• 제목/요약/키워드: Ectopic

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갑상선 일측 무형성증 3예 (Three Cases of Thyroid Hemiagenesis)

  • 김기현;정현필;김재욱;고윤우
    • 대한두경부종양학회지
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    • 제22권2호
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    • pp.183-187
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    • 2006
  • Thyroid hemiagenesis is a very rare congenital anomaly in which one thyroid lobe fails to develop. The cause of thyroid hemiagenesis is still unknown. The true prevalence of thyroid hemiagenesis is not known, but it is estimated to be from 0.05% to 0.2% in normal children. Thyroid hemiagenesis is common in female with the left lobe being absent. The common disease in the remaining lobe is hyperthyroidism, benign adenoma, a toxic multinodular goiter, chronic thyroiditis, primary myxedema, and rarely carcinoma. Tc-99m pertechnate scintigraphy, ultrasonography and computerized tomography can be used to confirm this anomaly. Here we report three cases with left lobe agenesis. Two of them were euthyroid state while the other hypothyroid patient had a ectopic lingual thyroid.

자궁근종과 골반염에 동반된 골반내 폐흡충증 1례 (A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease)

  • 이연희;박은희
    • Parasites, Hosts and Diseases
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    • 제31권3호
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    • pp.295-297
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    • 1993
  • 폐흡충은 주로 폐장내에 기생하지만 때로는 폐 이외의 다른 장관조직을 침범하기도 한다. 평소 하복부 동통을 호소하던 51세 여자 환자가 부인과적으로 자궁근종과 만성골반염으로 진단되어 전자궁적출술을 시행받았다 수술시 자궁근종이 있었고 골반조직은 만성골반염으로 인하여 자궁 및 자궁부속기와 대망막간에 심한 유착소견을 보였고 굘반 유착부위 대망막 조직생검에서 우연히 폐흡충란을 발견하였다 골반내 이소기생 폐흡충증은 비교적 드문 예로써 수술시 우연히 발견되는 경우가 많다. 본 례의 골반염증은 만성폐홉충증에 의한 것이라고 추정해 볼 수 있어 문헌고찰과 함께 이에 보고하는 바이다.

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A case of ovarian enterobiasis

  • Hong, Sung-Tae;Choi, Min-Ho;Chai, Jong-Yil;Kim, Young-Tak;Kim, Mi-Kyung;Kim, Kyu-Rae
    • Parasites, Hosts and Diseases
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    • 제40권3호
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    • pp.149-151
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    • 2002
  • A 36-year old Korean woman consulted a clinic for a regular gynecological examination, and a mass was noticed in her pelvis. She was referred to the Asan Medical Center, Seoul where transvaginal ultrasonography confirmed a pelvic mass exceeding 10cm in diameter. She received total abdominal hysterectomy and bilateral salpingoophorectomy, and a borderline serous neoplasm with micropapillary features involving the left ovary and right ovarian serosa was histopathologically confirmed. In addition, a section of a nematode with numerous eggs was found in the parenchyma of the left ovary. The worm had degenerated but the eggs were well-preserved and were identified as those of Enterobius vermicularis. She is an incidentally recognized case of ovarian enterobiasis.

폐방선균증을 동반한 기관기관지환자 수술 치험 1례 (A Case Report of Tracheal Bronchus Associated with Pulmonary Actinomycosis)

  • 김흥수;이형렬;정황규;이민기;박순규;김건일;이창훈
    • Journal of Chest Surgery
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    • 제35권8호
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    • pp.616-620
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    • 2002
  • 기관기관지는 기관우측벽에서 기시하는 이상 혹은 부기관지를 말하며 재발성 폐렴, 비폐쇄성 기관지 확장증등 염증성 질환과 관련있다. 최근에 우리는 폐 방사균증과 관련된 기관기관지 1례를 경험하였다. 37세의 남자 환자는 재발성의 객혈을 호소하였고 당초 폐결핵으로 추정하여 항결핵제를 투여받았으나 임상적으로나 방사선학적으로 호전을 보이지 않았다. 우상엽 폐절제술이 시행되었으며 조직학적 검사에서 폐 방사균증으로 확진되었다. 술 후 환자는 3개월간 penicillin과 ampicillin이 투여됐으며 6개월간의 추적기간동안 재발을 나타내지 않고 완전히 회복되었다.

기관성 기관지 (Tracheal Bronchus)의 임상경험 (A Clinical Experience of Tracheal Bronchus)

  • 원준희;박재용;강태경;박기수;김연재;김창호;정태훈
    • Tuberculosis and Respiratory Diseases
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    • 제45권3호
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    • pp.583-586
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    • 1998
  • 기관성 기관지는 기관분기부 상부의 기관에 이소성 기관지가 존재하는 기관지 기형으로 대부분 특별한 증상없이 기관지내시경검사 혹은 기관지조영술시에 우연히 발견되고 특별한 치료가 필요 없다. 그러나 반복적인 폐렴, 기관지확장증 등이 동반된 경우에는 수술적 치료가 필요하다.

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Roles of Protein Histidine Phosphatase 1 (PHPT1) in Brown Adipocyte Differentiation

  • Kang, Joo Ae;Kang, Hyun Sup;Bae, Kwang-Hee;Lee, Sang Chul;Oh, Kyoung-Jin;Kim, Won Kon
    • Journal of Microbiology and Biotechnology
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    • 제30권2호
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    • pp.306-312
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    • 2020
  • Despite the importance of brown adipocytes as a therapeutic target for the prevention and treatment of obesity, the molecular mechanism underlying brown adipocyte differentiation is not fully understood. In particular, the role of post-translational modifications in brown adipocyte differentiation has not been extensively studied. Histidine phosphorylation is increasingly recognized an important process for protein post-translational modifications. In this study, we show that histidine phosphorylation patterns change during brown adipocyte differentiation. In addition, the expression level of protein histidine phosphatase 1 (PHPT1), a major mammalian phosphohistidine phosphatase, is reduced rapidly at the early phase of differentiation and recovers at the later phase. During white adipocyte differentiation of 3T3-L1 preadipocytes, however, the expression level of PHPT1 do not significantly change. Knockdown of PHPT1 promotes brown adipocyte differentiation, whereas ectopic expression of PHPT1 suppresses brown adipocyte differentiation. These results collectively suggest that histidine phosphorylation is closely linked to brown adipocyte differentiation and could be a therapeutic target for obesity and related metabolic diseases.

수막뇌류(髓膜腦瘤)를 수반(隨伴)한 선천성뇌수종(先天性腦水腫) 1례(例)의 초음파소견(超音波所見)에 관한 보험의학적(保險醫學的) 연구(硏究) (A Study of Ultrasonography in One Congenital Hydrocephalus Case Accompanied with Meningoencephalocele)

  • 한혜진;김강석
    • 보험의학회지
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    • 제2권1호
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    • pp.245-252
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    • 1985
  • Ultrasonographic examination in the obstetrics not only makes easy of the diagnosis of Hydrocephalus, placenta previa, anencephalus and ectopic pregnancy, etc, but also guaranteed its excellence in the diagnosis of women gynecology disease. Especially in case that it doesn't affect radiation hazard on the embryo, its efficiency keeps increasing and it is spotlighted to many clinic doctors. Even though in general hospital we often observe congenital hydrocephalus in Med. Dept. which entirly undergoes the medical examination to the insured, we don't observe even the women delivered with child and it is very difficult to find a rare congenital hydrocephlus throughout other present insurance companies. We inspected a congenital hydrocephalus, which other medical equipments of present insurance companies have many difficulties in the medical examination, accompanied by meningoencephalocele by ultrasonic diagnosis. We analyzed and compared the data by ultrasonic diagnosis with that of surgical diagnosis and the results are follows; 1) We could correctly describe meningoencephalocele by ultrasonic diagnosis. 2) It was able to be diagnosed in LMP 22 weeks. 3) BPD has about 10 mm higher than normal value in LMP 22 weeks. 4) Dilatation of lateral ventricle was observed in LMP 22 weeks. 5) As paralled with ultrasonic diagnosis in pregnancy medical examination, accepting declines including the risk rate can be restrained.

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황색인대 골화증으로 인해 발생한 흉추부 신경근병증 환자의 보존적 치료 -증례보고- (Conservative Treatment of Thoracic Radiculopathy due to Ossification of the Yellow Ligament in a Young Patient -A case report-)

  • 임병건;김남엽;이미경;정선섭;이동규;최상식
    • The Korean Journal of Pain
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    • 제22권3호
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    • pp.245-248
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    • 2009
  • Ossification of the yellow ligament (OYL) is a pathologic condition that causes spinal stenosis, which is a form of ectopic ossification. OYL causes compressive myelopathy and radiculopathy. Although the pathogenesis of OYL is still unclear, diffuse mechanical stresses and degenerative changes caused by extreme ranges of motion may be related to the development of OYL in young sportsmen. Here we report an interesting case of thoracic radiculopathy due to OYL in a 35-year-old male amateur judo player who was successfully treated with continuous thoracic patient controlled epidural analgesia and epidural adhesiolysis.

황색인대 골화에 의한 흉추부 척수증 및 신경근척수증 - 증례보고 - (Thoracic Myelopathy and Radiculomyelopathy due to Ossification of the Ligamentum Flavum - A Cases Report -)

  • 이상대;이동열;정영균;박혁;조봉수;김수영
    • Journal of Korean Neurosurgical Society
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    • 제29권10호
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    • pp.1377-1382
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    • 2000
  • Ossification of ligamentum flavum(OLF) is a type of ectopic bone formation developed within the spinal ligament. Thoracic myelopathy is common symptom of OLF but radiculopathy is uncommon. We present 3 operated cases of OLF. Two showed myelopathy and one radiculomyelopathy. Main symptoms were motor weakness, sensory disturbance, incoordination of both legs, and back pain. One patient complained of left girdle pain in T4 dermatome. Deep tendon reflex(DTR) was increased in all cases. The diagnosis was made from myelogram, CT and MRI. Sufficient posterior decompressive laminectomy and medial facetectomy were performed. Postoperative diagnosis was comfirmed by histopathological examination. One patient could return to work 3 months after operation and two patients showed satisfactory improvement 2-3 months after operation. Early diagnosis and appropriate surgical treatment were prerequisite of good outcome.

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Stimulated intrauterine insemination in women with unilateral tubal occlusion

  • Yi, Gwang;Jee, Byung Chul;Suh, Chang Suk;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제39권2호
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    • pp.68-72
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    • 2012
  • Objective: To investigate the value of stimulated intrauterine insemination (IUI) in women with unilateral tubal occlusion. Methods: Superovulation and IUI was performed during 2003-2010 and the medical records were reviewed retrospectively. Thirty-seven infertile women (52 cycles) with unilateral tubal occlusion diagnosed by hysterosalpingography and without other causes of infertility were selected. One-hundred fourteen patients with unexplained infertility served as a control group (182 cycles). The main outcome was the clinical pregnancy rate per cycle. Results: The pregnancy rate per cycle was similar, 17.3% for the unilateral tubal occlusion group and 16.5% for the unexplained infertility group. The rate of miscarriage (11.1% vs. 23.3%) and ectopic pregnancy (11.1% vs. 6.7%) was similar between the two groups. The pregnancy rate was higher in patients with proximal occlusion (25.0%) compared with distal occlusion (13.9%) or unexplained infertility, but not statistically significant. Conclusion: Stimulated IUI can be suggested as the initial treatment option in women with unilateral proximal or distal tubal occlusion.