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A Gastroesophageal Cyst in the Posterior Mediastinum; A Report of Case (후종격동에 발생한 위식도 낭종)

  • 신화균
    • Journal of Chest Surgery
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    • v.26 no.9
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    • pp.738-742
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    • 1993
  • The gastroesophageal cyst is rare variety of benign developmental cysts in the mediastinum and it arises from sequestrations of nodules of forgut in the developing embryo.The patient was 23 year old man with complaint of right chest pain. Simple chest X-ray and chest CT scan showed a huge homogeneous cystic mass in the posterior mediastinum. The resected cystic mass showed combining of portion of esophagus and stomach. The cyst was confirmed as gastroesophageal cyst.

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Immature Teratoma at Anterior Mediatinum - Report of one case - (종격동에 발생한 미성숙 기형종: 1례 보고)

  • 이재필
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.435-437
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    • 1992
  • We experienced one case of immature teratoma at anterior mediastinum. the patient was Syears old female whose complain were cough and chest pain. Chest film showed mass density St the lower half of the Rt chest. Chest CT showed inhomogenous mass which have some calcified area. At the time of operation, 12x10x13cm sized mass have smooth surface and its stump elongated to the thymus. a-FP level, preoperative 22.5ng/ml, was decreased to 9.7ng/ml after operation. Postoperative adjuvant chemotherapy was performed with Vinblastin, Bleomycin and Cisplatin combination. The patient had an uneventful postoperative or postchemotherapy course and was discharged in a good condition.

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Superior Vena Cava Syndrome Bue to Thyroglossal Duct Cyst (갑상설관낭에 의한 상대정맥증후군 -1례 보고-)

  • 권오우
    • Journal of Chest Surgery
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    • v.27 no.11
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    • pp.953-956
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    • 1994
  • This is a case report of superior vena cava syndrome due to thyroglossal duct cyst, which was surgically treated. The patient was 61 year old male who progressively complained exertional dyspnea for about 5 months and right ptosis, facial flushing, and nasal stuffiness for about 1 month before admission. The CT scan of the thorax revealed the right paratracheal cystic mass that compressed and displaced the trachea to leftward and SVC to rightward. The resection of the cystic mass was performed through the right posterolateral thoracotomy. The pathologic result was compatible with thyroglossal duct cyst. The postoperative status of the patient was uneventful.

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Thymolipoma - One Case Report - (흉선 지방종[1례 보고])

  • 이상권
    • Journal of Chest Surgery
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    • v.25 no.3
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    • pp.325-329
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    • 1992
  • The thymolipoma is rather rare benign tumor of the thymus. One case of huge thymolipoma, seen in a 11-year-old boy, is presented. It is about 2.16kg. He had some chest discomfort. The chest film showed homogeneous haziness fills the left hemithorax, On chest CT scan, multiple small amorphous soft tissue densities were recognized as islands within a large fatty mass. Tumor resection was performed through left anterolateral thoracotomy. The mass was yellowish soft, measured 29x19Xllcm, 12X7.5x3.5cm, 7.0X3.0X1.0cm. Microscopically, the tumor was comprised of abundant mature adipose tissue and normal thymic tissue.

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Lipoblastoma of the Neck and Mediastinum -1 case report- (경부 및 종격동내 지방모세포 종 -1례 보고-)

  • 김석기;서연호;구자홍;정명자
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.198-201
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    • 2001
  • 지방모세포종은 태생기 지방조직에서 기원하는 드문 양성종양으로 대부분 소아기에 발생하는데 이 종양의 약 70%는 사지에서 나타나고 간혹 다른 부위에서 보고되기도 한다. 저자들은 좌측 후종격동과 좌측 쇄골상부에 양성 지방모세포종을 보인 3세된 남아를 치험한바 있다. CT 소견상 지방을 함유한 종괴가 정상적인 흉강내 구조물을 누르고 있었고, 쇄골상부 및 종격동으로부터 합병증없이 절제되었다. 종괴는 황색을 띠었으며, 병리조직검사상 지방모세포종으로 진단되었다.

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Surgical Treatment of Traumatic Subglottic Stenosis; A Case Report (외상성 성문하 기관 협착증의 수술 치험 1례)

  • 최필조
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.409-412
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    • 1993
  • We report a case of subglottic stenosis by blunt neck trauma. Preoperative CT showed a stenosis extending distally from just below the vocal cords for 4cm. Concomittent bilateral vocal cords paralysis and quadriplegia were present. At operation the lesion was severely adhesed and the lumen was nearly obstructed. The recurrent laryngeal nerves were embedded in fibrous tissue and were not identified at ease. The stenosed segment was resected and direct end-to-end anastomosis with preservation of the recurrent laryngeal nerves was performed. Six months latar he discharged with intermediate position of vocal cord paralysis.

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Bronchoaortic Fistula (기관지 대동맥루)

  • 정일영
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1137-1140
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    • 1992
  • Bronchoartic Fistula Secondary to Pulmoanry Tuberculosis Bronch-aortic fistula is a exceptionally rare complication of pulmonary tuberculosis. We report herein, a case of 39 years woman who underwent successful repair of aor-tobronchofistula. She was admitted because of massive hemoptysis via emergency room, she had several bouts of massive hemoptysis prior to hospitalization. Thoracic-aortic pseudoaneurysm had detected by chest CT by chance. The eroded, perforated descending aorta was repaired with patch aortoplasty during temporarily clamping, followed by Left lower lobectomy and omentopexy. Pathological examination revealed pulmonary tuberculosis of superiror seg. of lerg lower lobe and aortitis. The patient had uneventful recovery was well at OPD follow-up check.

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Open Heart Surgery with Pulmonary Resection (개심술과 폐엽절제술의 동시 수술 경험)

  • 이용재
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.234-235
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    • 1993
  • We have experienced a case of congenital heart disease who developed pulmonaryaspergilloma and then had open heart surgery associated with pulmonary resection. A 53 year old female patient was admitted of fever and chill without cyanosis and hemoptysis. Chest CT showed cavitary lesion with enhanced wall in right midle lung and huge pulmonary artery. Secundum atrial septal defect was identified by echocardiography and catheterization, preoperatively. The patient was identified finally as atrial septal defect associated with pulmonary aspergilloma, in operation and pathology.

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Partial Anormalous Pulmonary Venous Return with Scimitar Sign (Scimitar 징후를 동반한 부분폐정맥환류이상 -1례보고-)

  • 권종범
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.827-829
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    • 2000
  • We experienced a case of partial anomalous pulmonary venous return from righ lung to inferior vena cava, which combined with Scimitar sign in 18 years old female patient. Diagnostic procedures were simple chest x-ray chest CT, and cardiac catheterization. We redirected the anomalous venous flow from inferior vena cava to left atrium through the intracardiac tunnel which was made with autologous pericardium. Postoperative course was not eventful.

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Malignant Melanoma Arising from the Mediastinum - A Case Report - (종격동에 발생한 악성 흑색종;1례 보고)

  • 이석열
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.791-794
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    • 1992
  • Authors experienced a case of malignant melanoma of the mediastinum, At the time of first visit to the hospital, the female patient, aged 48, and had chief complaints of right shoulder pain that was radiated to its forearm and right Horner`s syndrome. In chest X-ray and CT, extrapulmonary circumscribed mass in the right apicomedial aspect of mediastinum was found. She had no nevus and no melanoma on entire skin area. We excised the tumor and confirmed it as malignant melanoma by histopathology.

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