• 대한족부족관절학회지
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• 제8권2호
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• pp.195-198
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• 2004

Purpose: To compare clinical characteristics of ganglions in hand & Foot. Materials and Methods: Seventeen cases of ganglions located in foot and fifty-five cases in hand. Excised from Mar.1988 to Apr.2003, were included in the study. The clinical characteristics and recurrence ratio were evaluated Results: The mean size of 2.2 cm in hand and 2.5 cm in foot. The most common area of ganglions are dorsum of foot and wrist. The cosmetic problem of palpable mass is the primary chief complaint of ganglions on hand and the pain is that of foot. The recurrence was found in 5 cases in hand and 4 cases in foot. The recurrence was related to incomplete excision of ganglion in foot and the large size of ganglion and incomplete excision of ganglion in hand. Conclusion: recurrence ratio in the cases of foot is higher than that of hand. The ganglions in foot and hand need to treated by meticulous surgical excision to prevent the recurrence.

• Archives of Reconstructive Microsurgery
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• 제20권2호
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• pp.121-125
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• 2011

Simple ganglions are most common benign tumor of the hand and wrist. However, cystic adventitial disease is an uncommon vascular anomaly first described in 1947 in the external iliac artery. It usually involves the popliteal artery, although other arteries and veins may also be involved. Radial artery adventitial cysts are found directly within the adventitia, whereas the more common wrist ganglions may extrinsically compress or adhere to the artery walls. The diagnosis is rarely made before surgery because of their similar appearance and location. The authors report a rare case of a 46-year old woman with mucoid adventitial cyst of the radial artery in the wrist.

• 대한족부족관절학회지
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• 제8권1호
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• pp.97-100
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• 2004

1993년 3월부터 2003년 4월까지 성분도 병원 정형외과에서 족부 및 족관절 결절종의 진단으로 수술적 치료를 받은 17예의 경우에서 추적 관찰한 결과 다음의 결론을 얻을 수 있었다. 1. 위치는 족배측(Zone III)이 가장 많았고 수술 적응증은 동통 12예(70.6%)로 가장 많으며 외관상의 문제 4예 (23.5%), 신경학적 증상과 동통이 동반된 경우 1예 (5.9%)였다. 2. 족부 및 족관절의 결절종은 재발률이 비교적 높다. 따라서 술전에 환자에게 이에 대한 충분한 설명이 필요하다. 3. 족부 결절종의 수술은 관절낭의 연결 부위와 종괴의 완전한 적출이 재발을 낮추는데 도움이 될 수 있으나 해부학적인 특성상 어려움이 있어 시술전 정확한 종괴에 대한 평가와 수술시 결절종의 완전한 제거에 노력해야 할 것이다.

• 대한족부족관절학회지
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• 제7권1호
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• pp.55-60
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• 2003

Purpose: To analyze the clinical results of excision of the symptomatic or recurred ganglion cysts of the foot and ankle. Materials and Methods: Twenty-one cases of the ganglions located in the foot and ankle area were followed for more than 12 months postoperatively. There were 9 males and 12 females, and the mean age was 42.3 years (range, 11-71 years). The mean duration of follow-up was 2.3 years (range, 1.1-4.1 years). Clinically previous treatment, size and location of the cyst, preoperative and postoperative AOFAS foot score, postoperative complication and satisfaction of patients were evaluated. Results: As a previous treatment, 7 patients received mean 1.3 bouts of aspirations, and 6 patients were recurred after mean 1.5 bouts of operations. The size of cyst ranged from 1.4 cm to 5.1 cm with the mean size of 2.7 cm. The cyst was most common in the dorsum of the foot and ankle, where 14 cases were found. Preoperative mean AOFAS foot. scores were low in the cysts associated with the tarsal tunnel syndrome, which was 71 points, and in the cyst of the plantar aspect of the 1st toe, which was 79 points. Postoperative mean AOFAS foot scores were significantly increased to 91 points and 92 points in preceding two groups. There were 2 cases (9.5%) of recurrence, both of which had satellite mass along the tendon sheath. Conclusion: Care should be taken in the diagnosis and treatment of ganglions in the tarsal tunnel and in the plantar aspect of the 1st toe. In case of ganglion cysts originated from the tendon sheath, consideration should be given for possible satellite mass.

• The Korean Journal of Pain
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• 제7권2호
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• pp.238-241
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• 1994

Aim of this study was to discover the projection area of the first cervical spinal nerve. Subcutaneous injection of wheat germ agglutinin-horseradish peroxidase(WGA-HRP) was done at five points of young dogs scalp and face. After two days of survival time, animals were sacrificed by perfusion through the left ventricle of the heart. Trigeminal ganglion, first and second cervical dorsal root ganglion, superior cervical ganglion, middle cervical ganglion and stellate ganglion were removed. Projection area of wheat germ agglutinin-horseradish peroxidase in vestigated into above ganglions. Projection into the first cervical dorsal root ganglion and stellate ganglion was not found. This experiment is deemed valuable for the study of neuronal connection on the central nervous system.

• The Korean Journal of Pain
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• 제9권1호
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• pp.206-209
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• 1996

Thoracic sympathetic nerve block has a wide range of therapeutic applications which clinicians utilize neurolytics or perform operative sympathectomy. All methods have advantages and disadvantages. We performed "thoracic sympathetic ganglion cauterization" using resectoscope as it is less invasive and more effective than traditional operative methods. Successful procedures were performed involving 2 cases of idiopathic hyperhidrosis and 1 case of sympathetically maintained pain on chest and upper extremity. We experienced failure with one case of idiopathic hyperhidrosis due to severe pleural adhesion. There was also a case of complication of periganglional hemorrhage and parenchymal lung perforation which we successfully treated.

• 생명과학회지
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• 제18권1호
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• pp.91-95
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• 2008

In human, sympathetic nerve blocks with local anesthetics are widely used to treat a variety of diseases in the innervating regions. However, its procedure in dogs is difficult to approach and process repeatedly because of anatomically location. Therefore, this study was designed to develop a new technique of sympathetic nerve block in beagle dogs. Fifteen healthy beagle dogs, which did not show any neurologic abnormalities and disease, were used for the study. Radiograghs were taken after injected radiopaque material mixed with 2% lidocaine at the cranial cervical ganglion and injected methylene blue using the same percutaneous technique to verify the reliability of this newly developed technique. The successful block rate of the cranial cervical ganglion block was present in 80% of all dogs and the stained cranial cervical ganglions were shown in all dogs. The results show that this new technique of the cranial cervical ganglion block is a reliable and simple method that can be used for clinical studies in dogs.

• Investigative Magnetic Resonance Imaging
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• 제25권1호
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• pp.47-52
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• 2021

Paraganglioma is a rare tumor of paraganglia, derived from neural crest cells in sympathetic or parasympathetic ganglions. It can be widely distributed from the skull base to the bottom of the pelvis. The pancreas, however, is a rare location of this neoplasm, and only a limited number of cases have been reported in the English literature, especially with gadoxetic-acid-enhanced magnetic resonance imaging (MRI) and diffusion-weighted images (DWI). We herein report a case of pathologically proven paraganglioma in the pancreas head with a literature review on endoscopic ultrasonography (EUS), computed tomography (CT), gadoxetic-acid-enhanced MRI, and DWI sequence.

• Applied Microscopy
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• 제31권1호
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• pp.101-108
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• 2001

아프리카 왕달팽이 (Achatina fulica)의 내장신경절(visceral ganglion)과 우 체 벽신경절(right parietal ganglion)을 투과전자현미경을 통해 관찰한 결과 5종류(type-A, B, C, D 그리고 E)의 신경분비세포(neurosecretory cell)와 그 주위를 둘러싸고 있는 신경망 등이 관찰되었다. A형 세포(직경 $35{\mu}m$)는 두 신경절의 피질부에서 가장 많이 관찰된 삼각형 또는 불규칙한 세포로서, 세포질에는 직경 $1{\mu}m$인 큰 과립과 $0.1{\mu}m$정도인 작은 둥근과립들이 관찰되었다. 또한 작은 과립들은 전자밀도가 높은 과립과 전자밀도가 중등도인 과립 등 두 종류로 구분되었다. B형 세포(직경 $19\times12{\mu}m$)는 두 신경절의 피질부와 수질부의 여러 부위에서 고르게 관찰된 세포로서 A형 신경분비세포와 그 형태가 비슷하였다. 세포질 내에는 $0.1{\mu}m$정도 크기의 전자밀도가 높은 과립들로 가득찬 반면 둥글고 큰 과립(직경 $0.7{\mu}m$정도)들은 드물게 관찰되었다. C형 세포는 크기가 $8\times6{\mu}m$정도인 가장 작은 세포로서, $6\times5{\mu}m$정도인 큰 핵을 소지하고 있었다. 세포질에는 $0.23{\mu}m$정도인 전자밀도가 높은 과립들로 가득차 있었는데, 이들은 $0.03{\mu}m$정도 크기의 작은 과립들이 둥글게 모여 있는 특이한 형태였다. D형 세포는 $28\times20{\mu}m$정도 크기의 중형세포서, 타원형 또는 불규칙한 형태를 보였다. 이들은 두 신경절의 수질부와 피질부 중, 피질부에서 가장 많은 수가 관찰되었다. 세포질은 전자밀도가 높아 어둡게 관찰되고 직경 $1.6{\mu}m$와 $0.6{\mu}m$인 두 종의 둥근 과립들이 관찰되었다. E형 세포는 크기가 $100\times50{\mu}m$정도인 대형세포로서 두 신경절의 상단부와 중앙부위에서 드물게 나타났다. 핵은 $70\times30{\mu}m$정도로 세포질 대비 매우 컸다. 이들은 다양한 크기의 전자밀도가 높은 둥근 과립(직경 $1\sim0.2{\mu}m$)을 소지하고 있었으며, 세포의 표면은 여러 형태의 사상족(filopodia)들을 뻗어 노쇠한 세포들을 포식하였다. 신경망(neuropiles)들은 신경분비세포를 둘러싸고 있었으며, 신경섬유 속에서 다양한 종류의 연접소포들(synaptic vesicles)이 관찰되었는데, 전자밀도, 크기 그리고 모양에 따라 6종류로 분류되었다.

• 한국수정란이식학회:학술대회논문집
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• 한국수정란이식학회 2002년도 국제심포지엄
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• pp.118-118
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• 2002

Programmed cell death (PCD) is thought as a well-controlled process by which unwanted cells are selectively eliminated. During the last decade many researches have elucidated molecules and their interactions involved in cell death by using largely in vitro induction of cell death or survival signals in a more defined manner, While these critical information and novel findings provide us with clearer understanding of mechanisms underlying cell death, it does by no means explain how PCD occurs and which cells or tissues are affected during normal embryonic development in vivo. In this study, we used zebrafish to examine whether the PCD is occurring selectively or randomly in developing embryos by whole mount in situ TUNEL analysis with specific markers for neural cells. The result revealed that the degree and distribution of TUNEL staining varied considerably throughout gastrulation stage, and there was also a number of TUNEL-negative embryos. Most of TUNEL-positive cells were scattered randomly throughout the blastoderm. During the gastrulation stage about 75 % of the embryos analyzed exhibited more than 5 TUNEL-positive cells. As the dorsal epiblast begins to thicken rather abruptly near the end of gastrulation, TUNEL-positive cells were mainly located along the dorsal side. Although there were some variations in TUNEL staining during segmentation and pharyngeal stages, TUNEL staining continued to be localized to the central nervous system, and was also detected in the sensory organs, trigeminal ganglions, and the primary sensory neurons. High levels of the cell death in developing brain between 20-somite and prim-6 stages are thought to play a role in the morphogenesis and organization of the brain. At prim-16 stage, cell death is considerably reduced in the brain region. Dying cells are mainly localized to the prospective brain region where ectodermal cells are about to initiate neurogenesis. As development progressed, high levels and more reproducible patterns of cell death were observed in the developing nervous system. Intensive TUNEL staining was restricted to the trigeminal ganglions, the primary sensory neurons, and sensory organs, such as olfactory pits and otic vesicles. Thus, PCD patterning in zebrafish embryos occurs randomly at early stages and becomes restricted to certain region of the embryos. The spatio-temporal pattern of PCD during the early embryonic development in zebrafish will provide basic information for further studies to elucidate genes involved in. regulation of PCD largely unknown in vivo during vertebrate embryogenesis.