• Title/Summary/Keyword: Nodularity

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Basaloid-Squamous Cell Carcinoma of the Esophagus -A case report- (식도에서 발생한 기저양 편평세포암종 -1예 보고-)

  • 박훈;박남희;박창권;금동윤
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.888-891
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    • 2004
  • Basaloid-squamous cell carcinoma, a biologically high-grade variant of squamous cell carcinoma, is predominantly located at upper aerodigestive tract but it is extremely rare in the esophagus. Recently we experienced a case of basaloid-squamous cell carcinoma of esophagus. A 64 year-old man was referred to our hospital because of mucosal nodularity at 35 cm apart from the incisor in endoscopic examination. Result of Biopsy was squamous cell carcinoma. Left transthoracic esophagectomy was performed. Histologically, the lesion of tumor was basaloid-squamous cell carcinoma and no lymph node metastasis was found.

Mechanical Properties of High Strength Ductile Cast Iron for Brake Caliper (브레이크 캘리퍼용 고강도 구상흑연주철의 기계적 특성)

  • Bae, Cha-Hurn;Lee, Woo-Chul;Park, Heung-Il;Jeong, Hae-Yong
    • Journal of Korea Foundry Society
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    • v.28 no.4
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    • pp.170-174
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    • 2008
  • Mechanical properties of high strength ductile cast iron for the brake caliper of truck were investigated. Meanwhile the nodularity and nodule count decreased respectively from 92 and 95 to 80% and $60/mm^2$ with increased thickness, the volume fractions of graphite, pearlite and ferrite didn't change much and were in the ranges of 12.0-13.5, 52.6-55.0 and 33.0-35.2, respectively. Hardness, tensile strength and elongation in the mechanical properties of the castings of brake caliper were BHN 241, 710 MPa and 9.5%, respectively.

Bronchoscopic Findings of Pulmonary Paragonimiasis

  • Jeon, Kyeongman;Song, Jae-Uk;Um, Sang-Won;Koh, Won-Jung;Suh, Gee Young;Chung, Man Pyo;Kwon, O Jung;Han, Joungho;Kim, Hojoong
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.512-516
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    • 2009
  • Background: Pulmonary paragonimiasis is a subacute to chronic inflammatory disease of the lung caused by lung flukes that result in prolonged inflammation and mechanical injury to the bronchi. However, there are few reports on the bronchoscopic findings of pulmonary paragonimiasis. This report describes the bronchoscopic findings of pulmonary paragonimiasis. Methods: The bronchosocpic findings of 30 patients (20 males, median age 50 years) with pulmonary paragonimiasis between May 1995 and December 2007 were reviewed retrospectively. Results: The diagnoses were based on a positive serologic test results for Paragonimus-specific antibodies in 13 patients (43%), or the detection of Paragonimus eggs in the sputum, bronchial washing fluid, or lung biopsy specimens in 17 patients (57%). The bronchoscopic examinations revealed endobronchial lesions in 17 patients (57%), which were located within the segmental bronchi in 10 patients (59%), lobar bronchi in 6 patients (35%) and main bronchi in 1 patient (6%). The bronchoscopic characteristics of endobronchial lesions were edematous swelling of the mucosa (16/17, 94%) and mucosal nodularity (4/17, 24%), accompanied by bronchial stenosis in 16 patients (94%). Paragonimus eggs were detected in the bronchial washing fluid of 9 out of the 17 patients with endobronchial lesions. The bronchial mucosal biopsy specimens showed evidence of chronic inflammation with eosinophilic infiltration in 6 out of 11 patients (55%). However, no adult fluke or ova were found in the bronchial tissue. Conclusion: Bronchial stenosis with mucosal changes including edematous swelling and mucosal nodularity is the most common bronchoscopic finding of pulmonary paragonimiasis.

The Patients' Experiences of the Diagnosis and Pre-Treatment Period of Breast Cancer (유방암 환자의 치료 전 경험)

  • Suh, Eun-Young E.;Park, Yeon-Hwan;Kim, Sung-Jae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.4
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    • pp.495-503
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    • 2008
  • Purpose: To date most research related to patients with breast cancer has discriminately investigated the status within or after the treatment although the patients demand holistic nursing care from the time of diagnosis. Thus, the purpose of this study was to investigate the trajectory of breast cancer diagnosis and patients' experiences in the pre-treatment period. Method: This qualitative study used qualitative thematic analysis. Nineteen Korean women who were diagnosed with breast cancer within the last 6 month participated in the study. Individualized interviews were conducted with each participant in a cancer center in K city. The interviews were tape-recorded, transcribed, and analyzed using the thematic analysis process. Results: The overriding theme was "the scattered life in an unforeseen swirl", which illustrates the participants' unexpected crisis with confusion and emotional distress. Two subthemes included "falling into an unavoidable journey", and "staggering in a muddle with urgency". The categories were "unexpected probability", "nagging nodularity", "ominous presentiment", "emotional upheaval", "bad thought intrusion", and "a sense of urgency". Conclusion: Patients in the pre-treatment period encountered utter emotional distress and a sense of urgency after being diagnosed breast cancer. Strategies to develop nursing care for patients in this period and nursing implications are discussed.

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IgG4-Related Intracranial Hypertrophic Pachymeningitis : A Case Report and Review of the Literature

  • Takeuchi, Satoru;Osada, Hideo;Seno, Soichiro;Nawashiro, Hiroshi
    • Journal of Korean Neurosurgical Society
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    • v.55 no.5
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    • pp.300-302
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    • 2014
  • Hypertrophic pachymeningitis is an uncommon disorder that causes a localized or diffuse thickening of the dura mater. Recently, the possibility that IgG4-related sclerosing disease may underlie some cases of intracranial hypertrophic pachymeningitis has been suggested. We herein report the tenth case of IgG4-related intracranial hypertrophic pachymeningitis and review the previous literature. A 45-year-old male presented with left-sided focal seizures with generalization. Magnetic resonance imaging (MRI) revealed a diffuse thickening and enhancement of the right convexity dura matter and falx with focal nodularity. The surgically resected specimens exhibited the proliferation of fibroblast-like spindle cells and an infiltration of mononuclear cells, including predominantly plasma cells. The ratio of IgG4-positive plasma cells to the overall IgG-positive cells was 45% in the area containing the highest infiltration of plasma cells. On the basis of the above findings, IgG4-related sclerosing disease arising from the dura mater was suspected. IgG4-related sclerosing disease should be added to the pachymeningitis spectrum.

A Rare Presentation of Metastasis of Prostate Adenocarcinoma to the Stomach and Rectum

  • Soe, Aye Min;Bordia, Sonal;Xiao, Philip Q.;Lopez-Morra, Hernan;Tejada, Juan;Atluri, Sreedevi;Krishnaiah, Mahesh
    • Journal of Gastric Cancer
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    • v.14 no.4
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    • pp.271-274
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    • 2014
  • Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old African-American man with a history of prostate cancer presented with anemia. He reported the passing of dark colored stools but denied hematemesis or hematochezia. Colonoscopy revealed circumferential nodularity, and histology demonstrated metastatic carcinoma of the prostate. Esophagogastroduodenoscopy showed hypertrophic folds in the gastric fundus, and microscopic examination revealed tumor cells positive for prostate-specific antigen. Bone scanning and computed tomography of the abdomen and pelvis did not show metastasis. It is crucial to distinguish primary gastrointestinal cancer from metastatic lesions, especially in patients with a history of cancer at another site, for appropriate management.

Effect of Rare Earth Elements on the Microstructures of Thin-Wall Ductile Iron Castings (희토류원소에 의한 박육구상흑연주철품의 조직변화)

  • Kim, Ji-Yeong;Choi, Jun-Oh;Park, Sung-Tak;Han, Yun-Sung;Choi, Chang-Ock
    • Journal of Korea Foundry Society
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    • v.23 no.4
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    • pp.187-194
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    • 2003
  • The effect of rare earth elements (R.E)(from 0.0 to 0.04%) on the microstructure formation and mechanical properties of thin-wall ductile iron castings were investigated. Tensile strength and hardness were decreased with an addition of up to 0.03% rare-earth elements. After addition of more than 0.03%, those were increased. Graphite nodule sizes were the finest, nodule count was the highst regardless of thickness and volume fraction of ferrite was the largest when that was 0.02%. However, the nodule count was decreased with increasing R.E. Futhermore. nodule size increased with increasing thickness and the volume fraction of ferrite decreased as that was increased. Nodularity was increased regardless of the thickness as that was increased. The castings of minium thickness up to 3 mm was possible without the formation of chill.

Influence of Si Contents on the Mechanical Properties of Austempered Ductile Iron (오스템퍼드 구상흑연주철의 기계적 성질에 미치는 Si의 영향)

  • Lee, Sang-In;Oh, Young-Kun;Jun, Ghi-Chan
    • Journal of Korea Foundry Society
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    • v.17 no.3
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    • pp.286-291
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    • 1997
  • Influence of Si contents on the mechanical properties and microstructure of austempered ductile iron was investigated. Four different Si contents between 2.0 and 2.9% were used. Austenitizing was performed at $890^{\circ}C$ for 2 hrs and austempering temperatures were both 340 and $380^{\circ}C$ for 0.5, 1, and 2 hrs. Nodule content was more than $300/mm^2$ and nodularity was more than 90%. Microstructure was revealed using nital and retained austenite was measured by x-ray diffractometer. Tensile test, no-notch Charpy impact test and wear test were performed. Tensile strength was improved as Si content increased and both elongation and impact toughness had peak at 2.6%Si. The specimen austempered at $380^{\circ}C$ showed lower tensile strength than that of $340^{\circ}C$, but showed higher elongation. However, austempering temperature of $380^{\circ}C$ was desirable because that of $340^{\circ}C$ was close to lower bainite transformation. As austempering time increased, tensile strength and elongation were improved and optimum condition was obtained for 2 hrs heat treatment.

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The Effects of Antimony and Tin Addition on the wear resistance properties of ductile cast iron (구상흑연주철의 내마모성에 미치는 Sb 및 Sn 의 영향에 관한 연구)

  • Kwon, Young-Hoon;Kim, Chang-Gyu;Kim, Buk-Suk;Kim, Sung-Han;Cheon, Byung-Wook;Choi, Chang-Ock
    • Journal of Korea Foundry Society
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    • v.11 no.6
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    • pp.463-474
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    • 1991
  • The effect of $0.01{\sim}0.10%$ Sb and Sn on the wear resistance of ductile cast iron was investigated. The hardness was increased with Sb to 0.10%, but the elongation and the impact value were decreased. The tensile strength was increased with up to 0.05% Sb, however decreased with $0.05{\sim}0.10%$ Sb. The hardness and the tensile strength were increased and the elongation was decreased with up to 0.10% Sn. The nodularity of graphite was decreased with above 0.08% Sb however Sn had no effect on that. When the maximum compressive stress was low ($42kg.f/mm^2$), the weigth loss was decreased with increased hardness and when that was high ($54kg.f/mm^2$ and $65kg.f/mm^2$), the weight loss did not depend upon the hardness. The pearlite stabilization with Sb and Sn increased with the wear resistance of ductile cast iron.

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Effects of C, Si and RE on Microstructures of DCI using Permanent Mold Casting (금형주조 구상흑연주철의 미세조직에 미치는 C, Si과 RE의 영향)

  • Kim, Sug-Won;Park, Jin-Sung;Khalil, Khalil. A.
    • Journal of Korea Foundry Society
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    • v.26 no.4
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    • pp.174-179
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    • 2006
  • This study aims to investigate the microstructures and mechanical properties of DCI manufactured by sand and metal mold casting. To prohibit the formation of the chill, carbon, silicon and rare earth($0{\sim}0.2\;wt%$) were controlled and temperature of metal mold was constantly kept at $160^{\circ}C$. The sizes, counts and nodularity ratios of nodules were analyzed by image analysis device. Wear test using pin-on-disc wear tester was carried out under the conditions of load 47.2N, velocity 0.4 m/s and distance 2000 m. Tensile test using Instron type testing machine was performed with velocity of 0.1 mm/min according to the KS B 0802. The formation of the chill was not observed when percentage of the carbon and silicon were 3.8 and 2.5. Mechanical properties of GCD manufactured by metal mold were better than sand casting.