• Title/Summary/Keyword: Old evidence

Search Result 872, Processing Time 0.024 seconds

Segmental Resection and Rotationplasty for Bone Tumors about the Knee (슬관절부위의 골종양에서 시행한 하지 분절 절제 및 회전 재접합술)

  • Hahn, Su-Bong;Woo, Dong-Sam
    • Archives of Reconstructive Microsurgery
    • /
    • v.3 no.1
    • /
    • pp.16-23
    • /
    • 1994
  • A segmental resection and rotationplasty was performed in 23 patients with malignant and aggressive boning tumor of the distal femur or proximal tibia between February 1988 and September 1992 at the Severance Hospital. There were 13 male and 10 female patients. The yongest was 5 years old and the oldest was 37 years old. Mean age at operation was 22 years. Of the 23 cases 14 were osteosarcoma, 7 were giant cell tumor and 2 were synovial sarcoma. After an average observation period of 32.5months, there was no evidence of local recurrence but 6 distant metastasis developed. According to Shriner's rating scale, the functional result were excellent or good in all cases. All patient were convinced that they chosen the appropriate operative procedure and the ability to achieve high level of activity was considered as the main benefit.

  • PDF

Anal and Perianal Condyloma Acuminatum in a 2 Years Old Girl (2세 여아의 항문 및 항문 주위 첨형 콘딜로마 1예)

  • Kim, Hyun-Young;Lee, Kyung-Hee;Kim, Na-Rae;Park, Yeon-Ho
    • Advances in pediatric surgery
    • /
    • v.16 no.1
    • /
    • pp.32-36
    • /
    • 2010
  • Condyloma acuminatum is an uncommon disease but there is an increased incidence reported in recent years in prepubertal children. Anal and perianal condyloma accuminatum in children may suggest sexual abuse and treatment should include the thorough social evaluation as well as medical treatment. A 25 month old girl presented with multiple sessile nodules around her anal and perianal area, Biopsy confirmed the diagnosis of condyloma accuminatum. There was no definite evidence of sexual abuse, but her father had condyloma accuminatum involving his penis. The patient's lesions were excised totally. At three week follow up there was no anal stricture but there were newly developed small lesions around perianal area. Imiquimod onit was applied for 2 weeks and the recurred lesion disappeared completely. At postoperative 5 month, the operative area was fully epithelialized without recurrence.

  • PDF

Two Cases of Sodium Bicarbonate Inhalation Therapy in Chlorine Gas Intoxication (염소 가스 중독에서 나트륨 중탄산염의 흡입치료 2례)

  • Lee, Dong-Hoon;Eo, Eun-Kyung
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.2 no.1
    • /
    • pp.49-53
    • /
    • 2004
  • A chlorine gas is a common irritant and when exposed, it result in mild occular, oropharyngeal, or respiratory symptoms. In severe case, however, it may result in pulmonary edema, interstitial pneumonia, or respiratory failure. We report the case of 29-year-old and 46-year-old men is accidentally exposed to chlorine gas during cleaning water. The patients complained dyspnea, chest tightness, cough and both eye pain. During hospitalization, they were treated with inhalation of humidified oxygen, beta-adrenergic agonist and $2\%$ sodium bicarbonate. After several days, patients were discharged without respiratory symptoms and complication. In treatment of chlorine gas toxicity the inhalation of sodium bicarbonate is a possible initial therapy can improve respiratory symptoms in spite of lack of evidence.

  • PDF

A CASE REPORT OF STURGE-WEBER SYNDROME WITH PREGNANCY TUMOR (임신성 종양을 동반한 Sturge-Weber Syndrome)

  • Rew, Seong-Hun;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
    • /
    • v.24 no.2
    • /
    • pp.255-260
    • /
    • 1994
  • We experienced a case of Sturge-Weber Syndrome in a 32 years old female. The diagnosis was established by clinical features of Sturge-Weber Syndrome including unilateral facial portwine nevus, vascular hyperplasia of oral mucosa(espectially 1st & 2nd division of trigeminal nerve). But, plain radiographys of the skull revealed no evidence of calcification. A brief review of related literatures was made. Common Clinical findings in Sturge-Weber Syndrome and specific signs & symptoms manifested by this patient were discussed.

  • PDF

Thoracic Actinomycosis Causing Spinal Cord Compression

  • Kim, In-Soo
    • Journal of Korean Neurosurgical Society
    • /
    • v.40 no.4
    • /
    • pp.289-292
    • /
    • 2006
  • Thoracic spinal actinomycosis causing epidural abscess and significant spinal cord compression is very rare. A case is presented of a 56-year-old woman with rapid progressive upper back pain and weakness in both legs without evidence of systemic infection. Magnetic resonance imaging revealed a thoracic epidural enhancing lesion at the T1-T5 level. After decompression by laminectomy, precise diagnosis was accomplished using specific histopathological studies of the surgical specimens. A histopathologic findings showing typical Actinomyces sulfur granules surrounded by acute inflammatory cells. The clinical radiological findings of spinal actinomycosis closely resemble metastatic tumors and other infectious processes. Delay in diagnosis and treatment can significantly worsen the condition of patient.

Gastric Pseudotumoral Lesion Caused by a Fish Bone Mimicking a Gastric Submucosal Tumor

  • Kim, Se Won;Kim, Sang Woon;Song, Sun Kyo
    • Journal of Gastric Cancer
    • /
    • v.14 no.3
    • /
    • pp.204-206
    • /
    • 2014
  • Gastric complications following unintentional foreign body ingestion are extremely rare. Here, we report the case of a 59-year-old healthy woman who presented with nonspecific abdominal pain and an apparent gastric submucosal tumor that was incidentally detected by gastrofiberscopy. The patient underwent laparoscopic surgery, which revealed an intact gastric wall with no tumor invasion, deformity, or evidence of a gastric submucosal lesion. However, an impacted fish bone was found.

Synchronous thyroid carcinoma and squamous cell carcinoma. A case report (동시발생한 갑상선 암종과 편평세포암종의 증례보고)

  • Lee, Jae-Seo
    • Imaging Science in Dentistry
    • /
    • v.36 no.4
    • /
    • pp.221-226
    • /
    • 2006
  • Thyroid carcinoma occuring as a second primary associated with head and neck squamous cell carcinoma (SCC) is unusual. This report presents a synchronous thyroid carcinoma and squamous cell carcinoma in the anterior palate region of a 41-year-old man. The clinical, radiologic, and histologic features are described. At 10-month follow-up after operation, no evidence of recurrence and metastasis was present.

  • PDF

Graft selection in ACL reconstruction

  • Lee Dong-Cheol
    • 대한정형외과스포츠의학회:학술대회논문집
    • /
    • 2003.11a
    • /
    • pp.44-57
    • /
    • 2003
  • 1) Choice of graft selection : depends on surgeon's philosophy & experience, tissue availability(anatomical anomalies, prior surgery or injury) & patient activity level & desiers. patients - educated as to potential advantage & disadvantages of each choice available to them. No one graft has been shown to be overwhelmingly superior to another. 2) High demand individual (cutting, pivoting, jumping sports, skiing) - BPTB graft choice Lower demand or older individuals - hamstring reconstruction Allograft : older individuals(45 years old) sign of arthritis(compelling evidence of instability) individual who do not want their own tissue Prosthetic ligaments - long term results : disappointing

  • PDF

Diagnosis and surgical management of cricopharyngeal achalasia in a dog (개에서의 윤상인두근 이완불능증의 진단 및 수술적 치료 1예)

  • Choi, Hojung;Jeong, Seong Mok
    • Korean Journal of Veterinary Research
    • /
    • v.46 no.1
    • /
    • pp.57-61
    • /
    • 2006
  • A 3-month-old, 2.8 kg, female Cocker spaniel was presented with chronic history of dysphagia since weaning. Video fluoroscopic examination revealed swallowing problems in the upper esophageal sphincters. It was diagnosed as cricopharyngeal achalasia. Cricopharyngeal and thyropharyngeal myectomy was performed. One day after surgical management, normal swallowing movement was observed in the video fluoroscopic examination of the dog. There was no evidence of recurrence for 15 months.

Successful Management of a Recurrent Primary Malignant Fibrous Histiocytoma of the Lung: Report of a Case

  • Jeon, Yun-Ho;Park, Ki-Sung
    • Journal of Chest Surgery
    • /
    • v.45 no.5
    • /
    • pp.345-347
    • /
    • 2012
  • We describe herein an extremely rare case of a recurrent primary pulmonary malignant fibrous histiocytoma 3 months after operation that occurred in a 55-year-old man who was treated with chemotherapy and radiotherapy successfully. Until now, 36 months later, the patient has shown no evidence of tumor recurrence. The clinical, radiographic, and pathologic features are reported here together with a brief review of the literature.