• 제목/요약/키워드: lesion size

검색결과 590건 처리시간 0.026초

기관지 천식으로 오인된 기관지 평활근종 2예 (Two Cases of Bronchial Leiomyoma Initially Misdiagnosed as Bronchial Asthma)

  • 이승철;박무석;정재호;김영삼;김길동;장준;정경영;신동환;김성규;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제55권6호
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    • pp.616-622
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    • 2003
  • 호흡곤란, 기침, 천명 등의 증상으로 기관지 천식을 진단 받고 이에 대한 치료를 받던 중증상 호전이 없어 시행한 흉부전산화단층촬영 및 굴곡성 기관지내시경 검사상 진단되어 기관지절개술 및 기관지성형술로 재발과 잔여 종괴 없이 치료된 기관지 평활근종 2예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

객혈을 동반한 양성 전이성 폐 평활근종 1예 (Benign Metastasizing Pulmonary Leiomyoma with Hemoptysis)

  • 박소영;임은주;장지선;김창환;지현근;조성진;박용범;이재영;모은경
    • Tuberculosis and Respiratory Diseases
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    • 제60권1호
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    • pp.92-96
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    • 2006
  • 자궁근종으로 자궁절제술을 시행받은 과거력이 있는 43세 여자가 객혈을 주소로 내원하였다. 컴퓨터단층촬영에서 다발성 폐결절이 발견되어 흉강경하에서 조직검사 시행 후 양성 전이성 폐평활근종을 진단받았다. 폐경 전 환자로 GnRH analogues 치료를 시도하였고 3개월 후 추적검사에서 폐결절의 크기는 이전과 변화가 없는 상태를 확인하였고 객혈도 없는 안정된 상태로 경과 관찰중이다.

Rhizopus Soft Rot on Cherry Tomato Caused by Rhizopus stolonifer in Korea

  • Kwon, Jin-Hyeuk;Kang, Soo-Woong;Kim, Jeong-Soo;Park, Chang-Seuk
    • Mycobiology
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    • 제29권3호
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    • pp.176-178
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    • 2001
  • A soft rot of fruits caused by Rhizopus stolonifer occurred on cherry tomato in Jinju City Agricultural Products Wholesale Market, Korea. The disease infection usually started from wounding after cracking of fruits. At first, the lesions started with water soaked and were rapidly softened and diseased lesion gradually expanded. The mycelia grew vigorously on the surface of fruits and formed stolons. Colonies on potato dextrose agar at $25^{\circ}C$ were white cottony at first, becoming heavily speckled by the presence of sporangia and the browinish black, and spreading rapidly by means of stolons fired at various points to the substrate by rhizoids. Sporangia were $82.7{\times}196.7{\mu}m$ in size and globose or sub-globose with somewhat flattened base. The color of sporangia was white at first and then turned black with many spores, and never overhanging. Sporangiophores were $2.6{\sim}5.8{\times}12.3{\sim}24.2{\mu}m$ in width, smooth-walled, non-septate, tight brown, simple, long, arising in groups of $3{\sim}5$ from stolons opposite rhizoids. Sporangiospores were $8.2{\sim}18.8{\mu}m$ long, irregular, round, oval, elongate, angular, and browinish-black streaked. Columella was $64.1{\times}136.3{\mu}m$. brownish gray, and umberella-shaped when dehisced. The causal organism was identified to be R. stolonifer. This is the first report of Rhizopus soft rot on cherry tomato caused by R. stolonifer in Korea.

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Sclerotium rolfsii에 의한 설악초 흰비단병 (Stem Rot of Euphorbia marginata Caused by Sclerotium rolfsii)

  • 권진혁;강동완;김민근
    • 한국균학회지
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    • 제39권3호
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    • pp.254-255
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    • 2011
  • 경상남도농업기술원 화단에서 S. rolfsii에 의한 설악초 흰비단병이 발생되었다. 병징은 줄기가 수침상으로 물러지고 썩으면서 서서히 시들어 말라 죽었다. 병든 줄기와 지제부, 토양 표면에 흰색의 곰팡이가 발생하고 갈색의 작은 둥근균핵을 많이 형성하였다. 균핵의 크기는 1~3mm이며 균사의 폭은 4~9 ${\mu}m$였다. 균사특유의 clamp connection이 관찰되었다. 균사생육과 균핵형성 적온은 $30^{\circ}C$이었다. 설악초에서 발생한 병징과 병원균의 균학적 특징을 조사한 결과, 이 병을 Sclerotium rolfsii Saccardo에 의한 설악초 흰비단병으로 명명하고자 제안한다.

개 신장 혈관육종의 진단 영상 1례 (Diagnostic Imaging of Renal Hemangiosarcoma in a Dog)

  • 최지혜;반현정;장재영;김현욱;김혜진;김학상;윤정희
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.51-55
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    • 2007
  • A 13-year-old male Yorkshire terrier was Presented with Persistent weight loss anorexia and dark brown urine of 3-month duration. On physical examination, a firm oval mass was palpated at left renal region. In hematology and blood chemistry, neutrophilia, anemia, thrombocytopenia and elevation of ALKP were found. Abdominal radiography, ultrasonography and ultrasound-guided percutaneous pyelogram revealed masses originated from left kidney, mildly dilated renal Pelvis and intact ureter. Urinalysis showed hematuria and proteinuria. Because the state of dog became deteriorated during transfusion and the frail renal tumor was suspected to be the cause of inflammation and anemia, nephrectomy was performed. Renal masses, approximately $2{\times}3cm\;and\;5{\times}4cm$ respectively in size, was surrounded by swollen and congested mesentery and ascites. Metastatic lesion was not found in other organs. During recovery, the dog showed cardiopulmonary arrest and did not respond to critical care. Histologically the kidney was affected by necrotic and hemorrhagic change. This hemangiosarcoma most likely arose from the renal parenchyma resulting In diffuse lesions in the kidneys thought to be the cause of chronic anorexia and weight loss.

비우식성 치경부 병소와 5급 와동 수복물이 치주조직에 미치는 영향 (Effects of non-carious cervical lesions and class V restorations on periodontal conditions)

  • 김현주;김성조;최점일;이주연
    • Journal of Periodontal and Implant Science
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    • 제39권1호
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    • pp.17-26
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    • 2009
  • Purpose: The non-carious cervical lesion(NCCL) is a loss of tooth structure at the neck of affected teeth that is unrelated to tooth caries. The reported prevalence of NCCL varies from 5% to 85%. Prevalence and severity of lesions have been found to increase with age. They are becoming more significant as people live longer and become more aware of the importance of oral health. The purposes of this study were first, to examine the periodontal conditions associated with NCCL, and second, to investigate the clinical effects of class V restorations of NCCL on periodontal tissues. Materials and methods: The sample size was 982 teeth of 50 subjects(25 male, mean age $52{\pm}7$) who were seen at the Department of Periodontology, Pusan National University Hospital. At the baseline examination, clinical periodontal parameters were measured. After the initial examination, 24 patients who were absent from hypersensitivity were selected. The teeth with NCCL were randomly divided into the test and control groups. The teeth in the test group were restored with flowable resin; the control teeth were not restored. Six months later, the clinical examinations were repeated. The data were analyzed using the SPSS program. Results: The results were as follows: 1) NCCL occurred on 45.8% of examined teeth. The percentage of affected teeth was higher in maxillary and premolar teeth. 2) The shallow saucer type was the most common. 3) Teeth with NCCL had more gingival recession, lower attachment level, and higher incidences of bleeding on probing(BOP) and plaque than NCCL-free teeth. 4) Six months later, gingival recession, attachment level, the percentages of BOP and plaque in the test group were lower than in the control group(p<0.05). Conclusion: NCCLs were more found in maxillary teeth, especially in premolar teeth. The results suggest that the restoration of NCCL could affect some periodontal parameters favorably.

후두종양의 임상적 및 병리학적 고찰 (The Clinical and Pathological Study of Laryngeal Mass)

  • 이원용;배정수;김혜숙;여재동;조세인
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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    • pp.6.2-6
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    • 1983
  • 이비인후과 영역의 종양중 후두종양은 비교적 흔히 볼 수 있으며, 그 특이한 증상과 간접후두경 및 후두직달경 등으로 조기진단이 가능한 반면에 증상의 경과도 빨라 치명율 역시 높은 것이 사실이다. 이에 저자는 1978년 6월부터 1983 년 2월까지 본 병원에 내원하여 애성 및 후두종양을 발견한 108명의 환자를 임상적 및 병리학적으로 분류하여 문헌적 고찰과 함께 보고하는 바이다.

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족부 설상골에 발생한 거대세포종 - 증례보고 1례 - (Giant cell tumor of Cuneiform - A Case Report -)

  • 김진원;박홍기;조현이
    • 대한골관절종양학회지
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    • 제8권2호
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    • pp.58-62
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    • 2002
  • 골의 거대세포종은 원발성 골 종양의 5-10%를 차지한다. 주로 20-40세 사이의 연령에서 많으며 90% 이상이 장골에 발생하지만 아주 드물게 수부나 족부 같은 편평골이나 단골에도 발생한다. 주요 증상은 동통이며 종종 병적 골절이나 심지어 연부 조직의 침범이 동반될 수있다. 방사선학적으로 골간단에 음영이 감소된 균질의 골 용해 소견이 보이며 주위에 반응성골 형성은 없다. 치료는 골 종양의 병기에 따라 차이가 있으며 재발율을 줄이고 침범 부위의 기능을 보존할 수 있는 수술적 치료가 필요하다. 비진행성 병기는 소파술후 골이식이나 골시멘트 충전을 할 수 있고 진행성 병기는 광범위 절제술후 관절 고정술이나 종양 대치물로 사지 구제술을 시행한다. 전이, 국소재발을 주기적으로 관찰해야 한다. 저자들은 족부의 외측 설상골에 발생한 거대 세포종을 경험하였기에 보고하고자 한다.

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A clinical review of reconstructive techniques for patients with multiple skin cancers on the face

  • Kim, Geon Woo;Bae, Yong Chan;Bae, Sung Hwan;Nam, Su Bong;Lee, Dong Min
    • 대한두개안면성형외과학회지
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    • 제19권3호
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    • pp.194-199
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    • 2018
  • Background: Cases of simultaneous multiple skin cancers in a single patient have become more common. Due to the multiplicity of lesions, reconstruction in such cases is more difficult than after a single lesion is removed. This study presents a series of patients with multiple facial skin cancers, with an analysis of the surgical removal, reconstruction process, and the results observed during follow-up. Methods: We reviewed 12 patients diagnosed with multiple skin cancers on the face between November 2004 and March 2016. The patients' medical records were retrospectively reviewed to identify the type of skin cancer, the site of onset, methods of surgical removal and reconstruction, complications, and recurrence during follow-up. Results: Nine patients had a single type of cancer occurring as multiple lesions, while three patients had different skin cancer types that occurred together. A total of 30 cancer sites were observed in the 12 patients. The most common cancer site was the nose. Thirteen defects were reconstructed with a flap, while 18 were reconstructed with skin grafting. The only complication was one case of recurrence of basal cell carcinoma. Conclusion: Multiple skin cancers are removed by performing Mohs micrographic surgery or wide excision, resulting in multiple defect sites. The authors emphasize the importance of thoroughly evaluating local lesions surrounding the initially-identified lesions or on other sites when reconstructing a large defect which can not be covered by primary closure. Furthermore, satisfactory results can be obtained by using various methods simultaneously regarding the condition of individual patients, the defect site and size, and the surgeon's preference.

유방전용감마카메라에서 유방 보형물이 영상에 미치는 영향에 관한 고찰 (A Study on Effect of the Image Applying to Breast Implants in Breast Specific Gamma Imaging)

  • 이주영;이태수;박훈희
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권1호
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    • pp.33-38
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    • 2018
  • There are limits to check the lesion as inserting a breast implant patients. So the application of BSGI based on Nuclear Medicine examination has increased. In this study, therefore we confirmed the effect of the image applying to breast implants in Breast Specific Gamma Imaging. We utilized Dilon 6800 BSGI scanner and developed the phantom. The self-development phantom was a rectangular shape of $230{\times}190{\times}80mm$ size and had 5 spheres which consisted of diameters of 10, 13, 17, 22, 28 mm in central part. We injected $^{99m}TcO_4$ into the self-development phantom in the proportion of four to one and made each additional phantom filled with 0.9 % sodium chloride, silicon and paraffin. Each additional phantom was placed between detector and self-development phantom. Each image was acquired five times depending on the type and thickness of the additional phantom. Statistical analysis with SPSS ver.18 was applied. In the test of variation according to the thickness of all additional phantoms, as the phantoms which 0.9% sodium chloride, silicon and paraffin increased, the attenuation variation was higher(P<0.005). There was no significant difference in the attenuation variation and the quality of image for type of the additional phantom. Therefore, if the effect of the image applying to breast implants in Breast Specific Gamma Imaging is confirmed, the higher diagnostic value can be achieved.