• 제목/요약/키워드: submucosal

검색결과 355건 처리시간 0.028초

흉강경을 이용한 식도 평활근종의 절제 (Thoracoscopic Enucleation of Esophageal Leiomyoma)

  • 이성호
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.518-520
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    • 1995
  • Leiomyoma is the most common benign tumor of the esophagus,and surgical enucleation is the treatment of choice. Recently we successfully performed thoracoscopic enucleation of large esophageal leiomyoma without complication in one patient. The 46 years old male patient complained epigastric discomfort and showed a submucosal mass in lower esophagus under the endoscopic ultrasonography . During operation minimal perforation occurred, it was closed with clipping without conversion to an open procedure.The tumor size was 8cm x 3cm x 1.5cm respectively. There were less post-operative pain,minimal wound size, and early recovery time.Patient was satisfactory these outcome. These result suggest that esophageal enucleation was performed more large size benign tumor and esophageal perforation during operation was treated thoracoscopically.

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기관지 천식에서의 기도 개형 (Airway Remodelling in Asthma)

  • 임대현
    • Clinical and Experimental Pediatrics
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    • 제48권10호
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    • pp.1038-1049
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    • 2005
  • Asthma is characterized by a chronic inflammatory disorder of the airways that leads to tissue injury and subsequent structural changes collectively called airway remodelling. Characteristic changes of airway remodelling in asthma include goblet cell hyperplasia, deposition of collagens in the basement membrane, increased number and size of microvessels, hypertrophy and hyperplasia of airway smooth muscle, and hypertrophy of submucosal glands. Apart from inflammatory cells, such as eosinophils, activated T cells, mast cells and macrophages, structural tissue cells such as epithelial cells, fibroblasts and smooth muscle cells can also play an important effector role through the release of a variety of mediators, cytokines, chemokines, and growth factors. Through a variety of inflammatory mediators, epithelial and mesenchymal cells cause persistence of the inflammatory infiltrate and induce airway structural remodelling. The end result of chronic airway inflammation and remodelling is an increased thickness of the airway wall, leading to a increased the bronchial hyperresponsiveness and fixed declined lung function.

대장의 Angiodysplasia 1례 (A Case of Colonic Angiodysplasia)

  • 오하나;유지형;이창한;정기섭
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제3권2호
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    • pp.206-211
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    • 2000
  • 저자들은 1년 전부터의 간헐적인 혈변을 주소로 내원한 14세 남자 환아에서 대장내시경 검사로 진단된 혈관이형성증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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기관지에 발생한 선양 낭성암종의 세포학적 소견 - 1례 보고 - (Cytopathologic Features of Primary Bronchial Adenoid Cystic Carcinoma - A Case Report -)

  • 이지신;김종순;양복숙;이민철;박창수;정상우
    • 대한세포병리학회지
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    • 제6권1호
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    • pp.67-70
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    • 1995
  • Adenoid cystic carcinoma arising from the submucosal glands of the trachea and bronchial tree is rare. The histopathology and natural history of bronchial adenoid cystic carcinoma have been well documented, but detailed descriptions of its cytomorphology are few. We report a case of primary bronchial adenoid cystic carcinoma in a 20-year-old female, diagnosed by bronchial brushing cytology. The cytologic specimens showed large clusters of small cells arranged around cystlike spaces containing globular basophilic material.

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청둥오리 Meckel 게실의 조직학적 및 면역조직화학적 연구 (Thehistological and immunohistological studies in the Meckel's diverticulum of the duck, Anas platyrhynchos platyrhyncos, Linne)

  • 구세광;이재현;이형식
    • 대한수의학회지
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    • 제38권3호
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    • pp.450-454
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    • 1998
  • We have studied Meckel's diverticulum(MD) of the duck(Anas platyrhynchos platyrhyncos, Linne) by histological and immunohistochemical methods. Because MD were first observed in 2 weeks after hatching, tissues were taken from 2 weeks to 32 weeks after hatching groups. MD were observed as like any parts of intestinal tract that composed with simple columnar epithelium and numerous mucosal gland especially, cecum except that many lymphocytes were exist in this study. Also a number of bovine chromogranin(BCG)-, serotonin, and somatostatin(SOM)-immunoreactive cells were observed in epithelium and submucosal gland in this study, so it could be suggest that the MD of the duck serve as some digestive and lymphatic functions.

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Hirschsprung씨 병 (Hirschsprung's Disease)

  • 이남혁
    • Journal of Yeungnam Medical Science
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    • 제24권1호
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    • pp.11-23
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    • 2007
  • Hirschsprung's disease is one of the most common causes of intestinal obstruction in neonates and infants. The underlying pathology of this disease is the absence of the ganglion cells in both the myenteric (Auerbach's) plexus and the submucosal (Meissner's) plexus. Since Hirschsprung's report in 1886, there have been thousands of papers on Hirschsprung's disease but the cause of the absence of the ganglion cells has not been identified. Hirschsprung's disease can be successfully treated with the Swenson, the Duhamel, and the Soave operations even though the pathogenesis is unknown. With the recent progress of molecular biology and genetics, a more detailed approach to the pathogenesis of Hirschsprung's disease can be undertaken. In addition, there have been recent developments in the surgical approach. In this review, recent advances in surgery for Hirschsprung's disease are presented.

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흉강경을 이용한 식도의 거대 평활근종 절제술 -치험 1예- (VATS Resection of Giant Leiomyoma of the Esophagus -1 case-)

  • 황호영;한국남;김주현;김영태
    • Journal of Chest Surgery
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    • 제37권8호
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    • pp.715-717
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    • 2004
  • 59세 여자 환자가 무증상으로 우연히 발견된 후종격동 종괴를 주소로 내원하였다. 수술 전 시행한 식도조영술, 식도내시경 및 식도내시경적 초음파검사로 거대한 식도점막하 종양으로 식도근종이 의심되었다. 우측 흉강을 통해 흉강경수술을 시행하였는데, 종격동 흉막과 식도근육을 종절개한 후 종양을 적출하였다. 수술 후 시행한 식도조영검사에서 식도의 협착 및 누출소견은 없었으며 술 후 7일째에 합병증 없이 퇴원하였다.

식도의 신경집종 -1예 보고- (Schwannoma of the Esophagus - A case report-)

  • 백종현;이장훈;이동협;정태은;김미진;이정철
    • Journal of Chest Surgery
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    • 제37권11호
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    • pp.963-966
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    • 2004
  • 식도의 양성종양은 드물며 그 중에서도 신경집종은 매우 드물다. 2년 동안 서서히 진행하는 삼킴 곤란을 주소로 64세 남자가 방문하였다. 내시경과 흉부전산단층촬영에서 큰 점막하 종양이 관찰되었다. 수술시야에서 종양은 매우 단단했으며 주위조직과의 유착이 견고하였다. 식도절제술 및 식도위연결술을 시행하였다.

$^{18}F-FDG$ PET/CT에서 강한 FDG 섭취를 보인 식도근종 (Esophageal Leiomyoma with intense FDG uptake on $^{18}F-FDG$ PET/CT)

  • 이석모;배상균
    • Nuclear Medicine and Molecular Imaging
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    • 제42권5호
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    • pp.410-413
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    • 2008
  • A 56 years old woman referred to our hospital with dysphagia and epigastric soreness. Gastroendoscopy revealed huge submucosal tumor with ulceration extending from distal esophagus to lesser curvature of stomach. Subsequent computed tomography(CT) demonstrated soft tissue mass encircling distal esophagus, and 18F-FDG PET/CT demonstrated intense $^{18}F-FDG$ accumulation in it. Finally this case was diagnosed as esophageal leiomyoma based on pathologic evaluation of the surgical specimen.