• Title/Summary/Keyword: anatomic

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Recurrence after Anatomic Resection Versus Nonanatomic Resection for Hepatocellular Carcinoma: A Meta-analysis

  • Ye, J.Z.;Miao, Z.G.;Wu, F.X.;Zhao, Y.N.;Ye, H.H.;Li, L.Q.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1771-1777
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    • 2012
  • The impact of anatomic resection (AR) as compared to non-anatomic resection (NAR) for hepatocellular carcinoma (HCC) as a factor for preventing intra-hepatic and local recurrence after the initial surgical procedure remains controversial. A systematic review and meta-analysis of nonrandomized trials comparing anatomic resection with non-anatomic resection for HCC published from 1990 to 2010 in PubMed and Medline, Cochrane Library, Embase, and Science Citation Index were therefore performed. Intra-hepatic recurrence, including early and late, and local recurrence were considered as primary outcomes. As secondary outcomes, 5 year survival and 5 year disease-free survival were considered. Pooled effects were calculated utilizing either fixed effects or random effects models. Eleven non-randomized studies including 1,576 patients were identified and analyzed, with 810 patients in the AR group and 766 in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis, more favorable hepatic function, and larger tumor size and higher prevalence of macrovascular invasion compared with patients in the NAR group. Anatomic resection significantly reduced the risks of local recurrence and achieved a better 5 years disease-free survival. Also, anatomic resection was marginally effective for decreasing the early intra-hepatic recurrence. However, it was not advantageous in preventing late intra-hepatic recurrence compared with non-anatomic resection. No differences were found between AR and NAR with respect to postoperative morbidity, mortality, and hospitalization. Anatomic resection can be recommended as superior to non-anatomic resection in terms of reducing the risks of local recurrence, early intra-hepatic recurrence and achieving a better 5 year disease-free survival in HCC patients.

Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting

  • Lee, Jang Won;Yoo, Ji Yong;Paek, Seung Jae;Park, Won-Jong;Choi, Eun Joo;Choi, Moon-Gi;Kwon, Kyung-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.5
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    • pp.278-283
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    • 2016
  • Objectives: The maxillary sinus mucosa is reported to recover to preoperative sterility after sinus floor elevation. However, when drainage of maxillary sinus is impaired, recovery can be delayed and maxillary sinusitis can occur. Therefore, in this study, we investigated the correlations between anatomic variants that can interrupt the ostium of the maxillary sinus and incidence of complication after sinus lifting. Materials and Methods: The subjects are 81 patients who underwent sinus lifting in Wonkwang University Dental Hospital (Iksan, Korea). Computed tomography (CT) images of the subjects were reviewed for presence of nasal septum deviation, anatomic variants of the middle turbinate, and Haller cells. Correlations between anatomic variations and occurrence of maxillary sinusitis were statistically analyzed. Results: Patients with anatomic variants of ostio-meatal units, such as deviated nasal septum, concha bullosa or paradoxical curvature of the middle turbinate, or Haller cells, showed a higher rate of complication. However, only presence of Haller cell showed statistically significant. Conclusion: Before sinus lifting, CT images are recommended to detect anatomic variants of the ostio-meatal complex. If disadvantageous anatomic variants are detected, the use of nasal decongestants should be considered to reduce the risk of postoperative sinusitis.

Fine Needle Aspiration Cytology of Secretory Carcinoma of the Breast - A case report - (유방의 분비성 상피암종의 세침 흡인 세포학적 소견 - 1례 보고 -)

  • Ha, Chang-Won;Koh, Jae-Soo;Myong, Na-Hye;Cho, Kyung-Ja;Jang, Ja-June
    • The Korean Journal of Cytopathology
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    • v.3 no.1
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    • pp.25-29
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    • 1992
  • Secretory carcinoma is a very rare tumor of the breast, having characteristic histologic findings. A cytologic study of a secretory carcinoma is presented. The smears were abundant in tumor cells which were arranged in loosely adherent or large tight clusters in clear background. The individual cells were round or oval, monomorphic, and had abundant eosinophilic cytoplasm. The cytoplasm showed distinct borders and single or fine vacuolization. The nuclei were peripherally located, oval, and vesicular with small prominent nucleoli. As in histology, the cytologic features were so characteristic that a diagnosis of secretory carcinoma could be made by ctyologic study only.

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Cytologic Diagnosis of Malignant Fibrous Histiocytoma in Pleural Fluid - A Case Report (흉막강액에서 진단된 악성 섬유성 조직구종 - 1예 보고 -)

  • Oh, Hwa-Eun;Kim, Yoo-Hoon;Cho, Seong-Jin;Kim, Young-Sik;Kim, In-Sun
    • The Korean Journal of Cytopathology
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    • v.6 no.1
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    • pp.80-83
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    • 1995
  • Malignant fibrous histiocytoma is the most common soft tissue sarcoma of late adult life, but it is rare in the pleura. We recently experienced a case of cytology of malignant fibrous histiocytoma in plural fluid. The smear revealed histiocytic malignant cells, spindle malignant cells and inflammatory cells. The histiocytic cells showed abundant, pale cytoplasm and ovoid, irregular eccentrically-placed nuclei. The spindle cells showed elongated nuclei. Intercellular collagen was also present.

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Three Cases of Rare Anatomic Variations of the Long Head of Biceps Brachii

  • Kwak, Sang-Ho;Lee, Seung-Jun;Song, Byung Wook;Lee, Min-Soo;Suh, Kuen Tak
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.96-101
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    • 2015
  • In general, the long head of the biceps brachii originates from the superior glenoid labrum and the supraglenoid tubercle, crosses the rotator cuff interval, and extends into the bicipital groove. However, rare anatomic variations of the origins of the long head have been reported in the past. In this report, we review the clinical history, radiologic findings, and arthroscopic identifications of 3 anatomic variants of the biceps tendon long head. As the detection of long head of biceps tendon pathology during preoperative radiologic assessment can be difficult without prior knowledge, surgeons should be aware of such possible anatomic variations.

Cytodiagnosis of Primary Small Cell Carcinoma of the Urinary Bladder - A Case Report - (뇨세포진 검사로 진단된 방광의 원발성 소세포암 - 1예 보고 -)

  • Kim, Hye-Sun;Kim, Aee-Ree;Kim, Chul-Hwan;Chae, Yang-Seok;Won, Nam-Hee
    • The Korean Journal of Cytopathology
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    • v.5 no.2
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    • pp.167-171
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    • 1994
  • Small cell carcinoma of the urinary bladder is a rare tumor which occurs in about 0.48 % of all bladder tumors. We report cytologic features of small cell carcinoma of the urinary bladder in a 66-year-old man who had painless total gross hematuria, which was confirmed by partial cystectomy. In urine cytology, abundant tumor cells appeared in scattered and clustered forms in a bloody background. The tumor cells were small and uniform in size with a high nuclear/cytoplasmic ratio. The nuclei of the tumor cells were hyperchromatic, characteristically molded and showed inconspicuous nucleoli. The cytoplasms were scanty and pale blue.

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Cervicomediastinal Anastomotic Loop between Recurrent Laryngeal Nerves (양측 반회후두신경사이의 신경문합궁에 대한 실체)

  • 홍기환;정희수
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.69-74
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    • 1995
  • The anatomic course of recurrent laryngeal nerve, its branch and its function were most significant for laryngeal, thyroid and tracheoesophageal surgery. Furthermore, the vocal cord palsy resulting from multi-etiology was serious complication and resulted in affecting the life quality. So, for the prevention of this complication, the concepts and knowledge about anatomic course and variants are very important. At now, most of anatomic courses and it's function has been identified precisely. But recently, the report about the anastomotic loops of both recurrent laryngeal nerve was published. In this study, we explored three cadevors for identifying the reality of the anastomotic loops between recurrent laryngeal nerves. Finally, we identified the cervicomediastinal anastomosis at tracheoesophageal groove in 2 of 3 cadevors that was confirmed by pathologic finding. This anatomic reliefs related to it's branch are extremely interest, although research is still in its initial phase. Our study will be extended toward histomorphometrical study and progressive electrophysiologic study, and we will be able io gather the largest amount of useful data regarding any possible use of this anatomic entity in future.

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Clinical Evaluation and Treatment of Leg Length Inequality (하지길이균차에 대환 임상평가와 치료)

  • Kim, Chang-Hwan;Kim, Jong-Deog
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.19-29
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    • 2004
  • Objectives : Visual check and X-ray are commonly used by chiropractors to estimate ieg length inequality, This study have three categories: diagnosis for anatomic leg length inequality; difference between anatomic and functional leg length inequality; theraphies for anatomic or functional leg length inequality. Methods : We referred to a PubMed site by using word of 'leg length [JU] J Manipulative Physiol Ther', only items with abstracts. Results : We searched 26 articles in J Manipulative Physiol Ther with the key word-Ieg length. Conclusion : 1. Radiographs were most accurate and commonly used by chiropractors to measure anatomic leg length inequality, clinically wood block, tape measure, visual check are acceptable. 2. There was no article about difference between anatomic and functional leg length inequality. 3. Heel lift was commonly used with conservative theraphy for anatomic leg length Inequality. 4. Chiropractors have not yet proved that the supposed positive effects are a result of a reduction of subluxation, The detection of the manipulative lesion in the sacroiliac joint depends on valid and reliable tests, Because such tests have not been established, the presence of the manipulative lesion remains hypothetical. Great effort is needed to develop, establish and enforce valid and reliable test procedures.

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Malignant Thymoma Diagnosed by Fine Needle Aspiration Cytology - A Case Report- (세침흡인 세포검사로 진단된 악성 흉선종 - 1예 보고 -)

  • Kang, Kyung-Ha;Sohn, Jin-Hee;Kim, Duck-Hwan;Pang, Sung-Suk;Yang, Seong-Eun;Suh, Jung-Il
    • The Korean Journal of Cytopathology
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    • v.5 no.2
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    • pp.189-193
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    • 1994
  • Malignant thymoma is usually manifested as a mediastinal mass. Occasiomally, these tumors may be associated with a variety of systemic syndromes, such as myasthenia gravis, pure red cell aplasia or hypogammaglobulinemia However, it is generally accepted that thymomas rarely metastasize and the frequency of extrathoracic metastasis has been reported as 1 to 15%. In general, nuclear changes of tumor cells such as enlarged size, irregular shape and altered textures are determining factors in the assessment of the grade of malignancy. We experienced a case of malignant thymoma of anterior mediastinum in a 35-year-old woman. After 3 years, she developed recurrent malignant thymoma in the right supraclavicular area, diagnosed by aspiration biopsy cytology.

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A COMPARATIVE STUDY OF ANATOMIC STRUCTURES ON THE PANORAMIC RADIOGRAPH AND SOME EXTRAORAL RADIOGRAPHS (파노라마방사선사진상과 구외방사선사진상에서의 해부학적 구조에 관한 비교연구)

  • Lee Dong Kyu;Kim Han Pyoung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.14 no.1
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    • pp.71-80
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    • 1984
  • The author has studied each landmark for successful interpretation in the radiograph of the head that have the complex anatomic structures, using panoramic radiograph, postero-anterior cephalometric radiograph, lateral cephalometric radiograph, Waters' radiograph of the skull. The anatomic structures of the human dry skull attached by radiopaque materials were taken radiographs and analysed comparatively. The results were as follows: 1. The overall anatomic structures of the mandible showed sharp images in the panoramic radiograph than other radiographs with relatively less distortion, superimposition, blurring of the image. 2. The anatomic structures were situated on sagital plane of the skull showed blurred images in panoramic radiograph than other radiographs. 3. The anatomic structures which were situated on the basal portion of the skull showed blurred and secondary images in the panoramic radiograph than other radiographs. 4. In the panoramic radiograph, the lower 3rd portion of the orbit appeared to be superimposed with the superior portion of the maxillary sinus and the medial and lateral surface of the nasal cavity showed extensively superimposition of the orbit and the maxillary sinus, which images showed blurring. 5. The inferior surface and posterior surface of maxillary sinus showed to be good image in the panoramic radiograph than other radiographs. 6. In the panoramic radiograph, line of maxillary bone between lateral pterygoid plate, line of maxillary bone between zygomatic bone showed distinct image with another structures.

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