• Title/Summary/Keyword: 척색종

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A CASE OF CERVICAL CHORDOMA (경부 척색종 1 례)

  • 이종담;유태현;이석규
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.24.1-24
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    • 1987
  • 척색종은 1856년 루스카(Luschka)에 의해 발견된 이후 1977년까지 약 1000례가 보고되었으며 매년 10∼15례의 새로운 환자가 보고되고 있다. 이는 notochord의 잔유물에서 발생하는 종양으로 척추의 양 끝에서 주로 발생한다. 그러나 경추의 발생은 다른 부위에 비해 드물다. 저자들은 경부 척색종 1례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

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Parachordoma of Inguinal Region - A Case Report - (서혜부에 발생한 유척색종 - 증례 보고 -)

  • Moon, Sang-Ho;Kim, Dong-Jun;Kong, Gyu-Min;Lee, Soo-Won;Shim, Jong-Ok;Park, Jean-Kyung;Kim, Sung-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.68-72
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    • 2008
  • Parachordoma is an extremely rare tumor that histologically resembles chordoma of axial skeleton but occurs in a peripheral site. It is considered an indolent neoplasm with potential for local recurrence. We present a case of soft tissue parachordoma at inguinal subcutaneous tissue which recurred 2 months after primary simple excision under local anesthesia and was performed revisional wide excision. Bone scan showed no other metastatic lesion. Immunohistochemical findings revealed tumor cells to be reactive to EMA, S-100 protein, vimentin and cytokeratin.

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Long-Term Results of Surgical Treatment for Sacral Chordoma (천추 척색종의 수술적 치료 후 장기 추시 결과)

  • Chung, Jae-Yoon;Lee, Jae-Joon;Seo, Hyoung-Yeon;Jung, Sung-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.148-154
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    • 2005
  • Purpose: To evaluate the long term results of surgical treatment for sacral chordoma. Material and Method: We reviewed the records of 4 patients with sacral tumor treated surgical resection. Mean follow-up duration was 8.3 year(3~11). All cases were performed complete resection of tumor mass through posterior approach in 3 cases and anterior-posterior approach in one. The most caudad nerve-roots spared were the second sacral roots in one and the third sacral roots in 3 cases. Functions of voiding and defecation including neurological symptoms of lower extremities, other complications of surgical treatment, and local recurrence or distant metastasis of tumor were evaluated. Result: There was no motor deficit in all cases, but radiating pain was developed in one and wound infection in one. Bladder function was preserved in 2 cases, intermittent incontinence in one, and doing intermittent catheterization in one. Bowel function was preserved in one and 2 cases were suffered from constipation. At the last follow-up, disease-free was in one, local recurrence in one, and local recurrence with distant metastasis in one. Conclusion: The result of surgical resection for sacral chordoma is satisfactory showing average 8 years survival. Early detection and aggressive surgical treatment is the best to prolong survival and to minimize functional deficit with preservation of upper sacral nerves.

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Oncologic Outcome of Sacral Chordoma (천골에 발생한 척색종의 치료결과)

  • Cho, Sang-Hyun;Lee, Soo Yong;Jeon, Dae-Geun;Song, Won-Seok;Kong, Chang-Bae;Lee, Jung-Dong;Cho, Wan-Hyeong
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.2
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    • pp.66-71
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    • 2012
  • Purpose: We analyzed treatment result to examine the outcome for patients with sacral chordoma and to determine relevant prognostic factors. Materials and Methods: We retrospectively reviewed 19 patients with sacral chordoma seen at out institution between 1990 and 2010. There were 9 men and 10 women with mean age of 56 years. The average follow up was 63 months (range, 25-144 months). 15 patient received surgical treatment, six of these patient had wide, eight had marginal, one had intralesional margin and 4 patient treated with Radiation therapy only. Results: The disease free and overall survival rate for all 19 patients was 34.7% and 79.7% at 5-years, respectively. Statistical analysis using the log-rank test revealed no significant difference between the surgery and radiation therapy groups in overall survival (p=0.54). Nine of 19 patients had local recurrence at a median of 2.5 years postoperatively. Seven of these 9 patients had distant metastasis at a median of 4.5 years postoperatively. Among the variables, tumor size (p=0.033) and tumor involvement of above S3 (p=0.032) were independent prognostic factor for overall survival. Nine of 15 patients who received surgical treatment had postoperative complication such as voiding difficulty and incontinence. Conclusion: Careful consideration of the patient general condition and predictable complication of the treatment might be the best way to improve patient's survival and quality of life.

A Case of Giant Sacral Chordoma (천추부에 발생한 거대 척색종 치험 1례)

  • Suh, Bum-Sin;Na, Young-Cheon;Park, Jong-Tae
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.702-704
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    • 2010
  • Purpose: Chordoma is a rare primary osseous tumor arising from the remnants of the primitive notochord. It occurs once in 2,000,000. It is characterized by its slow growth, high frequency to invade destroy bone by direct extension. We experienced giant sacral chordoma and reconstructed with gluteal advancement flap. Methods: A 52-year-old woman presented with a 2-years history of gluteal pain. In the biopsy study revealed sacral chordoma. MRI study showed $13{\times}12{\times}10\;cm$ sized m0cs. We approached anterior and posterior resection and reconstructed with bilateral gluteus maximus advancement flap. Results: After the operation, blader and anal function were slightly decreased. But, 4 months later those were almost fully recovered. There was no significant complication and recurrence after 2-years follow-up. Conclusion: Chordoma is characterized by its slow growth, high frequency to invade and destroy bone by direct extension. Wide surgical resection is the only curative procedure. We report a ase of giant sacral chordoma which was successfully treated by anterior and posterior approach and reconstructed with bilateral gluteal advancement flap.

Radiation Therapy of a Chordoma of the Thoracic Vertebra -A Case Report and Review of Literatures- (척색종의 방사선 치료)

  • Kim, Joo-Young;Choi, Myung-Sun
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.295-300
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    • 1988
  • Chordoma is a malignant tumor arising from the primitive notochord involving the axial skeleton. It usually occurs at sacrococcygeal and besisphenoidal area but only rarely does at other vertebral areas, especially at the thoracic vertebrae. It has a slow growth rate and is locally aggressive with an extremely high rate of local recurrence. Either surgery or radiation alone often fails to cure the disease and the local failure is the main cause of treatment failure and death. Overall 5 year survival rate is less than $10\%$. Useful palliation or occasional cure can be obtained by the combination of surgery and radiotherapy. After incomplete resection, the tumor requires radiation dose of 7,000 cGy or more over 6-7 weeks for local control. Tumor regression is slow in response to irradiation and continuation of the regression for several months after completion of RT is not unusual. We report a case of chordoma of the thoracic vertebra, the site of extreme rarity, which showed good local control after partial resection and radiation therapy. He is well and alive without any evidence of recurrence after 13 months of treatment with near complete tumor regression.

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Chordoma in the Tail of Two Ferrets (페렛의 꼬리에서 발생한 척색종 2예)

  • Lee, Bo-Ram;Park, Jun-Won;Oh, Won-Seok;Kim, Eun-Ok;Choi, Young-Min;Woo, Gye-Hyeong;Kim, Dae-Yong
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.494-496
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    • 2010
  • Chordoma was described in the tail masses of two ferrets. Tail masses were surgically removed and submitted for diagnosis. On histopathology, the masses from both ferrets were almost similar each other. The mass was well-demarcated and composed of lobules or sheets of neoplastic cells. The neoplastic cells were round to polygonal with distinct cell border and contained marginally located round nucleus. The cytoplasm of neoplastic cells was highly vacuolated. Immunohistochemically, the neoplastic cells were positive to cytokerain, vimentin, and S-100. Based on these results, both cases were diagnosed as chordoma in ferrets. Recurrence was not noted since surgery.

Identification and in silico analysis of two types of serpin genes from expressed sequence tags (ESTs) of the Oriental land snail, Nesiohelix samarangae (동양달팽이 (Nesiohelix samarangae) 의 expressed sequence tags (ESTs) 로부터 분리한 2종류의 Serpin 유전자 분석)

  • Park, So Young;Jeong, Ji Eun;Hwang, Hee Ju;Wang, Tae Hun;Park, Eun Bi;Kim, Yong Min;Lee, Jun-Sang;Han, Yeon Soo;Yang, Seung-Ha;Lee, Yong Seok
    • The Korean Journal of Malacology
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    • v.30 no.2
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    • pp.155-163
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    • 2014
  • Serpins are a group of proteins involved in the regulation of serine and other type of proteases, and have been identified in many kinds of organisms from invertebrates to vertebrates. Serpins are known to regulate the proteolytic cascades of the innate immune pathways in addition to their roles in blood coagulation, angiogenesis, fibrinolysis, inflammation and tumor suppression. In this study, we have isolated two partial serpin gene fragments from expressed sequence tags (ESTs) of Nesiohelix samarangae. Dotplot analysis indicates that they are of two different types, Ns-serpin type 1 and Ns-serpin type 2. Ns-serpin type 1 has 819 bp coding region (272 amino acids), whereas Ns-serpin type 2 has 555 bp coding region (185 amino acids). Molecular phylogenetic analysis shows that the identified serpins have high similarities to their counterparts in the California see slug, Aplysia californica. Yet, the precise biological and immunological roles of these Ns-serpins remain to be further investigated using RNA interference and other molecular techniques.

Morphological of Development Eggs, Larvae and Juveniles Micropercops swinhonis in Botongcheon Stream Hangang River (한강 수계 보통천에 서식하는 좀구굴치 Micropercops swinhonis의 난발생 및 자치어 형태발달)

  • Jae-Min Park;Kyeong-Ho Han
    • Korean Journal of Ichthyology
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    • v.35 no.3
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    • pp.151-159
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    • 2023
  • This study investigated the early life history of the Micropercops swinhonis in Botongcheon stream Hangang River and compared the relationship between the related species and flexibility. The fertilized egg of the ovoid type, and the average egg diameter was 1.23 mm in long diameter and 0.85 mm in short diameter. At a water temperature of 20.6℃, the hatching time took 179 hours. The newly hatched larvae measured 3.82~4.08 mm in total length (TL), and their mouth and anus were not yet open. At 18 days after hatching, the postflexion larvae reached 7.97~8.43 mm in TL, with the tip of the caudal fin bent at 45°. At 29 days after hatching, the juveniles reached 9.83~10.8 mm in TL and were differentiated by their constant number of fins (7~10 first dorsal, 10~11 second dorsal, 7~10 anal fins). As a result of the study, there was a difference from the related species in the egg diameter, the newly hatched larva size. The postflexion larvae period and the development period of the first dorsal fin were the slowest among the comparable simila species, and the size was characterized by a large number, indicating a difference from similar species in the early life history process.

Description of Egg and Larvae of Two Species of Rockfishes(Scorpaenidae : Sebastes) in Korean Waters (불볼락(Sebastes thompsoni)과 개볼락(Sebastes pachycephalus pachycephalus)의 난형태(卵形態) 및 자어(仔魚)의 형태발달(形態發達))

  • Han, Kyeong-Ho;Kim, Yong-Uk;Kim, Chung-Man
    • Korean Journal of Ichthyology
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    • v.8 no.2
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    • pp.1-9
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    • 1996
  • Egg and larval stages of the rockfish, Sebastes thompsoni and S. pachycephalus pachycephalus, are described and illustrared. The size of these eggs when released were 1.27~1.33mm in S. thompsoni and 1.39~1.52mm in S. pachycephalus pachycephalus. The size of these hatching larvae when released were 3.02~3.12mm TL (total length) in S. thompsoni and 4.83~5.17mm in S. pachycephalus pachycephalus. Notochord flexion occured 7.56~8.00mm TL (17~20 days after hatching) in S. thompsorzi and 5.43~5.56mm in S. pachycephalus pachycephalus. Preflexion and flexion larvae (averaged 3.97~7.78mm TL) of S. thompsoni were distinguished from related species by pigmentation of the dorsal and ventral midlines of the tail. Larvae of S. pachycephalus pachycephalus were distinguished from related species by pigmentation of the dorsal and ventral midlines of the trunk. Transformation occured 14.22~15.86mm TL in S. pachycephalus pachycephalus.

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