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간흡충 감염에 의한 간내담도의 낭성변화와 동반된 아메바성 농양 - 세침흡인 세포학적 검사로 진단된 1례 - (A Case with Unusual Manifestation of Multiple Amebic Liver Abscesses by Coinfection with Clonorchis Sinensis - Diagnosed by CT-guided Fine Needle Aspiration -)

  • 김성숙;김정란;이현경;이승희;한동선;홍성태
    • 대한세포병리학회지
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    • 제4권2호
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    • pp.176-180
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    • 1993
  • Clonorchiasis is common in Korea. The coinfection of amebic abscess with clonorchiasis is not rare in endemic areas. The coinfection may influence on its manifestations each other. We experienced a human case with unusal manifestation of amebic liver abscess associated with coinfection by Clonorchisis sinensis. The case was an 80-year-old female. She lived in Yongil-gun, Kyongsangbuk-do, Korea, She had multiple amebic abscess cavities in the liver, one of which subsided spontaneously and others newly appeared. She was diagnosed by CT guided aspiration of the cyst, which revealed trophozoites of ameba and eggs of C. sinensis. She was treated with praziquantel and metronidazale and was cured.

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진행성 유방암에 대한 한양방 병용 치료 치험 1례 (A Case Study of an Advanced Breast Cancer Patient Treated with a Combination of Traditional Korean Medicine and Chemotherapy)

  • 한가진;이아람;성신;김성수
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.268-276
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    • 2018
  • Although patients with breast cancer receive standard treatments, they often experience recurrence or metastasis of tumors. Therefore, patients seeking treatment with traditional Korean medicine (TKM) in addition to conventional treatment have increased. We present a case of 46-year-old female with recurring breast cancer. She underwent surgeries and various hormone therapies since being diagnosed in 2007. Upon follow-up examination, she had metastatic lesions on the lung and multiple bones in 2015 and 2016. She received TKM treatments from May 2017 with Aromasin and Afinitor. However, hepatic metastasis was found after two months, so she started Capecitabine with TKM. After about two months, the liver nodules disappeared and a seeding nodule in the right paracolic gutter was decreased. After two months, the tumor response was stable disease. Back pain due to bone metastasis was improved. We suggest that combination treatment of TKM and chemotherapy is a promising method for treating breast cancer.

Traumatic Coronary Artery Dissection in a Young Woman after a Kick to Her Back

  • Ipek, Emrah;Ermis, Emrah;Demirelli, Selami;Yildirim, Erkan;Yolcu, Mustafa;Sahin, Bingul Dilekci
    • Journal of Chest Surgery
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    • 제48권4호
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    • pp.281-284
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    • 2015
  • We present the case of a 38-year-old woman admitted to our outpatient clinic with accelerating back pain and fatigue following a kick to her back by her husband. Upon arrival, we detected ST segment elevation in the D1, aVL, and V2 leads and accelerated idioventricular rhythm. She had pallor and hypotension consistent with cardiogenic shock. We immediately performed coronary angiography and found a long dissection starting from the mid-left main coronary artery and progressing into the mid-left anterior descending (LAD) and circumflex arteries. She was then transferred to the operating room for surgery. A saphenous vein was grafted to the distal LAD. Since the patient was hypotensive under noradrenaline and dopamine infusions, she was transferred to the cardiovascular surgery intensive care unit on an extracorporeal membrane oxygenator and intra-aortic balloon pump. During follow-up, her blood pressure remained low, at approximately 60/40 mmHg, despite aggressive inotropic and mechanical support. On the second postoperative day, asystole and cardiovascular arrest quickly developed, and despite aggressive cardiopulmonary resuscitation, she died.

Cutaneous metastatic renal cell carcinoma to the scalp

  • Yang, Hyee Jae;Kang, Sang Yoon
    • 대한두개안면성형외과학회지
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    • 제20권6호
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    • pp.392-396
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    • 2019
  • Renal cell carcinoma (RCC) represents 2% to 3% of human cancers and is aggressive, with metastatic capability. The frequent metastatic sites are lung, bone, and liver. Reports of RCC metastatic to skin, and especially scalp are rare. Here we present an 83-year-old woman who was diagnosed with RCC 19 years prior and had a metastatic scalp lesion. An 83-year-old woman presented with a red-to-purple, protruding lesion at the right parietotemporal area. Twenty-three years ago, a right renal mass was incidentally discovered on ultrasound through a routine medical examination. She underwent right nephrectomy for RCC 4 years later. Five months after nephrectomy, new lung nodules were observed. Fifteen years after nephrectomy, metastatic lesions were found in the pelvic bone. She visited dermatology department for evaluation of the new scalp lesion, a year before she first visited our department. Despite chemotherapy, the mass was gradually enlarged. She consulted the plastic surgery department for management of the metastatic RCC was successfully treated with total excision including a 1-cm safety margin, local flap, and STSG coverage. Complete healing was observed, without evidence of recurrence during a 7-month followup. Metastases to the skin are rare, but must be kept in mind because of its high metastatic ability and poor prognosis.

상악 구개부 치은에 발생한 편평상피세포암의 증례보고 (Squamous Cell Carcinoma In Palatal Gingiva. A Case Report)

  • 김옥수;정현주
    • Journal of Periodontal and Implant Science
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    • 제26권1호
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    • pp.309-316
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    • 1996
  • Squamous cell carcinoma is the most common malignant tumor of the gingiva. Oral cancer accounts for 5 percent of all malignant tumors in the body, and 6 percent of these occur in the gingiva. We present one case of squamous cell carcinoma of the gingiva in 23-year-old female. She complained of gingival swelling and pain during mastication between left maxillary first molar and second molar. Since she had received scaling 2 years ago, food impaction occurred frequently in this site and an ulcerative lesion recurred several times. When she was referred from local clinic, she had a large, irregularly ulcerated lesion of palatal gingiva between left maxillary first molar and second molar, accompanying induration in center and slight elevation around ulcerative margin. The etiology could not be defined but we could diagnose by careful history taking and excisional biopsy of the recurrent ulcerative lesion. In addition, computed tomography and nuclear medicine imaging were undertaken. As a result, we finally diagnosed as moderately differentiated squamous cell carcinoma without metastases. It is concluded that if ulcerations do not respond to therapy in the usual manner, it should be biopsed and histologically evaluated for the definitive diagnosis and treatment.

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유방암에 대한 한양방 병용 치료 증례 보고 1례 (A Case Study of a Patient with Breast Cancer Treated with a Combination of Traditional Korean Medicine and Chemotherapy)

  • 한가진;이아람;정준석;성신;김성수
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.820-827
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    • 2017
  • The prevalence of breast cancer is very high in Korea. Although the patients receive standard treatments, such as surgery, chemotherapy, or radiotherapy, they frequently experience recurrence or metastasis of their tumors. In addition, many patients with breast cancer also suffer from side effect symptoms induced by these standard treatments. Therefore, increasing numbers of patients now want to undergo treatment with traditional Korean medicine (TKM) in addition to conventional treatment. We present a case of 46-year-old female with recurred breast cancer. She first received two kinds of chemotherapy and then underwent surgery. She then also received 4 cycles of adjuvant chemotherapy. At a follow-up examination, she was informed of recurrent lesions on the right anterior chest wall. She started to receive TKM treatments together with a new chemotherapy. After about one month, the size of the recurred tumor in right chest wall had decreased. Her symptoms, such as shoulder pain, chest pain, and nausea induced by conventional therapy, were also improved. We suggest that a combination of TKM and chemotherapy is a promising treatment for breast cancer.

좌하엽 절제술 및 기관지성형술을 통한 결핵성 기관지협착의 치료 (Left Lower Lobectomy with Bronchoplasty for Treatment of Tuberculous Bronchial Stricture)

  • 윤찬식;정재일;김재욱;이홍섭
    • Journal of Chest Surgery
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    • 제34권8호
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    • pp.640-643
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    • 2001
  • 26세 여자 환자로 좌측 주기관지 협착과 좌하엽 무기폐를 동반한 기관지결핵 1례를 보고한다. 환자는 9개월간 항결핵제치료를 받았으나 흉통과 기침을 호소하고 있었고, 기관지조영술상 좌상엽 기관지는 개방성을 보이며 좌하엽 기관지는 협착이 있으면서 기관지확장증 소견을 보여 좌하엽 절제술 및 기관지성형술을 시행받았다. 수술 후 폐기능의 의미있는 증가를 보였다. 기관지결핵의 수술적 치료는 논란이 있지만 기관지성형술은 폐기능을 보존해서 환자의 증상을 경감시킬 수 있으므로 결핵성 기관지협착의 효과적인 치료가 될 수 있다.

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오페라 $\ll$황진이(黃眞伊)$\gg$의 무대의상(舞臺衣裳) 디자인 연구(硏究) - 황진이(黃眞伊)의 내적(內的) 이미지를 중심(中心)으로 - (A Study on Stage Costume Design for Opera $\ll$Whangjinie$\gg$ - Focusing on Inner Image of Whangjinie -)

  • 신경섭
    • 패션비즈니스
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    • 제4권2호
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    • pp.127-140
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    • 2000
  • The purpose of this study was to research and design stage costumes of Whangjinie focusing on inner image of Whangjinie, present stage costumes of new image. Four steps were taken in order to achieve this purpose. The first step was to investigate the old documents and prior research about literature world of Whangjinie. The second step was to analyze stage costumes of Whangjinie which were worn in opera, movie. The third step was to design and make the stage costumes according to new images Whangjinie which were extracted from above two research results. The new images of Whangjinie are as follows 1. Whangjinie as a kisaeng(professional entertainer) She thirsted for new, materialistic love though she failed in love everytime. 2. Whangjinie as a woman. She had a hard time by feeling an irresistible yearning for lover 3. Whangjinie as a poet. She expressed as a poetry her vanity and loneliness of life. Using above three images, this study designed four new stage costumes of Whangjinie and two designs of them were made really. But this study didn't present historic costume of her age but expressed modern mood in color and form.

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미만성 결절성 폐 골화증(Diffuse Nodular Pulmonary Ossification) 1예 (A Case of Diffuse Nodular Pulmonary Ossification)

  • 최승호;윤호일;이상민;황보빈;유철규;이춘택;김영환;한성구;심영수
    • Tuberculosis and Respiratory Diseases
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    • 제46권6호
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    • pp.856-860
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    • 1999
  • Diffuse pulmonary ossification is rare disease of unknown etiology. Since the first description by Luschka in 1856, about 140 cases have been reported worldwide, but no such case has been reported in Korea yet. We report 40-year-old woman who was diagnosed as diffuse nodular pulmonary ossification on open lung biopsy. She has no respiratory symptoms & physical findings and no previous disease history. She was incidentally found to have multiple pulmonary nodules on roentgenographic examination. Open lung biopsy was done for above lesion and She was proven to have diffuse nodular pulmonary ossification. She was followed by roentgenographic examination and showed no progression.

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담뱃잎농부병으로 진단된 고령 환자 1례 (A Case of Green Tobacco Sickness (GTS) in Elderly Patient)

  • 정동길;김도의
    • 대한임상독성학회지
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    • 제17권2호
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    • pp.132-134
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    • 2019
  • Green tobacco sickness is an illness caused by dermal exposure to nicotine. The common symptoms of the disease include dizziness, headache, nausea, vomiting, severe general weakness, fluctuations of blood pressure or heartbeat, abdominal cramping, chills, increased sweating, salivation, and difficulty breathing. A 79-year-old female arrived at the emergency room for an evaluation of sudden onset dizziness. Magnetic resonance imaging and angiography of the brain did not show any relevant abnormal findings. Four days later, with supportive care, she said that she had harvested green tobacco for six hours on the day of admission and the tobacco harvest was the first time in her life. She sweated excessively during the hot and humid weather and the tobacco leaves were wet from rain the night before. The serum cotinine tested at five days of admission was 16ng/ml. She was diagnosed with acute nicotine poisoning by her clinical symptoms and the half-life of cotinine in the blood.