• Title/Summary/Keyword: Soft Arm

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Angiosarcoma in a Chronically Lymphedematous Leg - Stewart-Treves Syndrome - (하지의 만성 림프부종에 발생한 혈관육종 - Stewart-Treves 증후군 -)

  • Chun, Young-Soo;Shim, Hee-Seok
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.2
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    • pp.178-183
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    • 2009
  • Angiosarcoma is a very rare disease of soft tissue sarcoma, and angiosarcoma arising in a region of chronic lymphedema is referred to as Stewart-Treves syndrome. it typically occurs in postmastectomy lymphedema of the arm and sporadically in a lymphedematous leg. The prognosis, even with wide surgical excision and subsequent radiotherapy, is poor. The authors experienced a case of angiosarcoma in a chronically lymphedematous leg which had undergone hysterectomy due to cervical cancer 17 years ago and lymphedema of leg persists for about 16 years. We report a case of angiosarcoma with a brief review of the literature.

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Microsurgical Reconstruction of the Injured Limb (미세혈관 수술법을 이용한 결손사지의 재건술)

  • Hahn, Soo-Bong;Yoo, Ju-Hyung
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.1-15
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    • 1996
  • From Fabuary 1982 to May 1995, 396 patients had undergone reconstructive surgery of the upper and lower limb with microsurgical technique at department of orthopaedic surgery, Yonsei University of Medicine. The results were as follows; 1. Average age at the time of operation was 23.4years(2-64 years), and there were 277 male and 119 female patients. 2. Among 324 patients of soft tissue flap(87 inguinal flap, 132 scapular flap, 38 latissimus dorsi flap, 11 latissimus dorsi and scapular combind flap, 6 gracilis flap, 12 deltoid flap, 3 tensor facia lata flap, 11 dorsalis pedis flap, 6 lateral thigh flap, 12 wrap around flap, 1 lateral arm flap, 5 musculocutaneous flap), 274 cases(85.5%) were succeed. 3. Among 37 patients of vascularized bone graft(18 fibular bone graft, 11 iliac bone graft, 7 toe to finger transplantation,1 vascular pedicle rib graft), 30 cases(80.1%) were succeed. 4. In 26 cases of segmental resection and rotationplasty at lower extremity, 23 cases were succeed. 5. In 7 cases of Tikhoff-Linberg procedure and in 2 case of segmental resection and replantation, all case was succeed. Overall success rate of microscopic reconstructive surgery was 85.6%. In conclusion, microsurgical technigue is valuable for reconstruction of tissue defect or function loss of the limb.

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Intradural Involvement of Multicentric Myxoid Liposarcoma

  • Cho, Su-Hee;Rhim, Seung-Chul;Hyun, Seung-Jae;Bae, Chae-Wan;Khang, Shin-Kwang
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.276-280
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    • 2010
  • Liposarcomas are malignant tumors of the soft tissue, with myxoid liposarcoma being the second most common subtype, tending to occur in the limbs, particularly in the thighs. Myxoid liposarcomas have an intermediate prognosis between well-differentiated and pleomorphic tumors. Spinal metastasis is usual but intradural involvement is extremely rare. We present an unusual case of a multicentric myxoid liposarcoma with intradural involvement. A 41-year-old woman complained of tingling sensation on her left arm. Radiological evaluation revealed multiple masses in her cervical spine, abdominal wall, liver, heart and right thigh, all of which were resected. She was histologically diagnosed with small round cell myxoid sarcoma and underwent adjuvant chemotherapy. However, magnetic resonance imaging analysis after 1 year revealed a large metastatic mass with bony invasion at the C6-T1 level. This mass consisted of extradural and intradural components causing severe compression of the spinal cord. She underwent resection via a posterior facetectomy of C6-7 and an anterior C7 corpectomy. However, the patient died of multiple metastases 18 months after the first diagnosis.

A Study on the Displacement Magnification Mechanism of Two-Lever System using Flexure Hinge (유연 힌지를 이용한 이중레버 시스템의 변위증폭 메카니즘에 관한 연구)

  • Jea, Wone-Soo;Ye, Sang-Don;Min, Byeong-Hyeon
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.7 no.2
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    • pp.60-65
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    • 2008
  • The high-technology industries including a semi-conductor and an information communication need an ultra-precision technology from the technological points of view. Nano technology based on an ultra-precision technology is being studied to overcome the delicate technology that may occur in the semi-conductor fields. Then, the transferring equipment with high resolution and long displacement becomes an important technology. The goal of this study is to analyze the displacement magnification mechanism driven by piezoelectric actuator which has high resolution and fast response characteristics using flexure hinge with the merits of soft displacement, negligible back-lash and stick-slip, and no-lubrication. The analyses to reduce the magnification losses occurred during the magnification process are performed using ANSYS software based on FEM. The five design variables such as arm thickness, thickness of hinge, radius of hinge, length of input side at the 1st lever and magnification ratio of 1st lever are optimized to induce the maximum magnification ratio using Taguchi method.

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Fine Needle Aspiration Cytology of Metastatic Synovial Sarcoma to the Lung - A Case Report - (폐에 전이된 활막육종의 세침흡인 세포학적 소견 - 1 예 보고 -)

  • Kang, Dong-Wook;Min, Sung-Kyi;Kang, Gil-Hyeun;Kang, Dae-Yung
    • The Korean Journal of Cytopathology
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    • v.4 no.2
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    • pp.171-175
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    • 1993
  • Synovial sarcoma us a rare malignant neoplasm of the soft tissue arising in the lower extremity, inguinal area, and upper arm. The majority occurs in patients between the age of 15 and 40 years. The histologic diagnosis is based on the classical biphasic type with the distinct epithelial and spindle cell components. We have recently encountered a case of metastatic synovial sarcoma of the lung diagnosed by fine needle aspiration cytology. A 34-year-old man was admitted because of a palpable mass on the antero-lateral side of the right tibia for 3 years. On admission, a well demarcated metastatic pulmonary nodule, measuring 5 cm in diameter, was also identified in the simple chest X-ray. Resection of the lower leg mass revealed typical histologic features of biphasic synovial sarcoma. Aspiration cytology of the pulmonary nodule revealed numerous clusters of spindle cells admixed with groups of epithelial cells. The epithelial cells had moderate-sized, round to oval shaped, and hyperchromatic nuclei. The cytoplasm was clear, but not distinctive. Interspersed tell elements were fibroblast-like spindle cells having elongated hyperchromatic nuclei.

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A Case of Disseminated Multiple Glomus Tumors (파종성 다발성 사구종양 1례의 치험례)

  • Choi, Tae Hyun;Yeo, Hyeon Jung;Son, Daegu;Kim, Hyung Tae
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.493-496
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    • 2009
  • Purpose: Glomus tumors are neoplasms that are composed of modified smooth muscle cells of the glomus body and multiple glomus tumor comprises 10% of all glomus tumors. We report a case of disseminated multiple glomus tumors. Methods: A 14 - year - old boy presented with multiple subcutaneous purple nodules on the right cheek, back, right arm, right hand dorsum, right fourth finger, and left ankle. Nodules on the back and right fourth finger were completely excised under local anesthesia and histopathologic examination was followed. Results: Histopathologic findings showed numerous dilated, cavernous - like, thin - walled, vascular spaces surrounded by one or a few layers of glomus cells. On immunohistochemical examination, glomus cells stain for smooth muscle actin, and endothelial cells stain for CD31. Those revealed multiple glomangiomas. Conclusion: A review of Korean literature revealed only one reported cases of disseminated multiple glomus tumors, so this is the second case to be reported in the Korean literature. In case of multiple soft tissue tumors, thorough physical examination and preoperative evaluation is needed.

Analysis Torque Characteristics and Improved Efficiency of Permanent Magnet Multi-D.O.F. Spherical Motor (영구자석형 다자유도 구형전동기의 토크특성 분석과 효율 향상에 대한 연구)

  • Lee, Ho-Joon;Kim, Yong;Jang, Ik-Sang;Park, Hyun-Jong;Kang, Dong-Woo;Won, Sung-Hong;Lee, Ju
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.61 no.1
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    • pp.57-63
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    • 2012
  • A surfaced permanent magnet spherical motor is capable of operating as three degree of freedom that used for the joints of the robot's arm, leg, and eyes. Ongoing research like new concept is essential part of motor field, it will make a great contribution in the future the overall portion of the motor, is becoming expected. The author analysis torque characteristics in spherical motor with state of rotating and positioning. And future design direction is smaller motors with equivalent or higher output. Solutions as torque and efficiency improvements are selecting the core with special processing type like powder metallurgy materials. Their special characteristic is high permeability and low eddy current losses at high speed, so improved the torque and efficiency.

Parametric Studies for Measurements of Dynamic Properties of Soils Using Inhole type CPTu (인홀형 탄성파콘 시험 결과에 미치는 변수 연구)

  • Jang, In-Sung;Kwon, O-Soon;Kim, Byoung-Il;Lee, Seung-Hyun
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.20 no.6
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    • pp.523-531
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    • 2008
  • In hole type CPTu equipment which combines the concepts of inhole test method and piezocone test method was newly developed in order to evaluate the dynamic properties of marine soils. It is possible to perform inhole type CPTu without any additional source device because the source and receiver are contained inside the cone rod, which is different from the conventional seismic cone system. In this study, laboratory tests using kaolinite as soft soil and numerical simulations using finite element method were carried out to investigate the effects of several parameters including test methods and soil conditions on the test results from inhole type CPTu and to find out the optimum test method. It was found that it is necessary to maintain the length of swing arm as well as the distance between source and receiver consistently to obtain the rigorous test results. The laboratory test and numerical results also reveal that contrary to the input wave frequency, the water content of soil layer and the disturbance due to the installation of swing arm apparently affect the shear wave velocity.

CLINICAL REPORT OF NEUROFIBROMATOSIS TYPE 1 PATIENT (제1형 신경섬유종증 환아의 임상적 치험례)

  • Lee, Dae-Woo;Yang, Yeon-Mi;Kim, Jae-Gon;Baik, Byeong-Ju;So, Yu-Ryeo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.2
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    • pp.187-193
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    • 2011
  • Neurofibromatosis is known as an autosomal dominant disorder caused by a mutation of a tumor suppressor gene on the long arm of chromosome 17 that affects the bone, nervous system, soft tissue, skin, and endocrine system. The most characteristic finding, which is helpful for clinical diagnosis as well, is the neurofibroma. Likewise brown macules called Cafe-au-lait spots with color of caffee latte, and Lisch nodules found around iris are useful to diagnose the disease. As known, the possibility of the neurofibromatosis occurred in oral cavity is relatively rare, and in most of cases it is related to soft tissue changes with single or multiple neurofibromatosis. The purpose of this report is to present characteristic dental findings which were found in a 4-year-old male and his father, both diagnosed as neurofibromatosis at Chonbuk National University Hospital before visiting our department, pediatric dentistry.

A Case of Cervico-Thoracic Malignant Schwannoma with Lung Metastasis (폐전이를 보인 경-흉추 이행부 악성 신경초종 1례 - 증 례 보 고 -)

  • Park, Kyung Bum;Hwang, Soo Hyun;Kim, Joon Soo;Kim, Ki Jeong;Park, In Sung;Kim, Eun-Sang;Jung, Jin-Myung;Han, Jong Woo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1332-1335
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    • 2001
  • Acase of malignant schwannoma in the cervico-thoracic region with lung metastasis is presented. The patient was 55-year-old man presented with right arm weakness. Magnetic resonance image demonstrated lobulated enhancing soft tissue masses in spinal canal, neural foramen and right paraspinal space at C7-T1 level compressing the dural sac and spinal cord. Subtotal removal was performed and histological diagnosis of malignant schwannoma was made. Reoperation due to recurrence was done but subsequent metastasis to lung was observed.

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