• 제목/요약/키워드: Pedunculated

검색결과 63건 처리시간 0.029초

자돈(雌豚)의 난관간막(卵管間膜), 난소간막(卵巢間膜) 및 난관채(卵管綵)에 형성(形成)된 낭종(囊腫)에 관한 연구(硏究) (Studies on the Cyst Occurred in the Mesosalpinx, Mesovarium and Fimbria in the Gilts and Sows)

  • 강병규;손성완
    • 대한수의학회지
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    • 제24권1호
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    • pp.69-77
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    • 1984
  • Gross and histological findings were obtained on cysts formed in the reproductive organs, particularly in the mesosalpinx, mesovarium, and fimbria, of 144 gilts and 37 sows. Of the 181 gilts and sows, 63 (34.8%) were found to have cysts which totaled 89. The number of cysts totaled 38 for the gilts and 51 for the sows, with relative frequencies of 18.1% and 48.6%, respectively. The total number of cysts and the incidence were greater in the sows than in the gilts. With regard to the location of cysts, the highest incidence was found in the mesosalpinx (59.6%). The incidence of cysts in the mesovarium and fimbria was relatively low, with 16.9% and 23.6%, respectively. Most cysts were spherical or oval in shape, and below 5.9mm in diameter. A pedunculated cyst was also seen. The bilateral, incidence of the cysts was lower than unilateral, although the incidence was approxmately the same between the gilts and the sows. With regard to the sexual cycle, the high incidence of cysts was found in the follicular phase than in the luteal phase. The cysts putting pressure upon the oviduct were classified into 3 types according to the shape of epithelium and lamina propria. In type I the epithelium had ciliated cells and the lamina propria formed folds. I type 2 ciliated cells existed, but no folds were formed. In type 3, neither ciliated cells nor folds were seen, the histological change, including partial atrophy and lack of folds in the tubal mucosa were seen.

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기관지 절개로 제거된 기관지 내 지방종성 과오종 -1예 보고- (Endobronchial Lipomatous Hamartoma Removed by Bronchotomy - One case report-)

  • 김재욱;허진국;이현경;주미;김승우;구본일;염호기
    • Journal of Chest Surgery
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    • 제36권11호
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    • pp.870-873
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    • 2003
  • 과오종은 가장 흔히 보는 폐의 양성종양이나 기관지 내에 발생하는 경우는 드물다. 더욱이 지방종성인 경우는 매우 드물다. 73세 남자에게 한 달 전부터 객혈이 발생되어 입원하였다. 기관지경 검사에서 우상엽기관지를 막고 있는 돌출된 종괴가 발견되었다. 수술 중 얻은 동결 조직에서 양성으로 진단되어 기관지절개만으로 종양을 제거하였다. 저자들은 기관지절개만으로 제거된 지방종성 기관지내 과오종을 경험하여 보고하는 바이다.

태생 36주에 발견한 선천성 에푸리스(congenital epulis)의 치험례 (A CASE REPORT OF CONGENITAL EPULIS IN THE FETUS)

  • 송우식;백경식;권오승;김인권;김가영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권4호
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    • pp.414-417
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    • 1999
  • The congenital epulis of newborn is a rare benign tumor that occurs on the gingiva of the anterior alveolar ridge of the jaws, also known as a congenital granular cell tumor. Females are affected 8 - 10 times more often than males. The typical location is the alveolar ridge of the maxilla near the canine but the mandibular region can also be involved. The lesion may be sessile or pedunculated with red or normal color. The size of tumor varies from several millimeters to a few centimeters in diameter. Surgical excision is generally indicated and no recurrences have been noticed. Spontaneous regression is rare. It is histologically similar to the granular cell tumor, although pseudoepitheliomatous hyperplasia does not occur in the former lesion. Thus sheets of large, closely packed cells showing fine, granular, eosinophilic cytoplasm comprise the tumor mass. This is a case report of congenital epulis in the fetus. The lesion was detected in ultrasonogram, its size is 3cm in diameter. The infant showed nursing disturbance and respiratory obstruction after birth, so the tumor was surgically excised under local anesthesia.

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Antithrombotic effect of epigallocatechin gallate on the patency of arterial microvascular anastomoses

  • Igde, Murat;Ozturk, Mehmet Onur;Yasar, Burak;Bulam, Mehmet Hakan;Ergani, Hasan Murat;Unlu, Ramazan Erkin
    • Archives of Plastic Surgery
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    • 제46권3호
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    • pp.214-220
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    • 2019
  • Background Microvascular anastomosis patency is adversely affected by local and systemic factors. Impaired intimal recovery and endothelial mechanisms promoting thrombus formation at the anastomotic site are common etiological factors of reduced anastomosis patency. Epigallocatechin gallate (EGCG) is a catechin derivative belonging to the flavonoid subgroup and is present in green tea (Camellia sinensis). This study investigated the effects of EGCG on the structure of vessel tips used in microvascular anastomoses and evaluated its effects on thrombus formation at an anastomotic site. Methods Thirty-six adult male Wistar albino rats were used in the study. The right femoral artery was cut and reanastomosed. The rats were divided into two groups (18 per group) and were systemically administered either EGCG or saline. Each group were then subdivided into three groups, each with six rats. Axial histological sections were taken from segments 1 cm proximal and 1 cm distal to the microvascular anastomosis site on days 5, 10, and 14. Results Thrombus formation was significantly different between the EGCG and control groups on day 5 (P=0.015) but not on days 10 or 14. The mean luminal diameter was significantly greater in the EGCG group on days 5 (P=0.002), 10 (P=0.026), and 14 (P=0.002). Intimal thickening was significantly higher on days 5 (P=0.041) and 10 (P=0.02). Conclusions EGCG showed vasodilatory effects and led to reduced early thrombus formation after microvascular repair. Similar studies on venous anastomoses and random or axial pedunculated skin flaps would also contribute valuable findings relevant to this topic.

소아 대장용종증 환자의 임상양상 및 내시경적, 조직학적 소견 (Clinical, Endoscopic and Pathologic Findings of Colonic Polyposis in Korean Children)

  • 임미선;서정기;고재성;양혜란;강경훈;김우선
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제13권2호
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    • pp.154-163
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    • 2010
  • 목 적: 대장용종증은 소아에서는 드문 질환군으로 다수의 용종으로 인한 출혈, 복통, 장중첩증 등이 반복될 수 있고 용종의 악성화나 장외종양이 발생할 수 있으나 아직은 이에 관한 연구가 많지 않다. 본 연구에서는 소아 대장용종증의 임상 양상과 내시경적, 조직학적 특징을 살펴보고자 하였다. 방 법: 서울대병원 어린이병원에서 1987년부터 2009년까지 대장내시경을 시행 받은 2,956명의 소아 환자중에서 대장용종증으로 진단받은 37명의 환자를 대상으로 의무기록 분석을 시행하였다. 대장용종증 환자들의 진단 시 평균나이는 8세였다. 결 과: Peutz-Jeghers 증후군이 22예로 가장 많았으며 연소성 용종증 7예, 가족성 선종성 용종증 6예, 림프성용종증 2예이었다. 내원 시 가장 흔한 주소는 혈변이었다. 50% 이상의 환자에서 혈변과 복통이 동반되었고 일부에서 항문종괴, 설사, 변비가 동반되었다. 용종의 수와 크기는 다양하였고 위장과 소장에 용종이 동반된 환자는 각각 21명, 17명이었다. Peutz-Jeghers 증후군 환자에서는 주로 다엽성의 목이 있는 용종이 관찰되었다. 연소성 용종증 환자에서는 둥글고 목이 있는 용종이 대부분이었다. 가족성 선종성 용종증 환자에서는 작고 둥글며 목이 없는 용종이 관찰되었다. 림프성 용종증 환자에서는 목이 없는 용종이 관찰되었다. 모든 환자는 내시경적 용종절제술을 시행받았고 14명(38%)은 수술적 용종절제술을 시행받았다. 부분장절제술을 시행받은 환자는 13명(35%)이었고, 가족성 선종성 용종증 환자 4명은 전대장절제술을 시행받았다. Peutz-Jeghers 증후군 환자 중 일부에서 장외 종양이 발생하였으나 용종의 악성화는 없었다. 결 론: 소아의 대장용종증 환자는 출혈, 복통 등의 증상을 보이며 장중첩증 등의 합병증이 발생할 수 있어 조기 진단과 치료가 필요하며 정기적인 대장내시경 검사를 통해 합병증을 예방하고 용종의 악성화나 장외 종양 여부를 확인해야 한다.

가물치의 위장내 기생하는 흡충(Azygia속) 및 선충(Pingus속)의 동정과 감염상황 (Identification and prevalence of trematode(Gen Azygia) and nematode(Gen Pingus) in Ophicephalus argus)

  • 문무홍;이은우
    • 대한수의학회지
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    • 제38권1호
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    • pp.147-159
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    • 1998
  • A survey of the internal parasites in 115 fishes of Ophicephalus argus was carried out in Kyungpook province during the period from January 1995 to November 1997. A species of trematode from the stomach and a species of nematode from the caeca of the fishes was discovered respectively. The trematode was identified as Azygia hwangtsinyi (Tsin, 1993) and the nematode as Pingus sinensis ($Hs\ddot{u}$, 1993). The fluke was pressed at thick of 0.1mm~0.2mm between slide glasses and fixed in 70% ethyl alcohol solution. The fluke was washed with tap water after fixation and stained with hematoxylin-carmin and mounted in balsam through routine methods. The nematode was fixed in 5% formalin solution and mounted with lactophnol or glycerine jelly. Morphology : Arygia hwantsinyi ; The fluke is elongate body with approximately parallel margins and rounded extremities in pressed preparations(Fig 1). The cuticle is unarmed. The oral sucker is ventro-subterminal in position. The ventral sucker is slightly smaller than oral sucker and positioned at 14.2% of body length from the oral sucker. The cirrus sac and genital pore is in mid-ventral line, slightly anterior to the ventral sucker. The oral sucker is succeeded by a well developed muscular pharynx. It is succeeded by a short inverted Y-shaped oesophagus. The inner wall of oesophagus is consisted of many fine folded membrane. The fine tubes of esophagus pass into the intestinal heads which are distended and presented a marked borderline between the fine tube and intestinal heads. The Intestinal heads start at level of pharynx and pass caudad in a zigzag course to end quite near caudal margin. The uterine coils occupy the intercecal area between the level of the cephalic margin of the ovary and about the level of the ventral sucker. The uterus is filled with many eggs. The testes are round or oval and placed one behind the other generally a little diagonally. The posterior testis is placed at level of 75.1% of body length. The ovary is oval, placed ahead the anterior testis. The shell gland not discernible outline is contacted with ovary ahead it. The vitelline glands are consisted of small oval vesicles. The vesicles occupy extracecal regions and between a little posterior of the ventral sucker and near caudal margin. Pingus sinensis : Female ; The cuticle is smooth and the cervical alae are well developed. The mouth opening is small, triangular, and without lips. The anterior end bears four sub-medial papillae. The oesophagus is divided into a muscular and glandular portion. The nerve ring is situated just at the junction of the muscular and glandular portions of the oesophagus. The vulva which has a prominent flap, is placed behind the middle of the body about one-third of the length of the worm from the posterior extremity. The vagina is strongly muscularised and after running anteriorly about $68{\mu}$, divides itself into two broad uterine tubes with an anterior and a posterior one. There are a few eggs in the uterine tubes. The tail is slender, straight and pointed. The ovary extends almost to the posterior extremity. Male : Male is smaller than female. The tail is pointed, curved and carrying well-developed caudal alae. A prominent muscular precloacal sucker is characteristic. The spicules are equal and short. There are four pairs of pedunculated pre-anal papillae, of which the most anterior pair are situated just at the level anterior to the muscular sucker. Two pairs of pedunculated papillae are present before the anus. There are five pairs of post-anal papillae of which the most anterior pair and the second counted from the posterior end are ventral and more marked than the ones which are situated laterally.

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급성 심근염에 의한 좌심실 혈전의 수술적 제거 1례 (Surgical removal of a left ventricular thrombus caused by acute myocarditis)

  • 이규하;윤민정;한미영;정사준;김수철
    • Clinical and Experimental Pediatrics
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    • 제50권6호
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    • pp.588-591
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    • 2007
  • 좌심실 혈전은 전벽 심근 경색이나 심한 심첨부 심벽 운동 이상에 의해 주로 발생하며, 매우 드물게 급성 심근염에 합병되어 나타날 수 있다. 급성 심근염에 의한 혈전 형성은 심내막 손상 및 혈액의 울혈과 관계가 있는 것으로 생각되고 있다. 좌심실 혈전이 유동적이고 유경성일 경우, 전신 색전증의 위험이 증가하는 것으로 알려져 있다. 혈전이 무경성이고 유동성이 없는 경우에는 항응고 치료 요법을 고려할 수 있지만, 유경성의 과유동성 혈전이어서 전신 색전증의 가능성이 높거나 이미 전신 색전증이 발생한 경우에는 색전증의 재발을 막기 위해서 신속한 수술적 혈전 제거술이 필요하다. 저자들은 급성 심근염에 의해 생긴 좌심실 혈전을 수술적 치료로 제거하였기에 보고하고자 한다.

슬관절 국소형 색소융모결절성 활액막염의 장기 추시 결과 (5년이상) (Long-term Follow-up Results of the Localized Pigmented Villonodular Synovitis of the Knee (more than 5 years))

  • 이병일;최형석;민경대;나수균;조상혁
    • 대한정형외과스포츠의학회지
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    • 제7권1호
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    • pp.37-44
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    • 2008
  • 목적: 슬관절에 발생한 국소형 색소융모결절성 활액막염 환자에 대하여 수술적 치료를 시행한 후 5년 이상 장기 추시하여 임상적 결과를 알아보고자 하였다. 대상 및 방법: 1988년 3월부터 2002년 6월까지 관절경 및 조직병리학적 검사상 국소형 색소융모결절성 활액막염으로 확진된 6예를 대상으로 하였다. 모든 예에서 관절경을 이용하여 병변을 확인한 후 관절경적 방법만으로 절제적 생검술을 시행하도록 노력하였으나, 2예에서는 소절개를 이용하여 적출하였다. 술전 증상의 소실 여부 및 이학적 검사 등을 통하여 재발 여부를 분석하였다. 결과: 모든 예에서 관절경 소견상 국소형이었고 그 중 3예는 자루형, 2예는 결절형, 1예는 혼합형 종물이었다. 3예의 자루형중 1예에서 뚜렷한 염전 소견이 있었고, 종물의 크기가 매우 커서 전내측에 소절개를 가하여 적출한 1예 및 후방구획에 존재하여 후내측에 소절개를 시행하였던 1예를 제외하고는 관절경적 방법만으로 적출하였다. 모든 예에서 술전 증상은 소실되었고 최종 추시시 재발을 의심할만한 소견은 관찰되지 않았다. 결론: 국소형 색소융모결절성 활액막염은 특히 관절경을 이용한 경우 정확한 병소파악을 통한 진단과 완전 절제에 의한 근본적인 치료가 가능하여 장기 추시시에도 좋은 결과를 기대할 수 있을 것으로 생각한다.

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넙치(Paralichthys olivaceus) 구강에 기생하는 Neoheterobothrium hirame의 형태 및 감염어의 병리조직 (Morphology of Neoheterobothrium hirame parasitic in the oral cavity of olive flounder (Paralichthys olivaceus) and histopathology of diseased fish)

  • 이범석;김정호;김태호;정성주
    • 한국어병학회지
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    • 제33권1호
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    • pp.7-14
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    • 2020
  • 실험실에서 순환여과시스템으로 5-6개월 사육하던 넙치 치어에서 아가미의 심한 빈혈을 나타내는 질병이 발생하였다. 현미경관찰에서 아가미에서는 유충이, 입천정에서는 성숙한 성충이 관찰되었다. 성충의 체장은 5.60-9.32 mm이며 방추형 몸의 길이는 3.83-6.32 mm, 부착기는 방추형 몸에서 부터 연결된 isthmus의 끝부분에 꽃자루 모양으로 존재하였고 부착기의 끝에는 8개의 파악기가 있었다. 충의 형태학적 관찰로부터 단생류에 속하는 Neoheterobothirum hirame로 동정하였다. 감염어의 적혈구용적는 평균 10.3±2.8%로 정상 넙치의 31.4±4.2%보다 현저히 낮았다. 병리조직학적으로 N. hirame에 감염 된 넙치는 아가미 새판과 새엽을 흐르는 혈관내의 적혈구가 감소하고 비장의 적수(red pulp) 영역이 감소되고 간세포는 위축이 관찰되었다. 이상의 결과로부터 넙치에 심한 빈혈을 일으킨 원인은 N. hirame인 것을 밝혔다. 이 연구는 순환여과식 사육시스템에서는 사육수의 교환이 적으므로 소독장치가 충분하지 못할 경우 병원체의 증식이 문제가 될 수 있는 예를 보이고 있다.

기관지 선종의 외과적 치료[17례 보고] (Surgical Treatment of Bronchial Adenoma - Reports of 17 Cases -)

  • 문석환
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.247-257
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    • 1992
  • Bronchial adenoma, firstly described by Muller[1882] had been reported on the subject stressed their benign nature prior to 1940`s, but these tumors including carcinoid tumor, mucoepidermoid carcinoma, adenoid cystic carcinoma, pleomorphic adenoma are now known to possess the various degree of malignant natures from benign course, low grade malignant potential to distant lymphatic or hematogenous metastasis or combination. Although histologically diffeerent, four varieties except carcinoid tumor which is a spectrum of neu-roendocrine tumor originating Kulchitsky cell of the bronchial epithelium and form the part of the APUD tumor spectrum, are morphologically and in many respects clinically similar to the corresponding tumor of the salivary gland is a specific varient of adenocarcinoma that occurs most commonly in the major and minor salivary gland and less frequently tra-cheobronchial tree, esophagus etc. To better understand the clinical characteristics and assess more precisely the malignat nature of bronchial adenoma, we studied 17 cases of bronchial adenoma, which had been experienced at the Department of Thoracic and Cardiovascular surgery of Catholic University Medical College from April 1977 to september 1991. Seventeen cases of bronchial adenoma consist of 2 carcinoid tumors, 6 adenoid cystic carcinomas, 8 mucoepidermoid carcinomas and one pleomorphic adenoma. There is a slight predominace of male patients[10/17] and the age of pt studied varied with a higher incidence occurring between the ages of 40 years and 60 years[mean age, 46.5 years]; the youngest being 15 years and oldest 69 years. Their leading complaints were hemoptysis[4], exertional dyspnea[8], fever & chilness [4], and symptoms mimicking the bronchial asthma[4]. Diagnosis was aided by the radiologic studies such as chest X-ray, polytomography, CT scan, brochography and bronchoscopy. The preferred locations of fumor were in the trachea[4], main stem bronchus[3], bronchus intermedius[3], bronchus of RUL[2], LUL[1], RLL[1], LLL[3] with no peripheral location. Modalities of treatments were single or combination of surgical resection, radiation therapy, chemotherapy. Complete resections were permitted in 12 cases with late recurrences of 4 cases ranging from 6 months to 10 years: pneumonectomy[4], lobectomy[4], bil-obectomy[2], sleeve resection[2]. Gross findings of resected specimens in 14 cases showed that 4 cases were polyp-like pedunculated mass[entirely intraluminal mass] with intact mucosa, 8 cases were broad-bas-ed sessile mass[predominatly intraluminal] and the main portions were located below the mucosa similar to tip of iceburg[predominantly extraluminal] in 2 cases. Follow-up information was availble in all 17 cases ; eight were alive without evidence of disese ranging from 1 month to 13 years. But seven cases died of the causes related to tumor[6 cases within 12 months, one case 10 years after pneumonectomy]. We concluded that 8 cases[47%] of 17 cases were metastasizing bronchial adenoma and precise survival rate cannot be answered by the scanty materials available for study.

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