• 제목/요약/키워드: Mixed nodular

검색결과 35건 처리시간 0.024초

자궁경부 종괴형 자궁경부임신의 영상 소견 (Radiologic Findings of Cervical Mass Type Cervical Pregnancy)

  • 조재호
    • Journal of Yeungnam Medical Science
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    • 제22권1호
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    • pp.43-51
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    • 2005
  • 자궁경부 종괴형 자궁경부임신은 빠른 진단과 치료를 요하는 산과적 응급 상황으로 특징적인 초음파 및 MRI 소견을 정확하게 숙지하고 있어야 한다. 특징적인 초음파 소견으로는 혈중 ${\beta}$-HCG 수치가 상승되어 있는 환자에서 자궁경부의 확장, 심하게 불균일한 종괴, 색도플러 검사에서 강한 혈류, 영양막주위 혈류 양상 등이 있다. 특징적인 MRI 소견으로는 자궁경부의 종대, T2-강조영상에서 심하게 불균일한 혼합 신호강도, 가장자리의 저신호강도의 띠, 조기에 강하게 조영증강되는 결절성 부분 등이 있다.

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장기형임파종증(臟器型淋巴腫症)에 관(關)한 연구(硏究) 1. 계군(鷄群)에서의 임파종증(淋巴腫症)의 발생(發生) 및 병리학적소견(病理學的所見) (STUDIES ON AVIAN VISCERAL LYMPHOMATOSIS I. THE INCREASED INCIDENSE AMONG CHICKEN FLOCKS AND PATHOLOGIC PICTURES)

  • 김우호;임창형
    • 대한수의학회지
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    • 제4권1호
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    • pp.35-42
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    • 1964
  • 계백혈병군중(鷄白血病群中) 특(特)히 장기형임파종증(臟器型淋巴腫症)은 한국전쟁이후(韓國戰爭以後) 계군(鷄群)의 증가(增加)와 더불어 점차(漸次) 그 발생(發生)이 많아져 양계업계(養鷄業界)에 상당(相當)한 손해(損害)를 끼치는 것으로 주목(注目)되어 왔다. 저자(著者)들은 야외계군(野外鷄群)에서의 장기형임파종증(臟器型淋巴腫症)의 발생상황(發生狀況)을 조사(調査)하기 위(爲)하여, 1961년(年)~1963년(年)의 3년간(年間)에 본대학실험실(本大學實驗室)과 춘천지역(春川地域)의 양계장(養鷄場) 및 닭 소매상(小賣商)에서 부검관찰(剖檢觀察)할 수 있었던 계체(鷄體)에 대(對)해서, 다음과 같은 결과(結果)를 얻었다. 1). 총(總) 3,500의 부검예중(剖檢例中) 266 례(例)(7.6%)에서, 한가지 이상(以上)의 장기(臟器)에서 장기형임파종증(臟器型淋巴腫症)의 병변(病變)을 관찰(觀察)하였다. 이 비율(比率)은 제외국(諸外國)의 것에 비(比)하여 낮은 율(率)이나, 우리나라의 전사양계군수(全飼養鷄群數)와 그간(間)의 관찰계수(觀察鷄數)를 고려(考慮)할 때, 본병(本病)이 가금질병중(家禽疾病中)에서 상당(相當)한 비중(比重)을 차지할 것으로 예상(豫想)된다. 저자(著者)들이 검안(檢案)한 범위내(範圍內)에서는 장기형임파종증(臟器型淋巴腫症) 이외(以外)의 다른형(型)(백혈병군중(白血病群中))은 관찰(觀察)되지 않았다. 2). 육안적병변(肉眼的病變)은 간(肝), 비(脾), 신(腎), 난소(卵巢) 및 장(腸)에서 관찰(觀察)되었고, 제외국(諸外國)의 보고(報告)처럼 심(心), 폐등(肺等)에서는 관찰(觀察)되지않았다. 그 발생빈도(發生頻度)는 간(肝)이 가장 높았으며, 그 다음으로 비(脾), 난소(卵巢), 신(腎), 장(腸)의 순(順)을 따랐고, 각장기(各臟器)는 단독(單獨) 또는 여러가지 조성(組成)으로 병변(病變)을 나타내었다. 그 육안적병변(肉眼的病變)은 Horiuchi(1961)의 분류기준(分類基準)에 따라 각형(各型)으로 관찰(觀察)되었다. 즉(卽) 간(肝)은 미만형(46.5%), 결절형(結節型)(25.1%), 과립형(顆粒型)(14%), 혼합형(混合型)(14.4%)으로, 비(脾)는 미만형(64%), 결절형(結節型)(32%), 여포종대형(濾胞腫大型)(4%)으로, 난소(卵巢)는 미만형(19%) 및 여포종대형(濾胞腫大型)(81%), 신(腎)은 미만형(91%) 및 결절형(結節型)(9%), 장(腸)은 다만 결절형(結節型)으로 각각(各各) 분류(分類)되었다. 3). 병리조직학적병변(病理組織學的病變)은 Horiuchi(1961)의 분류기준(分類基準)에 따라, 24 례(例)의 간(肝) 및 10 례(例)의 비(脾)에 있어서, 침윤성증식형(浸潤性增殖型), 결절성증식형(結節性增殖型) 및 미만성증식형으로 관찰(觀察)되었고, 3 례(例)의 신(腎)에 있어서 미만성증식형과 결절성증식형(結節性增殖型)이, 3 례(例)의 장(腸)에 있어서 침윤성증식형(浸潤性增殖型)이, 2 례(例)의 난소(卵巢)에 있어서 침윤성증식형(浸潤性增殖型)이 관찰(觀察)되었다. 이와같은 증식형태(增殖形態)를 보이는 목종양세포(木腫瘍細胞)는 임파구계(淋巴球系)에 속(屬)하는 것으로 생각되는 세포(細胞)로, 크기, 모양 및 염색성(染色城)이 다양(多樣)하였다.

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외과적으로 처치한 갑상선 결절 (A Clinical Study of Surgically Managed Thyroid Nodule)

  • 홍관의;이명복;문철;김익수
    • 대한두경부종양학회지
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    • 제10권2호
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    • pp.91-101
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    • 1994
  • Nodular thyroid disease is a common clinical problem. The problem in clinical practice is to distinguish malignant or potentially malignant tumor from harmless nodules. The cases of thyroid nodule surgically managed at Department of General Surgery, Soon Chun Hyang Univ. Hospital during the period Jan. 1985 to July. 1992 were reviewed retrospectively. To assess method of distinguishing malignant from benign lesions of the thyroid gland, we reviewed 162 patients with thyroid nodule. There were 61(37.7%) malignant nodules and 101(62.3%) benign nodules. According to the review, distinguishing the benign from the malignant nodule with history, physical examination, clinical manifestation, and duration of illness was not suggested sufficiently. In ultrasonogram of 73 cases, 57.5% of nodules were solid, 20.6% were cystic, 21.9% were mixed solid and cystic. Of these, 28.5% of the operated solid lesions, 12.5% of the mixed lesions, and only 6.7% of the cystic lesions were malignant. Thyroid scanning of 82 cases revealed cold nodules in 60 patients(73.2%), of which 26 cases were malignant(36.6%) 137 patients underwent fine needle aspiration cytology(FNAC), and these results were as follow: sensitiviey was 70.6%, specificity was 93.0%, false-positive rate was 14.3%, and false-negative rate was 15.8%. 41 patients underwent frozen biopsy, and the results as follow: sensitivity was 80.0%, specificity was 89.7%. Neither scintigraphy nor ultrasonogram has sufficient specificity to distinguish benign from malignant nodule. But FNAC and frozen biopsy have sufficient accuracy to differentiate benign from malignant nodule. In the benign nodules, the most common type of operation was total lobectomy (60.4%). Of the malignant nodules, total thyroidectomy with or without modified radical neck dissection was performed in 30 cases(49.2%). We conclude that the single technique used to determine the differential diagnosis of a thyroid nodule are unrealiable. It is therefore essential to combine all avaiable clinical and laboratory information.

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7년간 추적관찰에서 진행과 자발적 퇴행을 함께 보인 폐의 다결절성 상피양 혈관내피종: 증례 보고 및 영상 소견 고찰 (Pulmonary Multinodular Epithelioid Hemangioendothelioma with Mixed Progression and Spontaneous Regression during a 7-Year Follow-Up: A Case Report and Review of Imaging Findings)

  • 이가영;김유경;김관창;박혜성
    • 대한영상의학회지
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    • 제83권4호
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    • pp.958-964
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    • 2022
  • 폐 상피양 혈관 내피종은 경계성 또는 저등급 악성의 드문 혈관성 종양이며 그 예후를 예측하기는 어렵다. 이 논문에서는 다발성 폐결절이 있는 47세 무증상 여성에서 7년의 추적 기간 동안, 초기 검사에서 크기가 크고 높은 18F-fluorodeoxyglucose 흡수를 보이는 결절은 크기가 증가하는 진행을 보였고, 1 cm 미만의 대부분의 작은 결절은 말초 가장자리 석회화 또는 결절 석회화와 함께 자발적인 퇴행을 보여주었다. 환자는 폐 상피양 혈관내피종으로 진단되었으며 크기가 커진 결절에 대해 수술적 절제술을 받았다. 이 사례는 한 개인에서 질병의 진행과 퇴행이 동시에 나타난 혼합적인 반응을 보여준다는 점에서 주목할 만하며 이 논문을 통해 예후를 예측하는 데 도움이 될 수 있겠다.

제주도 도축우의 이마에서 발생한 피하 지방종 (Subcutaneous Lipoma on the Forehead of a Slaughtered Cattle in Jeju)

  • 양형석;강상철;김황룡;우계형;김재훈
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.457-459
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    • 2011
  • A dome-shaped subcutaneous nodular mass was detected on the forehead of 2-year-old mixed cattle encountered at Jeju slaughter house. The mass showed distinctive greasy appearance and float in 10% buffered formalin. Mass was well demarcated with other tissues, and firm in consistency and whit-yellowish color on cut surface. Histopathologically, subcutaneous mass was well circumscribed but unencapsulated. This mass was composed of larger lipocytes or more variability in size than normal mature lipocytes. The cytoplasmic lipid of tumor cells could be demonstrated using Oil red O staining. Based on the gross and histopathologic findings, this case was diagnosed as subcutaneous lipoma in cattle. In our best knowledge, this is the first case of bovine lipoma in Korea.

유우에서 발생한 수포양 병변에서 bovine papillomavirus 와 parapoxvirus 혼합감염 (Mixed infection of bovine papillomavirus and parapoxvirus in dairy cattle with vesidle-like lesions)

  • 류영수;강영배;장정호;문운경;최상호;박중원
    • 대한수의학회지
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    • 제38권2호
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    • pp.353-358
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    • 1998
  • A mysterious disease with vesicle-like nodules in dairy cattle udder has been drawn attention to the foreign animal disease expert at the National Veterinary Research Institute. Immediately dispatched foreign animal disease expert, pathologist and regional veterinary officials executed quarantine nearby affected farm area to prevent transmission of the pathogen which was possibly contagious vesicular disease agents in domestic animals such as FMD or SVD. Proper samples were collected for the laboratory examination. Vesicle-like lesions were only detected in lactating dairy cattle and no distinct clinical signs have been observed in affected animals. Parapox and papillomavirus particles have been demonstrated on electromicroscopical examination from nodular samples of udder lesions of the dairy cattle. Characteristic papilloma virus particles with 55nm in diameter and parapoxvirus with 150nm in diameter and 350nm long oval shape particles were detected and confirmed by embryonated chicken egg inoculation.

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Incidence of Head and Neck Lymphoma in Guilan Province, Iran

  • Basirat, Maryam;Rabiei, Maryam;Bashardoust, Nazanin
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.1-4
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    • 2016
  • The aim of this research was to describe the incidence and histopathological subtypes of head and neck lymphoma in Guilan province, Iran. In this retrospective study, all cases of head and neck cancers registered in Iranian Cancer Registry Program in Guilan province of Iran from 2004 to 2009 were obtained and included in the analysis. Out of 1,510 cases, 169 (11.2%) were reported as lymphomas (87 cases of non-Hodgkin, 67 cases of Hodgkin, and 13 cases of unknown type). The mean ages of males and females diagnosed with Hodgkin's lymphoma were 30.4 and 28.7 years, respectively. For non-Hodgkin's lymphoma the respective figures were 50.5 and 49.3 years old. Among various histological subtypes of non-Hodgkin's lymphoma, the diffuse large B-cell type (74.2%) was the most frequent while immunoblastic lymphoma (1.1%) was the least frequent. Nodular sclerosis (58.2%) and mixed cellularity (18.0%) types were most frequent among Hodgkin's lymphomas.

다이야스포아-듀모오티어라이트 광물의 열수생성 과정 (Hydrothermal System of Diaspore-Dumortierite Minerals from Korea)

  • 상기남;정원우;이윤종
    • 자원환경지질
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    • 제29권4호
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    • pp.439-446
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    • 1996
  • Clay minerals are locally abundant in two hydrothermal areas at Tongnae-Yangsan and Miryang, Gyong-sang-namdo, Korea. This study is done to access the clay forming processes, particularly hydrothermal alteration. Pyrophyllite-kaolin in the Zone is accompanied by sericite, diaspore mixed-layer mica/smectite, alunite, dumortierite and silica minerals. Small nodular diaspore and disseminated fine radiac dumortierite are present in the pyrophyllite-kaoline deposits, the northemly trending belt of rhyolite flows and pyroclastic rock near the intruded by granite rock of Bulkusa Series. Hydrothermal action has formed many clay deposits with a zone containing over 80~90% pyrophyllite, kaolinite, muscovite with a little amount of dumortierite, boehmite, andalusite. Most of the clay deposits occur as irregular, lenticular, massive and assosiated dumortierite was found to coexist with clay deposits. Dumortierite data are as follows: lattice constant a=11.783, b=20.209, c=4,7001, axial ratio a:b:c=0.5835 : 1 : 0.2327, XRD $d{\AA}$ 2.549, 5.89, 5.09.

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소아 원발성 간종양 (Primary Hepatic Tumors in Children)

  • 정형중;김현영;정성은;박귀원;김우기
    • Advances in pediatric surgery
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    • 제11권2호
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    • pp.107-114
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    • 2005
  • Primary liver tumors are uncommon in childhood, with a relative frequency of 3 % of all childhood tumors. Seventy-three cases of pediatric primary liver tumors operated on at single institution between 1986 and 2002 were reviewed. Malignant tumors included 37 cases of hepatoblastoma, 11 hepatocellular carcinomas, 6 undifferentiated (embryonal) sarcomas, and 1 mixed germ-cell tumor. Benign tumors constitute only 24.6 % of liver tumors, including 7 hemangioendotheliomas, 5 mesenchymal hamartomas, 3 congenital cysts, and one each with focal nodular hyperplasia and hemangioma. The common presenting clinical features were abdominal mass or abdominal distension. Anatomical hepatic resections were carried out in 38 cases, and nonanatomical resections in 34 cases. One patient died of a direct result of hepatic resection (1.4 %). The complication rate was 16.4 %.

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폐흡충증으로 인한 대량 기흉 (Massive pneumothorax resulting from paragonimiasis)

  • 임우희;김수완
    • Journal of Medicine and Life Science
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    • 제17권1호
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    • pp.25-28
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    • 2020
  • The prevalence of pulmonary pargonimiasis in Korea has been steadily decreasing due to develop of the public health, and there have been few clinical cases of paragonimiasis infections, especially in pneumothorax. A 22-year-old man referred to emergency department for dyspnea and chest pain. The right lung was totally collapsed on a chest X-ray. We emergently performed a closed thoracostomy with a 28-Fr chest tube. However, the air leak from the chest tube persisted for three days after the closed thoracostomy. A chest computed tomography showed multiple subpleural consolidative nodular lesions and mixed ground-glass attenuation nodules. We potentially suspected a secondary pneumothorax resulting from pulmonary paragonimiasis infection because the patient was a Chinese man who was working at a Korean restaurant. We decided to perform a medical treatment instead of pulmonary wedge resections. The air leak was discontinued three days after the prescription of praziquantel. The patient was discharged nine days after the admission. We suggest that anti-parasitic drugs are very effective in the secondary pneumothorax resulting from paragonimiasis.