• 제목/요약/키워드: Chest Wall

검색결과 790건 처리시간 0.031초

결핵성 흉벽농양 (Tuberculous chest wall abscess)

  • 조규석;우세영
    • Journal of Chest Surgery
    • /
    • 제17권1호
    • /
    • pp.140-143
    • /
    • 1984
  • We have experienced 30 patients of tuberculous chest wall abscess which was surgically treated at Kyung Hee University hospital during 6 years from Jan, 1978 to Dec, 1983. We analyze 30 cases of clinical findings and surgically treated, and 20 cases of chest X-rays are available. The results of this sturdy are as follows: 1.Sex ratio ; Male: Female = 1:1.72. 2.Chief complaints are fluctuated mass with or without tenderness or pain and pus from wound. 3.Out of 20 cases of chest x-rays revealed 8 cases of osteolytic lesion, 11 cases of soft tissue swelling, 5 cases of pleural changes and 4 cases of negative findings. 4.We resected partially 43 ribs of 30 patients [average: 1.43 resected] in tuberculous chest wall abscess. 5.Operative methods of tuberculous chest wall abscess were partial resection of destructed or denuded periosteum of ribs and curettage of its surrounding tissues in operative field.

  • PDF

흉벽종양 21례에 대한 임상적 고찰 (A Clinical Review of Chest Wall Tumors: 21 Cases)

  • 성상현
    • Journal of Chest Surgery
    • /
    • 제15권1호
    • /
    • pp.12-14
    • /
    • 1982
  • 21 cases of the chest wall tumors that were operated and proved by pathologically at the dept. of thoracic & cardlovascular surgery, SNUH during 16 years from 1965 to 1981 were reviewed. The results are as follows: 1.Benign tumors were 11 cases. Primary malignant tumors were 7 cases. Metastatic tumors were 3 cases. 2.Incidence rate of male to female was 1.5:1. 3.Main symptoms were palpable mass [52.4%] and localized chest pain [14.3%]. 4.Locations of tumors were rib [61.9%], soft tissues and muscle [33.3%] and sternum [4.8%]. We excluded the Tbc, rib carles from the chest wall tumors.

  • PDF

흉벽에 발생한 악성 임파종 [Non-Hodgkin`s lymphoma] 수술 치험 1예 (Malignant lymphoma [non-Hodgkin`s lymphoma] at left posterior chest wall)

  • 김송명
    • Journal of Chest Surgery
    • /
    • 제16권1호
    • /
    • pp.176-182
    • /
    • 1983
  • Malignant lymphoma in chest wall is a rare form of extranodal variety as occasionally localized tumor. The primary site is suggested from rib or soft tissue, but the incidence in rib is higher than soft tissue. The patient, a male, aged 32, noted a swelling and pain over the left lower posterior chest from 3 months prior to admission. Roentgenograms revealed bony destruction in left 9, & 19th ribs posteriorly and associated chest wall mass which was ill defined uncleared margination. Under diagnosis of malignant tumor, the operation was performed and the tumor mass resected widely with en bloc technique than the fascia lata was grafted at chest wall defect. The histology of specimen was disclosed as malignant lymphoma, non-Hodgkin`s diffuse lymphocytic poorly differentiated form. The radio-and chemotherapy were combined post-operatively and the complete remission is acquired.

  • PDF

Nodular Fasciitis of the Chest in a Young Woman

  • Seo, Hong Joo;Ryu, Sang Wan;Lee, Mi Ja;Kim, Dong Hun;Kim, Hyung Ho
    • Journal of Chest Surgery
    • /
    • 제49권1호
    • /
    • pp.67-69
    • /
    • 2016
  • Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.

원발성 종양의 증거 없이 발생한 간세포암종의 흉벽 전이 -1예 보고- (Chest Wall Metastasis from Unknown Primary Hepatocellular Carcinoma -A case report -)

  • 김혁;양주민;강정호;김영학;정원상;전순호
    • Journal of Chest Surgery
    • /
    • 제37권9호
    • /
    • pp.809-812
    • /
    • 2004
  • 흉벽에 발생하는 전이성 악성 종양은 드문 질환이며 주위 장기로부터 전이되는 경우가 대부분으로 유방, 폐, 흉막, 그리고 종격동 등으로부터 주로 전이되는 것으로 알려져 있다. 특히 흉부가 아닌 먼장기로부터 전이되는 경우는 더욱 드문 것으로 알려져 있고 원발성 악성 종양이 없이 흉벽 전이에 의해 발현되는 예는 몇몇의 보고만이 있을 뿐이다. 환자는 51세 남자로 전흉벽 좌상부에 촉지되는 종괴로 절제 수술을 시행 후 전이성 간세포암종으로 진단 받았고 당시 검사상 간에 원발성 간세포암종의 증거는 없는 상태였다. 이에 원발성 종양의 증거 없이 간세포암이 흉벽으로 전이된 예를 치험하였기에 보고하는 바이다.

흉벽종양의 임상적 고찰 (Clinical Review of Chest Wall Tumors)

  • 김상형
    • Journal of Chest Surgery
    • /
    • 제10권2호
    • /
    • pp.343-348
    • /
    • 1977
  • The author reviewed 10 patients of chest wall tumors which were operated during 7 years, from 1970 to 1976, in Department of Thoracic and Cardiovascular Surgery in Chonnam University Hospital. Benign tumors were 6 patients, malignant tumors were 2 patients and metastatic tumors were 2 patients. Benign tumors were more than malignant tumors, but total cases were small, so, statistical analysis was not enough. Specific symptoms of chest wall tumor were swelling due to mass and pain. All cases had swelling due to mass and 4 cases [40%] had pain. Dyspnea was noted in metastatic tumors. The review of the literatures was also done.

  • PDF

외상성 우심방 파열 1례 보 (Right Atrial Free Wall Rupture due to Blunt Cardiac Trauma - A Case Report -)

  • 김요한
    • Journal of Chest Surgery
    • /
    • 제20권2호
    • /
    • pp.427-431
    • /
    • 1987
  • A case is presented of a steering wheel Injury to the chest which developed right atrial free wall rupture and cardiac tamponade without rib fractures or hemo-pneumothorax. A 30 year old man who sustained, blunt chest trauma by steering wheel injury to his chest developed right atrial rupture and cardiac tamponade. Pericardiocentesis was performed and cardiac tamponade was confirmed. After a median sternotomy, large right atrial free wall laceration [about 8cm] was noted. He was placed on cardiopulmonary bypass. The laceration wound of right atrium was closed with a 2 rows of continuous suture. Recovery was uneventful. The patient has returned to his previous level of activity.

  • PDF

Judet's Strut와 Teflon Mesh를 이용한 다발성 늑골골절 및 흉벽결손의 치험 1례 (One Case Tratment of Multiple Ribs Fracture with Chest Wall Defects (by Use of Judet's Struts and Teflon Mesh))

  • 신윤곤
    • Journal of Chest Surgery
    • /
    • 제27권5호
    • /
    • pp.422-426
    • /
    • 1994
  • Recently, we experienced one case of multiple ribs fracture with large chest wall defects. This patient was treated with internal fixation of ribs by use of Judet`s struts and reconstruction of chest wall defects by use of Teflon mesh. Postoperative outcome was satisfactory result and its advantages were reduced duration of operation, prevention of pulmonary herniation and reduced risk of postoperative infection.

  • PDF

흉벽에 발생한 악성 섬유성 조직구종 1례 보고 (Mal ignant Fibrous H istiocytoma of the Chest Wall -A Case Report-)

  • 김애중;구자홍;김공수
    • Journal of Chest Surgery
    • /
    • 제29권4호
    • /
    • pp.472-476
    • /
    • 1996
  • 악성 섬유성 조직구종은 연부조직에 발생한 아주 드문 육종이며, 다각적 인 치료에도 불구하고 조기에 국소적 재발 및 원발성 전이를 일으키는 매우 악성도가 높은 질 환으로특히 흉부외과 영역에서의 보고는 매우 드물다. 최근 전북대학교병원 흉부외과학 교실에서는 좌측 흉벽에서 기 원하여 폐까지 침범된 악성 섬유성 조직구종을 가진 37세 남자환자를 치험 하였다 심하게 유착된 종괴와 제 1,제2, 제3 늑골과 종양이 침범된 좌상엽을 한덩 어 리로 적출하고 결손된 흉벽 에는 marlex mesh를 이용하여 흉벽재건을 시행하였다. 그러나 술후 방사선 및 항암요법에도 불구하고 술후 12개월내에 국소적 재발 및 원발성 전이를 보였다.

  • PDF

흉벽에 발생한 양성 신경초종 1예 (A Case Report of Neurilemmoma of the Chest Wall)

  • 이태영;박재석;성영란;김완수;이재경;박미경;김도섭;허갑도
    • Tuberculosis and Respiratory Diseases
    • /
    • 제44권3호
    • /
    • pp.649-654
    • /
    • 1997
  • 저자들은 우상복부동통을 내원한 흉부 x선상 정상이었던 43세 여자 환자에서 흡입침생검술로 확진하여 개흉술로 완전절제한 우하흉부에 발생한 신경최종 1예를 경험하고 함께 보고한다.

  • PDF