• Title/Summary/Keyword: 심장 신생물

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Primary Pulmonary Carcinoma Ex-pleomorphic Adenoma of the Salivary Gland Type (일차성 폐의 침샘형 악성 다형선종)

  • Park, Sang-Jun;Cho, Sung-Woo;Lee, Hee-Sung
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.217-220
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    • 2010
  • Pleomorphic adenoma is also called a mixed tumor and it most commonly occurs in the salivary gland. This neoplasm has a low grade malignant potential, but it may also show aggressive clinical behavior like recurrence or metastasis. We report here on a case of a tumor that was confirmed to be primary pulmonary carcinoma ex-pleomorphic adenoma by the pathologic examination after complete resection, and it had the characteristics of malignant neoplasms, such as multiple metastases.

Cardiac Hemangioma of the Anterior Mitral Valve Leaflet - A case report - (승모판막 전엽에 발생한 심장혈관종 - 1예 보고 -)

  • Choi, Jae-Sung;Kim, Eung-Joong
    • Journal of Chest Surgery
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    • v.40 no.12
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    • pp.859-862
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    • 2007
  • A hemangioma at a cardiac valve leaflet is a rare finding. There are only five reported cases in the medical literature and no prior case reported in Korea. A previously healthy 45-year-old woman presented with an acute episode of numbness in the left side of the face and hand. Although no definite abnormalities were found on the neurological examination and testing the echocardiography revealed an echogenic mass in the anterior mitral valve leaflet. The tumor was excised en bloc from the leaflet and the defect was repaired with an autologous pericardial patch. Pathology examination confirmed the mass to be a hemangioma of the valve leaflet. Here we report this case and review the medical literature.

Recurrent Gastrobronchial Fistula after Esophagectomy -one case report- (식도암 적출술후 발생한 재발성 위-기관지 누공)

  • 임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.189-193
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    • 2001
  • 위기관지 누공은 매우 드문 질환으로 대부분의 경우 외상, 상부위장관 수술, 횡경막하 농양, 양성 위궤양, 신생물 등 이 원인으로 생각된다. 식도암의 Ivor Lewis 수술후 2년과 3년에 양성 위궤양으로 인해 발생한 재발성 위기관지 누공 1예를 문헌고찰과 함께 보고하는 바이다.

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Primary Malignant Cardiac Lymphoma in Right Atrium - A case report- (우심방에 발생한 원발성 악성 림프종의 수술적 치험 - 1예 보고 -)

  • Choi, Won-Suk;Han, Il-Yong;Jun, Hee-Jae;Lee, Yang-Haeng;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.3
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    • pp.369-372
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    • 2008
  • A primary malignant lymphoma that originates in the heart is extremely rare. A 68-year-old male patient was admitted due to aggravated dyspnea. After echocardiography and chest computed tomography evaluation, a huge mass in the right atrium and the right ventricle was detected. We decided to perform emergency surgery due to a high risk of infarction and hemodynamic disturbance. After the near total removal of the huge mass in the right cardiac chamber, the interatrial septum and antero-lateral part of the right atrium were reconstructed by the use of a bovine pericardial patch. The final pathological diagnosis was a primary malignant lymphoma. The patient and his guardians refused chemotherapy (including radiotherapy), and the patient was discharged to his home, where the prognosis was hopeless.

Primary Neurofibroma of Trachea -A case Report- (기관에 발생한 원발성 신경섬유종)

  • 김준현;송태승;김동관;박승일;손광현
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.82-85
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    • 1998
  • Benign tumors of the trachea are rare and are usually misdiagnosed as bronchial asthma because of the similarity of the symptoms and signs. Although the prognosis of neurofibroma which originats from Schwann cells is good, it may recur or undergo malignant change, so segmental resection of the trachea is recommended. Recently, we experienced a case of primary neurofibroma of the trachea treated successfully by segmental resection of the trachea and end-to-end anastomosis. We report it with a brief review of literatures.

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Life Expectancy and Causes of Death for the elderly of Korea, USA, and Japan (한미일 노인의 기대여명과 사망원인)

  • 박경애
    • Korea journal of population studies
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    • v.22 no.2
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    • pp.97-119
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    • 1999
  • 한국, 일본, 미국의 생명표, UN의 인구연감, WHO의 세계보건통계연감 등 공식통계를 활용하여, 한국 노인의 기대여명 및 사망원인별 사망력을 미국 및 일본과 비교하여 파악하고 있다. 한국 노인의 기대여명은 미일보다 빠른 속도로 증가하고 있는데, 1970년대 중반 이후는 미국처럼 여자보다 남자 노인의 기대여명 증가가 빠르면서, 남녀 노인의 기대여명 차가 감소하고 있다. 1997년 현재 65세시 기대여명은 남자 13.64세, 여자 17.26세로 남녀간 3.62세 차이를 보이며, 출생후 남자 72%, 여자 88%가 65세까지 생존한다. 노인의 주요 사인은 미일과 마찬가지로 순환기계질환 및 악성신생물인데, 순환기계질환중 한일은 뇌혈관질환이, 미국에서는 허혈성 심장질환이 노인의 주된 사망원인이 된다. 한국 남녀 노인의 연령층과 상관없이 허혈성 심장질환 및 폐렴 사망률은 미일보다 낮고, 뇌혈관질환, 고혈압성질환, 위암, 간암, 결핵, 당뇨병, 정신 및 행동장애, 간질환 및 교통사고 사망률은 미일보다 높다. 대부분의 사망원인에서 남자사망률이 여자사망률보다 높지만, 한국의 고혈압성 질환, 간암, 폐암 및 간질환에 의한 성별 사망률 격차가 미일보다 크며, 한미일 모두 75세 이상 노인의 정신 및 행동장애에 의한 여자 사망률보다 남자사망률보다 높게 나타난다. 사망원인 생명표 작성결과를 보면, 1997년 현재 한국의 65세 남성과 여성은 순환기계질환 제거시 각각 3.47년과 2.7년을, 악성신생물 제거시 각각 3.87년과 1.58세의 기대여명 증가를 예상할 수 있고, 일본에 비해 특정 사인을 제거시 상대적으로 많은 기대여명 증가를 기대할 수 있는 사망원인은 남자 노인의 간질환 및 교통사고를 들 수 있다.

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Primary Hemangiopericytoma of the Lung -1 Case Report - (폐에 발생한 원발성 혈관주위세포종 -1례 보고-)

  • 최광민;김건일;신호승;박희철;홍기우
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.315-318
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    • 1998
  • Primary hemangioperiycytoma is quite rare tumor of the lung and arising from pericyte in external layer of capillaries. Most cases are developed in 4th and 5th decade, are asymptomatic, and have malignant otential. On chest radiography, primary pulmonary hemangiopericytoma shows lobulated, well demarcated, homogeneous soft tissue density. Microscopically, it consisits of numerous vascular spaces of variable size and shape separated by aggregates of tightly packed oval to spindle-shaped cells. Treatment of choice is surgical excision. We report a case of primary pulmonary hemangiopericytoma in a 16-year-old man who had well demarcated homogeneous mass in the superior segment of left lower lobe, but had no symptom. He had undergone left lower lobectomy. He has been followed up for 8 months but has no sign of relapse or metastasis yet.

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VATS Resection for a Posterior Mediastinal Extramedullary Hematopoietic Mass: Resection of Extramedullary Hematopoiesis (후종격동 종괴로 발견된 골수외 조혈 종괴의 비디오 흉강경 수술을 이용한 절제 1예)

  • Chang, Jee-Won;Maeng, Young-Hee
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.542-545
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    • 2010
  • Extramedullary hematopoiesis is a common compensatory mechanism of chronic anemia, but an asymptomatic posterior mediastinal mass is rarely diagnosed as an extramedullary hematopoiesis after surgical resection. The differential from neurogenic tumors is important, but fine needle aspiration biopsy is not recommended because of the difficulty of approach and risk of bleeding. Although diagnosis and treatment can involve resection via thoracotomy, video-assisted thoracic surgery may also be a useful strategy. We performed video-assisted thoracic surgery on a 59-year-old man for posterior mediastinal extramedullary hematopoiesis, with no evidence of recurrence or related hematologic diseases.

Pleuropulmonary Blastoma in an Adult -Surgical Experience of One Case- (성인에 발생한 흉막폐아세포종 -수술치험 1예-)

  • 김종인;조성호;변정훈;이해영;장희경;조성래
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.959-962
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    • 2004
  • Pleuropulmonary blastoma is a rare malignant neoplasm which originates from either the lungs or pleura. Pleuropulmonary blastoma usually develops in the first decade of life, mostly younger than 5 years old and shows aggressive biological behavior. Pleuropulmonary blastoma is discriminated from classic pulmonary blastoma of adulthood by its morphological features like primitive mesenchymal and sarcomatous component without carcinomatous portions. To our knowledge, report of pleuropulmonary blastoma in adulthood is very rare. Our case support the possibility that primitive neoplasm recognized as pediatric tumors can develop in adulthood. We report a case of surgical experience of pleuropulmonary blastoma which developed in 21 years old man with literature review.

Metastasizing Pleomorphic Adenoma in Right Lung -A case report - (우측 폐로 전이된 전이성 다형태 선종 -증례 보고-)

  • Chung, Won-Sang;Nam, Seung-Hyuk;Kang, Jeong-Ho;Kim, Young-Hak;Kim, Eung-Soo;Kim, Hyuck
    • Journal of Chest Surgery
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    • v.40 no.2 s.271
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    • pp.143-146
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    • 2007
  • A metastasizing pleomorphic adenoma originating from the parotid gland is a rare form of neoplasm. The neoplasm is a histologically benign, but clinically controversial entity. Herein, a case report of a pleuro-pneumonectomy of a metastasizing pleomorphic adenoma in the right lung is described. A 57-year-old man, who underwent resection of parotid gland due to a pleomorphic adenoma, presented with multiple metastases on the right lung, mediastinum, pericardium and intercostal muscle. The metastatic lesions were composed of a benign pleomorphic structure.