• 대한영상의학회지
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• 제83권5호
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• pp.1189-1194
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• 2022

유방의 겨드랑꼬리에 발생한 악성 종양은 유방의 특정 해부학적 위치에서 발생하는 유방암의 한 종류이며 발생률은 0.3% 정도로 드문 질환이다. 이는 겨드랑이에서 발생하는 연부조직 종양, 액와부 부유방에서 발생한 유방암, 유방암의 림프절 전이 또는 다른 원발암의 림프절 전이 등과 감별이 필요하다. 저자들은 겨드랑이 종물을 주소로 내원한 47세 환자에서 유방촬영술, 초음파, 전산화단층촬영, 자기공명영상을 통해 겨드랑꼬리 유방암을 진단한 증례를 경험하여 보고하고자 한다.

• Journal of Breast Cancer
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• 제21권4호
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• pp.447-452
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• 2018

Purpose: The recent trend in breast cancer treatment is to minimize axillary dissection. However, no pattern of axillary metastasis has been precisely established. The purpose of this study was to evaluate the metastatic lymphatic pattern using near-infrared fluorescence imaging with indocyanine green (ICG) in breast cancer with cytologically proven axillary metastasis. Methods: This was a prospective single-center study. We evaluated 147 patients with breast cancer involving cytologically proven axillary metastasis, and compared physiological and nonphysiological lymphatic metastasis. Results: We performed lymphatic mapping for 64 patients who exhibited level II lymphatic flow on near-infrared fluorescence imaging with ICG, and found that all had axillary metastasis: 51 patients who did not receive neoadjuvant chemotherapy (NAC) and 13 patients post-NAC. Of patients who did not receive NAC, 32 had physiological lymphatic metastasis and 19 had nonphysiological lymphatic metastasis. The risk factors for nonphysiological lymphatic metastasis were age ${\geq}55$ years, high Ki-67 index (>20%), and perinodal extension in both univariate and multivariate analysis (p<0.05). Conclusion: Patients with identified risk factors in cytologically-proven axillary metastasis who did not receive NAC may have nonphysiological lymphatic metastasis.

• 대한간호학회지
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• 제5권2호
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• pp.38-50
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• 1975

This study was conducted to find the shortest optimum time for taking oral temperature and axillary temperature, which does not affect reliability of body temperature. For this purpose, first, the time at which all the samples are reaching maximum temperature is identified Second, the mean maximum temperature is compared with the mean temperature of each consecutive measurement by T-test to find the time at which no significant changes in temperature occurs along time sequence. Third, optimum temperatures are set at points of -0.2℉, -0.4℉, -0.6℉, -0.8℉, -1.0℉, -1.2℉, -1.4℉, from maximum temperature. A point of time at which 90% of samples reach at optimum temperature is identified and defined as optimum time. The study sample, a total of 164 cases were divided into two groups according to their measured body temperature. The group with body temperature below 37 $^{\circ}C$(A group) and above 37$^{\circ}$1'C (B group) were compared on the time required to reach maximum temperature and optimum temperature. The results are as follow. 1. The time required for total sample to reach maximum temperature was 13 minutes in both groups by oral method, 15 minutes in A group and 13 minutes in B group by axillary method. Time required for 90 % of cases reach maximum temperature by oral method was 10 minutes in both group. By axillary method, 12 minutes in A group. (Ref: table 2) 2. Statistical analysis by means of T-test, the time which does not show a significant change by oral method were 12 minutes in A group and 11 minutes in B group, and by axillary method 14 minutes in A group and 11 minutes in B group. (Ref: table 5, 6.) 3. Where optimum temperature was defined as maximum temperature minus 0.2 ℉, optimum time was found 8 minutes in both groups by oral method, and 11 minutes in A group and 9 minutes in B group by axillary method 4. Where optimum temperature was defined as maximum temperature minus 0.4 ℉, optimum time was found 7 minutes in A group and 6 minutes in B group by oral method, and 9 minutes in A group and 7 minutes in B group by axillary method 5. Where optimum temperature was defined as maximum temperature minus 0.8 ℉, optimum time was found 6 minutes in A group and 6 minutes in B group by axillary method (Ref: table 7, 8, 9, 10) 6. The commonly practiced temperature taking time, 3 minutes in oral method and 5 minutes in axillary method can be accepted as pertinent when physiological variation of body temperature at the mean level of -1, 2 ℉ is accepted. 7. The difference in time required to resister maximum temperature was compared between the group with body temperature below 37$^{\circ}C$ and above 37$^{\circ}$1'C, and found no significant difference in oral mettled and 1 - 4 minute difference in axillary method with shorter time requirement in feverish group.

• 대한방사선기술학회지:방사선기술과학
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• 제41권3호
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• pp.231-240
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• 2018

Automated breast ultrasound (ABUS) equipment is a new innovative technique for 3D automatic breast scanning, but limited for the examination in the concave axillary region. The purpose of this study was to determine feasible candidate materials for the ultrasonic wave propagation media in ABUS, enabling the evaluation of the axillary region. Ultrasonography was performed using an ABUS system ($Invenia^{TM}ABUS$, GE, USA) on the ultrasound-specific phantom (UC-551M-0.5, ATS Laboratories, USA) covered by different candidate materials. The validity of feasible candidate materials was evaluated by image quality. Three independent radiological technologists, with more than 10 years of experience, visually assessed on the images. The inter-observer agreements according to the candidate materials were tested using Cronbach's alpha. Unenveloped solidified carrageenan can be a feasible material for the use of ABUS with excellent test reliability. Therefore, the coverage of the axillary region with carrageenan may be effective for ABUS which was originally developed for the convex anatomic structure as female breast.

• Archives of Plastic Surgery
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• 제35권6호
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• pp.709-715
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• 2008

Purpose: Axillary osmidrosis is caused by excessive apocrine gland secretion, which causes an unpleasant odor. Axillary osmidrosis causes difficulty in social activities and personal handicap. We studied the long term follow up results of our surgical procedures and sought to find a best surgical treatment methods. Methods: From January 1991 to December 2006, a total of 1864 patients(587 men, 1277 women) had been treated with this procedure for axillary osmidrosis and hyperhidrosis. Follow up periods varied from 10 to 15 years. We used the subdermal excision technique, using two small incisions over the axilary folds and using a Kawata dissector(instrumental shaving) and additional manual subdermal excision(manual shaving). Results: Among the total patients, 782 patients were followed up. Except a pure hyperhidrosis patients, 759 osmidrosis patients was included. 588 patients(77.4%) had a good results, 148 patients(19.5%) had a moderate results and 23 patients(3.1%) had a recurrence. Complication developed in 189 patients(10.1%): hematoma or seroma in 25 patients, wound dehiscence in 86 patients, partial skin necrosis in 45 patients, and infection in 28 patients. Conclusion: We conclude that our method has several advantages such as 1) short operation time, 2) minimal scaring, 3) lower complication rates, 4) high satisfactory rates.

• 식물조직배양학회지
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• 제22권2호
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• pp.101-104
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• 1995

작약동아의 정아 및 액아의 기내배양에 의한 유묘의 증식에 필요한 배양조건을 구명코자 실험한 결과는 다음과 같다. 정아배양의 경우, 생장조절재의 조성에 무관하게 두지방종에서 100% 신초가 신장하였으나 생장은 의성지방종 은 NAA 0.1 mg/L 단용배지, 영천지방종은 NAA 0.01 mg/L 단용배지에서 가장 양호하였다. 액아배양의 경우, NAA 0.01 mg/L와 zeatin 5.0 mg/L 혼용배지에서 의성지방종은 100%, 영천지방종은 50%의 가장 높은 신초신장율을 보였고 신초의 생장도 양호한 경향이었다. 정아 및 액아배양으로부터 유도된 신초는 vermiculite를 지지물로 한 NAA 0.1 mg/L 첨가배지에서 30.0%의 발근율을 보였으나 뿌리의 생장은 양호하였다.

• Journal of Chest Surgery
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• 제36권4호
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• pp.297-299
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• 2003

흉강내시경을 이용한 교감신경 절단술은 수장부 다한증뿐만 아니라 액와부 다한증에 대해서도 효과가 좋다고 알려져 있다. 이전에 R2, 3, 4교감신경 절단술의 여러 가지 조합 방법들과 다르게 R4, 5절단 방법 효과를 알아보고자 한다. 액와부 액취증 없이 과다한 땀이 나는 환자들을 대상으로 2002년 2월부터 8월까지 2mm 흉강내시경 이용하여 5예의 흉강경 교감신경절단술 시행하였다. 모든 환자들 수술 결과에 만족하였고 과다한 땀은 더 이상 없었다. 총 5예 중, 3예에서(60%) 보상성 다한증을 경험하였는데, 그중 1예만(20%) 의미 있게(불편한 정도는 아니지만) 보상성 다한증을 허리 및 허벅지에 보였다. 액와부 다한증에 대한 치료로 R4, 5 교감신경절단술은 효과적인 치료 방법으로 생각한다.

• Journal of Chest Surgery
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• 제28권1호
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• pp.42-46
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• 1995

Vertical axillary muscle sparing thoracotomy is newly appeared and excellent alternative method of standard posterolateral thoracotomy.It has many advantages compared to standard posterolateral thoracotomy , less postoperative pain, well preserved thoracic muscle strength, full range of motion of the shoulder girdle and attractive cosmetic results. We performed vertical axillary muscle sparing thoracotomy in 36 patients from November 1993 to July 1994. The ages of the patients ranged from 6 months to 71 years[mean 45.1 years , and the patients consisted of 20 males and 16 females.The preoperative diagnosis were as follows : lung cancer in 17 patients, tbc destroyed lung in 7, bronchiectasis in 3, bullous emphysema in 3 and the others are mediastinal tumor, bronchogenic cyst, lung abscess, empyema, esophageal diverticulum, and CCAM [congenital cystic adenomatoid malformation . The operative procedures were as follows : lobectomy and bilobectomy in 16 patients, segmentectomy in 4, wedge resection in 3, penumonectomy in 7, and the others were open biopsy, lobectomy with diaphragm excision, sleeve right upper lobectomy, decortication, mediastinal mass excision, and esophageal diverticulectomy. We had 6 complications : postoperative bleeding in 2 cases, operative wound infection, arrrhythmia[atrial fibrillation , Horner`s syndrome, hoarseness. The subcutaneous seroma occurred in 4 cases but did not require drainage and relieved within 4 weeks spontaneously. We concluded that vertical axillary muscle sparing thoracotomy could be done in most of all thoracic surgery with safety. Comparing to standard posterolateral thoracotomy vertical axillary muscle sparing thoracotomy has many advantages such as less postoperative pain, well preserved muscle strengths and good cosmetic results.

• 대한두경부종양학회지
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• 제25권1호
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• pp.43-46
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• 2009

Nasopharyngeal carcinomas are epithelial neoplasm derived from nasopharyngeal mucosa. Nasopharyngeal carcinoma involved cervical lymph nodes frequently. However, nasopharyngeal carcinoma with metastatic axillary node after concurrent chemoradiotherapy was reported rarely. We report the patients who was a 34-year-old man diagnosed as nasopharyngeal carcinoma. He was treated by concurrent chemo-radiotherapy. But axillary node metastasis was found after treatment in 2 years. After surgical resection of axillary lymph node, there is no evidence of disease.

• 대한물리치료과학회지
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• 제16권4호
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• pp.59-65
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• 2009

Background: Human body is formed of symmetric bilateral structures that are comprised of eye, upper arm, lower arm and etc. but, we are used only dominant components. The purpose of this study was to analysis length cognition ability in dominant eye & hand. Method: Total 180 persons (male 32, female 138) were participated in this study. They were tested with 'hole in the card' test for identification of dominant eye's side and the question for identification of dominant hand's side, then the length cognition ability was measured in right & left axillary level by describing 10cm line. Results: The results by independent t-test were as follows. In difference of length cognition ability in right axillary level between right dominant eyed group & left dominant eyed group, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). In left axillary level, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). In axillary level of dominant eye's side, non-crossed group was superior to crossed group, but significant difference was not existed statistically(p>.05). In axillary level of non-dominant eye's side, non-crossed group was superior to crossed group, but significant difference was not existed statistically(p>.05). Conclusion: These result can be applied to the learning of palpation & observation skill in physical therapy.