• Title/Summary/Keyword: Internal organs

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A Case of Lung Cancer Metastasis to the Maxillary Sinus (폐암의 상악동 전이 1예)

  • Lee, Tae-Hee;Park, Moo-Suk;Chung, Jae-Ho;Kim, Heung-Jong;Kim, Do-Hoon;Kim, Young-Sam;Chang, Joon;Kim, Sung-Kyu;Cho, Sang-Ho;Kim, Se-Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.6
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    • pp.579-584
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    • 2001
  • Lung cancer is known to metastasize to a wide range of organs. The main sites for the metastatic foci are the mediastinal lymph nodes, brain, bones, adrenal glands, and the liver. Metastases to the paranasal sinuses are rare. However, a metastatic maxillary tumor may be the initial presentation of an unknown primary malignancy. Here, we report a case of a lung cancer that metastased to the maxillary sinus because of its rarity and its effect on the treatment of the disease.

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Mouse Single Oral Dose Toxicity Test of Chongmyung-tang Aqueous Extracts (총명탕(聰明湯) 열수(熱水) 추출물의 마우스 단회 경구투여 독성 실험)

  • Hwang, Ha-Yeon;Jang, Woo-Seok;Baek, Kyung-Min
    • The Journal of Internal Korean Medicine
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    • v.35 no.1
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    • pp.37-49
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    • 2014
  • Objectives & Methods : The objective of this study was to evaluate the single oral dose toxicity of Chongmyung-tang (CMT) in ICR mice. Korean traditional herbal prescription CMT has traditionally been used as a neuroprotective for treatment of learning disability and memory improvement. CMT, lyophilized aqueous extracts (yield=9.7%) were administered to female and male mice with oral dose of 2,000, 1,000 and 500 mg/kg (body weight) according to the recommendation of Korea Food and Drug Administration (KFDA) Guidelines. Animals were monitored for mortality, changes in body weight, clinical signs and gross observation during 14 days after administration upon necropsy; organ weight and histopathology of 14 principle organs were examined. Results : We could not find any CMT extracts treatment related mortalities, clinical signs, changes in body and organ weight, or gross and histopathological observations against 14 principle organs up to 2,000 mg/kg in both female and male mice, except for some accidental sporadic findings which did not show any obvious dose-relations and most of which also demonstrated in both the female and male vehicle control mice in this experiments. Conclusions : Based on the results of this experiment, the 50% lethal dose ($LD_{50}$) and approximate lethal dose (ALD) of CMT extracts after single oral treatment in female and male mice can be considered to be over 2,000 mg/kg, and is likely to be safe in humans.

A Study on Clinical Classification and Characteristic of Children with Recurrent Abdominal Pain (만성(慢性) 반복성(反復性) 복통(腹痛)을 주증(主症)으로 하는 환아(患兒)의 임상적(臨床的) 특징(特徵)에 관한 연구(硏究) -기능성 복통을 중심으로-)

  • Kim, Sung-Hee;Park, Sang-Wook;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.2
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    • pp.1-22
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    • 2002
  • Purpose : This Study was conducted to evaluate clinical characteristic of children with recurrent abdominal pain (RAP) and to be classified by its six subtype in the Oriental Pediatric Text Book and to find out relationship of western classification. Methods : Patients who visited Dong-Eui Oriental Medical hospital from August, 2001 to October, 2002 due to RAP were included. According to questionnaire and history taking, RAP was classified by its six subtype based on Oriental medical theory. Results : 1. Patients with RAP were more internalized, have a close relation with their parents, and have strong desires of success, but social intercourse is low. 2. 76% of Patients have a less desire to eat and 67% of Patients have a diarrhea or constipation. 3. According to questionnaire, first abdominal pain was their $3{\sim}5$ ages most, cause of occurrence was more 'eating cold foods' most, time of AP (abdominal pain) was $1{\sim}2$ hours after eating and no characteristic most, site of AP was the umbilicus most, shape of AP was impotent pain most, cause of reduce pain was abdominal massage and defection most. 4. frequency of RAP's type, AP caused by diet(食積腹痛) is 45.5%, AP caused by cold(寒腹痛) is 29.1%, AP caused by cold in internal organs of deficiency(臟腑虛冷腹痛) is 12.7%, stagnation of qi and stasis of blood(氣滯血瘀腹痛) is 10.9%, AP caused by internal diet and external cold(內食外寒腹痛) is 1.8%. There is no AP caused by parasites(蟲腹痛). 5. During clinical classifications of RAP, cause of occurrence was most important cause of reduce pian, defection practice was helpful for diagnosis, but shape of AP, site of AP was not helpful. 6. With relationship of Oriental classification and western classification, AP caused by diet is similar to dysmotilitylike dyspepsia and irriTable bowel syndrome. AP caused by cold is similar to irriTable bowel syndrome. AP caused by cold in internal organs of deficiency is similar to unspecified dyspepsia. stagnation of qi and stasis of blood and AP caused by internal diet and external cold is not like to western classification. Conclusion : RAP in Childhood is most occurred by food and cold. there is few AP caused by stagnation of qi and stasis of blood and internal diet and external cold. So the study on subclassification and clinical Manifestations of RAP in Childhood is more performed.

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Measurement of Uptake Rates of Internal Organs Including Thyroid Gland and Daily Urinary Excretion Rates for Adult Korean Males (한국남자 성인을 대상으로 한 방사성옥소($^{131}I$)의 갑상선 및 각 장기별 잔류율과 소변 일일배설률 측정)

  • Kim, Jung-Hoon;Kim, Hee-Geun;Whang, Joo-Ho
    • Journal of Radiation Protection and Research
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    • v.32 no.2
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    • pp.45-50
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    • 2007
  • In this study, uptake rates of internal organs and daily urinary excretion rates were measured to get more reliable estimation results for Korean. Radioactive iodine($^{131}I$) of $100{\mu}Ci$ was administered by ingestion to 28 adult males for the experiment and then the radioactivity in thyroid gland, liver, stomach, small intestine, kidneys, and urine was measured after time intervals of 2, 4, 6 and 24 hours. Uptake rates of each organ and daily urinary excretion rates were calculated on the basis of these experimental results. As a result, uptake rates of 19.70% for thyroid and daily urinary excretion rates of 71.12%, on the average, were indicated. The maximum of uptake rates and daily urinary excretion rates were recorded after 2 hours of administration of $^{131}I$, but those rates were decreased gradually later. It was also found that uptake rates were the highest in stomach, followed by the left kidney, liver, small intestine and right kidney except for thyroid gland. In this experiment, the calculated uptake change rate in thyroid gland after 24 hours of administration of $^{131}I$ was different from that of ICRP-54/67(30%) and ICRP-78(25%). Thus, it is necessary to apply more reliable approach, reflecting the characteristic of Korean physiology and to obtain the basic data of results using this approach for calculation of the internal adsorbed dose. In the future, this approach can be helpful for the internal dose assessment of radiation workers in a nuclear power plant or in a hospital.

One Case of Systemic Lupus Erythematosus treated by Integrated Therapy of Western Medicine with Oriental Differential Diagnosis of Symptoms and Signs (한방 변증과 양방 협진에 의한 전신성 홍반성 낭창(Systemic Lupus Erythematosus) 치료 1예)

  • Jung, Dae-Young;Baek, Dong-Gi;Hwang, Sang-Il;Shin, Sun-Ho;Kim, Dong-Woung;Han, Myoung-Ah
    • The Journal of Internal Korean Medicine
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    • v.23 no.2
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    • pp.306-312
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    • 2002
  • Systemic Lupus Erythematosus(SLE) is a autoimmune disease characterized by combined symtoms of malar rash, discoid rash, neuropsychiatric disorder, renal disorder, hematologic disorder, photosensitivity immunologic disorder, oral ulcer, anti-nuclear antibody, arthritis, pleuritis and pericarditis, etc. Multiple genetic or environmental causes are supposed to facilitate antiboby production to autoantigen such as ds-DNA, histone, phospholipid, red blood cell, platelet, etc. And defective complementary system fail to remove autoantigen-antibody complex, which deposit in multiple organs and result in inflammatory damages. SLE does not correctly correspond to any specific category of oriental medicine. But, accoring to previous reports, it can be controlled by herb medications used differently patients-to-patients. So we are to report this one SLE case being successfully controlled by classic corticosteroids with herb medications based on oriental diffrential diagnosis of symptoms and signs.

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A Case of Suspected Behçet's Disease Diagnosed by Manifestation of Pulmonary Artery Aneurysm (폐동맥류의 발현으로 진단된 용의형 베체트병 1예)

  • Kim, Hoon Soo;Cho, Jae Hwa;Yang, Moon Hee;Kim, Hyun Jeong;Park, Byoung Joon;Kim, Young Shin;Ryu, Jeong Seon;Lee, Hong Lyeol;Yoon, Yong Han
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.4
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    • pp.405-410
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    • 2002
  • Behçet's disease is a chronic systemic inflammatory disorder with an unknown etiology. It affects many organs and is characterized by recurrent attacks. Pulmonary artery aneurysms occur more frequent in males, and it is one of the rare pulmonary complications of Behçet's disease. It has a poor prognosis, and is also one of the leading causes of death from Behçet's disease. Here we report a case of suspected Behçet's disease diagnosed by a manifestation of a pulmonary artery aneurysm in a 37-year-old woman.

Immune thrombocytopenia associated with sarcoidosis (면역성혈소판감소증을 동반한 사르코이드증)

  • Jeong, Da Eun;Kim, Min Kyoung;Koh, Sung Ae;Lee, Kyoung Hee;Choi, Joon Hyuk;Hong, Young Hoon;Cho, Jae Ho;Goo, Eun Ju;Hyun, Myung Soo
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.26-30
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    • 2015
  • Sarcoidosis is a systemic disease of unknown cause involving multiple organs and is characterized by noncaseating granuloma. Immune thrombocytopenia (ITP) is an autoimmune disease characterized by increased peripheral platelet destruction due to the presence of an antibody to the platelet and abnormal platelet production. There is no known pathogenesis that occurs concurrently with ITP and sarcoidosis. However, considering together of 2 known pathogenesis, abnormal immune response triggers either ITP or sarcoidosis. The disease that develops first stimulates secondary disease. After development of secondary disease, they stimulate each other. A few cases of ITP associated with sarcoidosis are well documented in English; however, the disease has rarely been reported in Korea. Here, we report on a case of ITP with sarcoidosis in a 29-year-old man. He suffered from easy bruising. The chest X-ray and the contrast-enhanced computed tomography scan showed bihilar lymphadenopathy and reticulonodular infiltrates. Bone marrow study and fluoroscopy-guided percutaneous needle biopsy were performed and the patient was diagnosed with sarcoidosis and ITP. He was put on 400 mg/kg of intravenous immunoglobulin for 5 days and administered oral steroids and further follow-up will be carried out. He has shown a good response without significant bleeding event. However, administration of more oral steroid and additional follow-up is required than for single disease, whether sarcoidosis or ITP.

Spontaneous Rupture of Mediastinal Teratoma into Adjacent Tissues (주위 조직으로 파열된 종격동 기형종 1예)

  • Jeon, Jeong-Bae;Chung, Chung-Hwan;Moon, Tai-Hoon;Cho, Jae-Wha;Ryu, Jeong-Seon;Kwak, Seung-Min;Lee, Hong-Lyeol;Cho, Chul-Ho;Han, Hye-Seung;Kim, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.3
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    • pp.400-405
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    • 1999
  • Mediastinal teratomas are rare and represent less than 10 per cent of all mediastinal tumors. Almost all arise in the anterosuperior mediastinal compartment, and most symptoms, when present, result from compression of adjacent structures. They contain different tissues derived from all three germinal layers, with the prevalence of ectodermal elements which can include hair, teeth and sebaceous material. Benign teratomas may rupture into adjacent organs. Up to 36% of all mediastinal teratomas rupture, most frequently into the lung and bronchial tree, followed by the pleural space, pericardial space, or great vessels. The signs and symptoms of a ruptured teratoma vary with the structures involved. We report a case of mediastinal teratoma ruptured spontaneously in a 18 year old female who experienced 4 or 5 times of hemoptysis for 1 year and sudden onset of pleural effusion, pericardial effusion and pneumonia.

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A Case of Huge Pulmonary Blastoma With Multiorgan Invasion (다기관 침범을 동반한 거대 폐 모세포종)

  • Lee, Tae Hwan;Lee, Ka Young;Kim, So Ri;Min, Kyung Hun;Park, Seoung Ju;Lee, Heung Bum;Rhee, Yang Keun;Lee, Yong Chul
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.2
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    • pp.149-153
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    • 2007
  • A pulmonary blastoma is a rare malignant tumor of the lung that is composed of epithelial and mesenchymal elements and resembles the structure of an embryonic lung. Pulmonary blastomas have a very poor prognosis and make up 0.25 to 0.5 percent of all primary malignant lung tumors. A pulmonary blastoma usually manifests as a solitary parenchymal mass or nodule and multiple subpleural mass with effusion on chest X-ray and computed tomography. We encountered a very rare case of pulmonary blastoma in a 52 years old male. He complained of abdominal pain, fullness, and dyspnea. The radiology examination revealed a huge lung mass invading the mediastinum, heart, diaphragm, and liver. The percutaneous needle biopsies were performed, and this tumor was diagnosed as a pulmonary blastoma. We report a biopsy confirmed case of a huge pulmonary blastoma invading multiple organs.

Radiotherapy Techniques for Breast Cancer (유암의 방사선치료방법에 대한 고찰)

  • KIM Chung Man;HONG Young Rak;PARK Hung Deuk;JUNG Ho Yong
    • The Journal of Korean Society for Radiation Therapy
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    • v.1 no.1
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    • pp.79-83
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    • 1985
  • Carcinoma of the breast has been treated by surgery followed by irradiation of the chest wall and regional lymphatics treatment planning of the breast cancer is required that lung must be spared as much as possible. However megavoltage irradiation of the internal mammary chain results in high dose to underlying heart, esophagus and spinal cord. Electron beam can be used for the irradiation of the internal mammary chain instead of megavoltage beam. We studied dose distribution of single anterior electron field, compared with traditional treatment methods. 12 and 15MeV electron beam with bolus has good dose distribution to spare underlying lung tissue and other organs.

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