• 제목/요약/키워드: 의과대학병원

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POEMS 증후군 환자의 뇌혈관병증에 의한 뇌졸중 (Ischemic Stroke with Cerebral Vasculopathy in POEMS Syndrome)

  • 강성우;최보규;한희조;조수미;차지훈;남효석;허지회;김영대
    • 대한신경과학회지
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    • 제36권4호
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    • pp.350-353
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    • 2018
  • Ischemic stroke caused by the cerebral vasculopathy is a rare complication of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome. We present a case of recurrent ischemic strokes caused by cerebral vasculopathy in a patient with POEMS syndrome. A 34-year-old man presented with gait disturbance and dizziness. Brain magnetic resonance imaging demonstrated acute ischemic stroke in the middle cerebral artery-anterior cerebral artery (MCA-ACA) border zones of bilateral hemispheres. Repeated angiographic studies showed progressive worsening of the left distal internal carotid artery, ACA, and MCA stenoses, along with sustained steno-occlusion of right MCA.

위장관 출혈을 일으킨 상피하 종양으로 나타난 위 결핵 (Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding)

  • 김태언;김수진;류화성;김진혁;정희석;노지은;염정아;박병수;김동일;김기현
    • 대한소화기학회지
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    • 제72권6호
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    • pp.304-307
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    • 2018
  • Gastric tuberculosis accounts for approximately 2% of all cases of gastrointestinal tuberculosis. Diagnosis of gastric tuberculosis is challenging because it can present with various clinical, endoscopic, and radiologic features. Tuberculosis manifesting as a gastric subepithelial tumor is exceedingly rare; only several dozen cases have been reported. A 30-year-old male visited emergency room of our hospital with hematemesis and melena. Abdominal CT revealed a 2.5 cm mass in the gastric antrum, and endoscopy revealed a subepithelial mass with a visible vessel at its center on gastric antrum. Primary gastric tuberculosis was diagnosed by surgical wedge resection. We report a rare case of gastric tuberculosis mimicking a subepithelial tumor with acute gastric ulcer bleeding.

초음파에서 크기가 증가한 유방 해면상 혈관종: 증례 보고 (Breast Cavernous Hemangioma with Increased Size on Ultrasonography: A Case Report)

  • 김광민;김지영;김성희;정명자;김수현;김재형;배경은;이지혜;강미진;김태규
    • 대한영상의학회지
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    • 제79권6호
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    • pp.311-314
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    • 2018
  • 유방의 해면상 혈관종은 매우 드문 양성 혈관 종양이다. 임상증상은 보통 만져지지 않는 종괴로, 영상검사에서 우연히 발견되는 경우가 많다. 유방 혈관종은 대개 초음파에서 표재성에 위치한 타원형의 경계가 분명한 종괴로 보이나, 그 외의 다양한 형태로도 보일 수 있어, 수술 전에 이를 영상 검사만으로 진단하는 것은 쉽지 않다. 이에 저자는 만져지는 유방 종괴를 호소하는 68세 여자에서, 추적 초음파 검사에서 그 크기가 증가한 해면상 혈관종 증례를 보고하고자 한다.

비가역적 전기 천공술을 시행한 국소 진행형 췌장암 환자 2례 (Irreversible Electroporation in Patients with Pancreatic Cancer :Angel and Devil)

  • 금지영;이희승;강화평;조중현;정문재;박정엽;박승우;송시영;방승민
    • Journal of Digestive Cancer Reports
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    • 제7권1호
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    • pp.26-30
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    • 2019
  • Pancreatic cancer has a very poor prognosis. Complete surgical resection remains the only current curative treatment. Locally advanced pancreatic cancer (LAPC) is considered as unresectable because of involvement of celiac and/or mesenteric vessels. The treatment of LAPC is a challenge. Current guidelines suggest systemic therapy. However, the majority of patients will never experience conversion to surgical resection. Thus, in these patients, ablation is an alternative therapy for local control, which causes local destruction while ideally avoiding injury to surrounding healthy tissue. Irreversible electroporation (IRE) is an energy delivery system, effective in ablating tumors by inducing irreversible membrane destruction of cells. IRE demonstrated to be safe in previous studies. However, it is not free from complications, even serious. Here, we reported two cases of the IRE in LAPC patients.

성인에게 발생한 양측 발목의 건활막 지방종 아보레센스 (Tenosynovial Bilateral Lipoma Arborescens of the Ankle in Adults)

  • 곽희철;김덕희;노상명;추혜정;김영준;정준우;정수환
    • 대한족부족관절학회지
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    • 제23권1호
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    • pp.35-38
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    • 2019
  • Lipoma arborescens or synovial lipomatosis is a rare disorder that is characterized by mature fat infiltration of the hypertrophic synovial villi, most frequently affecting the supra-patellar pouch of the knee. This paper presents a case of lipoma arborescens of the ankle joint bilaterally in an adult patient with involvement of both the intra-articular synovium and the synovial sheath of the tendons around the ankle.