• Title/Summary/Keyword: 근전이

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A Case of Huge Pulmonary Blastoma With Multiorgan Invasion (다기관 침범을 동반한 거대 폐 모세포종)

  • Lee, Tae Hwan;Lee, Ka Young;Kim, So Ri;Min, Kyung Hun;Park, Seoung Ju;Lee, Heung Bum;Rhee, Yang Keun;Lee, Yong Chul
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.2
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    • pp.149-153
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    • 2007
  • A pulmonary blastoma is a rare malignant tumor of the lung that is composed of epithelial and mesenchymal elements and resembles the structure of an embryonic lung. Pulmonary blastomas have a very poor prognosis and make up 0.25 to 0.5 percent of all primary malignant lung tumors. A pulmonary blastoma usually manifests as a solitary parenchymal mass or nodule and multiple subpleural mass with effusion on chest X-ray and computed tomography. We encountered a very rare case of pulmonary blastoma in a 52 years old male. He complained of abdominal pain, fullness, and dyspnea. The radiology examination revealed a huge lung mass invading the mediastinum, heart, diaphragm, and liver. The percutaneous needle biopsies were performed, and this tumor was diagnosed as a pulmonary blastoma. We report a biopsy confirmed case of a huge pulmonary blastoma invading multiple organs.

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

  • Kim, Jin-Won;Park, Hong-Gi;Cho, Hyun-I
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.2
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    • pp.58-62
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    • 2002
  • The incidence of giant cell tumors represents only 5% to 10% of all bone tumors. Occurrence on the small bones of the hand and foot are very rare. They typically present with pain and sometimes a pathologic fracture or even soft tissue extension. The radiographic appearance is highly characteristic. An eccentric osteolytic lesion is seen, producing cortical thinning and expansion, and possessing a delicate trabecular pattern. In tarsal bones, poorly or well-defined osteolytic lesions of variable size are encountered. Surgical treatment remains the preferred therapy. Marginal or wide en bloc resection has had far better results in term of local recurrence. Several authors have suggested extended curettage and cement as an alternative to en bloc resection. Follow-up is necessary to monitor for both local recurrence and the infrequent pulmonary metastases.

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Lymph Node Metastasis of Osteosarcoma - A Case Report - (임파절에 전이한 골육종 - 1례 보고 -)

  • Hwang, Sung-Kwan;Park, Heui-Jeon;Yoon, Yeo-Seung;Rha, Jung-Ho;Oh, Jin-Rok;Kim, Ki-Ho;Kim, Dong-Jin;Yang, Kyung-Moo;Cho, Mee-Yon
    • The Journal of the Korean bone and joint tumor society
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    • v.4 no.1
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    • pp.65-70
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    • 1998
  • Osteosarcoma is the most common primary bone tumor except for multiple myeloma. Hematogenous spread of osteosarcoma presents the t1susal route of dissemination. Lung metastasis is the most common, however the lymph node involvement is quite rare. In addition, according to Mirra, radiologically detectable involvement of lymph node is an extremely rare manifestation of osteosarcoma. The authors had experienced a patient with an osteosarcoma of the right distal femur which spread to the right inguinal lymph node and lung. After preoperative chemotheraphy, a limb salvage operation was performed around the lesion of right distal femur and the right inguinal lymph nodes were dissected. A adjuvant postoperative chemotheraphy was performed. After the treatment, there was no recurrence of osteosarcoma or any other metastatic evidence for two years and 8 months.

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Surgical Treatment of Eosinophilic Granuloma in Cervical Spine - 3 Cases Report - (경추에서 발생한 호산구 육아종의 수술적 치료 - 3예 보고 -)

  • Chung, Jae-Yoon;Lee, Jae-Joon;Kim, Jong-Seon;Jung, Sung-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.171-175
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    • 2006
  • The involvement in the spine of eosinophilic granuloma is not common. Especially, involvement of cervical spine and posterior neural arch is quite rare. In addition, radiographic findings including magnetic resonance images of eosinophilic granuloma are manifested as vertebral body collapse, loss of pedicle and paravertebral soft mass formation; it must be differentiated with other conditions, such as malignant bone tumor, metastatic cancer or tuberculous spondylitis. We experienced three cases of eosinophilic granuloma involving posterior neural arch of C4, C7, and body of C4 respectively, which were performed surgical treatment and achieved complete healing. We report these cases with review of literatures.

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Giant Cell Tumor of the Rib: A Case Report and Review of the Literature (늑골에서 발생한 거대세포종: 1예 보고 및 문헌 고찰)

  • Kim, Hyun-Soo;Kim, Dae-Hyun;Lim, Sung-Jig;Park, Yong-Koo
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.1
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    • pp.52-58
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    • 2009
  • Giant cell tumor (GCT) of the rib may present as a posterior mediastinal mass when it involves the posterior arc. Only 4 cases of GCT of the rib presenting as a posterior mediastinal mass have been reported. We report a case of a 38-year-old man with GCT of the rib. Computed tomography revealed a well-defined, multi-lobulated, heterogeneous mass in the right superoposterior mediastinum, which appeared to invade the right third rib and thoracic vertebra. It was thought to be a posterior mediastinal ganglioneuroma or its malignant transformation. Grossly, the tumor mass arose in the posterior arc and showed substantial growth out of the rib. Microscopically, the tumor consisted of interspersed multi-nucleated giant cells and stromal mononuclear cells, compatible with GCT. For GCT, a wide excision with elective radiotherapy should be considered. GCT must be differentiated from posterior mediastinal ganglioneuroma that can be treated by surgical excision alone.

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Percutaneous Pediculoplasty and Balloon Kyphoplasty in a Vertebral Metastatic Cancer Patient - A case report - (전이된 암 환자에서 풍선 후만 성형술과 동시에 시행한 경피적 추궁근 성형술 - 증례보고 -)

  • Jo, Ji Yon;Suh, Jeong Hoon;Shin, Hwa Yong;Choi, Yong Min;Bang, Moon Sun;Lee, Sang Chul;Kim, Yong Chul
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.213-218
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    • 2007
  • Percutaneous vertebroplasty and balloon kyphoplasty have been accepted as effective treatment modalities for vertebral compression fractures in patients with vertebral metastasis. However, when these procedures are conducted in patients with lytic lesions of the vertebral pedicle, polymethylmethacrylate leakage through the lytic lesions that occurs during percutaneous pediculoplasty can increase the procedural risks due to the immediate vicinity of neural structures. In spite of this risk, there are not many available reports on safer methods of pediculoplasty. Here we report a case of vertebral metastasis in which the pedicle infiltration of cancer was successfully treated by pediculoplasty using a bone filler device that contained thick bone cement during a balloon kyphoplasty procedure.

Drift and Volatilization of Some Pesticides Sprayed on Chinese Cabbages (배추에 살포된 몇 가지 농약제제에 따른 성분의 휘산과 비산)

  • Lee, Ja-Young;Han, Il-Keun;Lee, Sang-Yun;Yeo, Ik-Hyun;Lee, Su-Rae
    • Korean Journal of Environmental Agriculture
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    • v.16 no.4
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    • pp.373-381
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    • 1997
  • In order to investigate the drift of pesticides sprayed on Chinese cabbage, 7 pesticides chlorpyrifos, EPN, pirimiphos-methyl, phenthoate, tetradifon, dicofol and bifenthrin were applied in two sets of field tests. The pesticide residues were quantified bar multiple-residue analysis, in which the recovery rate was 78${\sim}$92% and standard deviation was ${\pm}0.683{\sim}52%$. It was found that most of the tested pesticides were spread by drift to neighbouring area and brought about the contamination of the unsprayed crops. The extent of drift varied depending upon the pesticide, distance and wind direction. The mean residue levels on unsprayed crops were 0.66% at 3 meter distance, 0.10% at 6 m distance and 0.05% at 9 m distance from the applied area and the maximum level was 1.83% of the residue on sprayed crops.

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Malignant Fibrous Histiocytoma of the Maxilla - Report of A Case - (상악골의 악성 섬유성 조직구종 - 증례보고 -)

  • Oh, Yoon-Kyeong;Yeo, Hwan-Ho
    • Radiation Oncology Journal
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    • v.13 no.3
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    • pp.225-231
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    • 1995
  • Malignant fibrous histiocytoma(MFH) of the maxilla is a rare malignant bone tumor Seven percents of all MFH occur in the head and neck. Approximately $12{\%}$ of these tumors occur in the maxilla. Local recurrence or distant metastasis was reported in $55{\%}$ of cases of maxillary MFH. The mean survival time of 30 months was reported from a review of 14 MFHs in the maxilla, mandible and oral soft tissues. MFH of the maxilla is best treated surgically but radical neck dissection does not appear to be indicated unless there is clinical evidence of lymph node metastases Although the use of radiation therapy for head and neck MFH has not been studied for a series of cases, individual cases of regression or histological change have been reported. Other authors have reported numbers of cases who received radiation therapy without benefit. Response to combination chemotherapy has been reported in $33{\%}$ of 23 patients with recurrent or metastatic MFH. We report here a case of MFH occurring in the maxilla with a review of literature about the clinical behavior and treatment of these lesions.

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Latissimus Dorsi Transfer in Brachial Plexus Injury for the Elbow Flexion (상완 신경총 손상후 주관절 근력 회복을 위한 광배근 전이술)

  • Han, Chung-Soo;Chung, Duke-Whan;Soh, Jae-Ho
    • Archives of Reconstructive Microsurgery
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    • v.7 no.1
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    • pp.35-40
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    • 1998
  • The incidence of brachial plexus injury is increasing because of the development of motor vehicle but the the results of treatment was reported poor due to its complex anatomical structure and changes of function and sensory during the recovery after trauma. But the results of treatment has been improved by the recently introduced high sensitive diagnostic method that can evaluate accurately the site and extent of the injury and treatment method. Restoration of the elbow flexion is the most important goal of treatment after brachial plexus injury and nerve graft, neurotization and muscle transfer were used for methods of treatment. From December 1992 to May 1994, the author performed 6 cases of latissimus dorsi transfer at the same side for the improvement of elbow flexion in the patients of brachial plexus injury. There were 5 cases of male, one case of female and average age was 22 years old. The causes of injury were traffic accident in 3 cases, gun shot injury, falldown and birth injury in each one case and in all cases, the type of injury were upper arm type. The average follow up period were 1 year 5 months ranging from 12 months to 4 years 5 months. In all cases, active elbow flexion was impossible before operation and average muscle power was grade I. We analysed the active range of motion, muscle power and the functional results. At the last follow up, range of active elbow flexion was average $124^{\circ}$ and flexion contracture was average 11 degrees and the average of muscle power was grade IV. In the functional analysis, there were two cases of excellent, three cases of good and 1 case of fair. There was no complications including wound infection, vascular compromise and donor site problem. The results of latissimus dorsi transfer for improvement elbow flexion in the patients of brachial plexus injury is one of the useful mettled for the restoration of elbow flexion.

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Lateral Earth Pressures and Displacements through Full Scaled Lateral Loading Test of Concrete Electric Pole Embedded in Ground (지중에 근입된 콘크리트전주의 실물 수평재하실험에 의한 수평토압과 변위특성)

  • Ahn, Tae-Bong
    • Journal of the Korean GEO-environmental Society
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    • v.12 no.4
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    • pp.43-51
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    • 2011
  • Many electric poles in the softground have been collapsed due to external load. In this study, 10 types of tests were performed with variation of location, numbers and depths of anchor blocks as well as depth of poles to find horizontal earth pressure through full scale pull-out tests. The horizontal earth pressure increased with embedded depth of electric pole, and earth pressure of lower passive zone decreased. The deeper of anchor block, earth pressure of passive zone becomes less. lateral displacements showed differences depending on location, numbers and depth of poles. The bending is generated in the upper part at the initial load, but it moved to central part as load increased. The maximum horizontal displacement decreased to 1/1.6 at -0.5m depth of anchor block and 1.3m additional laying depth of poles into ground.