• 제목/요약/키워드: incidental

검색결과 361건 처리시간 0.029초

Lymphosarcoma in a Brown Bear (Ursus arctos)

  • Kim, Jin-Hyun;Lee, Jung-Keun;Park, Jae-Hoon;Shin, Nam-Shik;Kwon, Soo-Wahn;Kim, Dae-Yong
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2001년도 추계학술대회 및 정기총회
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    • pp.25-25
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    • 2001
  • An example of lymphoblastic lymphosarcoma was diagnosed in a 7-year-old male brown bear (Ursus arctos) that died after having a 7-month history of depression, anorexia and watery diarrhea. Grossly the mesenteric lymph nodes were enlarged to approximately 4 to 6 times their normal size and histologically diagnosed as lymphoblastic lymphosarcoma. The small intestinal mucosa was corrugated and had severe mural thickening due to infiltrated neoplastic cells. Hepatic metastasis was also noted. the mother of this bear which died at the age of 20 also had similar gross changes on necropsy, but histological examination was not performed at that time and therefore the exact type of neoplasm remained to be determined. Since the daughter also died of neoplasm, genetic factor could be suspected in this family. This is the first reported case of lymphosarcoma in Ursidae in Korea. As an incidental finding, endogenous lipid pneumonia was noted in the lung.

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Intraosseous Calcaneal Lipoma with Subtalar Perforation through Cystic Degeneration: A Case Report

  • Kumar, Abhishek;Stephanie, Stephanie;Choi, Jun Young;Chang, Sunhee;Suh, Jin Soo
    • 대한족부족관절학회지
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    • 제19권1호
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    • pp.27-31
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    • 2015
  • Intraosseous lipoma is a benign tumor that originates from proliferating mature lipocytes. It often occurs in the metaphysis of long bones of the lower extremity, and also in the calcaneus, humerus, mandible, sacrum, and rib bones. Frequently, it involutes spontaneously through a process of infarction, calcification, and cyst formation. It can either present as pain, or be asymptomatic and only discovered through an incidental radiological finding. In our case, the patient presented with heel pain. Intraoperatively, it was found that the intraosseous cavity was filled with fat along with an adjacent but separate area of cystic degeneration. There was also a cortical perforation at the cystic lesion which was communicating with the subtalar joint. This cortical breach is most likely the cause of diffuse lateral heel pain experienced by our patient, and such a pathological fracture due to intraosseous lipoma has never been reported.

상악동을 침범하는 역위성 유두종의 증례보고 (A case report of an inverted papilloma infiltrating into maxillary sinus)

  • 지용화;최보람;허경회;안창현;이삼선
    • Imaging Science in Dentistry
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    • 제39권2호
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    • pp.103-107
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    • 2009
  • The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst in the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination. (Korean J Oral Maxillofac Radiol2009; 39: 103-7)

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소아 Lipoblastoma의 임상 양상 (The Clinical Manifestations of Lipoblastoma in Children)

  • 남소현;김대연;김성철;김인구
    • Advances in pediatric surgery
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    • 제13권2호
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    • pp.179-186
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    • 2007
  • Lipoblastoma is a rare benign soft tissue tumor occurring in infancy and early childhood. It is characterized by fat lobules with varying degrees of maturity, multivaculoated lipoblasts, fibrocapillary networks and myxoid stroma. Lipoblastoma has a good prognosis with no metastases despite its potential for local invasion. From Jan, 1990 through April, 2007, 12 children underwent the operation for lipoblastoma, 7 boys and 5 girls, diagnosed at median 22 months (5 ~ 43 months). Median follow up was 6 year 7 months. Primary sites included back (n = 5), intraabdominal (n = 2) and one in each of buttock, chest wall, neck, nose and scalp. Tumors presented with a growing mass in 9 patients, abdominal distension in 2, and an incidental finding on chest radiography in one. Complete excisions were done in all patients. There was one recurrence in a patient with a scalp mass. After reoperation, he has been doing well without evidence of recurrence. Lipoblastoma has a favorable prognosis, but recurrence can occur even with complete excision. Regular follow up is necessary to detect recurrences.

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저혈청요소질소치의 의의 (Significance of Low Serum Urea Nitrogen Concentrations)

  • 김정숙;김경동;김대철
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.159-165
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    • 1990
  • The prevalence of low serum urea nitrogen concentrations (< 6mg/dL) in our patient population was 3.8% (452 per 11,911 determinations), representing 372 individual cases. Of these, 323 of the patients charts were located, reviewed, and classified into disease groups. Malignant tumor was found in 25.1% of the 323 patients, the remaining patients without malignant tumor had various clinical conditions; pregnancy (19.5%), infectious diseases (12.1%), trauma (10.2%), cerebrovascular accident (62%), hepatopathy (5.3%), and miscellaneous conditions (21.6%). The prevalence in female and young aged patients under 5 years was considered due to the lower reference range in these groups than in that of female adult groups, and moreover pregnancy is another superimposing factor in the former group. In regards to the causes of this condition, our study corresponded well to the textbook cited etiology of the low serum nitrogen concentration, although malnutrition and hepatopathy were inverted in their incidental order. We postulated, through the present study, that the low serum urea nitrogen concentration is not pathognomonic findings to suggest specific disease or conditions, but rather to reflect patient's general conditions such as hydration, nutrition, or administration of certain drugs.

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북한이탈주민의 가족이주 특성과 유형 (Family Migration Characteristics and Types of North Korean Defectors)

  • 진미정;김상하
    • Human Ecology Research
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    • 제56권3호
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    • pp.317-330
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    • 2018
  • Objectives: This study explores the characteristics of family migration for North Korean defectors and classifies family migration by examining who initiated the migration and who followed. Method: We analyzed the family migration using detailed stories from fifty-five North Korean defectors who were interviewed between 2005 and 2011. Results: We found that 43 out of 55 cases were family migration and the remaining 12 cases were single person migration. We also found several characteristics typical of migration. First, family migration followed the process of step migration, which indicated a serial migration in numbers. Second, migration relied heavily on informal social networks. Finally, the process of earlier migration by North Koreans was incidental and unexpected; however, unexpectedness has diminished in recent migration. Looking at who initiated the migration, the most common type was 'mother-initiated' cases (14 cases) followed by 'child-initiated' cases (10 cases). The third most common type was 'mother-child accompanied' cases (7 cases). The migration process was various; however the most common type was when a married woman initiated the family migration process. This is most likely because married women have the responsibility to support families in the informal economy of North Korea. According to the range of family migrated, the most common type was 'nuclear-family only' cases (22 cases) followed by 'maternal extended family migration' cases (12 cases). Conclusions: The findings of this study provide information on the family dynamics of North Korean defectors.

세계 에너지절약정책 모범사례와 시사점 (Best Practices and Implications of Global Energy Saving Policies)

  • 임기추
    • 에너지공학
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    • 제26권1호
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    • pp.45-53
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    • 2017
  • 에너지효율분야 모범정책 사례는 IEA의 연구결과를 비롯한 선행연구자료에서 수집된 전 세계의 거의 모든 사례를 대상으로 모범정책의 4가지 속성, 즉 경제적 성과, 시너지, 정치적 조정, 시장성의 부합 여부, 부합 정도 등을 평가하여 검증단계를 거쳐 선정되었다. 선정결과 모범정책은 거버넌스, 재정, 유틸리티, 가정, 수송, 산업/중소기업 등 6대 분야에서 모두 36개의 사례로 제시되었다. 에너지효율 모범정책들이 실행된 국가들은 에너지비용 절감을 통해 높은 수익률과 부수비용 감소, 기업의 생산성 향상, 에너지 접근성 향상과 같은 다양한 효과를 얻고 있다. 향후 다른 국가들이 이러한 효과를 거두기 위해서는 각 국가의 상황에 맞게 정책을 적용할 필요가 있다.

Chylopericardium Secondary to Lymphangiomyoma - A case report -

  • Ko, Seong-Min;Lee, Yang-Haeng;Cho, Kwang-Hyun;Yoon, Young-Chul;Han, Il-Yong;Park, Kyung-Taek;Jung, Soo-Jin
    • Journal of Chest Surgery
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    • 제44권5호
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    • pp.377-379
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    • 2011
  • Chylopericardium is a rare disease entity characterized by the accumulation of chylous fluid in the pericardial sac. It usually arises from mediastinal neoplasms, thrombosis of the subclavian vein, tuberculosis, nonsurgical trauma, thoracic or cardiac surgery. The spectrum of symptoms for chylopericardium varies from an incidental finding of cardiomegaly to dyspnea, upper abdominal discomfort, cough, chest pain, palpitation, fatigue. However, most of the patients are asymptomatic. The main purpose of treatment of chylopericardium is the prevention of cardiac tamponade and prevention of metabolic, nutritional, and immunological compromise due to chyle leak. Here, we report a case of chylopercardium secondary to lymphangiomyoma with review of the literature.

Dentatorubropallidoluysian Atrophy 일가족 (A Family of Dentatorubropallidoluysian Atrophy)

  • 정지윤;박미영;이준;윤준필;박현정
    • Journal of Yeungnam Medical Science
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    • 제23권1호
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    • pp.118-123
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    • 2006
  • Dentatorubropallidoluysian atrophy (DRPLA) is a rare neurodegenerative disorder usually inherited in an autosomal dominant pattern. DRPLA has been shown to be associated with expansion of an unstable cytosine-adenine-guanine (CAG) trinucleotide repeat in a gene on chromosome 12p. We evaluated a family with DRPLA that affected three members; A 35-year-old female presented with seven year history of gait ataxia, dysarthria and mild cognitive impairment. The MRI of the brain revealed diffuse cerebellar atrophy with an incidental lipoma in the midbrain. Her 30-year-old brother presented with progressive cerebellar ataxia that developed at the age of 20. Her grandmother and mother were reported to have developed ataxia during the late period of their life, and died at the age of 60 and 55, respectively. The demonstration of an expanded CAG repeat in the gene for DRPLA was used to confirm the diagnosis.

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Prevalence of Pathological Brain Lesions in Girls with Central Precocious Puberty: Possible Overestimation?

  • Yoon, Jong Seo;So, Cheol Hwan;Lee, Hae Sang;Lim, Jung Sub;Hwang, Jin Soon
    • Journal of Korean Medical Science
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    • 제33권51호
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    • pp.329.1-329.9
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    • 2018
  • Background: Brain magnetic resonance imaging (MRI) is routinely performed to identify brain lesions in girls with central precocious puberty (CPP). We aimed to investigate the prevalence and type of brain lesions among Korean girls with CPP and evaluate the need for routine brain MRI examinations. Methods: This retrospective cross-sectional study evaluated data on 3,528 girls diagnosed with CPP from April 2003 to December 2016, and identified 317 girls who underwent sellar MRI. Exclusion criteria were patients with a known brain tumor or who did not undergo brain MRI due to refusal or the decision of the pediatric endocrinologist. Results: Normal sellar MRI findings were observed in 291 of the 317 girls (91.8%). Incidental findings were observed in 26 girls (8.2%). None of the patients had pathological brain lesions. Conclusion: The prevalence of intracranial lesions among girls who were generally healthy and without neurological symptoms but diagnosed with CPP was lower than that previously reported. Furthermore, none of the identified lesions required treatment. It may be prudent to reconsider the routine use of brain MRI to screen all patients with CPP, especially if they are healthy and neurologically asymptomatic, and are girls aged 6-8 years.