• Title/Summary/Keyword: 의과대학병원

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

  • Kang, Sung Woo;Choi, Bo Kyu;Han, Hee Jo;Cho, Soo Mi;Cha, Jihoon;Nam, Hyo Suk;Heo, Ji Hoe;Kim, Young Dae
    • Journal of the Korean neurological association
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    • v.36 no.4
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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.

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

  • Kim, Tae Un;Kim, Su Jin;Ryu, Hwaseong;Kim, Jin Hyeok;Jeong, Hee Seok;Roh, Jieun;Yeom, Jeong A;Park, Byung Soo;Kim, Dong Il;Kim, Ki Hyun
    • The Korean Journal of Gastroenterology
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    • v.72 no.6
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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.

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

  • Kim, Kwang-Min;Kim, Ji-Young;Kim, Soung Hee;Jeong, Myeong Ja;Kim, Soo Hyun;Kim, Jae Hyung;Bae, Kyung Eun;Lee, Ji Hae;Kang, Mi-Jin;Kim, Tae Gyu
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.311-314
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    • 2018
  • Cavernous hemangioma of the breast is a rare benign vascular tumor. It is usually diagnosed as non-palpable mass during imaging examination, incidentally. Common sonographic finding of the breast hemangioma is a superficially located, oval shape, circumscribed margin mass. But the appearance of breast hemangioma is variable and it can be difficult to diagnose in preoperatively. Here, we report a 68-year-old female case with palpable breast mass and increased size on follow up ultrasonography.

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

  • Keum, Jiyoung;Lee, Hee Seung;Kang, Huapyong;Jo, Jung Hyun;Chung, Moon Jae;Park, Jeong Youp;Park, Seung Woo;Song, Si Young;Bang, Seungmin
    • Journal of Digestive Cancer Reports
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    • v.7 no.1
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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.

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

  • Gwak, Heui-Chul;Kim, Duck-Hee;Roh, Sang-myung;Choo, Hye-Jung;Kim, Young-Jun;Jeong, Jun-Woo;Jung, Soo-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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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.