• Title/Summary/Keyword: Ewing

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Askin Tumor[Peripheral Neuroectodermal Tumor of the Chest Wall] - A Case Report - (소아 흉벽에 생긴 Askin`s tumor 1례)

  • Jo, Gwang-Jo;Kim, Yeong-Dae;Jeong, Hwang-Gyu
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1422-1427
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    • 1992
  • Askin tumor is rare malignant small round cell tumor that orgins from interconstal nerve of chest in children It was not until 1979 that Askin first reported that tumor. Although few sporadic reports had been reported, its incidence were too low to analize its clinical featurs. That tumors prognosis is so grave that no therapy would success to cure, but early diagnosis and enbloc excision with following combind chemotherapy and radiotherapy will prolong their survival. Other small round cell tumors of chest wall that must differentiate are Ewing`s sarcoma, rhabdomyosarcoma, lymphoma, neuroblastoma and pulmonary bla-stoma. The most prominant histologic charactersistics of this tumor is neuron specific eno-lase which is detected with immunohistochemistry technique, and neurosecretary electron dense granules within cytoplasm. We expirienced a case of Askin tumor occuring 12-year-old female who has huge right lower chest mass with dull chest pain. She have been underwent excision and postoperative radiotherapy. We are following her up for months and there is no evidence of local recurrence.

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A Mathematical Approach to Measure Attractiveness of a Local Park (도시공단 매력도 측정의 수학적 접근: Ewing and kulka의 모델응용)

  • Hong, Sung Kwon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.16 no.3
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    • pp.39-45
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    • 1989
  • 기존의 많은 연구가 도시공원의 중요성을 밝히고 있지만, 보다 만족스런 공원조성을 위한 기본 자료의 부족으로 전통적인 설계방법은 경침이나 설계기준(standard)에 크게 의존하는 것이 현실이다. 그러나 전통적인 설계방법은 시간적, 사회적으로 변화하는 이용자의 욕구 충족과 창의성의 제고에는 문제점이 있다. 이러한 현상의 부분적인 이유는 객관적이고 보편성이 있는 공원 매력도 측정 방법의 결여로, 각 공원에서의 이용자 만족도의 그 이유를 체계적으로 분석하여 실제상황에의 적용이 어렵기 때문이다. 이에 본 연구는 공원의 매력도가 같다면 가장 가까운 공원을 이용할 것이라는 가정하에서 가장 논리적인 수학적 방법을 통해 기존 도시공원내의 매력도를 산출할 수 있는 모델을 제시하였다. 제시된 모델은 두개 이상의 공원이 존재해야 하며, 응답자의 거주지가 확인되어야 측정이 가능하다.

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Some Unrecorded Species of Oribatid Mites (Acari : Oribatida) from Korea (한국 산 날개응애류의 미기녹종(3))

  • 최성식;남궁성박
    • The Korean Journal of Soil Zoology
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    • v.7 no.1_2
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    • pp.23-28
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    • 2002
  • In the course of taxonomical studies of oribatid mites, eight species, Tenuiala nuda Ewing, 1913, Cosmopirnodus angulatus Ichisawa and Aoki, 1998, Neoribates pallidus Aoki, 1988, Belba sellnicki Bulanova-Zachvatkina, 1962, Camisia horrida (Hermann 1804), Hermannia gibba (C. L. Koch 1839), Eueremaeus elongatus (Fujikawa 1972), and Licnodamaeus undulatus (Paoli 1908) are recorded from Korea for the first time.

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Antibiotic Resistance and Biochemical properties of Pathogenic Echerichia coli Isolated from Piglets with Diarrhea in Kyongbuk Western Area (경북서부지역 설사자돈에서 분리한 Haemolyic E. coli의 생화학적 특성 및 약제 내성)

  • 조종숙;이정아;오강희;박영구
    • Korean Journal of Veterinary Service
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    • v.16 no.2
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    • pp.150-156
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    • 1993
  • The present study was conducted to investigate the biochemical characteristics and anti-biotic resistance of pathogenic Escherichia coli (E. coli) isolated from piglets with diarrhea in Kyongbuk Western Area during the period from February to November 1992. 55 E. coli strains were isolated from 97 piglets with diarrhea and the biochemical and cultural reaction were compared with the classification criteria of Edwards and Ewing. The majority of E. coli were susceptible to amikacln, enrofloxacin and gentamicin. 51 (92.7%) out of 55 drug resistance stains carried R factor (R+) which were transferable to the recipients by conjugation.

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DOMAIN DECOMPOSITION ALGORITHM AND ANALYTICAL SIMULATION OF COUPLED FLOW IN RESERVOIR / WELL SYSTEM

  • EWING, RICHARD;IBRAGIMOV, AKIF;LAZAROV, RAYCHO
    • Journal of the Korean Society for Industrial and Applied Mathematics
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    • v.5 no.2
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    • pp.71-99
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    • 2001
  • The model and analytical method for solving the problem of coupled fluid flow in the reservoir/well system is presented. The 3-D drainage area is composed of three connected media: the tubing, the annuli as a super conducting collector, and the reservoir itself. To couple these three types of fluid flows a non-overlapping Dirichlet-Neumann domain decomposition method is developed. The method allows us to apply an analytical hybrid simulator for accurate evaluation of the impact of main geometrical and hydrodynamic parameters of the 3-D system on the pressure drop along the horizontal well and its production index.

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A Case of Long-term Survival in a Patient with Primary Primitive Neuroectodermal Tumor of the Lung

  • Kang, Lae Hyung;Kim, Hyeong Jin;Jang, Jin Ho;Kim, Jun Hyun;Choi, Kyoung Un;Jeon, Doosoo
    • Kosin Medical Journal
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    • v.33 no.2
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    • pp.263-270
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    • 2018
  • Primitive neuroectodermal tumor (PNET) arising primarily in the lung is an extremely rare and aggressive malignancy with poor chances of patient survival. We present a case of long-term survival by a 29-year-old woman with PNET diagnosed after a hertological and immunohertochemical examination of a biopsy specimen obtained by performing video-assisted thoracic surgery. The patient underwent a left lower lung lobe lobectomy and 6 cycles of adjuvant chemotherapy. The patient has been free of any symptoms of the recurrence of the disease for 6 years after treatment completion.

Limb Salvage in the Treatment of the Upper Extremity Bone Tumors (상지에 발생한 악성 및 침윤성 양성골종양에 대한 사지 구제술)

  • Hahn, Soo-Bong;Shin, Kyoo-Ho;Kim, Bum-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.2
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    • pp.154-163
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    • 1995
  • With the development of anticancer chemotherapy and improved radiographic imaging studies, limb salvage operation became possible in the treatment of malignant and aggressive benign tumors. High grade sarcomas of the shoulder or the upper extremity can be surgically treated with a forequarter amputation, shoulder disarticulation or limb salvage surgery such as Tikhoff-Linberg procedure, segmental resection and replacement with endoprosthesis, segmental resection and replantation, or segmental resection and free vascularized bone graft. Among them the limb salvage surgery showed not only preservation of the remained upper extremity but also the excellent functional results. When comparing amputation and limb salvage operation while performing anticancer chemotherapy in both cases, 5 year survival rate, local recurrence, and distant metastasis did not show much difference. We studied 13 cases of limb salvage for the malignant and aggressive benign bone tumor of the upper extremity from March 1986 to December 1993 at Severance hospital. The summarized results were as follows. 1. There were 21 cases of malignant bone tumors and 5 cases of benign aggressive ones. 2. Of the 26 cases of malignant and benign aggressive bone tumors, limb salvage procedures such as Tikhoff-Linberg operation(8 cases), endoprosthetic replacement(2 cases), segmental resection and replantation(2 cases), and segmental resection and free vascularized fibular graft(l case) were done in 13 cases. 3. In 13 patient on whom the limb salvage procedure was performed, there were 3 osteosarcomas, 4 chondrosarcomas, 3 giant cell tumors, 1 Ewing's sarcoma, 1 leiomyosarcoma and 1 chondroblastoma. 4. In 13 patients, there was no local recurrence nor distant metastasis except one who had a segmental resection of the entire humerus part including glenoid and then postoperative anticancer chemotherapy for the treatment of the Ewing's sarcoma of the entire shaft of the humerus with pathological fracture. Local recurrence occurred 2 years and 6 months postoperatively in this Ewing's sarcoma patient, so forequarter amputation was performed and the irradiation and the anticancer chemontherapy were performed, but multiple bony metastasis developed and died of the disease 22 months after local recurrence. 5. The patients were followed-up for I year to 7 years and 5 months(average 4 years 5 months). 6. In 8 cases in which Tikhoff-Linberg procedure was performed, the function of the hand was almost normal. 7. Segmental resection and endoprosthetic replacement was performed in 2 cases, and the function of the remained upper extremity was good with no evidence of aseptic loosening or nerve palsy. 8. In 1 case of segmental resection and free vascularized fibular graft for the patient of the chon drosarcoma in the humerus, the function of the shoulder, elbow and hand was nearly normal. 9. In I case of leiomyosarcoma which involved both forearm muscles and bone near wrist joint, segmental resection and replantation was performed, and the patient has useful hand function.

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The Findings of $^{99m}Tc$-MDP Bone Scan in Primary Malignant Bone Tumors (원발성 악성 골종양의 $^{99m}Tc$-MDP 골스캔 소견)

  • Hyun, In-Young;Lee, Kung-Han;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Kang, Heung-Sik;Lee, Sang-Hoon;Lee, Han-Koo
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.1
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    • pp.73-78
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    • 1995
  • [ $^{99m}Tc$ ]-MDP bone scan was performed in 31 patients with primary malignant bone tumors, 22 patients with osteogenic sarcoma, 5 patients with chondrosarcoma and 4 patients with Ewing's sarcoma. The findings were classified by isotope intensity of accumulation in tumor as grade 1 to 3, overall pattern of isotope distribution in tumor as grade 1 to 3, and distortion of bony outline as grade 1 to 3. Histologic classifications were cor related with scan findings in 22 patients with osteogenic sarcoma. The results were as follows 1) In 22 patients with osteogenic sarcoma, markedly increased isotope intensity higher than sacroiliac joint with patchy areas of decreased intensity and severe bony distortion were found in 16 patients. The correlations between histologic classification and scan findings were not discovered. 2) In 5 patients with chondrosarcoma, mildly increased isotope Intensity with patchy areas of increased intensity and mild bony distortion were found in 4 patients.. 3) In 4 patients with Ewing's sarcoma, markedly increased homogenous intensity with moderate bony distortion were found in 3 patients. Conclusively there were common findings in each 3 primary malignant bone tumors and $^{99m}Tc$-MDP bone scan was complemented with radiologic studies in differentiating primary malignant bone tumors.

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Flank Reconstruction of Large Soft Tissue Defect with Reverse Pedicled Latissimus Dorsi Myocutaneous Flap: A Case Report (옆구리 부위의 거대 연부조직 결손에 대한 역넓은등근 근육피부피판을 이용한 치험례)

  • Song, Seung-Yong;Kim, Da-Han;Kim, Chung-Hun
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.894-898
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    • 2011
  • Purpose: Coverage of full-thickness large flank defect is a challenging procedure for plastic surgeons. Some authors have reported external oblique turnover muscle flap with skin grafting, inferiorly based rectus abdominis musculocutaneous flap, and two independent pedicled perforator flaps for flank reconstruction. But these flaps can cover only certain portions of the flank and may not be helpful for larger or more lateral defects. We report a case of large flank defect after resection of extraskeletal Ewing's sarcoma which is successfully reconstructed with reverse latissimus dorsi myocutaneous flap. Methods: A 24-year-old male patient had $13.0{\times}7.0{\times}14.0$ cm sized Ewing's sarcoma on his right flank area. Department of chest surgery and general surgery operation team resected the mass with 5.0 cm safety margin. Tenth, eleventh and twelfth ribs, latissimus dorsi muscle, internal and external oblique muscles and peritoneum were partially resected. The peritoneal defect was repaired with double layer of Prolene mesh by general surgeons. $24{\times}25$ cm sized soft tissue defect was noted and the authors designed reverse latissimus dorsi myocutaneous flap with $21{\times}10$ cm sized skin island on right back area. To achieve sufficient arc of rotation, the cephalic border of the origin of latissimus dorsi muscle was divided, and during this procedure, ninth intercostal vessels were also divided. The thoracodorsal vessels were ligated for 15 minutes before divided to validate sufficient vascular supply of the flap by intercostal arteries. Results: Mild congestion was found on distal portion of the skin island on the next day of operation but improved in two days with conservative management. Stitches were removed in postoperative 3 weeks. The flap was totally viable. Conclusion: The authors reconstructed large soft tissue defect on right flank area successfully with reverse latissimus dorsi myocutaneous flap even though ninth intercostal vessel that partially nourishes the flap was divided. The reverse latissimus dorsi myocutaneous flap can be used for coverage of large soft tissue defects on flank area as well as lower back area.