• Title/Summary/Keyword: Multiple Primary

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다수의 양측성 반고형결절들로 발현한 원발성 폐 악성 흑색종: 증례 보고 (Primary Pulmonary Malignant Melanoma Presenting as Bilateral Multiple Subsolid Nodules: A Case Report)

  • 소은규;노지영;정수연;강세리;최금하
    • 대한영상의학회지
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    • 제83권2호
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    • pp.387-393
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    • 2022
  • 원발성 폐 악성 흑색종은 흑색종 중에서 굉장히 드문 유형이다. 원발성 폐 악성 흑색종의 방사선학적 소견은 비특이적이나 거의 항상 경계가 좋은 둥근 혹은 소엽상의 결절 혹은 종괴로 나타난다. 이에 저자들은 전산화단층촬영에서 다수의 양측성 반고형결절로 보여 레피딕 성장을 하는 원발성 폐선암으로 오인되었던 원발성 폐 악성 흑색종 환자 1예를 보고하고자 한다.

Craniospinal Metastasis from a Metastasizing Mixed Tumor of Salivary Gland : Unusual Presentation

  • Ye, Hyun-Hee;Cho, Chang-Won;Jeon, Mi-Young;Kim, Dae-Jo
    • Journal of Korean Neurosurgical Society
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    • 제41권3호
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    • pp.186-189
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    • 2007
  • Metastasizing mixed tumors [MMT] of salivary glands are inexplicably metastasize maintaining benign histology. There is no pathologic and flow cytometric analysis criteria to predict the metastasis. MMT is known to metastasize by local implantation, vascular and lymphatic embolization after multiple surgery to local recurrences of primary tumor. However, multiple metastasis including cranium and spine occurred even without surgery to the primary tumor in this case. No pathological evidence of malignancy could be found in both primary and metastatic tumor. MMT is considered as an low grade malignancy based on clinical behavior rather than histologic evidence, such as low mortality rate, long delay of metastasis after primary lesion. Cranial metastasis is also extremely rare and only two cases have been reported. We report this unusual case with a literature review.

계승치가 존재하는 유구치의 다발성 저위교합 : 증례 보고 (Multiple infroccluded primary molars with permanent successors : a case report)

  • 윤수미;이제우;라지영
    • 대한치과의사협회지
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    • 제58권4호
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    • pp.206-212
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    • 2020
  • The infraocclusion is defined as a condition, in which teeth are present with their occlusal surface below the neighboring teeth, and long after, they reach occlusion. The most common cause of infra-occlusion is thought to be ankylosis. The treatment options for patient with infraocclusion of primary molars are observation, restoration and surgical removal of the affected teeth. We report a case of 8 - year - old boy who visited our clinic for consultation of orthodontic treatment. The patient was diagnosed by multiple infraoccluded primary molars with permanent successors. Surgical extraction were performed on primary molars. After follow-up of 7 months period, #44, 45 were erupted and the degree of posterior open bite was decreased.

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Performance of Energy Detection Spectrum Sensing with Delay Diversity for Cognitive Radio System

  • Kim, Eun-Cheol;Koo, Sung-Wan;Kim, Jin-Young
    • Journal of electromagnetic engineering and science
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    • 제9권4호
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    • pp.194-201
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    • 2009
  • In this paper, a new spectrum sensing method based on energy detection is proposed and analyzed in a cognitive radio(CR) system. We employ a delay diversity receiver for sensing the primary user's spectrum with reasonable cost and complexity. Conventional CR with the receiver equipping multiple antennas requires additional hardware and space for installing multiple antennas in accordance with increase in the number of antennas. If the number of antennas increases, detection probability as well as hardware complexity and cost rise. Then, it is difficult to make a primary user detector practically. Therefore, we adopt a delay diversity receiver for solving problems of the conventional spectrum detector utilizing multiple antennas. We derive analytical expressions for the spectrum sensing performance of the proposed system. From the simulation results, it is demonstrated that the primary user detector with the delay diversity receiver has almost half the complexity and shows similar or improved performance as compared with that employing multiple antennas. Therefore, the proposed spectrum sensing structure can be a practical solution for enhancing the detection capacity in CR system operations. The results of this paper can be applied to legacy CR systems with simple modifications.

Multiple Primary Malignancies - A Retrospective Analysis at a Single Center in Turkey

  • Arpaci, Erkan;Tokluoglu, Saadet;Yetigyigit, Tarkan;Alkis, Necati
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.769-773
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    • 2013
  • Background: A literature review on 1,104,269 cancer patients concluded that the prevalence of multiple primary malignancies (MPM) is between 0.73% and 11.7%. MPMs seem to have higher incidence than that influenced by hazard only. The purpose of this study was to investigate clinically useful information for effective screening for synchronous and metachronous second primary cancers and to identify a potential surveillance protocol. Materials and Methods: Using statistical and epidemiological indicators we evaluated the patients with MPMs (double locations) admitted to Dr. Abdurrahman Yurtarslan Ankara Oncology Education and Research Hospital between 1981 and 2010. Results: Out of the 130 cases, 24 (18.4%) were synchronous while 106 cases (81.6%) were metachronous tumours. Mean interval time from first to second primary cancers was 4.65 years (0-27 years). The most frequent malignant associations were breast-breast, breast-endometrium and breast-ovary. Both primary and secondary tumors tended to be in an advanced stage explained by the low compliance of the patients to follow-up. Conclusions: The possibility that MPMs exist must always be considered during pretreatment evaluation. Screening procedures are especially useful for the early detection of associated tumors, whereas careful monitoring of patients treated for primary cancer and a good communication between patients and medical care teams should ensure early detection of secondary tumors, and subsequent appropriate management.

다발성 반점형 폐침윤으로 발현한 원발성 NK/T 세포 폐림프종 (A Case of Primary Extranodal NK/T Cell Lung Lymphoma Presenting as Multiple Patchy Pulmonary Infiltrations)

  • 정금모;곽진영;최현종;박효숙;장명;이광민;김남돈;박용진;김귀완
    • Tuberculosis and Respiratory Diseases
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    • 제55권6호
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    • pp.636-642
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    • 2003
  • 저자들은 기침, 호흡곤란 등의 호흡기 증세와 발열, 체중감소 등의 전신증상이 있으면서 흉부 방사선 소견상 폐렴이 의심되었으나 광범위 항생제에 반응이 없이 빠르게 진행하는 환자에서 개흉 폐생검을 통해 NK/T 세포 림프종을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Primary Central Nervous System Lymphoma in Organ Recipient

  • Hong, Ki-Sun;Kim, Sang-Dae;Lim, Dong-Jun;Park, Jung-Yul
    • Journal of Korean Neurosurgical Society
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    • 제37권4호
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    • pp.296-299
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    • 2005
  • We report a case of primary central nervous system(CNS) lymphoma in an organ recipient. A 33-years-old man who underwent a renal transplantation 3years previously presented with headache and vomiting. In Brain computed tomography scans and magnetic resonance images showed multiple periventricular cystic rim enhancing masses. Pathologic diagnosis by stereotactic biopsy revealed malignant non-Hodgkins B-cell lymphoma. After pathologic confirmation, methotrexate chemotherapy and whole brain radiation therapy were done. Having experienced such a case, the authors strongly recommend to add primary CNS lymphoma as one of the differential diagnoses to brain abscess, metastatic brain tumor and glioblastoma multiforme in cases of multiple ring enhancing periventricular lesions of immunocompromised patient or organ recipient.

인지 무선 네트워크에서의 베이지안 추론 기반 다중로봇 위치 추정 기법 연구 (Localization Method for Multiple Robots Based on Bayesian Inference in Cognitive Radio Networks)

  • 김동구;박준구
    • 제어로봇시스템학회논문지
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    • 제22권2호
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    • pp.104-109
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    • 2016
  • In this paper, a localization method for multiple robots based on Bayesian inference is proposed when multiple robots adopting multi-RAT (Radio Access Technology) communications exist in cognitive radio networks. Multiple robots are separately defined by primary and secondary users as in conventional mobile communications system. In addition, the heterogeneous spectrum environment is considered in this paper. To improve the performance of localization for multiple robots, a realistic multiple primary user distribution is explained by using the probabilistic graphical model, and then we introduce the Gibbs sampler strategy based on Bayesian inference. In addition, the secondary user selection minimizing the value of GDOP (Geometric Dilution of Precision) is also proposed in order to overcome the limitations of localization accuracy with Gibbs sampling. Via the simulation results, we can show that the proposed localization method based on GDOP enhances the accuracy of localization for multiple robots. Furthermore, it can also be verified from the simulation results that localization performance is significantly improved with increasing number of observation samples when the GDOP is considered.

Clinicopathologic characteristics and survival rate in patients with synchronous or metachronous double primary colorectal and gastric cancer

  • Park, Ji-Hyeon;Baek, Jeong-Heum;Yang, Jun-Young;Lee, Won-Suk;Lee, Woon-Kee
    • 대한종양외과학회지
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    • 제14권2호
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    • pp.83-88
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    • 2018
  • Purpose: Double primary colorectal cancer (CRC) and gastric cancer (GC) represent the most common multiple primary malignant tumors (MPMT) in Korea. The recognition and screening of hidden malignancies other than the primary cancer are critical. This study aimed to investigate the clinicopathologic characteristics and survival rates in patients with synchronous or metachronous double primary CRC and GC. Methods: Between January 1994 and May 2018, 11,050 patients were diagnosed with CRC (n=5,454) or GC (n=5,596) at Gil Medical Center. MPMT and metastatic malignant tumors were excluded from this study. A total of 103 patients with double primary CRC and GC were divided into two groups: the synchronous group (n=40) and the metachronous group (n=63). The incidence, clinicopathologic characteristics, and survival rate of the two groups were analyzed. Results: The incidence of synchronous and metachronous double primary CRC and GC was 0.93%. Double primary CRC and GC commonly occurred in male patients aged over 60 years with low comorbidities and minimal previous cancer history. There were significant differences between the synchronous and metachronous groups in terms of age, morbidity, and overall survival. Metachronous group patients were 6 years younger on average (P=0.009), had low comorbidities (P=0.008), and showed a higher 5-year overall survival rate (94.8% and 61.3%, P<0.001) in contrast to synchronous group. Conclusion: When primary cancer (CRC or GC) is detected, it is important to be aware of the possibility of the second primary cancer (GC or CRC) development at that time or during follow-up to achieve early detection and better prognosis.

The primary cilium as a multiple cellular signaling scaffold in development and disease

  • Ko, Hyuk-Wan
    • BMB Reports
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    • 제45권8호
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    • pp.427-432
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    • 2012
  • Primary cilia, single hair-like appendage on the surface of the most mammalian cells, were once considered to be vestigial cellular organelles for a past century because of their tiny structure and unknown function. Although they lack ancestral motility function of cilia or flagella, they share common ground with multiciliated motile cilia and flagella on internal structure such as microtubule based nine outer doublets nucleated from the base of mother centrioles called basal body. Making cilia, ciliogenesis, in cells depends on the cell cycle stage due to reuse of centrioles for cell division forming mitotic spindle pole (M phase) and assembling cilia from basal body (starting G1 phase and maintaining most of interphase). Ciliary assembly required two conflicting processes such as assembly and disassembly and balance between these two processes determines the length of cilia. Both process required highly conserved transport system to supply needed substance to grow tip of cilia and bring ciliary turnover product back to the base of cilia using motor protein, kinesin and dynein, and transport protein complex, IFT particles. Disruption of ciliary structure or function causes multiple human disorder called ciliopathies affecting disease of diverse ciliated tissues ranging from eye, kidney, respiratory tract and brain. Recent explosion of research on the primary cilia and their involvement on animal development and disease attracts scientific interest on how extensively the function of cilia related to specific cell physiology and signaling pathway. In this review, I introduce general features of primary cilia and recent progress in understanding of the ciliary length control and signaling pathways transduced through primary cilia in vertebrates.