• Title/Summary/Keyword: CT Specimen

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A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm

  • Kang, Bong Kyun;Jung, Bong-Kwang;Lee, Yoon Suk;Hwang, In Kyeom;Lim, Hyemi;Cho, Jaeeun;Hwang, Jin-Hyeok;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.52 no.2
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    • pp.193-196
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    • 2014
  • Fascioliasis is a zoonotic infection caused by Fasciola hepatica or Fasciola gigantica. We report an 87-year-old Korean male patient with postprandial abdominal pain and discomfort due to F. hepatica infection who was diagnosed and managed by endoscopic retrograde cholangiopancreatography (ERCP) with extraction of 2 worms. At his first visit to the hospital, a gallbladder stone was suspected. CT and magnetic retrograde cholangiopancreatography (MRCP) showed an intraductal mass in the common bile duct (CBD) without proximal duct dilatation. Based on radiological findings, the presumed diagnosis was intraductal cholangiocarcinoma. However, in ERCP which was performed for biliary decompression and tissue diagnosis, movable materials were detected in the CBD. Using a basket, 2 living leaf-like parasites were removed. The worms were morphologically compatible with F. hepatica. To rule out the possibility of the worms to be another morphologically close species, in particular F. gigantica, 1 specimen was processed for genetic analysis of its ITS-1 region. The results showed that the present worms were genetically identical (100%) with F. hepatica but different from F. gigantica.

A Case of Congenital Hepatic Fibrosis Accompanied by Renal Tubular Ectasia, Caroli Syndrome and Choledochal Cyst (신세뇨관 확장증, Caroli 증후군 및 총 담관낭을 동반한 선천성 간 섬유증 1례)

  • Choi, Bong Seok;Bae, Sang Nam;Im, Yong Tak;Park, Jae Hong;Lee, Chang Hoon;Lee, Jun Woo
    • Clinical and Experimental Pediatrics
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    • v.45 no.7
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    • pp.923-927
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    • 2002
  • Congenital hepatic fibrosis is a relatively rare disease, characterized by bile ductular proliferation and prominent fibrosis in the portal area of liver resulting in portal hypertension. It is frequently associated with other abnormalities such as polycystic kidney, Caroli syndrome, cystic dysplasia of pancreas, intestinal lymphangiectasia, pulmonary emphysema, hemangioma, and cleft palate. We report here a case of congenital hepatic fibrosis associated with renal tubular ectasia in a 3-year-old girl, whose chief complaint was abdominal distension. Her liver function test did not reveal any abnormal findings. Hepatosplenomegaly and multiple dilated bile ducts were seen in the abdominal CT scaning. Esophageal varix was not detected by an endoscopic examination. Microscopically, diffuse portal fibrosis and widening with proliferation of blie ductules in the liver specimen and tubular ectasia in renal cortex were seen.

A Case Report of Giant Cell Tumor of the Occipital Bone (후두골에 발생한 거대세포종 (giant cell tumor)의 수술적 치험례)

  • Jo, Sung Hyun;Kim, Jin Woo;Jung, Jae Hak;Kim, Young Hwan;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.11 no.2
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    • pp.103-106
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    • 2010
  • Purpose: Giant cell tumors of the bone are rare, locally aggressive lesions that primarily affect the epiphysis of the long bones in young adults. These tumors occur very rarely on the skull, principally in the sphenoid and temporal bones. The occipital bone is an unusual site. We report a rare case of a giant cell tumor of the occipital bone with a review of the relevant literature. Methods: A 7-year-old boy presented with a mass of the right occipital area, which was accompanied by localized tenderness and mild swelling. The mass was first recognized approximately 1 year earlier and grew slowly. There was no significant history of trauma. The physical examination revealed a nonmobile and non-tender bony swelling on the occipital region. The neurological evaluation was normal. The serial skull radiography and CT scan showed focal osteolytic bone destruction with a bulged soft tissue mass in the right occipital bone. The patient underwent a suboccipital craniectomy and a complete resection of the epidural mass. The lesion was firm and cystic. The mass adhered firmly to the dura mater. Results: The postoperative clinical course was uneventful, and the patient was discharged 5 days later. The histopathology report revealed scattered multinucleated giant cells and mononuclear stromal cells at the tumor section, and the giant cells were distributed evenly in the specimen, indicating a giant cell tumor. Conclusion: Giant cell tumors are generally benign, locally aggressive lesions. In our case, the lesion was resected completely but a persistent long term follow up will be needed because of the high recurrence rate and the possible transformation to a malignancy.

Asymmetrical diffuse Interstitial Lung Lesions with Multiple Lymphadenopathy (다발성 임파절 이상증을 동반한 비대칭적 폐 간질성 병변)

  • Lee, Kyung Sang;Yang, Suck Chul;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo;Lee, Jung Hee;Kim, Hyuk;Choi, Yo Won;Jeon, Seok Chol
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.4
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    • pp.651-656
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    • 1996
  • We have experienced a case of sarcoidosis appearing asymmetrical diffuse interstitial lung lesions with multiple lymphadenopathy. This patient was a 57 year-old female who had been in good health until 2 months ago. At that time she noted the onset of an exertional dyspnea and weakness. Pulmonary function tests showed moderate obstructive pattern with mild decreased DLco. In the chest CT, multiple lymphadenopathy with small nodular lesions are scattered, and the impression was a metastatic lymph nodes with lymphangitic carcinomatosis. In bronchofiberscopy, we noted luminal narrowing by extrinsic compression in the right middle and lower lobe bronchi. And microscopic examination of by bronchofiberscopic biopsy showed chronic inflammation. Thus we performed subcarinal and tight supraclaviclar lymph nodes aspiration biopsy cytology, and that revealed class 0 and class 1, respectively. Finally, we performed an excisional biopsy for the right scalene lymph node, which revealed the specimen as a noncaseating granuloma. The angiotensin convecting enzyme level was overt two folds compared to normal value. And the patient had negative PPD skin test and hyperglobulinemia. After 18 weeks treatment with prednisone, the signs and symptoms which the patient clad suffered from, disappeared.

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A Study on the High Temperature Creep Crack Growth Properties for Steam Turbine Rotor Steel under Static and Cyclic Loading Condition (화력 발전용 고압 로터강의 정하중 및 변동하중하의 고온 크립 균열전파 특성에 관한 연구)

  • O, Se-Gyu;Jeong, Sun-Eok
    • Journal of Ocean Engineering and Technology
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    • v.5 no.2
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    • pp.207-207
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    • 1991
  • The crack length measurements by electrical potential(EP) method for 1% Cr-Mo-V and 12%Cr steel of 0.5T-CT specimen were performed at $500^{\circ}C, 600^{\circ}C 700^{\circ}C$, and an applicability of stress intensity factor($K_I$), net section stress($\sigma_{net}$), $C^*$-ingegral and $C_t$ parameter was studied to measure creep crack growth rate(da/dt) with side groove and without side groove under static and cyclic loading condition. The experimental result could be summarized as follows: 1) Crack measurement by EP method was available and coincided with the Johnson,s analytical equation. 2) da/dt by $K_I$ and $\sigma_{net}$ was not adequate because of the wide scatter band according to load and temperature, but $C^*$-integral, except for transition region, was adequate. 3) $C_t$ parameter showed the best fitted line through total creep region without relating with both temperature and load condition. 4) Under the cyclic loading condition, $C_t$ parameter was proper to extimate da/dt. And it was shown that da/dt for 1% Cr-Mo V steel under the static condition(R=1) was 1.16 times faster than the case under cyclic loading(R=0), and for 12% Cr steel, 1.43 times.

A Study on the High Temperature Creep Crack Growth Properties for Steam Turbine Rotor Steel under Static and Cyclic Loading Condition (화력 발전용 고압 로터강의 정하중 및 변동하중하의 고온 크립 균열전파 특성에 관한 연구)

  • O, Se-Gyu;Jeong, Sun-Eok
    • Journal of Ocean Engineering and Technology
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    • v.5 no.2
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    • pp.67-75
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    • 1991
  • The crack length measurements by electrical potential(EP) method for 1% Cr-Mo-V and 12%Cr steel of 0.5T-CT specimen were performed at $500^{\circ}C, 600^{\circ}C 700^{\circ}C$, and an applicability of stress intensity factor($K_I$), net section stress($\sigma_{net}$), $C^*$-ingegral and $C_t$ parameter was studied to measure creep crack growth rate(da/dt) with side groove and without side groove under static and cyclic loading condition. The experimental result could be summarized as follows: 1) Crack measurement by EP method was available and coincided with the Johnson, s analytical equation. 2) da/dt by $K_I$ and $\sigma_{net}$ was not adequate because of the wide scatter band according to load and temperature, but $C^*$-integral, except for transition region, was adequate. 3) $C_t$ parameter showed the best fitted line through total creep region without relating with both temperature and load condition. 4) Under the cyclic loading condition, $C_t$ parameter was proper to extimate da/dt. And it was shown that da/dt for 1% Cr-Mo V steel under the static condition(R=1) was 1.16 times faster than the case under cyclic loading(R=0), and for 12% Cr steel, 1.43 times.

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A Case Report of Salivary Duct Carcinoma (이하선에 생긴 침샘관암의 치험례)

  • Park, Sung Wook;Kang, Sang Yoon;Kim, Tae Hun;Kim, Chung Hun
    • Archives of Plastic Surgery
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    • v.35 no.5
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    • pp.607-610
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    • 2008
  • Purpose: Salivary duct carcinoma(SDC) is uncommon but high grade adenocarcinoma arising in the ductal epithelium of salivary glands. SDC is characterized by distinctive clinical and pathologic features. The most important histologic aspect of this neoplasm is its resemblance to ductal carcinoma of the breast. Clinically SDC is defined by cervical lymph node involvement and distant metastasis with a high rate of recurrence and mortality. We described some of the clinical and pathological features of SDC and the management using case report for our patient. Methods: We present a case of a 40-year-old male with 2-year history of a swelling arising in his left preauricular region. There was a single painless, firm and solid $2{\times}1.5cm$ mass in the left parotid area. Facial nerve function was intact and no cervical lymph node were palpable. In August 2005, we found out $1.7{\times}1.8cm$ sized cystic, nodular lesions that were located in the superficial lobe of left parotid gland through Computed tomography. And then superficial parotidectomy and postoperative radiation therapy were performed in Jan 2007. Results: Pathologically, the specimen were consisted of homogeneous, chondoid to myxoid type of tissues. It was yellow mass that has multiloculated cystic lesions. In postoperative PET(Positiron emission tomography) CT, there was no evidence of uptaking FDG(Fluorodeoxyglucose) into the deep layers of parotid gland and distant metastasis were not seen. Conclusion: Salivary duct carcinoma(SDC) is a rare but high grade adenocarcinoma related to pleomorphic adenocarcinoma. The prognosis of SDC can be different according to the type of tumor such as mucoepidermoid adenocarcinoma, adenoid duct carcinoma and acinar cell carcinoma. So we need to study more carefully for accurate diagnosis in early stage of diagnosis. Although radiotherapy has not yet proven to be a significant factor in overall survival, the combination of parotidectomy and postoperative radiation therapy can lead to more favorable results in treating of SDC.

A Case of Bronchiolitis Obliterans Organizing Pneumonia After Thoracotomy (개흉술후 발생한 Bronchiolitis Obliterans Organizing Pneumonia 체험 1례)

  • 원경준;박종호;백희종;이향림;조재일
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1040-1043
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    • 1997
  • We report a patient who suffered from bronchiolitis obliterans organizing pneumonia(BOOP) after Ivor Lewis operation for esophageal cancer. The patient presented low grade fever, dry cough and mild dyspnea at day after operation. Chest roentgenograms and chest CT revealed bilateral patchy and infiltrative shadows. The respiratory symptoms worsened and respiratory failure developed with mild elevation of WBC count despite of conservative treatment. An open lung biopsy was done and the biopsy specimen showed bronchiolitis obliterans organizing pneumonia(BOOP). After several weeks of steroid therapy, there were marked clinical, physiological and roentgenographic improvements. Our experience suggests that BOOP may be one of the underlying pathology in a number of patients presenting with ARDS after thoracotomy. Since steroid therapy may improve survival in these patients, thoracic surgeons should heighten their index of suspicion for this entity. Early histologic diagnosis should be considered in patients with treatment-resistant ARDS after thoracotomy.

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Corrosion Behavior of High Pressure Die Cast Al-Ni and Al-Ni-Ca Alloys in 3.5% NaCl Solution

  • Arthanari, Srinivasan;Jang, Jae Cheol;Shin, Kwang Seon
    • Corrosion Science and Technology
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    • v.16 no.3
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    • pp.100-108
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    • 2017
  • In this investigation corrosion behavior of newly developed high-pressure die cast Al-Ni (N15) and Al-Ni-Ca (NX1503) alloys was studied in 3.5% NaCl solution. The electrochemical corrosion behavior was evaluated using open circuit potential (OCP) measurement, potentiodynamic polarization, and electrochemical impedance spectroscopy (EIS) techniques. Potentiodynamic polarization results validated that NX1503 alloy exhibited lower corrosion current density ($i_{corr}$) value ($5.969{\mu}A/cm^2$) compared to N15 ($7.387{\mu}A/cm^2$). EIS-Bode plots revealed a higher impedance (${\mid}Z{\mid}$) value and maximum phase angle value for NX1503 than N15 alloy. Equivalent circuit curve fitting analysis revealed that surface layer ($R_1$) and charge transfer resistance ($R_{ct}$) values of NX1503 alloy was higher compared to N15 alloy. Immersion corrosion studies were also conducted for alloys using fishing line specimen arrangement to simultaneously measure corrosion rates from weight loss ($P_W$) and hydrogen volume ($P_H$) after 72 hours and NX1503 alloy had lower corrosion rate compared to N15 alloy. The addition of Ca to N15 alloy significantly reduced the Al3Ni intermetallic phase and further grain refinement may be attributed for reduction in the corrosion rate.

The bone regenerative effect of silk fibroin mixed with platelet-rich fibrin (PRF) in the calvaria defect of rabbit (가토의 두개 결손부에서의 실크 단백질과 platelet-rich fibrin (PRF)의 골형성 효과)

  • Song, Ji-Young;Kweon, Hae-Yong;Kwon, Kwang-Jun;Park, Young-Wook;Kim, Seong-Gon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.250-254
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    • 2010
  • Introduction: This study evaluated the bone regenerative effect of silk fibroin mixed with platelet-rich fibrin (PRF) of a bone defect in rabbits. Materials and Methods: Ten New Zealand white rabbits were used for this study and bilateral round shaped defects were formed in the parietal bone (diameter: 8.0 mm). The silk fibroin mixed with PRF was grafted into the right parietal bone (experimental group). The left side (control group) was grafted only PRF. The animals were sacrificed at 4 weeks and 8 weeks. A micro-computerized tomography (${\mu}$CT) of each specimen was taken. Subsequently, the specimens were decalcified and stained for histological analysis. Results: The average value of plane film analysis was higher in the experimental group than in the control group at 4 weeks and 8weeks after surgery. However, the difference was not statistically significant.(P>0.05) The tissue mineral density (TMD) in the experimental group at 4 weeks after surgery was significantly higher than the control group.(P<0.05) Conclusion: Silk fibroin can be used as a scaffold of PRF for rabbit calvarial defect repair.