• Title/Summary/Keyword: ISCM

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A Case of Intramedullary Spinal Cord Metastasis From Non-small Cell Lung Cancer (비소세포 폐암의 척수수질내 전이 1예)

  • Park, Sang-Woo;Wi, Hyung-Soo;Kim, Hoon-Soo;Cho, Jae-Hwa;Lee, Hong-Lyeol;Loh, John-Kyu;Ryu, Jeong-Seon
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.6
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    • pp.627-632
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    • 2002
  • Intramedullary spinal cord metastasis (ISCM) has rarely been reported in patients with carcinomas. In about half the ISCM reported the primary origins are lung cancer, with small cell lung cancer responsible for almost all reported cases. Thus, ISCM from small cell lung cancer is relatively well documented, but ISCM from non-small cell lung cancer is rarely diagnosed prior to the patients' demise, so very little data about such patients is available. Spine MRI is the most sensitive technique for diagnosing ISCM. ISCM are now being encountered with increasing frequency due to the increasing survival rates of lung cancer patients, and the development of new imaging technique. We reported a case of an ISCM from non-small cell lung cancer with a brief review of the literature.

Intramedullary Spinal Cord Metastasis : A Report of Two Cases and a Review of the Literature (척수내 전이암 - 2례 보고 및 문헌고찰 -)

  • Oh, Yoon-Kyeong;Park, Hee-Chul
    • Radiation Oncology Journal
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    • v.19 no.4
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    • pp.353-358
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    • 2001
  • Intramedullary spinal cord metastases (ISCM) account for only $3.4\%$ of symptomatic metastases to the spinal cord. The survival of patients with ISCM is characteristically short, often no longer than 2 months, due to a rapid neurologic deterioration and the presence of widespread metastases, Including metastases to the brain. We report two cases of ISCM arising from primary sphenoid sinus carcinoma and primary lung cancer along with a review of the literature. The case of ISCM from the primary sphenoid sinus is the third case of secondary syringomyelia due to ISCM In the world literature, and ISCM from the primary lung cancer is the first case reported in Korea. One case showed a slow progression of symptoms and a longer survival (26 months after the radiotherapy to the spine), and the other showed a rapid deterioration of symptoms with a shorter survival. More effective palliation can be achieved if the disease is diagnosed at an early stage when the neurologic deficits are still reversible.

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Newly Developed Weakness of Lower Extremities Despite Improved Brain Metastasis of Lung Cancer after Radiotherapy

  • Yang, Jae Hyun;Jang, Young Joo;Ahn, Se Jin;Kim, Hye-Ryoun;Kim, Cheol Hyeon;Koh, Jae Soo;Choe, Du Hwan;Lee, Jae Cheol
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.574-576
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    • 2009
  • An intramedullary spinal cord metastasis (ISCM) rarely develops in systemic cancer but is indicative of a poor prognosis. A 56-year-old man was admitted due to weakness of the lower extremities. He had received radiotherapy 3 months prior for a brain metastasis that had developed 1 year after achieving a complete response from chemotherapy for extended stage small cell lung cancer. Although the brain lesion had improved partially, ISCM from the cervical to lumbar-sacral spinal cords, which was accompanied by a leptomeningeal dissemination, was diagnosed based on magnetic resonance imaging of the spine and cerebrospinal fluid cytology. Finally, he died of sudden cardiac arrest during treatment. This is the first case of ISCM involving the whole spinal segments. Physicians should be aware of the subsequent development of ISCM in lung cancer patients with a previously known brain metastasis who present with new neurological symptoms.

Sphenoid Sinus Carcinoma with Intramedullary Spinal Cord Metastasis and Syringomyelia -Report of A Case- (접형동암 환자에서 척수공동증을 동반한 척수내 전이 -증례 보고-)

  • Oh, Yoon-Kyeong;Kim, Young-Sook
    • Radiation Oncology Journal
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    • v.14 no.1
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    • pp.61-67
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    • 1996
  • Purpose : Primary sphenoid carcinoma is rare. It accounts for $0.3\%$ of all primary paranasal sinus malignancies. Because of the rarity of sphenoid carcinoma, large series of patients with outcome and survival statistics are currently unavailable. So we followed up the 1 case of sphenoid sinus carcinoma treated in our hospital and reported the course of the disease. Case report : In a review of case reports and small series of patients, 2-rear survival was $7\%$. Our case is alive at 29 months after diagnosis of sphenoid sinus carcinoma. Intramedullary spinal cord metastasis (ISCM) is an unusual complication of cancer. In our case rapidly progressive paraparesis and urinary retention developed at 25 months after diagnosis of sphenoid sinus carcinoma. MRI of the thoracic spines showed the intramedullary spinal cord tumor mass at T3 and 74 level with accompanying syringomyelia. Here we report a case of ISCM associated with syringomyelia which has developed after primary sphenoid sinus carcinoma with a review of literature about the clinical behavior and treatment of this lesion.

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A Case Report of "Spinal Cord Apoplexy" Elicited by Metastatic Intramedullary Thyroid Carcinoma

  • Choi, In-Jae;Chang, Jae-Chil;Kim, Dong-Won;Choi, Gun
    • Journal of Korean Neurosurgical Society
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    • v.51 no.4
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    • pp.230-232
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    • 2012
  • A 31-year-old man presented with acute onset of paraplegia. The patient's history was significant for thyroid carcinoma that had been treated 2 years earlier by thyroidectomy. A magnetic resonance imaging scan showed an enhancing intramedullary lesion at T7-8. Patient underwent surgical treatment and a tumor with hematoma was resected via posterior midline myelotomy. Postoperatively, the patient's motor weakness was improved to grade 3. The lesion showed typical histologic features consistent with papillary thyroid carcinoma. Early diagnosis and microsurgical resection can result in improvement in neurological deficits and quality of life of patients with an ISCM.

A Case Study of Supply Chain Management System of LG Siltron, Korea (실리콘 웨이퍼 공급사슬관리 시스템 구축에 관한 연구: (주) LG 실트론 사례를 중심으로)

  • Lee, Ho-Chang
    • IE interfaces
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    • v.18 no.3
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    • pp.234-246
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    • 2005
  • A silicon wafer is a highly customized product made to the individual order varying its electrical and physical characteristics. Therefore, it has distinctive supply chain structure that is different from highly standardized commodity product. For high-volume/high-standardization product, it is general that a main stream of information flow initiated by the production planning of the manufacturers is usually directed to push both ways in a supply chain: upstream to the suppliers and downstream to the customers. Contrastingly, for low-volume/high-customization product, the information flow triggered by the fluctuating customer demand usually propagates upward to the suppliers through the manufacturers. Furthermore, for R &D based hi-technology product like silicon wafer, the interactive information feedback mechanism between manufacturer and customer, which is essential to the new product development process, is to be embedded in the supply chain. This article is a case study of supply chain management system of LG Siltron, a major Korean silicon wafer manufacturer. The SCM system entails special information structure fitting well typical high-variety/high-customization product, and also gives application possibilities to the R&D based high-technology product made to the individual customer order.