• Title/Summary/Keyword: 폴립

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Intraluminal Pedunculated Leiomyoma in the Cervical Esophagus - Report of 1 Case - (경부식도에 발생한 강내 육경성 평활근종의 수술 치험)

  • 이형렬;김흥수;박준호;조정수;강대환;이창훈
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.621-625
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    • 2002
  • Though leiomyoma is the most common tumor of esophagus, it accounts for only 1% of all esophageal tumors. Most of the leiomyomas are intramural type originating from the muscularis propria and only l% of them is intraluminal pedunculated type originating from muscularis mucosae. Recently, a 30-year-old male was admitted to our hospital because of dysphagia. Radiologic examination showed that intraluminal tumor 5cm in diameter was found at the cervical esophagus. Endoscopic examination showed that the tumor was covered with normal mucosa. The patient underwent surgical excision through the left cervical approach. After full, longitudinal esophagotomy, the intraluminal pedunculated tumor was successfully enucleated. Esophageal leiomyoma was confirmed histopathologically. Postoperative course was uneventful and the patient was relieved from dysphagia.

Endoscopic Removal of Benign Endotracheal/Endobronchial Tumor (기도 내 양성 종양의 굴곡형 내시경하 절제술)

  • 문석환;왕영필;서종희;조건현;곽문섭;이선희
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.699-702
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    • 2003
  • Endoscopic removal is acceptable for the treatment of endotracheal/endobronchial mass, because it is less invasive in high-risk patients and a conservative procedure for benign tumors. Two benign tumors in the lumen of the trachea (pure lipoma) and in the intermediate bronchus (hamartoma) were completely eradicated by our procedures, which involved diathermic snaring and residual mass removal with biopsy forceps under the guidance of fiberoptic bronchoscopy. No tumor recurrence was evident after extended follow-up (6 years for endotracheal lipoma and 2.5 years for endobroncheal hamartoma). Our method is safe and less invasive for the patient and provides the surgeon with better view during procedure.

Three New Records of Antipatharia (Anthozoa: Ceriantipatharia) from Korea (한국산 각산호류(산호충강: 꽃말미잘아강)의 3미기록종)

  • Moon Hye-Won;Song Jun-Im
    • Animal Systematics, Evolution and Diversity
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    • v.21 no.2
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    • pp.259-272
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    • 2005
  • The antipatharians in Korea were known with three species and two genera belonging to family Antipathidae. In the present study, three species, Antipathes densa, A. grandiflora, and A. dubia, have been newly recorded to Korean antipatharian fauna with the samples collected from Jeju-do during the period from 2003 to 2005. The description was mainly based on the habitat, the branching mode of corallums, the size and arrangement of polyps and spines on the axis, and also the types of cnidae. They had three kinds of cnidae: spirocyst, basitrich, and microbasic p-mastigophore. Spirocysts and basitrichs were distributed at tentacles and microbasic p-mastigophores were mainly at septal filaments.

Fibrillar Collagens in Vocal Polyp and Nodule (성대폴립 및 결절에서의 원섬유성 교원질 (Fibrillar Collagen)의 발현양상)

  • 손영익;고영혜;고석주
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.17-21
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    • 1998
  • Benign vocal fold lesions such as polyps, nodules and edema are known to be caused by vocal trauma such as voice misuse and/or abuse. Even though these lesions are known to be caused by the same etiology, phonotrauma, they show widely different clinical features and different responses to voice therapy. Previous studies suggested that benign vocal fold lesions represent disturbance in the balance of the extracellular matrix(ECM) constituents of the vocal folds. Collagen is one of the major constituents of ECM. Among collagens, fibrillar collagens are most important ones for maintaining the structural integrity. On the basis of gross morphology, vocal polyps wert divided into angiomatous one and edematous one, and nodules were divided into conical one and sessile one. In these four groups, the pattern of distribution of various fibrillar collagens(type 1, 2, 3, 5) was studied by immunohistochemical staining using paraffin embedded tissues. Within each group, differences among collagen subtypes were insignificant. In edematous polyp, collagens were sparsely dispersed in lamina propria by diffuse edema. In angiomatous polyp, collagens were displaced into submucosal layer by hemorrhagic space. In nodules, collagens were stained compactly in lamina propria. Quite different distributions of fibrillar collagens between polyps and nodules are thought to suggest that vocal polyps and nodules are totally different disorders in their pathophysiology.

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The Correlation between GRBAS Scales and MDVP Parameters on the Pathologic Voices of the Patients with Vocal Polyps (성대 폴립 환자를 대상으로 한 GRBAS 척도와 MDVP 측정치 간의 상관관계 연구)

  • 표화영;최성희;임성은;심현섭;최홍식;김광문
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.154-163
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    • 1999
  • GRBAS scale, the tool fir the perceptual evaluation of voice, demands the experience of judges, and MDVP parameters of CSL, the tool for the objective measurements of voice quality demands the exact interpretation of the analyzed results. The two tools should be used as compensatory evaluation methods, so the experimental study was performed to investigate the correlation between GRBAS scales and MDVP parameters by using the pathologic voice of the 30 patients with vocal polyps, and to know the significant MDVP parameters which the inexperienced GRBAS scale judges should attend to. The 30 subjects voices, saved in MDVP of CSL were analyzed by its own analysis program, and three experienced voice therapists judged the same voices by using GRBAS scales. The correlations between them were analyzed by Spearman Rank Correlation Coefficient. As results, among the 29 MDVP parameters, 22 parameters showed statistically significant correlation with Grade(G) scale(p<0.05). And it was found that Roughness(R) scale showed significant correlation with 18 parameters, Breathiness(B) scale with 17 parameters, Strain(S) scale with 12 parameters. In Asthenicity(A) scale, no parameter showed significant correlation. On the whole, significantly high correlation were found in the parameters related with pitch ind amplitude perturbation, especially, the amplitude perturbation.

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Non-Surgical Management for Benign Vocal Fold Lesions (양성 성대 병변의 비수술적 치료)

  • Lee, Sang Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.2
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    • pp.97-100
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    • 2015
  • Benign vocal fold lesions, such as vocal nodules, polyps and Reinke's edema, usually result from chronic voice overuse. Conservative management such as voice therapy and pharmacotherapy are used as the primary treatment techniques. The main purpose of voice therapy is to identify and reduce voice misuse to achieve the optimal voice. But complete resolution may not be possible in all patients after voice therapy. Furthermore, some patients with voice-related occupations, voice rest and voice therapy are sometimes difficult, which makes it hard to carry out the treatment. When conservative therapy is ineffective, laryngeal microsurgery can be performed under general anesthesia. However, potential complications following laryngeal suspension and violation of the layered structure of the vocal fold during surgery should be considered before surgery. In recent decades, emerging literatures have demonstrated the potential usefulness of vocal fold steroid injection as an alternative treatment option for benign vocal fold lesions. The most advantageous feature of vocal fold steroid injection is the maintenance of regional anti-inflammatory effects while preventing the potential systemic adverse effects of the steroid. Many non-surgical treatment methods can be conducted using different approaches in the office setting. It can be applied as an alternative treatment modality for the management of various benign vocal fold lesions.

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Color Similarity-based Class Labeling Method for Deep Learning of Capsule Endoscopic Images (캡슐내시경 영상 딥러닝을 위한 색상 유사도 기반의 클래스 레이블링 기법)

  • Park, Ye-Seul;Hwang, Gyubon;Lee, Jung-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.749-752
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    • 2017
  • 캡슐내시경 검사는 일반내시경으로는 관찰하기 힘든 소장 기관을 관찰할 수 있어 최근 환자들 사이에서 수요가 늘고 있는 검사 방법 중 하나이다. 이와 같은 캡슐내시경으로부터 병변에 대한 의료 정보가 획득될 수 있는데, 최근에는 캡슐내시경 영상의 학습을 통해 이를 자동으로 획득하려는 시도들이 이루어지고 있다. 예를 들면, 캡슐의 위치를 추적하기 위해 위장관의 개략적인 위치(위, 소장 등)를 파악하거나, 캡슐내시경 영상으로부터 관찰될 수 있는 병변(폴립 등)을 검출하기 위해 영상의 학습이 수행되고 있는 상황이다. 그러나 캡슐내시경의 방대한 영상 프레임 중에서 병변에 대한 영상은 극히 일부분이기 때문에, 기존 학습 영상의 클래스(레이블)는 다양한 병변에 대한 정의나 영상에서 확인될 수 있는 구체적인 속성이 고려되지 않는다. 따라서 본 논문에서는 캡슐내시경 관련 표준(MST, CEST)에서 정의하고 있는 주요 병변 정보에 대한 색상 유사도 분석을 통해, 출력층에서 활용될 수 있는 클래스 레이블링 기법을 제안한다. 제안하는 기법은 유사한 특성을 보이는 영상의 구분을 통해 세부적인 클래스 레이블링을 수행하여 체계적인 학습 모델의 설계를 가능케한다.

Vision transformers for endoscopic pathological findings classification (내시경 병리소견 분류를 위한 비전 트랜스포머)

  • Ayana, Gelan;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.396-398
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    • 2022
  • The endoscopic pathological findings of gastrointestinal tract (GIT) are important in the early diagnosis of colorectal cancer. Deep learning based on convolutional nueral network (CNN) has been implemented to solve the subjective analysis problem and to increase the performance of early detection of pathological findings. However, the desired performance is yet to be achieved and CNNs are computationally complex. To solve these problems, in this paper, we propose a vision transformer based endoscopic pathological findings classification for the early detection of colorectal cancer. Publicly available endoscopic images with three pathological findings, including esophagitis, polyps, and ulcerative colitis, each with 1000 images were used. Using our approach, we have achieved a test accuracy of 98% in classifying the three pathological findings.

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Endobronchial Metastasis from Renal Cell Carcinoma -A case report- (신장세포암의 기관지내 전이 - 1예 보고 -)

  • Kim, Si-Wook;Shin, Yoon-Mi
    • Journal of Chest Surgery
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    • v.41 no.3
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    • pp.386-389
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    • 2008
  • Lung parenchyma is a common organ for metastases of extrathoracic tumors, but endobronchial metastasis is very rare. In this report, we present a case of endobronchial metastases from renal cell carcinoma (RCC), and this was managed by performing operative resection. A 63-year-old man presented with frequent dry cough; he had previously undergone left nephrectomy and postoperative chemotherapy for grade 2 RCC eight years ago. Computed tomography and bronchoscopy showed an endobronchial tumor from the left lower lobe bronchus to the second carina, and this mass was diagnosed as a necrotic tissue with chronic inflammation at biopsy. During the operation, the mass was revealed to be a metastatic renal cell carcinoma on the frozen section diagnosis and there was no mucosal invasion on the resection margin of the left lower lobe bronchus. We performed lobectomy of the left lower lobe with systemic dissection of the mediastinal lymph nodes. The final histopathologic diagnosis of the endobrochial mass was metastatic RCC and any mediastinal lymph node metastasis was not found. The patient was discharged on postoperative day 10 without any postoperative complications.

Mansonian schistosomiasis in rectum - Report of a case - (직장에 발생한 만손주혈흡충증 일례 보고)

  • 임소덕;서연림
    • Parasites, Hosts and Diseases
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    • v.33 no.4
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    • pp.383-386
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    • 1995
  • Schistosomiasis is a snail-transmitted trematodiasis acquired by immersion in water which contains the cercariae. In Korea, six imported cases of urinary schistosomiasis by Schistosomc haematobium and one case of imported cerebral schistosomiasis by S. mansoni were reported. Herein we report a case of S. monsoni infecting rectum of a 46 year-old Korean male, who had been to Saudi Arabia for two years. On colonoscopy for routine physical check up, a 0.4 cm polyp in the rectum was detected and biopsy was done. Microscopically, rectal mucosa showed several granulomas which were composed of macrophages, Iymphocytes, neutrophils and eosinophils. The center of each granuloma showed an ovoid egg often containing miracidium. The eggs measured 130 × 60 ㎛ in average size. They had yellowish-brown transparent shell loth the characteristic lateral spille. This is the 8th imported case of schistosomiasis in Korea and the second one infected by S. mansoni. Key words: Schistosomc mansoni, rectum, Korea, imported case.

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