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Dedifferentiated Chondrosarcoma of the Rib Masquerading as a Giant Chest Wall Tumor in a Teenage Girl: An Unusual Presentation

  • Abraham, Viju Joseph;Devgarha, Sanjeev;Mathur, Rajendra Mohan;Sisodia, Anula;Yadav, Amita
    • Journal of Chest Surgery
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    • v.47 no.4
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    • pp.427-430
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    • 2014
  • Chondrosarcoma of the chest wall is a rare primary neoplasm found to occur in elderly men. Patients present with an enlarging, painful, anterior chest wall mass arising from either the vicinity of the costochondral junction or the sternum. Treatment includes wide resection with appropriate chest wall reconstruction. We report an unusual presentation of this uncommon tumor occurring as a huge chest wall mass in a young teenage girl.

Surgical Management of Chest Wall Tumors (흉벽 종양의 외과적 치료)

  • 박계현
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.547-554
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    • 1991
  • From May 1965 to December 1990, 78 patients with chest wall tumors were operated on. The mean age of the patients was 31.5 years with 50 male and 28 female patients. Forty-nine cases[62.8%] were developed at bony or cartilaginous wall and 29 cases[37.2%] at soft tissue of chest wall. Thirty-two of them[41.0%] were malignant, either primary or metastatic, and 46 tumors[59.0%] were histologically benign. For 55 patients who were operated on since 1982, 6 surgical biopsies. 39 tumor excisions, and 11 wide excisions with chest wall reconstruction were done. Preoperative factors favoring diagnosis of malignant neoplasm were; 1] old-aged male patient, 2] bone or cartilaginous tumors, 3] involvement of multiple ribs, 4] complaint of pain, 5] large size on palpation[larger than 4cm]. With proper diagnosis and management plan, we think, operations of chest wall tumors can give good results.

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Primary Uterine Lymphoma: A Case Report

  • In Joo Cheong;Se Hyun Kim;Cheol Min Park
    • Korean Journal of Radiology
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    • v.1 no.4
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    • pp.223-225
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    • 2000
  • Primary lymphoma of the uterus is a rare disease, the reported characteristic MR imaging findings being homogeneous intermediate signal intensity of the indistinct mass on T1- and T2-weighted images, and the preservation of endometrial lining and uterine architecture. We report a case of primary uterine lymphoma which showed tumoral necrosis, endometrial disruption and diffuse anterior vaginal wall involvement.

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Clinical Study of Primary Chest Wall Tumors (원발성 흉벽종양의 임상적 고찰)

  • 김창곤;구자홍;김공수
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.155-161
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    • 1998
  • Between January 1979 and August 1996, resection of a primary chest wall tumor was done in 51 patients. The mean age of the patients was 36.1 years(2 to 69 years). A palpable mass was the most common symptom(32 patients, 62.7%). The tumor was malignant in 11 patients (21.6%) and benign in 40 patients(78.4%). The tumors in 32 patients(62.7%) had developed from the bony or the cartilaginous wall and in 19 patients(37.3%) from soft tissue. Thirty seven of the patients with benign tumors were treated by excision (three of the patients: wide resection and reconstruction) without recurrence or death, and they are currently free from disease. Most malignancies(8 patients) were treated by wide resection and chest wall reconstruction. Five of them are currently alive. The chest wall reconstruction with Marlex mesh, Prolene mesh, or Teflon felt was done in five of the patients with malignant tumors. There was no operative or hospital mortality among the total 51 patients.

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Surgical Resection and Polypropylene Mesh Reconstruction for Canine Chest Wall Soft Tissue Sarcoma

  • Youngsoo Hong;Youngrok Song;Woojin Song;Myung-Chul Kim;Joo-Myoung Lee;Hyunjung Park;Jiwhan Moon;Jongtae Cheong
    • Journal of Veterinary Clinics
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    • v.41 no.1
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    • pp.24-29
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    • 2024
  • A 6-year-old spayed female French Bulldog presented with a left-sided chest wall tumor. Physical examination revealed that the tumor was firmly adhered to the chest wall. A preoperative punch biopsy of the tumor revealed a grade 2 soft tissue sarcoma (STS). On computed tomography, the tumor's dimensions were assessed as 6.5 × 5.7 × 3.5 cm, and it exhibited invasiveness near the tissue surrounding the ninth rib. The tumor size was large in comparison to the dog's chest wall area. Hence, if the traditional wide-margin resection surgery were to be performed, primary wound closure seemed impractical and could potentially result in respiratory function complications. Therefore, considering the extent of tumor invasion and grade, deep margins were established to include the removal of the eighth to tenth ribs, and a 1-cm lateral margin was designated to enable primary wound closure. To reconstruct the chest wall, polypropylene mesh was attached to the adjacent ribs and the remaining muscles were sutured and covered over the mesh. The dog exhibited a rapid recovery beginning the day after the operation. Postoperative biopsy confirmed that the tumor was a grade 2 STS, and the surgical margins were evaluated as incomplete. The owner chose to pursue follow-up observation instead of chemotherapy. In this study, the surgical approach was chosen based on the importance of functional recovery after surgery. Recent research indicates that the tumor grade is more critical for postoperative prognosis than the extent of surgical margins when removing an STS.

Numerical Analysis for Characteristic of Flow and Disinfection Performance with Variation of Guide Wall in Clearwell (도류벽 형태에 따른 정수지 내 유동 특성과 소독능 변화에 대한 수치 해석적 연구)

  • Lee, Suk-Won;Park, Jun-Jung;Rhee, Gwang-Hoon
    • Proceedings of the SAREK Conference
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    • 2006.06a
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    • pp.767-772
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    • 2006
  • The SWTR(Surface Water Treatment Rule) requires achieving removal 99.9% Giardia and 99.99% Virus. To remove Giardia and Virus, disinfection process is essential process. CT is important index for Disinfection performance. CT value is expressed by CXT. C is represented by disinfection concentration and T is represented by $T_{10}$ which means 90% contact time in clearwell. To improve Disinfection performance, it is desirable to increase $T_{10}$. Primary factor affected $T_{10}$ is flow Pattern. Because guide wall change that flow pattern is uniform, we have installed guide wall to increase $T_{10}$. In this paper, we have performed numerical analysis for clearwell installed symmetric guide wall and center divided guide wall using CFD. We have analyzed flow pattern and $T_{10}$ in each clearwell. And. we compare symmetric guide wall with center divided guide wall in flow pattern and $T_{10}$.

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Two Cases of Gastric Metastasis from Small Cell Lung Cancer (소세포 폐암에서의 위 전이 2예)

  • Yoo, Kwang-Ha;Kim, Hyung-Joong;Ahn, Chul-Min;Lee, Se-Joon;Kim, Seung-Kyu;Lee, Won-Yong
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.2
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    • pp.273-280
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    • 1999
  • This is a report of gastric metastases secondary from a primary small cell carcinoma of the lung in two men. Blood-borne metastatic involvement of the stomach by cancer is a rare entity. According to the reports in the literature the prevalence of metastasis to the stomach occurs in 0.4% and the most common cell type of the primary lung carcinoma is large cell type(3.7%) followed by adenocarcinoma(2.4%), small cell carcinoma(1.7%) and squamous cell carcinoma(0.7%). The most common tumors that spread to the stomach through the blood stream are malignant melanoma, breast carcinoma and lung carcinoma. Most of the gastrointestinal tract metastases had no specific symptoms because of its submucosal involvement. The prognosis was poor and the mean survival period from the onset of symptoms was 49 days. The first patient was a 56-year-old man who had primary lung carcinoma with brain metastasis. Gastroscopic findings showed two elevated mass lesions in the anterior wall of the mid body with central ulcer and the posterior wall of the fundus with intact surface mucosa. Pathologic examination of stomach tissue revealed small cell type tumor cells infiltrate in the stomach wall segmentally without destruction of the glands. The second patient was a 67-year-old man who had no other evidence of the distant metastasis. Gastroscopic findings showed a huge, oval shaped, ulcerofungating mass with deep penetrating central ulcer coated with dirty exudate in the anterior wall from mid to upper body of the stomach, and thickened elevated rugal folds in the posterior wall of the fundus. Pathologic examination of stomach tissues revealed the small cell type tumor cells showing small smudged nucleus infiltrate into the mucosa of the stomach and the architecture of mucosa intact. We report the two cases of metastatic gastric cancer from the primary small cell lung carcinoma with the literature review.

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Molecular Cloning and Sequencing of Cell Wall Hydrolase Gene of an Alkalophilic Bacillus subtilis BL-29

  • Kim, Tae-Ho;Hong, Soon-Duck
    • Journal of Microbiology and Biotechnology
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    • v.7 no.4
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    • pp.223-228
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    • 1997
  • A DNA fragment containing the gene for cell wall hydrolase of alkalophilic Bacillus subtilis BL-29 was cloned into E. coli JM109 using pUC18 as a vector. A recombinant plasmid, designated pCWL45B, was contained in the fragment originating from the alkalophilic B. subtilis BL-29 chromosomal DNA by Southern hybridization analysis. The nucleotide sequence of a 1.6-kb HindIII fragment containing a cell wall hydrolase-encoding gene was determined. The nucleotide sequence revealed an open reading frame (ORF) of 900 bp with a concensus ribosome-binding site located 6 nucleotide upstream from the ATG start codon. The primary amino acid sequence deduced from the nucleotide sequence revealed a putative protein of 299 amino acid residues with an M.W. of 33, 206. Based on comparison of the amino acid sequence of the ORF with amino acid sequences in the GenBank data, it showed significant homology to the sequence of cell wall amidase of the PBSX bacteriophage of B. subtilis.

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Pseudo-dynamic approach of seismic earth pressure behind cantilever retaining wall with inclined backfill surface

  • Giri, Debabrata
    • Geomechanics and Engineering
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    • v.3 no.4
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    • pp.255-266
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    • 2011
  • Knowledge of seismic earth pressure against rigid retaining wall is very important. Mononobe-Okabe method is commonly used, which considers pseudo-static approach. In this paper, the pseudo-dynamic method is used to compute the distribution of seismic earth pressure on a rigid cantilever retaining wall supporting dry cohesionless backfill. Planar rupture surface is considered in the analysis. Effect of various parameters like wall friction angle, soil friction angle, shear wave velocity, primary wave velocity, horizontal and vertical seismic accelerations on seismic earth pressure have been studied. Results are presented in terms of tabular and graphical non-dimensional form.

Performance of retaining walls with and without sound wall under seismic loads

  • Mock, Erin;Cheng, Lijuan
    • Earthquakes and Structures
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    • v.7 no.6
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    • pp.909-935
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    • 2014
  • The seismic characteristics of two semi-gravity reinforced concrete cantilever retaining walls are examined via an experimental program using an outdoor shake table (one with and the other without concrete masonry sound wall on top). Both walls are backfilled with compacted soil and supported on flexible foundation in a steel soil container. The primary damages during both tests are associated with significant lateral displacements of the wall caused by lateral earth pressure; however, no collapse occurs during the tests. The pressure distribution behind the walls has a nonlinear trend and conventional methods such as Mononobe-Okabe are insufficient for accurate pressure estimation.