• Title/Summary/Keyword: Adrenal Gland

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Surgical Intervention of Undifferentiated Cardiac Sarcoma with Metastases (원격전이된 미분화성 심장육종의 수술치험)

  • 신재승;김학제;최영호;김현구;백만종
    • Journal of Chest Surgery
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    • v.33 no.5
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    • pp.432-435
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    • 2000
  • We report a case of primary undifferentiated cardiac sarcoma. The tumor originated from the left atrial free wall with multi-organ metastases, e.g., lung, and adrenal gland. The patient gradually grew worse with dyspnea and hemoptysis because of the obstructed left atrial outflow. Surgical resection of the left atrial sarcoma was undertaken to save the patient's life, followed by chemotherapy and brain irradiation as adjuvant therapy. The prognosis of cardiac sarcoma with metastases is very poor. However, in patients with hemodynamic instability, surgical intervention could be a therapeutic modality as palliation.

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The effects of deer horn on the liver and other organs of cholesterol adminstered rabbits. (녹용이 cholesterol 투여가토의 간조긱및 각장기에 미치는 영향)

  • 용재익
    • YAKHAK HOEJI
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    • v.8 no.1
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    • pp.12-29
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    • 1964
  • The oral administration of deer horn extract was proved to cause a considerable amelioration to the impairment of hepatic oxidative phosphorylation and to the decrease of ATP content in liver tissue induced by cholesterol ingestion. Deer horn extract was shown to accelerate considerably incorporation of acetate-1-C$^{14}$ into cholesterol in liver tissue and it tends to restore a decrease of GOT activity of liver tissue, caused by cholesterol administration. Histological examination showed that deer horn extract had a remarkable preventive effect against fatty infiltration of organs such as liver, heart, spleen, and adrenal gland of cholesterol given rabbits.

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INFLUENCE OF BRADYKININ ON CATECHOLAMINE SECRETION FROM THE ISOLATED PERFUSED RAT ADRENAL GLAND

  • Lim, Dong-Yoon;Kang, Moo-Jin
    • Proceedings of the PSK Conference
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    • 2003.04a
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    • pp.128-128
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    • 2003
  • Bradykinin modulates the sympathetic system in various ways. It can stimulate sympathetic neurotransmission directly through presynaptic receptors (Llona et al., 1991) and indirectly via its hypotensive or nociceptive effects which activate central and ganglionic mechanisms (Kuo and Keeton, 1991; Dray et al., 1988). However, it has been found that bradykinin can also liberate prostaglandins in peripheral tissues, thereby attenuating the release of catecholamines(Starke et al., 1977). (omitted)

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A Case of True Precocious Puberty Complicating Congenital Adrenal Hyperplasia (진성 성조숙증으로 전환된 선천성 부신 과형성증 1례)

  • Kim, Su Jin;Lee, Ju Suk;Kim, Su Yung
    • Clinical and Experimental Pediatrics
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    • v.46 no.4
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    • pp.400-403
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    • 2003
  • Congenital adrenal hyperplasia(CAH) is a recognized cause of precocious pseudopuberty. Some children with CAH also develop true precocious puberty with early maturation of the hypothalamic-pituitary-gonadal axis. We review a case of CAH who eventually developed central precocious puberty nine months after initial treatment with corticosteroid. A 3-year-old boy visited complaining of rapid growth, a large penis and frequent penile erections. This patient was diagnosed with CAH with elevated 17-OH progesterone and cortical hypertrophy of adrenal gland on CT scan. His gonadotropin levels were within the normal prepubertal range. Even on treatment with corticosteroid he grew rapidly and had testicular enlargement, pubic hair development and rapid bone maturation. At second admission, his gonadotropin levels were elevated both basally and in response to LHRH stimulation, suggesting that the CAH led to early activation of pubertal gonadotropin secretion(true precocious puberty). He was treated with monthly depot injections of a LHRH analog in addition to the hydrocortisone. His second sexual characteristics regressed gradually and rate of linear growth and bone maturation decreased.

A Therapeutic Experience of Congenital Bilateral Neuroblastoma (선천성 양측성 신경모세포종의 치료경험 1례)

  • Seo, Yeon Kyong;Kim, Heung Sik;Kwon, Kun Young;Lee, Hee Jung;Koo, Hong Hoe
    • Clinical and Experimental Pediatrics
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    • v.46 no.12
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    • pp.1279-1282
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    • 2003
  • Neuroblastoma is the most common intraabdominal malignant tumor of childhood, with 40% arising from the adrenal gland. Bilateral adrenal involvement from synchronous development or metastatic spread of tumor is rarely seen in children with neuroblastoma. The patient was born with a spontaneous vaginal delivery. Birth weight was 3,200 g. Fetal ultrasonography showed a left adrenal cystic mass. At two weeks of age, she was admitted due to a massive abdominal distension and tachypnea. Percutaneous ultrasonography guided biopsy of the left adrenal mass was performed. The result of the biopsy was neuroblastoma. Vincristine and cyclophosphamide were administerd intravenously and 450 cGy of irradiation was added. Left adrenalectomy was accomplished and postoperative course was uneventful. The patient received cancer chemotherapy with a combination of carboplatin, ifosfamide and VP-16 and is now being followed up for three months. We have experienced a case of congenital bilateral neuroblastoma and report the case with brief review of related literatures.

A Case of Synchronous Presentation of Primary Non-Small Cell Lung Carcinoma and Pheochromocytoma

  • Han, Jung Wan;Kim, Cheol-Hong;Jang, Juah;Lee, Hun Gu;Chung, Doo Cheol;Choi, Jung Eun;Kim, Kwangtaek;Lim, Ah Leum;Song, Won Jun;Song, Yong Keun;Woo, Heungjeong;Hyun, In Gyu;Shin, Mi Kyung;Lee, Yong Seong;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.181-186
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    • 2013
  • We report a rare synchronous presentation of primary lung cancer and adrenal pheochromocytoma. A 59-year-old woman was diagnosed with right upper lobe non-small cell lung carcinoma measuring 2.8 cm and a right adrenal gland mass measuring 3.5 cm, which displayed increased metabolic activity on $^{18}F$-fluorodeoxyglucose positron emission tomography-computed tomography. The adrenal lesion was revealed to be asymptomatic. The patient underwent right adrenalectomy and histological examination revealed a pheochromocytoma. Ten days later, right upper lobectomy was performed for lung cancer. This case indicates that incidental adrenal lesions found in cases of resectable primary lung cancer should be investigated.

Effects of High-salt Diet on the Mouse Adrenal Medulla (고염식이가 흰 생쥐의 부신 수질에 미치는 효과)

  • Moon, Young-Wha;Kang, Wha-Sun
    • Applied Microscopy
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    • v.33 no.4
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    • pp.291-298
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    • 2003
  • Exposure to stressful stimuli is known to activate the peripheral sympathetic nervous system and the adrenal gland. In this study, we evaluated the effects of high-salt diet on the mouse adrenal medulla using the tyrosine hydroxylase (TH) immunohistochemistry and the transmission electron microscopic observation. Immunoreactivity for TH was increased after high-salt diet. Especially, the TH immunoreactivity was stronger in 4 days high-salt diet mouse than that of 4 weeks. TH immunoreactivity was mainly present in the cytoplasm and granules of the noradrenaline cells. After high-salt diet, the noradrenaline cells exhibited the ultrastructural alterations consisting of areas of empty cytoplasm, expanded granules, and some damaged mitochondria. These results suggest that high-salt diet may be a factor of stressful stimuli on the mouse.

Delayed Contrast-enhanced Computed Tomography for Adrenal Masses in 3 Dogs (개 부신종양의 지연형 조영증강 전산화단층촬영 적용 3증례)

  • Lee, Jeo-soon;Yoon, Junghee;Oh, Hyun-jung;Kim, Bo-eun;Kim, Wan-hee;Youn, Hwa-young;Choi, Min-cheol
    • Journal of Veterinary Clinics
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    • v.32 no.3
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    • pp.263-267
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    • 2015
  • Three dogs having adrenal masses detected on ultrasonographic examination were underwent computed tomography (CT) for surgery. After adrenalectomy, each mass was diagnosed pheochromocytoma with myelolipoma, adrenocortical carcinoma and adrenal adenoma through histopathology. Five minutes were used to get delayed enhanced CT images. Attenuation value was measured in each mass and the absolute and relative percentage of enhancement washout were calculated.

A Case of Norepinephrine Secreting Pheochromocytoma in a Dog (개에서 Norepinephrine 분비 갈색세포종 증례1)

  • Choi, Ul-Soo;Kim, Dong-Hoon;Kim, Hyun-Wook;Choi, Ji-Hye;Jang, Jae-Young
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.268-272
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    • 2009
  • An-11-year-old male Shih-tzu was admitted to emergency care unit of Haemaru Referral Animal Hospital with signs of dyspnea, anuria and depression. There were abnormalities on complete blood count and serum chemistry included leukocytosis with mild left shift, mild azotemia, and increased ALT activity. Fluid therapy(0.9% saline, 40 ml/hr) and antibiotics were immediately initiated. The patient began to vomit after 5 hours' rest and pale mucous membrane, bradycardia, and hypertension were noted. Abdominal ultrasonography revealed enlarged left adrenal gland and thrombus in caudal vena cava(CVC). Result of ACTH stimulation test was normal. Cytology of ultrasound-guided FNA smears showed numerous naked nuclei, which was suggestive of adrenal medullar tumor. Concentrations of 24 hour urine metanephrine and normetanephrine was moderately increased compared to those of a control dog. Adrenal mass was surgically removed, and biopsy of the CVC mass was obtained. After surgery the patient began to recover but the dog acutely developed cardiopulmonary arrest and died. On histopathology the adrenal mass and biopsy of the CVC mass were consistent with pheochromocytoma. On electron microscopic view norepinephrine specific granules were found in the cytoplasm of tumor cells.

A Study of aticarcinogenic effects of dimethyl disulfide and diallyl disulfide in a rat multi-organ carcinogenesis model (다장기 발암모델을 이용한 dimethyl disulfide와 diallyl disulfide의 항발암효과)

  • Kang, Boo-Hyon;Son, Hwa-Young;Ha, Chang-Su;Rho, Jung-Koo
    • Korean Journal of Veterinary Pathology
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    • v.1 no.1
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    • pp.13-25
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    • 1997
  • The anticarcinogenic effects of dimethyl disulfide(DMDS, methyl disulfide)and diallyl disulfide(DADA, allyl disulfide) were studied in a 28 weeks rat multi-organ carcinogenesis model. neoplastic and preneoplastic lesions were observed in the liver kidney thyroid gland esophagus duodenum colon, rectum and adrenal gland. Tesults showed that neoplastic lesions in the kidney liver and thyroid gland were inhibited by DADS but those in the liver and colon were enhanced by DMDS when compared to positive control group. incidence of neoplastic lesions in the other organs were not changed by DMDS or DADS exposure. While GST-p positive foci in the liver were increased by DMDS, DADS had no effect. There was no significant histopathological lesion in DMDS or DADS treated group without pretreatment with carcinogens.

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