• Title/Summary/Keyword: 기관 침범

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A Case of Relapsing Polychondritis Involved Tracheobronchial Tree (기관과 기관지를 침범한 재발성 다발성 연골염(Relapsing Polychondritis) 1예)

  • Lee, Sang-Yeub;Cho, Jae-Youn;Lee, So-La;Lee, Sang-Hwa;Suh, Jung-Kyung;Shim, Jae-Jeong;Song, Gwan-Gyu;In, Kwang-Ho;Kang, Kyung-Ho;Yoo, Se-Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.4
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    • pp.922-929
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    • 1997
  • Relapsing polychondritis is a systemic disorder characterized by recurrent inflammation and degeneration of cartilaginous tissue throughout the body. The association with HLA-DR4 and the occurrence of antibodies to type II collagen and other autoantibodies suggest that an immunologic mechanism is involved in its pathogenesis. The eyes, ears, nose, larynx, trachea and articular areas are commonly involved. Airway narrowing or collapse from respiratory tract involvement occurs in up to 50% of patients with relapsing polychondritis. Treatment consists of administration of corticosteroids and other anti-inflammatory and immunosuppresive drugs. We experienced a case of relapsing polychondritis involving the tracheobronchial tree, nose and ears in a 49-year-old woman. The patient was clinically and histologically diagnosed as relapsing polychondritis according to McAdam's and Damiani's criteria. We report this case with a review of the literature.

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A Case of the Wegener's Granulomatosis (Wegener씨 육아종)

  • 조정욱;황명순;윤치훈;이상도;김선우
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.13.4-13
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    • 1981
  • The Wegener's granulomatosis is a rare disease of unknown etiology characterized by ulcerative, necrotic lesion of the upper respiratory tract, progressive pulmonary and renal involvement, and death in a period six months. Relentless progression with rapid death resulting from renal involvement and failure is the usual outcome, but limited forms with confinement to the upper respiratory tract are seen. The authors, recently, have observed a case of Wegener's granulomatosis which was confirmed as pathologically, so present this case with a brief review of the literature.

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MANAGEMENT OF NASOLACRIMAL APPRATUS IN RESECTION OF NASAL CAVITY OR PARANASAL SINUS TUMOR (비강 및 부비동 종양 적출시 누액 배출계의 절제후 처치법)

  • Choi, Gun;Yoon, Jong-Tae;Chae, Sung-Won;Hwang, Soon-Jae
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.41-41
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    • 1991
  • 비강 및 부비동 종양 적출시 종양의 침범이나 시야의 확보를 위해 누액 배출계의 절제가 불가피하여 이로 인한 술후 유루가 발생하는 례를 종종 경험하게 된다. 이에 저자들은 누액 배출계의 절제후 적절한 처치 방법에 대해 알아 보고자, 1989년 1월부터 1990년 12월까지 2년간 비강 및 부비동의 양성 또는 악성 종양의 적출시 누액 배출계를 절제한 13례에서 누액 배출계의 처치 방법과 이에 따른 유루의 발생 여부를 후향적으로 검토하여 다음과 같은 결과를 얻었다. 누낭에서 절단한 7례중 6례에서, 누낭에서 절단 후 silastic tube를 4주간 유치한 6례 중 1례에서 유루를 경험하여 누액배출계의 절제시 silastic tube의 유치는 술후 유루 발생의 방지에 도움이 될 것으로 사료된다.

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Surgical Treatment in Locally Advanced Thyroid Cancer - Trachea, Larynx, Esophagus Invasion Management (국소 진행된 갑상선암의 수술 - 기관 및 후두, 식도 침범의 치료)

  • Lee, Guk Haeng;Kang, Ju Yong
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.99-108
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    • 2018
  • Most thyroid cancers are well-differentiated cancers and have a very good prognosis. About 10% of thyroid cancer, however, invades the surrounding tissues, causing local recurrence and distant metastasis, and eventually affecting survival rate. In locally advanced thyroid cancers, the invasion of trachea, larynx and esophagus, can be occurred by primary tumor and may also result in lymph nodes metastasis. Surgical resection is still mainstay for the treatment of locally advanced thyroid cancer. The main purpose of the surgical resection is to eliminate the cancer completely, therefore, it can cause many complications such as dysfunction of the larynx, trachea and esophagus. It can have a serious effect on the quality of life, therefore there is still controversy on the extent of the surgery. The authors compare and analyze the opinions which were already discussed in the literatures published so far. These will help to select the surgical method.

Surgical Treatment of Multivalvular Endocarditis with Ventricular Septal Defect (심실중격결손과 동반한 다중판막 감염성 심내막염의 수술적 치료)

  • Kim, Seon-Hee;Je, Hyoung-Gon;Lee, Sang-Kwon;Kim, Sang-Pil
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.417-420
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    • 2010
  • As higher mortality rate and frequent incidence of morbidity, early surgical treatment is generally recommended for the multivalvular endocarditis. A 46-year-old female presented with high fever. Echocardiography showed the vegetation on pulmonic valve, tricuspid valve and mitral valve with a ventricular septal defect. Emergency operation was conducted due to uncontrolled infection. We present a clinical success of this rare case with review of the medical literature.

Treatment of Diffuse Tracheobronchial Amyloidosis by Repeated Electrocautry Under Fiberoptic Bronchoscopy (굴곡성 기관지경하 전기소각술로 치료한 미만성 기관기관지형 유전분증 1예)

  • Kim, Ho-Joong;Koh, Jong-Hoon;Chang, Myeong-Jun;Hong, Sung-Hun;Kim, Kyung-Hwan;Hyun, In-Kyu;Lee, Myoung-Koo;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.2
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    • pp.250-255
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    • 1995
  • Diffuse tracheobronchial amyloidosis is an uncommon form of pulmonary involvement, and causes prolonged cough, dyspnea, wheezing and repeated development of pneumonia. We report a case of diffuse tracheobronchial amyloidosis in 58-year-old woman that was traeted by repeated electrocautry under flexible fiberoptic bronchoscopy. The patient had a long-standing history of dyspnea and was admitted due to resting dyspnea, which was aggravated to impending respiratory failure after diagnostic procedures. We applied repeated electrocautry to the endobronchial amyloid tumors and successfully reduced bronchial stenosis and the pateint didn't feel dyspnea. We suppose that, in certain cases of tracheobronchial amyloidosis patients, endobronchial electrocautry would be a helpful procedure.

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Multiple Symmetric Lipomatosis (다발성 대칭성 지방종증 -1례 보고-)

  • Lee, Jo-Han;Hong, Jong-Myeon;An, Jae-Ho
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.244-247
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    • 1996
  • Multiple symmetric lipomatosis is a rare disease characterized by progressive growth of subcutaneous fat masses which are located symmetrically at neck, shoulders, chest, abdomen and groin. Recent surveys revealed a high incidence of combined somatic and autonomic neuropathy. The exact cause of the disease is not known. We have experienced one case of multiple symmetric lipomatosis with mediastinal involvement with symptomatic compression of trachea. The patient was a 55-year-male, complaining of dyspnea and slowly enlarging multiple symmetric masses at the neck, shoulders, chest, abdomen, flank and groin over a period of 10 years. He had a habit of excessive alcohol intake for many years. The fatty masses in the neck and the upper mediastinum including peritracheal region were excised through transverse cervical incision. But, because of the incomplete excision of peritracheal fatty tissue, we performed reoperation for the relief of residual tracheal compression at the 15th postoperative day. Two days later emergent tracheostomy was performed due to postoperative pneumomediastinum and subcutaneous emphysema. He could discharge with permanant tracheostomy.

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Leiomyoma of the Bronchus -A Case Report- (기관지에 발생한 평활근종 - 수술치험 1례 보고 -)

  • 김문수;성숙환;김영태;김주현
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.88-91
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    • 1999
  • Leiomyoma of the bronchus is a very rare, benign tumor of the lung. We herein report a case of endobronchial leiomyoma which was treated by sleeve bronchoplasty without resection of the lung and without any complications. A 35-year-old man was admitted to our hospital complaining of stridor. Bronchoscopy revealed a round, hypervascular and smooth tumor nearly obstructing the left main bronchus at 1.5 cm distal portion from the carina. Biopsy was not performed for fear of massive hemorrhage. A sleeve resection of left main bronchus including the tumor and end-to-end anastomosis were performed. The histologic diagnosis was leiomyoma. The early diagnosis and appropriate surgical treatment to preserve the pulmonary function are important points of consideration.

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A Case of Tracheal Reconstruction with Sternohyoid Muscle Flap in Papillary Thyroid Carcinoma Invading Trachea (기관을 침범한 유두상 갑상선 암 환자에서 흉설골근을 통한 기관재건술 1예)

  • Wu, Hee Won;Kim, Yeon Soo;Shin, YooSeob;Kim, Chul-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.115-118
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    • 2014
  • Papillary thyroid carcinoma is known as its relatively high cure rate after surgical treatment. But invasion of the trachea by thyroid carcinoma is poor prognostic factor and the best management is en bloc surgical resection of the tumor invading the trachea. A 55-year-old man was diagnosed as papillary thyroid cancer with tracheal invasion. We treated the patient by total thyroidectomy with window resection of invading trachea followed by immediate reconstruction with sternohyoid muscle flap and tracheostomy. At 48 days after surgery, tracheostoma was closed and the patient had no functional complication by the surgical process. Until 10 months after surgery, there was no sign of recurrence and the patient led social life without any discomfort. We present this case with a review of the related literatures.

CT Findings of Central Airway Lesions Causing Airway Stenosis-Visualization and Quantification: A Pictorial Essay (협착을 유발하는 중심 기관지 병변들의 전산화단층촬영 소견-시각화 및 정량화: 임상화보)

  • Myeong Jin Choi;Hee Kang
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1441-1476
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    • 2021
  • The tracheobronchial tree is a system of airways that allows the passage of air to aerate the lungs and entire body. Several pathological conditions can affect this anatomical region. Multidetector CT (MDCT) helps identify and characterize various large airway diseases. Post-processing tools, such as virtual bronchoscopy and automatic lung analysis, can help enhance the performance of imaging studies. In this pictorial essay review, we provide imaging findings of various bronchial lesions manifested as wall thickening and endoluminal nodules on conventional MDCT and advanced image visualization and analysis.