• Title/Summary/Keyword: 연골종

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Exploratory Arthroscopic Treatment to Diagnose and Treat Osteochondritis Dissecans of the Shoulder Joint in a Dog (개의 어깨 관절에서 박리성 골연골염의 진단과 치료를 위한 탐색적 관절내시경의 적용)

  • Kim, Choong-Sup;Lee, Hae-Beom;Choi, Ul Soo
    • Journal of Veterinary Clinics
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    • v.30 no.2
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    • pp.146-149
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    • 2013
  • A 6-month-old, intact male Great Pyrenees (35 kg) was referred with 2 weeks continuous left forelimb lameness to the Chonbuk Animal Medical Center, College of Veterinary medicine, Chonbuk National University. The lameness became worse three days before being referred to the hospital. Upon the physical examination, the patient had pain when the left shoulder joint was palpated, and the lameness was visible in the left forelimb during ambulation on gait examination. There were no remarkable findings on radiological and neurological examination. Osteochondritis dissecans (OCD) was suspected based on medical history and gait tests. As a definitive diagnosis could not be made, exploratory arthroscopic surgery was performed to examine the inside of the shoulder joint. During the operation, mild bicipital tenosynovitis, synovitis and OCD which was located on the caudal medial area of humeral head were revealed. Arthroscopic procedures were used for the treating OCD, including the removal of the OCD flap and debriding of the subchondral defect until hemorrhaging by use of an electrical burr. The patient was discharged a day after surgery. After 2 weeks, the patient again presented at the hospital due to complications, including inflammation of the surgical lesion because of licking and seroma within the subcutaneous tissue. Antibiotics were administered and an aseptic bandage was applied. And simple surgical operations were performed for the removal of the cyst and seroma. Eleven weeks following arthroscopy, the lameness was completely resolved. Arthroscopy has the advantage of allowing gross examination inside the joint capsule. Due to this advantage, arthroscopy is one of the best advanced options for diagnosis in dogs with undiagnosed joint pain.

Extrapleural Pneumonectomy for the Anterior Mediastinal Liposarcoma with Invasion of Pleura and Lung -1 case report - (흉막 및 폐를 침범한 전종격동 지방육종에서의 흉막외 폐전적출술 - 1예 보고 -)

  • 박천수;김영태;성숙환;김주현
    • Journal of Chest Surgery
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    • v.37 no.3
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    • pp.286-291
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    • 2004
  • Mediastinum is a very rare primary site of liposarcoma. In general, wide surgical excision with adequate resection margin is the treatment of choice for lipesarcoma. We experienced a case of liposarcoma in a 24 year-old male who complained of dyspnea and chest discomfort. Symptoms had been developed a month before admission, and the intensity had been gradually increased. He visited another general hospital, and there he received left closed thoracostomy because hemothorax was suspected. Afterwards, he was transferred to our hospital without a specific diagnosis, on review of outside chest computed tomography film, mass shadow was detected in the mediastinum. For the further evaluation, we checked the chest sonography and chest magnetic resonance imaging. MRI showed 10 cm sized mass contacted with pulmonary artery trunk and left main pulmonary artery. The radiologist strongly suggested sarcoma. On the 4th day after admission, we performed emergent exploratory left thoracotomy for hematoma evacuation because mediastinal shifting progressed and heart rate was increased. Biopsy confirmed that the evacuated materials were extraskeletal myxoid chondresarcoma, so we performed extrapleural left pneumonectomy including diaphragm and a part of the pericardium. The final pathologic diagnosis was myxoid/round cell liposarcoma. He was discharged without complication and systemic chemotherapy was scheduled to begin 2 month later. During chemotherapy, local recurrence and peritoneal metastasis developed, and he died 10 month after the surgical excision. We report this case with reviewal of literature.

A Clinical Study of Pulmonary Hamartoma -Analysis of 41 Reported Cases in Korea Including 13 Cases in Severance Hospitol- (폐과오종에 대한 임상적 고찰 -국내 문헌 보고 41예를 포함한 세브란스 병원 13예에 대한 분석-)

  • Kim, Sung-Eun;Lee, Hong-Lyeol;Kim, Se-Kyu;Chang, Joon;Ahn, Chul-Min;Kim, Sung-Kyu;Lee, Won-Young;Choe, Kyu-Ok;Chung, Kyung-Young;Shin, Dong-Hwan
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.5
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    • pp.565-574
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    • 1993
  • Background: Pulmonary hamartomas are benign tumors that occur in the parenchyma or in the bronchi. They present as a solitary pulmonary nodule(SPN) or as a cause of bronchial obstruction. The incidence, once minimal, is increasing in Korea. To get clinical spectrum about the tumor, we analyzed all the reported cases in Korea since 1964. Methods: We reviewed the clinical, radiological and pathological findings of 13 patients of intrapulmonary or endobronchial hamartomas in Severance Hospital and of 38 reported cases in Korea published in literatures from 1964 to 1992 retrospectively. Results: Including 17 endobronchial hamartomas, 54 cases were studied. There were 25 men and 29 women, with a mean age of 47.2 years; 45.3 years in endobronchial type and 51.3 years in parenchymal type. Pulmonary symptoms were present in 8 patients (22%) of intrapulmonary type and in all patients of endobronchial type: cough (65%), dyspnea (53%), sputum (35%), fever (29%) in order. On chest X-rays, atelectasis was seen in 10 patients (59%) in endobronchial type; but SPN was noted in 36 patients (97%) of intrapulmonary type. Calcification was present in 7 intapulmonary hamartomas (23%); but is in 2 endobronchial hamartomas (12%). The diagnostic yield was 6 out of 14(43%) in endobronchial ones; 4 out of 7(57%) in intrapulmonary ones. Fifty patients underwent operations as follows: lobectomy (28), enucleation (8), resection (8), bilobectomy (4), pneumonectomy (2). The hamartomas were 1.2 times more common in the right lung; mean transverse diameter at the time of operation was 2.3 cm in endobronchial type, 3.8 cm in intrapulmonary ones. Chondroid components were present in 11(65%) of 17 endobronehial ones but in 30(91%) of 33 intrapulmonary hamartomas. No malignant changes were seen perioperative period and up to early 1993. Conclusion: The younger age in endobronchial hamartomas, the preponderance of the female sex and the more incidence in the right lung, and the diagnostic choice of lobectomies were different from the studies of the Western countries.

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An Overview of Korean Sharks Listed by the IUCN and CITES (IUCN과 CITES에 등재된 한국산 상어류의 현황)

  • Jeong, Choong-Hoon;Choi, Youn;Oh, Jeong-Kyu;Kim, Min-Seop;Jeong, Seung Jin
    • Korean Journal of Ichthyology
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    • v.28 no.2
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    • pp.125-133
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    • 2016
  • Sharks (Selachii) comprising about 510 valid species worldwide. Forty-three shark species belonging to 30 genera, 19 families and 8 orders have been found in Korean coastal waters, and all these are registered at the IUCN Red List as followings: endangered (EN) 1 species (2.3%) (vs. worldwide 15 spp., 3.2%), vulnerable (VU) 11 spp. (25.6%) (vs. 48 spp., 10.3%), near threatened (NT) 10 spp. (23.3%) (vs. 67 spp., 14.4%), least concern (LC) 9 spp. (20.9%) (vs. 115 spp., 24.7%), data deficient (DD) 12 spp. (27.9%) (vs. 209 spp., 44.9%), and critically endangered (CR) absent (vs. 11 spp., 2.4%). Twelve species among 43 sharks distributing in Korean waters are assessed as Threatened in the IUCN Red List categories and criteria as followings: Sphyrna lewini (EN, A2bd+4bd), Rhincodon typus (VU, A2bd+3d), Cetorhinus maximus (VU, A2ad+3d), Carcharodon carcharias (VU, A2cd+3cd), Isurus oxyrinchus (VU, A2abd+3bd+4abd), Alopias pelagicus (VU, A2d+4d), A. vulpinus (VU, A2bd+3bd+4bd), Carcharhinus plumbeus (VU, A2bd+4bd), S. zygaena (VU, A2bd+3bd+4bd), Squalus suckleyi (VU, A2bd+3bd+4bd), Squatina japonica (VU, A2d+4d), and S. nebulosa (VU, A2d+4d). Eighteen chondrichthyan species are registered in the list of the CITES Appendices, among them five sharks are distributing in Korean waters as Appendix II, i.e., R. typus, C. maximus, C. carcharias, S. lewini and S. zygaena. The scientific name of "Gobsangeo" has been changed from Squalus acanthias of the North Pacific to S. suckleyi, and "Mojorisangeo" from S. megalops of the Northwest Pacific to brevirostris.

Melorheostosis with Synovial Chondromatosis of the Foot: A Report of Two Cases (족부에 발생한 활막 연골종증을 동반한 유선상 과오종: 2예 보고)

  • Lee, Chae Chil;Kim, Sang Woo;Choi, Hye Jeong;Hwang, Il Yeong;Kim, Min Seok
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.193-196
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    • 2015
  • Melorheostosis is a rare disease, belonging to the sclerotic bone dysplasia group. Initially described by Leri and Joanny in 1922, its etiology remains unknown. Onset is usually insidious, with deformity of the extremity, pain, limb stiffness, and limitation of motion in the joints. The typical radiographic appearance consists of irregular hyperostotic changes of the cortex, resembling melted wax dripping down one side of a candle. Treatment is usually symptomatic and conservative; however, conservative treatment is unsatisfactory due to functional issues when involving the distal extremity. We report on two cases of melorheostosis with synovial chondromatosis of the foot treated by mass excision.

가금부산물인 닭 용골연골로부터 chondroitin sulfate를 포함하는 뮤코다당단백질의 추출에 관한 연구

  • 신승철;김동욱;김관응;안승민;유선종;김성권;안병기;강창원
    • Proceedings of the Korea Society of Poultry Science Conference
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    • 2004.11a
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    • pp.26-27
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    • 2004
  • This study was conducted to evaluate the value of chicken keel cartilage as a source of mucopoly-saccharide-protein containing chondroitin sulfate (CS) and to find the optimum extraction conditions. The hot water extraction and alcalase hydrolysis methods were performed for extraction mucopolysaccharide in lyophilized chicken keel cartilage. The most efficient condition was hydrolysis with 2 % alcalase in 10 volumes of distilled water for 120 min. The yield of hydrolysate and CS content were 75.87 % and 25.61 %, respectively. For further separation of CS from hydrolysate by alcalase, ethanol precipitation was performed. The yield of ethanol precipitate and its CS content were 21.41 % and 46.31 %, respectively.

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A Ganglion Cyst in the Anterior Cruciate Ligament Accompanying with Discoid Lateral Meniscus - A Case Report - (원판형 외측 반월상 연골과 동반된 전방 십자 인대의 결절종 - 증례보고 -)

  • Kang, Chung-Nam;Kim, Dong-Wook;Kim, Jong-Oh;Choi, Chang-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.64-67
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    • 1998
  • A ganglion cyst is a soft tissue mass that is surrounded by a dense connective-tissue capsule. The capsule is filled with a viscous fluid that is rich in hyaluronic acid and other mucopolysaccharides. But, Ganglion cysts in the knee joint are rare. There are very few case reports of ganglion cysts related to the surface of the anterior cruciate ligament, Posterior cruciate ligament and medial meniscus. We are reporting a case of a ganglion cyst in the anterior aspect of the anterior cruciate ligament accompanying with discoid lateral meniscus in the right knee of a 46-year-old woman without any history of trauma. The cyst and discoid lateral meniscus were treated successfully with arthroscopic excision and partial meniscectomy.

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CASES OF THE SURGICAL CORRECTION OF FACIAL ASYMMERY (비대칭 안모의 외과적 치험례)

  • Huh, Hong Yell;Min, Sung Ki;Cho, Sang Ki;Jeong, In Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.2
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    • pp.191-198
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    • 1991
  • This is a case report and review of literature of the facial asymmetry corrected by various surgical methods. In case 1, facial asymmetry resulted from osteochondroma of condyle and corrected via condylectomy only. In case 2, unilateral condylar hyperplasia with compensatory maxillary growth resulted in severe facial asymmetry. Procedures used in case 2 are vertical ramus osteotomy, condylectomy, genioplasty, mandibular inferior border ostectomy and Le Fort I osteotomy.

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Osteosarcoma Arising in a Polyostotic Fibrous Dysplasia: A Case Report (다골성섬유형성이상에서 발생한 골육종: 증례 보고)

  • Suh, Kyung-Jin
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.1
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    • pp.49-53
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    • 2007
  • Fibrous dysplasia is a skeletal developmental anomaly of the bone-forming mesenchyme that manifests as a defect in osteoblastic differentiation and maturation. It is a nonhereditary disorder of unknown cause. In fibrous dysplasia, the medullary bone is replaced by fibrous tissue, which appears various imaging findings. It is usually an incidental finding, generally not requiring further investigation. However, fibrous dysplasia may be complicated by pathologic fracture, and rarely by malignant degeneration. We present the image findings of a 44-year-old man who had a chondroblastic osteosarcoma arising from polyostotic fibrous dysplasia in the femur. Evidence of cortical destruction on plain radiography and soft tissue mass in the lesion on MR images suggested a tumor of malignant transformation.

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OSTEOCHONDROMA OF THE MANDIBULAR CONDYLE (하악과두에 발생된 골연골증)

  • Jung Gi-Hun;Kim Eun-Kyung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.373-378
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    • 1993
  • Although osteochondroma is not rare in the axial skeleton and long bones, it is very rare in the jaw. It is a benign chondroma within which partial endochondral ossification occurs. There are two types, the central one and the peripheral one. Peripheral type is more common than central one in the jaw, but it is not frequent. Especially it is rare at the mandibular condyle. When it occurred at the mandibular condyle, it is generally located at the lateral portion of the condyle. In that case, facial asymmetry with occlusal change is the characteristic clinical feature. But it is similar to condylar hyperplasia so that misdiagnosis can sometimes occur. The differential point is as follows: Hyperplasia generally appears as a generalized enlargement of the condylar process with a normal cortical thickness, but osteochondroma usually appears as a focal growth or mass. We report a very rare case of peripheral osteochondroma at the mandibular condyle in a 27-year- old male patient who visited DKUDH with a chief complaint of the facial asymmetry.

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