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A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol) (외상성 복벽 탈장 환자에서 biologic mesh를 이용한 치료)

  • Yu, Byung Chul;Chung, Min
    • Journal of Trauma and Injury
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    • v.25 no.2
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    • pp.63-66
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    • 2012
  • Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.

Undetermined Fibrous Tumor with Calcification in the Cerebellopontine Angle

  • Cheon, Se-Hun;Kang, Shin-Hyuk;Park, Kyung-Jae;Chung, Yong-Gu
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.173-176
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    • 2010
  • In this report, we introduce an undetermined fibrous tumor with calcification occurring in the cerebellopontine angle (CPA). A 51-year-old woman was admitted with a short history of dizziness. Computed tomography and magnetic resonance images revealed a $2{\times}2{\times}2\;cm$ sized mass at the left CPA which was round and calcified. There was no dura or internal auditory canal involvement. At surgery, the tumor was located at the exit of 7th and 8th cranial nerve complex. It was very firm, bright yellow and well encapsulated. Histologic findings revealed that the tumor was predominantly composed of fibrous component, scant spindle cells and dystrophic calcification. Immunohistochemical staining demonstrated positive for vimentin and negative for epithelial membrane antigen (EMA), S-100 protein, CD34, factor XIIIa and smooth muscle actin. The diagnosis was not compatible with meningioma, schwannoma, metastatic brain tumors, and other fibrous tumors. Although the tumor was resected in total, long term follow-up monitoring is necessary due to the possibility of recurrence.

Implementation of Web-page & Development of Size Informational Model on Fashion Electronic Commerce (패션전자상거래 치수정보모델 개발 및 웹페이지 구현)

  • Kang, Myoung-Hui;Nam, Yun-Ja;Choi, Young-Lim
    • Fashion & Textile Research Journal
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    • v.13 no.2
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    • pp.205-214
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    • 2011
  • The purpose of this study is to develop a size information providing model which is easy recognition and utilization for customer. This study also implemented web page to apply the size-informational model. Web page implemented using Apache Web Server and JAVA client-side scripting. Research result on the actual condition of fashion electronic commerce, most of the firms are used the old named same with period of 1980. On the same named-code, they are used different sizing systems by firms or items. Size interval is used 2~5 cm, different by firms. In the size information, is provided only named-code(55, 66 etc.) or garment size, and is confusing whether the marked is body size or garment size. Many of the marked size information were wrong. The sizing system of KS K5001(2009) is not used well. These problems are increased a lose customer and firm by return, exchange, mending-cost, stock, etc. Therefore, the problems should be improved by providing correct and detailed information of size and garment, as well as standardization of sizing systems based on KS K5001.

Cytologic Findings of Epithelial - Myoepithelial Carcinoma of the Salivary Gland - A Cese Report - (타액선 상피-근상피세포암종의 세포학적 소견 - 1예 보고 -)

  • Nam, Eun-Sook;Kang, Gu;Shin, Hyung-Sik
    • The Korean Journal of Cytopathology
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    • v.7 no.1
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    • pp.64-68
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    • 1996
  • The report of aspiration cytologic findings of epithelial-myoepithelial carcinoma(EMC) in the salivary gland is extremely rare. We present a case of fine needle aspiration cytology(FNAC) from EMC in the right submandibular gland of a 46 years old male patient. Neck CT scan revealed a confined lesion in the submandibular gland without enlargement of the regional lymph node. FNAC from the tumor showed several three-dimensional cellular clusters with admixed normal acinar cells. They frequently formed blanching tubular structures composed of two type of cells; darker cells haying eosinophilic scanty cytoplasm with round dense nuclei and clear cells having abudant pale cytoplasm with vesicular nuclei at the periphery of clusters. The tumor cells of both types did not show pleomorphism or mitoses. The resected submandibular gland showed an ill-defined whitish firm tumor, measuring $2{\times}1.5{\times}2cm$. The histology revealed an infiltrative tumor showing characteristic two cell types in a duct-like arrangement surrounded by thin basement menbrane. An inner layer of darker cells and outer layer of clear cells were postive for cytokeratin in the former and S-100 protein in the taller on the immunohistochemical stain.

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A Case of Recurred Malignant Proliferating Trichilemmal Tumor of the Scalp (두피에 재발한 악성증식모근초종양 1례)

  • Lee, Sae Bin;Lee, Won Jai;Tark, Kwan Chul;Kim, Se Hoon
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.491-494
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    • 2006
  • Purpose: To report the case of recurred malignant proliferating trichilemmal tumor on scalp Methods: Case report and literature review Results: A 40-year-old man presented with a recurred malignant proliferating trichilemmal tumor, which developed on the occipital area. It was $8{\times}9{\times}4.5cm$ in size, protruded, firm and non-tender mass. This tumor was widely excised including normal skin margin and pericranium. Immediate reconstruction using free latissimus dorsi muscle flap and skin graft were done. Histopathologic examination revealed abrubt, compact trichilemmal keratinization in the central area of lobular epithelial proliferation. Conclusion: There has been no recurrence of tumor during follow-up period of nine months without adjuvant chemotherapy or radiotherapy.

Retroperitoneal Teratoma in a Ferret (Mustela putorius furo) (페렛의 후복강에서 발생한 기형종)

  • Lee, Bo-Ram;Park, Jun-Won;Lee, Su-Hyung;Go, Du-Min;Kim, Dae-Yong
    • Journal of Veterinary Clinics
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    • v.31 no.1
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    • pp.70-72
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    • 2014
  • Retroperitoneal teratoma was described in a 20-month-old intact female ferret (Mustela putorius furo). Retroperitoneal mass about $8{\times}5$ cm in size was surgically removed and histopathologic examination was performed. Grossly, on cross section of the mass, the consistency was soft to firm and contained several cystic structures which are filled with dried keratinous material. Histologically, the retroperitoneal mass consisted of embryologically heterogeneous tissues that include skin, bone and cartilage, adipose tissue, respiratory epithelium, and exocrine pancreatic tissue. Based on the characteristic histologic features of the mass, a diagnosis of retroperitoneal teratoma was made. Adrenal gland or ovary was suspected as the origin of the tumor.

Clear Cell Sarcoma - 1 Case Report - (투병세포육종 -1례 보고 -)

  • Choi, Joon-Hyuk;Choi, Hae-Jeong;Kim, Mi-Jin;Shin, Duk-Seop;Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.108-113
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    • 1999
  • Clear cell sarcoma is a rare soft tissue sarcoma that occurs in tendons and aponeuroses, usually in the lower extremities in young adults. The exact histogenesis is not definitely established. We experienced a case of 58 year-old female who presented with a $3.2{\times}2.2cm$ sized mass located in the subcutaneous tissue of the left lower thigh. The mass was well-circumscribed, grayish and firm. Two small satellite nodules were also seen. Histrionically, the tumor was composed of round to fusiform cells with clear or pale eosinophilic cytoplasm and separated into compact nests or short fascicles by delicate fibrous septa. The melanin pigments and hemosiderin were seen. Tumor cells showed positive reaction for S-100 protein and HMB-45. The ultrastructural examination showed abundant mitochondria and melanosomes.

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Sublingual Granular Cell Tumor in a Dog (개의 혀 밑에서 발생한 과립세포종)

  • Park, Jun-Won;Jee, Hyang;Oh, Won-Seok;Kim, Eun-Ok;Youn, Sin-Keun;Woo, Gye-Hyeong;Kim, Dae-Yong
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.491-493
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    • 2010
  • Granular cell tumor was described in a 7-year-old male Miniature Pinscher. Sublingual mass was surgically removed and submitted for diagnosis. The mass was about 1.8 cm in diameter, firm, tan, and ulcerated. On histopathology, the mass was unencapsulated and infiltrated adjacent tissue and consisted of nest or sheet of round to polygonal, and occasional spindle-shaped cells. The neoplastic cells contain large amount of eosinophilic granular materials in the cytoplasm. Immunohistochemically, the neoplastic cells were positive to neuron-specific enolase but were negative to S-100. The cytoplasmic eosinophilic granules were positive to PAS but were negative to PTAH methods. Based on these results, the mass was diagnosed as sublingual granular cell tumor. No recurrence or metastasis was noted so far since surgery.

Malignant Metastatic Plasma Cell Tumor in a Dog

  • Park, Jae-Hoon;Kim, Jin-Hyun;Lee, Jung-Kenn;Youn, Hwa-Young;Yoon, Jung-Hee;Kim, Dae-Yong
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2001.09a
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    • pp.28-28
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    • 2001
  • A primary metastatic malignant plasma cell tumor was diagnosed in a 7-year-old, female mixed breed dog. The dog was admitted to Veterinary Teaching Hospital at College of Veterinary Medicine, Seoul National University after suffering from depression, anorexia, and dyspnea. In radiographic examination, a large occupying mass was found at the right cranial thorax. Due to poor prognosis, the dog was euthanized. At surgery, numerous, firm, round, nodules, 1 to 2 cm in diameter were noted in the ribs. The nodules were often confluent and had cylindrical appearance. Osteolysis was associated with the nodules. A large amount of clear fluid was present in the thoracic cavity. The spleen and liver were markedly enlarged and congested. Histologically, the mass was diagnosed as plasma cell tumor which was believed to be originate from the rib. Evidence of metastasis was observed in the spleen, liver, and kidney.

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Myoepithelioma of the Parotid Gland: A Case Report (이하선에서 발생한 근상피종 치험례)

  • Chang, Cheol Ho;Lim, So Young;Hyon, Won Sok;Bang, Sa Ik;Oh, Kap Sung;Mun, Goo Hyun
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.258-260
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    • 2007
  • Purpose: Myoepithelioma is a rare tumor that originates exclusively from myoepithelial cells of the salivary glands, breast and the prostate. Myoepithelioma accounts for less than 1% of all salivary gland tumors. The objective of our study is to present our experience of the infra-auricular mass which was finally diagnosed as a myoepithelioma. Methods: A 54-year-old woman was presented with a firm, movable, slow-growing infra-auricular mass with 3 cm in diameter. MRI scans and fine needle biopsy was performed for preoperative diagnostic study. A superficial parotidectomy was preceded and removed tumor successfully. Results: Histopathological study revealed a myoepithelioma of plasmacytoid type. Patient's postoperative course was uneventful without any complication and had no evidence of recurrence of tumor for 9 months follow-up period. Conclusion: Myoepithelioma in the parotid gland shows similar clinical courses and intraoperative finding to the pleomorphic adenoma and superficial parotidectomy was selective choice for treatment.