• Title/Summary/Keyword: Giant

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Clinical Study of the Left Atrial Plication in Giant Left Atrium (거대좌심방 환자의 좌심방 봉축술에 대한 임상적 고찰)

  • 김승철
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.92-100
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    • 1987
  • On rare occasions, the left atrium may become extremely large in the mitral valvular disease, showing giant left atrium. The giant left atrium frequently produce compressing effects to the adjacent organs, resulting in the postoperative problems with regard to the hemodynamic and respiratory management. We experienced 13 patients with giant left atrium combined with mitral valvular disease from Oct. 1980 through June 1986. Eleven cases underwent mitral valve replacement with left atrial plication and the other 2 cases were underwent mitral valve replacement without left atrial plication. The follow-up period was 19.3 months in average. There were remarkable postoperative improvements in the chest roentgenogram, echocardiogram, lung function test, NYHA functional class in patients who underwent plication procedure. The postoperative mortality was 9% in plication cases and 50% in non-plication cases.

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Giant Lymph Node Hyperplasia of Castleman - Report of 2 cases - (Castleman 거대림프절 증식증 2례 보)

  • 김응수
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.582-587
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    • 1987
  • Castleman`s disease, giant lymph node hyperplasia, is a rare benign disease. The lesion usually consists of a single node, unassociated with any abnormality of the adjacent lymph nodes or other organs. In the first accounts of giant lymph node hyperplasia of Castleman, the lesion was described as solitary and localized to the mediastinum, which is still the most frequent site of involvement. The disease occurs in all age groups and there is no particular sex preference. It is symptomless and is usually detected on chest films as an incidental finding. On a single involvement, it does not recur after excision, whether total or partial, and the main indication of operation is to rule out more serious tumors. Recently multicentric form appears to be a variant of classic giant lymph node hyperplasia and is associated with significant morbidity and mortality. Histologically, two distinct types have been reported; hyaline-vascular and plasma cell. The hyaline-vascular type of lesion is much more common than the plasma cell type. We report two cases of the hyaline-vascular type of Castleman`s disease.

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Giant Lipoma of the Hand: A Case Report (수부에 발생한 거대 지방종: 증례 보고)

  • Kim, Woo-Sung;Jung, Yu-Hoon;Cho, Nam-Ik
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.97-100
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    • 2013
  • Lipomas are the commonest soft tissue tumor. However, those arsing in the hand are infrequent. Lipomas in the hand that exhibit a size of more than 5 cm call giant lipoma, these are very rare only case reports and small series of this entity have been described. We could experience a case about giant lipoma of the hand which cannot easily contact, we report a case including review of literatures.

A Case of the Giant Aneurysm in the Distal Portion of the Posterior Cerebral Artery - A Case Report - (후대뇌동맥 원위부에 발생한 거대동맥류 1례 - 증례보고 -)

  • Kim, Jae-Yeoup;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.29 no.7
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    • pp.963-967
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    • 2000
  • The aneurysm arising from the posterior cerebral artery is relatively uncommon, and has been reported in 0.7- 2.2% of whole cerebral aneurysm. Moreover, only a few cases of the giant aneurysm over 2.5cm in diameter arising from the distal portion of the posterior cerebral artery have been reported. Neurologic complications may occur after surgical treatment of this aneurysm due to difficult surgical approach and neurovascular complexity around the brain stem. Authors experienced a case of the thrombosed giant aneurysm with approximately 2.7cm in diameter arising from the P2 segment of the left posterior cerebral artery. Complete removal of the thrombus in the aneurysmal sac and direct neck clipping was performed via left subtemporal approach.

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A Case of Giant-cell Tumor of the Thoracic Spine (흉추부에 발생한 거대 세포종 1예 - 증례보고 -)

  • Cho, Jun Ho;Yoo, Soo Il;Kwon, Young Dae;Lee, Yong Sung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.7
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    • pp.940-944
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    • 2000
  • The giant-cell tumor is uncommon. It occurs in the long bones and vertebral localization is much less common, particularly in thoracic spine. We present a case of a 37-year-old man suffering from severe back pain. Affected vertebral bodies were removed by transthoracic approach and the spine was reconstructed with iliac bone autografts and internal fixation device(Kaneda) between T 8 and T 11. Histologoical diagnosis was giant-cell tumor, and pertinent literature was reviewed.

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Spontaneous Regression of an Unruptured and Non-Giant Intracranial Aneurysm

  • Choi, Chan-Young;Han, Seong-Rok;Yee, Gi-Taek;Lee, Chae-Heuck
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.243-245
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    • 2012
  • It is well known that spontaneous thrombosis in giant cerebral aneurysm is common. However, spontaneous obliteration of a non-giant and unruptured cerebral aneurysm has been reported to be rare and its pathogenic mechanism is not clear. We describe a case with rare vascular phenomenon and review the relevant literatures.

A Case of Giant Cell Reparative Granuloma in the Mandible (하악골에 발생한 수복성 거대세포 육아종 1예)

  • Park, Euy-Hyun;Park, Min-Woo;Baek, Seung-Kuk;Jung, Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.1
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    • pp.14-17
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    • 2013
  • Giant cell reparative granuloma(GCRG) is a non-neoplastic rapidly expanding and locally destructive tumor that occurs almost exclusively within the mandible and maxilla. A 58-year-old man, complained of a mass on the left infra-auricular area starting 2 months ago. The radiologic finding suggests a mass that originate from mandible, pathology diagnosed the lesion as a giant cell reparative granuloma. The tumor was surgically excised without complications. We report the case with a review of literature.

An Unusual Case of a Thrombosed Giant Distal PICA Aneurysm Simulating a Large Cavernous Angioma

  • Lim, Dong-Ho;Jung, Shin;Jung, Tae-Young;Kim, Tae-Sun
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.155-158
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    • 2008
  • A 64-year-old woman was referred to our hospital with a one-month history of progressive headache. Magnetic resonance imaging (MRI) showed a hemorrhagic mass adjacent to the left inferior cerebellar hemisphere associated with a peripheral rim of signal void. Angiography demonstrated an avascular mass and the provisional diagnosis was a large cavernous angioma in the cerebellum. Intraoperative findings revealed a thrombosed giant aneurysm of the left distal posterior inferior cerebellar artery (PICA). We report an unusual case of a completely thrombosed giant aneurysm simulating a large cavernous angioma in the cerebellum. The cerebellar cisternal location of the mass may be a clue for the pre-operative diagnosis of an aneurysm.

Giant Cell Tumor of the Temporal Bone in an Old Patient

  • Paek, Kyung-Il;Kim, Seon-Hwan;Song, Shi-Hun;Kim, Youn
    • Journal of Korean Neurosurgical Society
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    • v.37 no.6
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    • pp.462-465
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    • 2005
  • We report a case of a 67-year-old woman with giant cell tumor of the temporal bone. A 67-year-old woman presented with localized tenderness, swelling, sensory dysesthesia, dizziness, and headache over the left temporal bone. She was neurologically intact except left hearing impairment, with a nonmobile, tender, palpable mass over the left temporal area. A brain computed tomography(CT) scans showed a relatively well defined heterogenous soft tissue mass with multiple intratumoral cyst and radiolucent, osteolytic lesions involving the left temporal bone. The patient underwent a left frontotemporal craniotomy and zygoma osteotomy with total mass removal. Permanent histopathologic sections revealed a giant cell tumor. She remains well clinically and without tumor recurrence at 2 years after total resection.

POSSIBLE DERIVATIONS OF ORTHO- AND PARA-$H_2$ RATIOS IN THE ATMOSPHERES OF THE GIANT PLANETS USING THE $2\mu m$ SPECTRAL STRUCTURES OF $(H_2)_2$

  • Kim, Sang-Joon;Lee, Yong-Sik
    • Journal of Astronomy and Space Sciences
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    • v.18 no.2
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    • pp.95-100
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    • 2001
  • We have presented an ab initio model of the $2{mu}m$ spectral features of $(H_2)_2$ based on the far-infrared models of McKellar & Schaefer (1991). We have shown that the intensity variations of the $2{mu}m;(H_2)_2$ features depend on the ortho/para ratios of $H_2$ We have discussed the applicability of the variations to the atmospheres of the giant planets for the derivations of the ortho/para ratios. The signal to noise ratios of currently available spectra of the giant planets are not sufficient enough to derive accurate ortho/para ratios of these planets. Observations with longer exposure times and larger telescope apertures are required to obtain better spectra for the derivations of the ortho/para ratios of $H_2$ in the atmospheres of the giant planets.

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