• Title/Summary/Keyword: 재발율

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Local Recurrence of Osteosarcoma After Joint Sparing Wide Resection -A Case Report- (슬관절 보존형 광범위 절제를 시행한 골육종 환자에서 발생한 국소 재발 - 증례보고 -)

  • Cho, Sang-Hyun;Song, Won-Seok;Won, Ho-Hyun;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • 제14권1호
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    • pp.51-55
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    • 2008
  • As survival rate of patients in osteosarcoma improves, both patients and surgeons are increasingly interested in long-term functional outcome. For resection and reconstruction of tumors on either side of knee joint, if feasible, conservation of normal joint apparatus seems preferable method over use of tumor prosthesis. However, we should not trade off the sound surgical margin with expected functional gain. We report one case of osteosarcoma who was treated by wide, intercalary resection and reconstruction with autogenous pasteurized bone but, showed local recurrence at 44 months postoperatively.

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The Case Report of Trigger Finger Improved with Hominis Placenta Pharmacopuncture Treatment (자하거 약침으로 호전된 방아쇠 수지 환자의 증례 보고)

  • Kim, Jeong-Won;Kim, Choo-Young;Choi, Seung-Peom;Han, Sang-Wook;Lee, Jae-Chul;Kim, Dong-Hoon
    • Journal of Pharmacopuncture
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    • 제13권4호
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    • pp.139-147
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    • 2010
  • Objectives : The Purpose of this study is to investigate and report the effectiveness of Hominis Placenta using Pharmacopuncture treatment for trigger finger. Methods : 3 Patients are admitted at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as Trigger finger and treated with Hominis Placenta Pharmacopuncture. Each cases are measured and assessed by Quinnell's classification of triggering and VAS (Visual Analogue Scale) scores. Results : 3 Patients of trigger finger have a different kind of cause and fingers lesion they have, but nodules are not significantly found up, so we could classify all of 3 patients to diffuse type. After treatment of Hominis placenta Pharmacopuncture, spontaneous pain and tenderness, grades of triggering are decreased significantly. We would expect that Hominis placenta Pharmacopuncture has a effect on degenerative diseases of diffuse type's tendon sheath. Conclusions : Trigger finger is generally divided into two stages, inflammatory and degenerative stage, and when degenerative stage, Hominis placenta pharmacopuncture appears to be effective.

Mesenchymal Cystic Hamartoma of the Lung - 1 Case Report - (폐에 발생한 간엽 낭성 과오종 - 1례 보고 -)

  • 최광민;김건일;조성우;신호승;박희철;홍기우;안혜경
    • Journal of Chest Surgery
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    • 제32권2호
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    • pp.189-193
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    • 1999
  • Mesenchymal cystic hamartoma of the lung is quite rare lesion which has an unknown prevalence, firstly described in 1986. It is characterized by multiple nodules and variable sized cysts in both lung field. The nodules of immature mesenchymal cells gradually enlarge and become cysts which are lined with normal or metaplastic respiratory epithelium and have the cambium layer of primitive mesenchymal cells. Main symptoms are hemoptysis, recurrent pneumothorax, and hemothorax. It is known to benign tumor, but has possibility of malignant degeneration. In gross findings in opertive field, multiple and variable-sized cystic lesions and nodules were observed. The cysts were lined with normal respiratory epithelium and had the cambium layer of primitive mesenchymal cell. Gross and microscopic findings were compatible with mesenchymal cystic hamartoma. We report a case of mesenchymal cystic hamartoma in a 27-year-old woman who had recurrent pneumothorax and hemoptysis.

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DESMOPLASTIC FIBROMA OF THE MANDIBLE IN A CHILDREN : A CASE REPORT (어린이의 하악골에 발생한 결합조직형성 섬유종(Desmoplastic fibroma) 1예)

  • Yoon, Jung-Hoon;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • 제28권1호
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    • pp.171-174
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    • 2001
  • This case describes a case of desmoplastic fibroma of the mandible. A 9-year-old boy was seen with a history of progressive swelling and expansion of the left mandible for one month period. Desmoplastic fibroma was diagnosed on histopathologic examination This report reviews the diagnostic criteria, differential diagnosis and surgical treatment of choice in brief of this uncommon primary bone tumor of the oral and maxillofacial region.

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Diffuse Pigmented Villonodular Synovitis of the Knee: Case Report (무릎 관절의 미만형 색소 융모 활액막염: 증례 보고)

  • Choi, Sang-Gyu
    • Radiation Oncology Journal
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    • 제25권4호
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    • pp.278-282
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    • 2007
  • Purpose: Diffuse pigmented villonodular synovitis (PVNS) is an uncommon aggressive synovial proliferative disorder of unknown etiology affecting the joint linings. Though a histologically benign inflammatory process, because of its aggressive growth with bone destruction or recurrence, it is frequently suggested to occur as a low malignant neoplasm. Optimal treatment is surgery, but the local recurrence rate after radical synovectomy for diffuse PVNS is relatively high due to the infiltrative growth pattern. External beam radiotherapy with moderate doses or intra-articular instillation of radioactive isotopes may improve the likelihood of local control and long-term function in patients with incompletely resected or recurrent diffuse PVNS. I report one case of diffuse PVNS of the right knee joint treated with arthroscopic synovectomy and external beam radiotherapy is presented.

Surgical treatment of Metastatic Lung Cancer (전이성 폐암에 대한 외과적 치험)

  • 이종호;임용택;신용철;정승혁;김병열
    • Journal of Chest Surgery
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    • 제32권1호
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    • pp.27-31
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    • 1999
  • Background: In spite of the development of chemotherapy, prognosis of metastatic lung cancer was poor. On the other hand, surgical intervention has proven itself to bring out superior results, therefore more operations are being praticed based on this superiority against chemotherapy and other modalities on metastatic lung cancer. Material and Method : We analyzed the surgical cases performed from 1983 to 1997 on 17 cases and estimated 5 year survival rate using Kaplan-Meier method. Result: Average age was 42.8, ratio between male and female was 10:7. We had 8 single lobe resections,3 pneumonectomies,1 wedge resection,2 bilobectomy and 3 cases of lobar resection with wedge resection. 5 deaths have occured and among the 5, 3 patients were caused by recurrence of ca. The remaining 12 patients are being followed up in OPD basis among these, 3 recurrence were observed and 9 are still free of cancer. The average survival time was 40.5 months and 5 year survival rate obtained through the Kaplan-Meier method was 60.4%. Conclusion: Even though we are a bit short of cases, we recommend that a thoracic surgeon approach this disease through a surgical method as possibly as he could.

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RADICULAR CYST ENUCLEATION ON MANDIBULAR ANTERIOR REGION (하악 전치부에 발생한 치근낭종의 치험례)

  • Kim, Sun-Ha;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • 제39권1호
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    • pp.84-89
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    • 2012
  • The radicular cyst is the most common odontogenic cyst which is caused by pulpal inflammation, pulp death, and secondary to trauma or dental caries. Usually, the radicular cyst is asymptomatic, but a secondary inflammation can cause pain, swelling and redness. Getting larger, the radicular cyst can cause facial asymmetry and paresthesia by pressure on nerves. It requires conservative endodontic treatment or surgical approach. When the size of cyst is large or invasion of the adjacent tissue is not expected, cyst enucleation is carried out. And most of the case can be completely cured and shows low recurrence. In these radicular cysts cases, by cyst enucleation or apicoectomy after root canal treatment simultaneously, the infected teeth can be preserved successfully.

Arthroscopic Bankart Repair with Suture Anchor (Bankart 병변의 봉합나사를 이용한 관절경적 봉합술)

  • Kim Kyung Taek;Kim Chul Hong;Kim Sung Hoo
    • Journal of Korean Orthopaedic Sports Medicine
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    • 제1권2호
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    • pp.149-153
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    • 2002
  • Purpose: To evaluate the efficacy of arthroscopic Bankart repair using suture anchors for treatment of traumatic anterior instability of shoulder joint .Materials and Methods: We performed arthroscopic Bankart repair using suture anchor in 54cases and evaluated the results with the functional grading system of Rowe and Zarins after patients were followed up for more than 12 months. Results: Combined pathologies identified under arthroscopy were Hill-Sachs lesion in 28 cases, SLAP lesion in 6 cases and chondromalacia of humeral head in 6 cases. The results were excellent or good in 50 cases(92.6$\%$), and redislocation was happened only two cases. Conclusion: We conclude that arthroscopic Bankart repair with suture anchors is one of the reliableand effective method for treatment of recurrent shoulder dislocation with Bankart lesion.

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A Tenosynovial Giant Cell Tumor Arising from Posterior Cruciate Ligament of Knee Joint: A Case Report (슬관절 후방 십자 인대에서 기원한 건막 거대 세포종: 1예 보고)

  • Kim, Hong Kyun;Choi, Chang Hyun;Chung, Kook Jin;Lee, Young Min;Shin, Mi Kyung;Hwang, Ji Hyo
    • The Journal of the Korean bone and joint tumor society
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    • 제20권2호
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    • pp.85-88
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    • 2014
  • Localized forms of giant cell tumor are known to arise commonly in the synovial membrane of the finger joints. Multinucleated giant cells are its characteristic pathology finding, giant cell tumor shows a low rate of recurrence after complete excision. When occurring at the knee joints, giant cell tumor manifests a wide form of symptoms, from no symptom at all, to intermittent locking. Complete excision is possible by arthroscopy, but if done incompletely, it is reported to recur in 45% of cases. We present here a case of giant cell tumor that has arisen from the anterior portion of the posterior cruciate ligament, excised by arthroscopy and followed by pathologic confirmation.

Giant cell tumor of Cuneiform - A Case Report - (족부 설상골에 발생한 거대세포종 - 증례보고 1례 -)

  • Kim, Jin-Won;Park, Hong-Gi;Cho, Hyun-I
    • The Journal of the Korean bone and joint tumor society
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    • 제8권2호
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    • pp.58-62
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    • 2002
  • The incidence of giant cell tumors represents only 5% to 10% of all bone tumors. Occurrence on the small bones of the hand and foot are very rare. They typically present with pain and sometimes a pathologic fracture or even soft tissue extension. The radiographic appearance is highly characteristic. An eccentric osteolytic lesion is seen, producing cortical thinning and expansion, and possessing a delicate trabecular pattern. In tarsal bones, poorly or well-defined osteolytic lesions of variable size are encountered. Surgical treatment remains the preferred therapy. Marginal or wide en bloc resection has had far better results in term of local recurrence. Several authors have suggested extended curettage and cement as an alternative to en bloc resection. Follow-up is necessary to monitor for both local recurrence and the infrequent pulmonary metastases.

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