• 제목/요약/키워드: CT Specimen

검색결과 258건 처리시간 0.025초

A Case of Ectopic Peritoneal Paragonimiasis Mimicking Diverticulitis or Abdominal Abscess

  • Kim, Min Jae;Kim, Sung-Han;Lee, Sang-Oh;Choi, Sang-Ho;Kim, Yang Soo;Woo, Jun Hee;Yoon, Yong Sik;Kim, Kyung Won;Cho, Jaeeun;Chai, Jong-Yil;Chong, Yong Pil
    • Parasites, Hosts and Diseases
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    • 제55권3호
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    • pp.313-317
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    • 2017
  • Paragonimiasis is a parasitic disease caused by Paragnonimus species. The primary site of infection is the lung, and extrapulmonary involvement is also reported. When infected with Paragonimus westermani, which is the dominant species in Korea, the central nervous system is frequently involved along with the liver, intestine, peritoneal cavity, retroperitoneum, and abdominal wall. Ectopic paragonimiasis raises diagnostic challenge since it is uncommon and may be confused with malignancy or other inflammatory diseases. Here, we report an ectopic paragonimiasis case initially presented with recurrent abdominal pain. The patient developed abdominal pain 3 times for the previous 3 years and the computed tomography (CT) of the abdomen revealed fluid collection with wall enhancement. Recurrent diverticulitis was initially suspected and part of the ascending colon was resected. However, the specimen showed intact colon wall without evidence of diverticulitis and multiple parasite eggs and granulomas were found instead. The size of about $70{\mu}m$, the presence of an operculum and relatively thick egg shell suggested eggs of Paragonimus species. With appropriate exposure history and a positive antibody test, the definitive diagnosis was made as peritoneal paragonimiasis.

후종격동에 발생한 비기능성 부신경절종(Paraganglioma) 1례 (A Case of Nonfunctioning Paraganglioma of the Posterior Mediastinum)

  • 문영철;유성근;박혜정;신경철;이충기;정진홍;이관호;김미진;이정철
    • Journal of Yeungnam Medical Science
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    • 제17권2호
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    • pp.155-160
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    • 2000
  • 저자들은 객혈을 주증상으로 내원한 34세 남자에게서 전산화단층촬영과 진단적 흉강경검사를 통해 후종격동내 병소를 확인한 후, 종괴절제술을 시행함으로써 조직학적 및 임상적으로 비기능성 부신경절종으로 진단한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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초대형 컨테이너선의 해치 코밍 용접부의 내부 균열에 대한 파괴역학적 연구 (A Study on Embedded Crack at the Hatch Coaming FCA Butt Weldment in an Ultra Large Containership on the Basis of Fracture Mechanics)

  • 신상범;이주성
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2010년도 춘계학술발표대회 초록집
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    • pp.61-61
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    • 2010
  • The purpose of this study is to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in the ultra large containership during service life. In order to do it, the behavior of the embedded crack at the weldment under design loading conditions was evaluated in accordance with BS7910. Here, the level of primary stress induced by ship motion was evaluated by the design code of classification society and FEA. The level of residual stress as secondary stress was calculated in consideration of the restraint degree of weldment and welding heat input by using the predictive equation proposed by authors in the previous study. The fatigue crack growth rate at the weldment was evaluated using CT specimen in accordance with ASTM E647. According to the results, although the allowable defect for embedded crack specified in the classification society exists at the weldment, the occurrence possibility of unstable fracture at the weldment could not be negligible, regardless of CTOD value given in this study. So, in this study, the effect of initial defect size, welding heat input, restraint degree and CTOD on the fracture mechanical characteristics of embedded crack at the weldment was evaluated by the comprehensive fracture assessment. Based on the results, the design criteria including allowable defect, residual stress level and CTOD value was established to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in an ultra large containership during service life of 20years.

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늑간근에 발생한 폐포성 횡문 근육종 1례 보고 (One Case of Alveolar Rhabdomyosareoma arising from Intercostal Muscle)

  • 김선한
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.598-604
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    • 1992
  • Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and acounts for 6% to 15% of all cases of childhood cancer, Rhabdomyosarcoma in seventh most common form of childhood neoplasms, following acute leukemia, tumors of the central nervous system, lymphoma neuroblastoma, Wilm`s tumor, bone tumor. Rhabdomyosarcoma can arise anywhere in the body, but primary site in the thorax is relatively rare. We experienced a case of aveolar rhabdomyosarcoma arising from intercostal muscle, A 12 year-old woman was suffered from the intermittent left chest pain radiating to the scapular area and dyspnea, On physical examination, pulmonary friction rub was heard on the left upper lobe area. Qn adimission, the chest simple radiography revealed a 7 x 6, 5cm sized radio-opaque mass with pleural effusion in the superior mediastinum and the CT showed a well difined radio-opaque mass including the destructed 2nd rib and pleural effusion. The percutaneous tra-nsthoracic needle aspiration biopsy was likely to show blastoma. After the chemotherapy[vincristine, actinomycin-D, cyclophosphamde] was done to treat blastoma, the pleural effussion was subsided and the mass was slightly decreased by 4.5x 4. 5cm. For treatment and diagnosis, we performed en-bloc resection and the defected chest was reconstucted with Gortex patch. Grossly, the specimen was colored graysh-white and arised in between two ribs The microscopic findings showed that the tumor cells were small round with scant pinkish cytoplasm on the H-E stain and the tumor cell nests were grouped by reticulum fibers and showed alveolar pattern on the silver stain The electromicroscopic finding presented that the cytoplasm contained tangled fibrillar and flocculent materials. The histopathologic findings were compatable with laveolar rhabdomyosarcoma. She was discharged without any complication. After discharge, she has been treated with radiation theraphy and chemotheraphy, and not recurred untill last follow-up We report a case of alveolar rhabdomyosarcoma arising to intercostal muscle, developed in 12 year-old waman, with brief review of literatures.

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기관지내 아스페르길루스종으로 오인된 폐암 1예 (A Case of Lung Cancer Obscured by Endobronchial Aspergilloma)

  • 함현석;이승준;조유지;정이영;전경녀;김호철;이종덕;황영실
    • Tuberculosis and Respiratory Diseases
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    • 제61권2호
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    • pp.157-161
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    • 2006
  • 저자들은 종괴와 폐허탈로 내원한 환자에서 기관지내시경을 이용한 조직검사에서 기관지내 아스페르길루스종으로 진단되어 치료하였으나 종괴의 크기가 증가하여 시행한 경피적 폐생검을 통해 악성 폐종양으로 진단된 예를 경험하여 보고하는 바이다.

용접잔류응력장에서의 피로균열 성장거동에 관한 연구(I) (A Study on the Fatigue Crack Growth Behavior in Welding Residual Stress Field(I))

  • 최용식;김영진;우흥식
    • 한국안전학회지
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    • 제5권1호
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    • pp.19-29
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    • 1990
  • The objective of this paper is to investigate the effect of residual stresses on the $\Delta$K$\sub$th/ and fatigue crack growth behavior of butt weldments. For this purpose, transverse butt sutmerged arc welding was performed on SM50A steel plate and CT(compact tension) specimens which loading direction is perpendicular to weld bead were selected. Welding residual stresses distribution on the specimen was determined by hole drilling method. The case of crack located parallel to weld bead, the states of as weld and PWHT, $\Delta$K$\sub$th/ of specimens(HAZ, weld zone) was higher than that of the base metal probably because of the compressive residual stresses of crack tip. In low $\Delta$K region, it is estimated that the effects of residual stresses for da/dN are great. In region II, the da/dN of weldments in as weld state was lower than that of the base metal. Though da/dN of Weldments in PWHT state was similar to that of the base metal. The constant of power law, m in two states consisted with the base metal. Therefore , it is estimated that the value of m is not affected by residual stresses. Fatigue crack growth behavior of weldments consisted with the base metal considering the effective stress intensity factor range($\Delta$K$\sub$eff/) included the effect of initial residual stress(Kres). Thus, we can predict the fatigue crack growth behavior of weldment by knowing the distribution of initial residual stress at the crack tip.

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돼지 하악 과두의 해면골에서 유한요소분석법으로 예측한 방향에 따른 탄성율과 3차원 골 미세지표 간의 상관관계 (The relationship between 3D bone architectural parameters and elastic moduli of three orthogonal directions predicted from finite elements analysis)

  • 박관수;이삼선;허경회;이원진;허민석;최순철
    • Imaging Science in Dentistry
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    • 제38권2호
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    • pp.81-87
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    • 2008
  • Purpose: To investigate the relationship between 3D bone architectural parameters and direction-related elastic moduli of cancellous bone of mandibular condyle. Materials and Methods: Two micro-pigs (Micro-$pig^R$, PWG Genetics Korea) were used. Each pig was about 12 months old and weighing around 44 kg. 31 cylindrical bone specimen were obtained from cancellous bone of condyles for 3D analysis and measured by micro-computed tomography. Six parameters were trabecular thickness (Tb. Th), bone specific surface (BS/BV), percent bone volume (BV/TV), structure model index (SMI), degree of anisotropy (DA) and 3-dimensional fractal dimension (3DFD). Elastic moduli of three orthogonal directions (superior-inferior (SI), medial-lateral (ML), andterior-posterior (AP) direction) were calculated through finite element analysis. Results: Elastic modulus of superior-inferior direction was higher than those of other directions. Elastic moduli of 3 orthogonal directions showed different correlation with 3D architectural parameters. Elastic moduli of SI and ML directions showed significant strong to moderate correlation with BV/TV, SMI and 3DFD. Conclusion: Elastic modulus of cancellous bone of pig mandibular condyle was highest in the SI direction and it was supposed that the change into plate-like structure of trabeculae was mainly affected by increase of trabeculae of SI and ML directions.

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우측 협부에 발생한 윤활막육종 증례보고 (A Case Report of Synovial Sarcoma of the Face)

  • 허정;이근철;박정민;김석권;노미숙;이진화
    • Archives of Plastic Surgery
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    • 제32권6호
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    • pp.760-762
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    • 2005
  • Synovial Sarcoma is the fourth most common sarcoma, accounting for 8-10 % of all sarcomas. Synovial sarcoma is highly malignant tumor of mesenchymal origin but rarely occurres in head and neck area. Less than 100 cases of synovial sarcoma occurring in head and neck area have been reported all over the world. Pathologically, there is two type of synovial sarcoma: monophasic variant is composed of only one cell type and "classic" (biphasic) synovial sarcoma has two cellular component, a spindle cell(fibrosarcoma-like) component and a pseudoepithelioma component. Recommended treatment is wide resection with negative margins. The role of chemotherapy and radiation therapy is controversial. We experienced a 42-year-old male patient with slowly enlarging, deep seated mass on right cheek. In the first operation, we suggested that the mass maybe benign tumor. But, initial excisional biopsy specimen of the primary lesion was consistent with synovial sarcoma. The final diagnosis was monophasic synovial sarcoma which was composed of spindle cells. Radical resection was performed two months later because remnant tumor was found on follow up MRI. No further treatment was done. There were no recurrence or metastasis on follow up MRI, chest CT and whole body bone scan after 15 months. This is a report of a rare case of synovial sarcoma of the face with a literature review.

폐암으로 오인된 기관지성 낭종 1례 (A Case Report of a Bronchogenic Cyst Misconceived to Lung Cancer)

  • 김영욱;이승희;홍순창;이호학;박상준;이권전;김진국
    • Tuberculosis and Respiratory Diseases
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    • 제55권5호
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    • pp.526-530
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    • 2003
  • 기관지성 낭종은 보통 단순 흉부 사진상 폐실질이나 종격동 내에 얇고 때끄러운 벽을 가지며 경계가 뚜렷한 원형의 종괴 흑은 낭포로 발견되고 보통 Hounsfield Number 0-20의 음영을 가진다. 본 증례는 단순 흉부 방사선 소견 상 폐실질내 경계가 불분명한 종괴로 보이고 CT상 Hounsfield Number 26의 연조직 음영을 보여 폐암을 배제하기 위하여 수술까지 하였던 경우였기에 보고하는 바이다.

원자로압력용기강에서 하중변수와 온도가 피로균열진전에 미치는 영향 (Effect of Loading Variables and Temperature on Fatigue Crack Propagation in SA508 Cl.3 Nuclear Pressure Vessel Steel)

  • Kim, B. S.;Lee, B. H.;Kim, I. S.
    • Nuclear Engineering and Technology
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    • 제27권6호
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    • pp.825-832
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    • 1995
  • SA508 Cl.3 원자로 압력용기강에서 하중변수와 온도가 공기 중에서 피로 균열성장률에 미치는 영향에 대하여 조사하였다. 피로 균열성장률 시험은 12.7mm 두께의 CT(compact tension) 시편을 이용하였으며, 균열길이 추정은 컴플라이언스 방법을 사용하였다. 시험은 0.1, 0.5 하중비와 1, 10Hz의 하중주파수로 상온에서 40$0^{\circ}C$ 까지 온도를 변화시키면서 수행하였다. 12$0^{\circ}C$ 이하의 비교적 낮은 온도에서는 피로균열전파속도는 하중주파수와 온도에 영향을 받지 않았지만, 12$0^{\circ}C$이상의 경우 피로 균열성장률은 온도가 높을수록, 하중주파수가 낮을수록 증가하였다. 이러한 피로균열진전속도의 빨라짐은 균열선단에서의 산화속도의 증가로 인한것으로 생각된다. 또한 하중비의 영향으로 균열닫힘과 산화의 상호작용으로 피로 균열성장률은 상온에서 두드러졌다.

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