견이 없을 경우라도 CRP 또는 백혈구 등의 임상자료들을 평가하여 배뇨성 방광 요도 조영술 검사를 시행유무를 결정하는 것이 잔존하는 방광요관역류를 찾는데 도움이 될 것으로 생각된다.