• Title/Summary/Keyword: radiologic examination

검색결과 304건 처리시간 0.025초

두경부에 발생한 모기질종(Pilomatricoma) 4예 (4 Cases of Head and Neck Philomatricoma)

  • 정필상;우승훈;이상훈;명나혜;이상준
    • 대한두경부종양학회지
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    • 제20권1호
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    • pp.62-66
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    • 2004
  • Pilomatricoma is a benign neoplasm of the hair follicle origin which most common occur in the head and neck, particularly in the cheek and preauricular region. This neoplasm is superficially located and stony, hard consistency on palpation and sometimes shows reddish or bluish discoloration on the overlying skin. The diagnosis is confirmed by histopathologic examination. Radiologic evaluation is little diagnostic and fine needle aspiration biopsy often misdiagnose because both tissues from basaloid cell component and shadow cell component should be obtained for correct diagnosis. And Otolaryngologist should consider the possibility of philomatricoma when childhood or early adulthood persion visits with hard, supferficial mass on the parotid or cheek area. The treatment of choice is surgical excision with clear resection margin. In many instances, overlying skin excision is needed. We report 4 cases of philomatricoma arising from preauricular, cheek and posterior neck.

자세성 사두증의 진단과 치료 (Diagnosis and Treatment of Deformational Plagiocephaly)

  • 정규진;김용하
    • 대한두개안면성형외과학회지
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    • 제14권2호
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    • pp.73-80
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    • 2013
  • It is important to distinguish deformational plagiocephaly from craniosynostosis, the two conditions are different with respect to clinical progression and treatment options. Deformational plagiocephaly is diagnosed based on the patient's medical history and physical examination. Until recently, there has been no standardized method of evaluation. Visual assessment, anthropometric assessment, digital scanning, and radiologic evaluation are mostly commonly used modalities for diagnosis and assessment. Treatment of deformational plagiocephaly requires an understanding of natural progression of the disease. Deformational plagiocephaly should be classified according to its severity before the proper method and time for treatment are determined. Treatment includes repositioning, physiotherapy and remodeling with the use of orthotic devices. In general, repositioning is preferred for patients younger than six months old while treatment with the use of orthotic devices such as helmet is preferred for patients over six months old. Moreover, treatment with the use of orthotic devices is also favored for severe plagiocephaly. There is continuing research on the relation between deformational plagiocephaly and developmental delay.

골반골 골절에서 손상 제어 개복술 후 지속적인 출혈의 치료: 동맥 색전술 -증례보고- (Treatment of Ongoing Bleeding after a Damage Control Laparotomy for a Pelvic Bone Fracture: Arterial Embolization -A Case Report-)

  • 김기훈;경규혁;김진수;박성진;남소현;김운원;김용한
    • Journal of Trauma and Injury
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    • 제24권2호
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    • pp.159-163
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    • 2011
  • Massive bleeding due to traumatic pelvic bone fracture is a leading cause of death. Thus, several methods to control bleeding have been attempted, but none of these has yet been clearly established. After an automobile accident, a 34-year-old motorist was admitted to the Emergency Department for right hip,leg and abdominal pain. Because the patient's pressure remained consistently low and pelvic bone fracture and abdominal bleeding were found on radiologic examination, an explorative laparotomy was performed. After pelvic packing and bleeding control, bleeding still continued, so Angiography was performed, and arterial embolization for bleeding was performed.

폐방선균증을 동반한 기관기관지환자 수술 치험 1례 (A Case Report of Tracheal Bronchus Associated with Pulmonary Actinomycosis)

  • 김흥수;이형렬;정황규;이민기;박순규;김건일;이창훈
    • Journal of Chest Surgery
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    • 제35권8호
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    • pp.616-620
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    • 2002
  • 기관기관지는 기관우측벽에서 기시하는 이상 혹은 부기관지를 말하며 재발성 폐렴, 비폐쇄성 기관지 확장증등 염증성 질환과 관련있다. 최근에 우리는 폐 방사균증과 관련된 기관기관지 1례를 경험하였다. 37세의 남자 환자는 재발성의 객혈을 호소하였고 당초 폐결핵으로 추정하여 항결핵제를 투여받았으나 임상적으로나 방사선학적으로 호전을 보이지 않았다. 우상엽 폐절제술이 시행되었으며 조직학적 검사에서 폐 방사균증으로 확진되었다. 술 후 환자는 3개월간 penicillin과 ampicillin이 투여됐으며 6개월간의 추적기간동안 재발을 나타내지 않고 완전히 회복되었다.

골반골의 악성종양 (Malignant Tumor of the Pelvic Bone)

  • 신규호;한수봉;궁윤배
    • 대한골관절종양학회지
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    • 제1권2호
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    • pp.181-188
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    • 1995
  • Malignant tumor of the pelvic bone has nonspecific symptom and it is not easily detected by physical examination or by radiologic study in early stage, because of its anatomical characteristics. Associated with their variety of disease entity, the treatment of malignant pelvic bone tumor is a problematic point. We have analysed 36 cases of malignant pelvic bone tumors diagnosed at the Severance hospital from 1968 to 1993 to provide a reference for diagnosis and treatment of the malignant pelvic bone tumors. We found that the chondrosarcoma(27.8%) and the osteogenic sarcoma(27.8%) were the most common type of pelvic bone malignancy, and then, in the order of incidence, there were Ewing's sarcoma(16.7%), malignant fibrous histiocytoma(11.1%). There were differences of the age distribution among each diseases and the average age was Ewing's sarcoma 20.5, osteogenic sarcoma 27.2, chondrosarcoma 40.0, malignant fibrous histiocytoma 64.8, respectively. Three of the 5 patients with low grade tumors survived(60%), whereas 3 of the 17 patients with high grade tumors survived(18%). The survival rate of the low grade malignant group was 60%, the high grade was 18%.

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고령의 당뇨병성 족부 궤양의 전외측 대퇴 천공지 유리 피판술을 이용한 치료 (Management of the Diabetic Foot Ulcer in Elderly Patients Using the Anterolateral Thigh Perforator Free Flap)

  • 김재영;이인묵;나상은
    • 대한족부족관절학회지
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    • 제12권1호
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    • pp.59-65
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    • 2008
  • Purpose: To evaluate the results of anterolateral thigh perforator free flap for reconstruction of foot and ankle in old diabetic patients. Materials and Methods: Fifteen diabetic foot ulcer patients over the age of 55 were operated with anterolateral thigh perforator free flap. Hematological, hemodynamic, diabetic, bacteriologic and radiologic tests were checked with examination of blood vessel state in both the donor site and the recipient site. After surgery, serial check-up was performed at 6 week, 6 month, and 1 year postoperatively on the survival of transplantation tissue, condition of foot, and condition of walking. Results: There are one case of transplantation failure and four cases of partial tissue-necrosis. Delayed wound-healing was observed both recipient and donor tissue sites. At the final follow up, three cases of small ulcer were found at junction of flap and recipient tissue in plantar area. Fourteen out of fifteen patients could walk without any brace or walking aids. Conclusion: Reconstruction of foot and ankle region in old diabetic patients with the anterolateral thigh perforator free flap is a useful method which can prevent the amputation of foot and ankle.

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Insight film을 이용한 농도측정 평가 (Evaluation of Chest Density in Insight Film)

  • 권이선;박장환;임오수;정경모;정환
    • 대한방사선기술학회지:방사선기술과학
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    • 제15권2호
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    • pp.17-23
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    • 1992
  • Simple chest radiography is the most frequently performed examination in radiologic practice. However, with transmitted dose through chest which has the problem of wide variations in absorption, conventional Film/Screen Combinations Method make it difficult to delineate lung field mediastinum & cardia portion and subdiaphragmatic structures. In order to overcome this problem, we have been tried several methods as follows. High Kilovoltage Technique, Rare Earth Screen/Wide Lattitude Film, Use of Compensating Filter and Digital Beam Attenuator and recently Insigh System has been developed. In this paper, we'd like to discuss Insight film through apperciation by measuring the difference of contrast. In order to evaluate insight film. We have done experiments using Insight System with Simple Phase, Picker 550. We could get an result which was able to overcome the limitted dynamic range of conventional Film/Screen System remarkably.

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영아에서 발견된 동측 신무형성증과 동반된 정낭낭종 1례 (A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant)

  • 윤진상;장선정;이준호
    • Childhood Kidney Diseases
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    • 제13권2호
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    • pp.252-255
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    • 2009
  • 동측의 신무형성증과 동반된 정낭낭종은 드문 질환이며, 대부분 선천성이지만 2/3에서 신형성부전이나 신무형성증과 연관이 있다. 대부분 10대에서 30대에 걸쳐 증상이 발현되며 배뇨시 통증이나 빈뇨, 회음부 통증, 고환이나 부고환염, 사정 후 동통이나 고환 통증이 주된 증상으로 불임이 동반되기도 한다. 무증상의 환자에서 우연히 직장 수지 검사를 통해 발견되기도 한다. 저자들은 산전 초음파상 다낭성 신이형성증 소견을 보여 초음파를 시행하였던 우측 신무형성증 및 좌측에 경미한 수신증 소견을 보였던 영아에서 추적 관찰 중 동측에 정낭낭종 소견을 관찰하였기에 보고하는 바이다.

Poland 증후군 - 1예 보고 - (Poland Syndrome - A Case Report-)

  • 정순택;문동규;성창민;박형빈
    • Clinics in Shoulder and Elbow
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    • 제13권1호
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    • pp.123-126
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    • 2010
  • 목적: Poland 증후군은 1841년 Alfred Poland에 의하여 처음 기술된 편측의 대흉근 결손과 동측 상지의 합지증 또는 단지증을 특징으로 하는 매우 드문 질환으로 알려져 있다. 대상 및 방법: 우측 전흉부의 비대칭으로 내원한 18세 남자 환자에 대해 이학적, 혈액학적, 방사선학적 검사를 시행하였다. 결과: 검사 결과 우측 대흉근의 결손과 우수의 단지증 소견을 보여 Poland 증후군으로 진단하였다. 결론: 저자들은 대흉근 건의 파열을 의심하였으나 우측 대흉근의 결손과 우수의 단지증의 소견을 보여 Poland 증후군 진단된 1예를 보고하고자 한다.

악하선에 발생한 종양 혈전을 동반한 다형선종유래 선암종 (A Case of Adenocarcinoma Ex Pleomorphic Adenoma with Tumor Thrombus of Submandibular Gland)

  • 권철;박철언;신일호;은영규;권기환
    • 대한두경부종양학회지
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    • 제26권2호
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    • pp.216-220
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    • 2010
  • Carcinoma ex pleomorphic adenoma is rare, aggressive, poorly understood malignancy that occurs in the salivary glands. The patient was 70-year-old male presenting ovoid elevated submandibular mass that has been present for 30 years and rapid growing for 6 months. The initial cytologic finding by fine needle aspiration biopsy showed highly malignant cells and the radiologic finding revealed a $3.6{\times}3.7{\times}4.8cm$ sized mass with cervical lymphadenopathy. After wide excision of submandibular gland and modified radical neck dissection, the histologic examination revealed that tumor was composed partly of a benign pleomorphic adenoma and partly of an adenocarcinoma component with areas of calcification and frequent angiolymphatic invasion. We present a rare case of adenocarcinoma ex pleomorphic adenoma with tumor thrombus in the submandibular gland.