• 제목/요약/키워드: Tomograph

검색결과 57건 처리시간 0.032초

두개골에 발생한 고립성 형질세포종 - 증례보고 - (Solitary Plasmacytoma of the Skull - A Case Report -)

  • 한정훈;박해관;민창기;조정기;박성찬;조경근;이경진;나형균;최창락;강준기
    • Journal of Korean Neurosurgical Society
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    • 제29권5호
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    • pp.701-705
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    • 2000
  • Solitary plasmacytomas are rare and account for 5-10% of all plasma cell disorders. These tumors are categorized as solitary plasmacytomas of bone(osseous) or extramedullary plasmacytomas(non-osseous). About a half of solitary plasmacytomas of bone occur in the spine but rarely in the skull. We report a case of solitary plasmacytoma of the skull presented with a painless palpable left parietal calvarial mass in an otherwise asymptomatic 38- year-old man. Skull radiographs showed a large radiolucent lesion with well defined non-sclerotic margins. Computed tomograph scan demonstrated a markedly enhancing mass extending from the epidural to the subcutaneous space. The patient underwent surgery and tumor was completely excised. Pathological examination showed tumor to be a plasmacytoma synthesizing IgG. Postoperatively, the patient received radiotherapy. There was no evidence of systemic involvement on postoperative laboratory wokups. Our recommended treatment is a complete surgical excision combined with postoperative radiation therapy. The patient should be follwed carefully for more than 10 years because of either local recurrence or possible progression to multiple myeloma.

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광범위한 섬유성 정맥 폐쇄를 동반한 특발성 섬유화성 종격동염 1예 (Idiopathic Fibrosing Mediastinitis Causing Extensive Fibrotic Veno-occlusion with Minimal Mediastinal Involvement)

  • 김제형;허규영;이승헌;이상엽;박상면;신철;심재정;인광호;김한겸;강경호;유세화
    • Tuberculosis and Respiratory Diseases
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    • 제52권3호
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    • pp.278-282
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    • 2002
  • 특발성 섬유화성 종격동염은 일반적으로 일차적인 종격동의 섬유화 및 석회화가 종격동 기관을 침범하거나 압박함으로써 상대정맥증후군 등의 임상양상을 나타내는 질환이다. 그러나 저자등은 종격동의 침범은 아주 경미하면서도 광범위하고 심한 종격동 혈관의 섬유성 폐쇄를 동반한 특발성 섬유화성 종격동염 1예를 경험하였기에 보고하는 바이다.

악성암종 수술 환자에서 임시수복물로서 Targis-Vectris의 응용 (Application of Targis-Vectris Provisional Restorations for an Oro-Maxillofacial Cancer Patient: A Case report)

  • 김진만;한중석;이선형;양재호;이재봉
    • 구강회복응용과학지
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    • 제18권2호
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    • pp.113-118
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    • 2002
  • Long bridge가 필요한 구강암종환자에게 자기공명영상을 촬영하여야 하는 경우, fiber reinforced polymer ceramics로 잠정보철물을 제작해준 경우 충분한 파절 저항성과 심미성을 얻을 수 있었다. 하지만, 여기에 대한 장기간의 연구와 관찰이 필요하리라 사료된다.

악하선에 발생한 호산성 지방선종 1례 (A Case of Oncocytic Lipoadenoma Arising in the Submandibular Gland)

  • 이범상;이종규;장수경;서강현;김진환;방희진;이동진
    • 대한두경부종양학회지
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    • 제35권2호
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    • pp.35-38
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    • 2019
  • Oncocytic lipoadenoma is a rare salivary gland tumor composed of adipose tissue and oncocytic epithelial cells in varied proportions. We report a case of an oncocytic lipoadenoma of the submandibular gland, which presented as a submandibular gland mass. The patient was a 65-year-old woman with a right submandibular mass measuring 2 × 2 × 1.6 cm. As a sonographic evaluation and computed tomograph scan gave us the impression of benign submandibular gland tumor such as pleomorphic adenoma, we resected the right side submandibular gland. Grossly, the tumor was well circumscribed with yellow to brown cut surface. Microscopically, the tumor was surrounded by a thin, fibrous capsule and composed of oncocytic epithelial cells admixed with mature adipose tissue. Final diagnosis was an oncocytic lipoadenoma. We discussed here radiologic and pathologic finding of this rare salivary gland tumor.

흉부 총상견에서 CT 촬영을 통한 흉부외상의 진단 및 치료 증례 (Case Study of Diagnosis and Treatment of Thoracic Gunshot Trauma in a Dog by Computed Tomography)

  • 심경미;김세은;유경훈;박현정;배춘식;최석화;강성수
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.46-50
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    • 2007
  • A 7-year-old female, Jindo dog was referred to the Veterinary Teaching Hospital with mild dyspnea and anorexia due to a gunshot trauma. The dog was wounded in the thoracic region 3 days ago. Plain radiographs showed the left 8th rib fracture, interstitial pattern in the left caudal lung field and pleural effusion. Abdominal radiographs showed the lead bullet. Computed tomographs(CT) showed the size of pulmonary contusion, laceration, lung parenchymal injuries, hemothorax and perforation of abdominal wall. The therapeutic plan was based on abnormalities seen on CT scans but not clearly seen in survey radiographs. Thoracic CT significantly provides even more informations compared with the corresponding radiographs in thoracic gunshot trauma. Although thoracic survey radiographs are useful as a screening tool, CT is highly sensitive in detecting thoracic injuries after thoracic trauma and is superior to routine thoracic survey radiographs in visualizing lung contusion, pneumothorax and hemothorax. Therefore, we recommend CT in the initial diagnostic work-up of patients with thoracic injuries and with suspected chest trauma because early and exact diagnosis of all thoracic injuries along with sufficient therapeutic consequences may reduce complications.

경부에 발생한 새열낭 (branchial cleft cyst)의 증례보고 (A CASE REPORT OF BRANCHIAL CLEFT CYST IN THE NECK)

  • 이영미;최순철;박태원;유동수
    • 치과방사선
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    • 제23권2호
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    • pp.365-372
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    • 1993
  • Branchial cleft cyst is the most common lateral neck cyst; the vast majority are of the second branchial cleft origin. This presumably reflects the greater depth and longer persistence of the second cleft, compared with the first, third, and fourth clefts. We experienced a 49-year-old male whose chief complaint was a abnormal mass of the left parotid gland area and neck. As a result of careful analysis of clinical, radiological, and histopathological findings, we diagnosed it as a second branchial cleft cyst in the neck and obtained results as follows: 1. In clinical examination, there was a 10×15㎝ sized, fluctuant painful mass in the left neck and parotid area. 2. In radiographic examination, a low echogenic mass with internal cystic change in the inferior parotid gland area was noted sonographically. Computed tomograph showed a 3×4㎝ sized, well-defined cystic mass with heterogenous solid component in the anterior border of sternocleidomastoid muscle. MRI revealed 5×6㎝ sized, well-marginated multi separated mass in the same area. 3. In histopathological examination, lining of cyst was stratified squamous epithelium with typical lymph node pattern and inflammatory cell infiltration.

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Cone beam형 전산화단층영상을 이용한 하악관의 전방고리 및 이공에 관한 연구 (Observation of the anterior loop and mental foramen of the mandibular canal using cone beam computed tomograph)

  • 고광준;김경아
    • Imaging Science in Dentistry
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    • 제39권2호
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    • pp.81-87
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    • 2009
  • Purpose: To evaluate the anteroposterior length and buccal angle of the anterior loop, and the size and location of the mental foramen using cone beam computed tomography (CBCT). Materials and Methods: 100 CBCT images from 87 adults (43 males and 44 females) ranging in age from 20 to 73 years (average 50 years) with edentulous ridge of the mandibular premolar region were obtained. Axial, sagittal, coronal images were reconstructed from Dental and Block Images of CBCT. The anteroposterior length, shape and buccal angle of the anterior loop, and the size and location of the mental foramen were calculated from reconstructed images of axial, sagittal and coronal CBCT. Results: The anteroposterior length and buccal angle of the mental canal was 4.0${\pm}$1.2mm, 37.8${\pm}$11.60$^{\circ}$respectively. The loop type with straight course was the most common shape of the mental canal. The location of the mental foramen below the apex of the lower second premolar (78%) was the most common. The maximum size of the mental foramen was 4.6${\pm}$1.0 mm in width and 3.0${\pm}$0.6 mm in height. The inner size of the mental canal was 2.6${\pm}$0.6 mm in width and 2.1 mm${\pm}$0.4 mm in height. Conclusion: CBCT is useful to evaluate the anterior loop and mental foramen of the mandibular canal. Safe guideline of 4 mm from the most anterior point of the mental foramen is recommended for implant and surgical treatment. (Korean J Oral Maxillofac Radiol 2009; 39: 81-7)

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$SCANORA^{(R)}$를 이용한 Mesiodens의 진단 (DIAGNOSIS OF MESIODENS BY $SCANORA^{(R)}$)

  • 전형준;김종수;권순원
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.490-493
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    • 2000
  • 정중과잉치는 과잉치중 가장 흔한 양상이며, 여러 가지 합병증이 생길 수가 있다. 이러한 합병증이 있음에도 불구하고 항상 발견 즉시 외과적 발거를 하는 것이 최선의 방법은 아니다. 여러 가지 상황을 고려하여 외과적 발거를 연기해야할 경우가 있으며 이때 정확한 진단이 필수적이다. 진단은 주로 방사선학적 검사에 의존하게 되며 정중과잉치의 수, 위치, 방향의 판단에 중요하다. 그간 정중과잉치의 진단에 이용되었던 방사선 사진은 각각의 장단점이 있다. $SCANORA^{(R)}$(Soredex, Finland)는 narrow beam radiology와 spiral tomograph의 원리를 이용한 다기능 두부촬영장치이다. 정중과잉치의 정확한 위치를 결정하기 위해 tube shift technique을 이용한 방법이 주로 사용되고 있으나 $SCANORA^{(R)}$를 이용해 비교적 간단하고 정확히 진단할 수 있었기에 보고하는 바이다.

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전이암으로 오인된 다원성(multifocal) 결핵 1예 (A Case of Multifocal Tuberculosis Mimicking Metastatic Malignancy)

  • 조인정;임소연;천은미;류연주;이진화;심윤수;장중현;심성신;배정호
    • Tuberculosis and Respiratory Diseases
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    • 제63권2호
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    • pp.173-177
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    • 2007
  • 저자들은 FDG-PET과 전산화 단층 촬영에서 인두, 복부, 흉부에 악성 종양이 의심되는 소견이 보여 점막 표피모양 암종으로 오인된 복강내 결핵, 인두 결핵, 기관지 결핵이 동반된 환자를 조직 검사를 통하여 결핵으로 진단하였고, 이 환자에게 항 결핵제 투여의 치료를 통하여 추적 전산화 단층 촬영에서 호전 경과를 보인 1예를 경험하였기에 이를 보고하는 바이다.

복부부위에 대한 기계적 마사지 처치가 중년여성의 체성분, 허리둘레 및 복부지방면적 감소에 미치는 효과 (Effect of Mechanical Massage on Body Composition, Waist Circumference and Abdominal Fat Area in Middle-aged Obese Women)

  • 임용택
    • 융합정보논문지
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    • 제10권3호
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    • pp.200-207
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    • 2020
  • 본 연구는 중년여성들의 복부지방 과다 축적에 의해 발생하는 건강상의 문제들을 해결하는데 도움을 주고자 복부부위에 대한 기계적인 마사지 처치가 체성분, 허리둘레 및 복부지방면적의 감소에 미치는 효과를 규명하고자 하였다. WHR 0.85 이상의 복부비만 중년여성 10명을 대상으로 1회 20~30분씩 1일 2회, 주 5일, 4주간 총 40회의 기계적 마사지 처치를 시행하였으며, 처치 전·후 각 변인의 변화를 분석하였다. 분석 결과 체중, 체지방율, 허리둘레, 내장지방 면적, 복부 피하지방 면적, 복부 총지방 면적 등 모든 측정항목에서 유의한 감소가 나타났다. 이러한 결과를 고려할 때 복부부위에 대한 기계적 마사지 처치는 복부비만 중년여성들의 복부지방 감소에 도움을 주는 효율적인 방법이며, 나아가 복부지방으로 인해 야기되는 다양한 심혈관계 질환 및 대사성 질환의 예방과 치료에 도움이 될 수 있을 것으로 생각된다.