• 제목/요약/키워드: lesion size

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Propylthiouracil을 이용한 OECD enhanced TG407의 내분비계 장애 물질검색을 위한 유효화 실험 (Pre-validation of the OECD Enhanced Test Guideline 407 Protocol on Screening and Testing for Endocrine Disrupters)

  • 강경선;김대용;제정환;김태원;김형섭;박지은;윤준원;김경배;이지해
    • Toxicological Research
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    • 제17권3호
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    • pp.203-213
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    • 2001
  • We investigated the toxic effects of propylthiouracil (PTU) In Sprague-Dawley (SD) rats to develop and validate an enhanced Protocol for Test Guideline 407 as OECD Project. Twenty male and female SD rats,7 weeks old, were treated with PTU in corn oil at levels of 0, 0.1, 1 and 10 mg/kg/day for 4 weeks orally. Clinical observation, body weight changes, food uptake, water consumption, urinalysis, estrus cycle and sperm analysis, serum chemist교, autopsy findings and histopathological findings were evaluated in this study. No clinical signs and mortality were observed in the study. The body weights and food uptakes in the group treated with 10 mg/kg/day were reduced from 3 weeks after the initiation of the treatment. The levels of 3,5,3'-triiodothyronine (T3) and thyroxine (T4, 3,5,3',5'-tetraiodothyrosine) were also significantly decreased in the group treated with 10 mg/kg/day. Also, the relative and absolute organ weights of thymuses were decreased. Thyroid glands of rats in the group treated with PTU 10 mg/kg/day were bigger than those of rats in the control group. In the histopathological examination, diffuse hyperplasia and hypertrophy of thyroid follicular cells were observed in all treatment groups, leading to the reduction of lumen size and papillary enfolding of lining epithelium. The degree of lesion was increased in a dose-dependent manner. The results suggested that PTU would cause toxicity in thyroid gland and decrease the levels of T3 and T4 in SD rats. However there were no effects on the other organ including testis and uterus especially in spermatogenesis and estrus cycle. On the basis of the results, enhanced protocol for Test Guideline (TG) 407 may be sensitive and reliable to detect endocrine-active substances like PTU.

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승모판막 치환후 조기및 장기추적결과 (Early and Late Results after Mitral Valve Replacement)

  • 김명인
    • Journal of Chest Surgery
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    • 제25권2호
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    • pp.149-157
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    • 1992
  • Total 145 cases mitral vlave replacement were performed in Department of Thoracic and Cardiovascular Surgery in Chungnam National University Hospital during the period from May 1983 to July 1991. Sixty-one patients were male and 84 patients were female and the range of age was from 12 to 66 years old with the mean of 37.9[$\pm$11.6] years. Valvular lesions were 49 cases of mitral stenosis, 18 cases of regurgitation and 78 cases of combined lesion. Used valve were Ionescu-Shiley[42 cases], Bjork-Shiley[49 cases], Inact[6 cases], St. Jude Medical[11 cases] and CarboMedics[37 cases]. Mean size of valve was 29.8$\pm$1.68mm. Early morality was 13.8%[20 cases] and low output syndrome was most common cause[9 cases]. Age, functional classification and biventricular hypertrophy were risk factors. All survived cases were followed up without missing. Mean follow up period were 3 years and 3 months. Total 14 cases of death[9.7%] were observed and heart failure, unexplained sudden death and bleeding were the causes in that order. Common late complications were heart failure and bleeding related with anticoagulation. Actuarial survival rate at 5 years was 83$\pm$5.4% in overall, 78$\pm$7.2% in tissue valve group, 87$\pm$6.8% in mechanical valve group. The actuarial freedom rate from thromboembolism at 7 years was 89$\pm$8.3% in overall, 86$\pm$9.9% in tissue valve group and 97$\pm$1.9% in mechanical valve group. Actuarial freedom rate from bleeding at 5 years with anticoagulation was 88.9$\pm$4.2% in overall, 96$\pm$3.9% in tissue valve group, 86$\pm$4.6% in mechanical valve group. Reoperation was done in 3 cases with heart failure with tricuspid regurgitation and thromboembolism in 2 cases. The functional status of survived cases was I or II.

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탈륨-201 SPECT에서 뇌농양 집적 (Brain Abscess Uptake at TI-201 Brain SPECT)

  • 이원형;한은지;유이령;정용안;손형선;김성훈;정수교;최영진
    • Nuclear Medicine and Molecular Imaging
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    • 제41권4호
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    • pp.339-341
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    • 2007
  • A 22-year-old woman with a history of acute lymphoblastic leukemia was hospitalized for headache and vomiting. CT scan showed a well-defined, ring like enhancing mass in the left frontal lobe with surrounding edema and midline shift. Magnetic resonance imaging demonstrated a round homogeneous mass with a ring of enhancement in the left frontal lobe. Tl-201 brain SPECT showed increased focal uptake coinciding with the CT and MRI abnormality. Aspiration of the lesion performed through a burr hole yielded many neutrophils, a few lymphocytes and histiocytes with some strands of filamentous microorganism-like material. Modified AFB stained negative for norcardia. Gram stain showed a few white blood cells and no microorganism. Antibiotics were started and produced a good clinical response. After one month, CT scan showed markedly reduction in size and extent was observed.

이하선 종양에 관한 임상적 고찰 (The Clinical Analysis of Parotid Gland Tumors)

  • 공권오;김중규;최경현
    • 대한두경부종양학회지
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    • 제13권2호
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    • pp.235-240
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    • 1997
  • Parotid tumors constitute about 70 to 80% of all salivary tumors. Two thirds of parotid neoplasms are benign. Women are affected more often than men. Plemorphic adenoma or benign mixed tumor is the most common parotid neoplasm, accounting for 50% of all parotid tumors. The clinical presentation is a discrete, slowly enlarging mass, rarely accompanied by pain or facial paralysis. We reviewed 69 cases of the parotid tumors admitted and treated at Department of Surgery, Kosin University Hospital from Jan, 1970 to June, 1994. The results were as follows: 1) Over all sex ratio was 1 : 1.56(M : F). The sex ratio of benign and malignant tumor was 1 : 1.43(M : F) and 1 : 2.2. 2) The mean duration of symptom was 4.6 years. 3) In the peak incidence of age, Benign tumor was in 4th decade, malignant tumor was in 2nd decade. 4) The chief complaint was painless palpable mass in 65 cases(94%) and pain in 4 cases(6%). 5) The mean size of mass was 2.5cm in diameter and the ratio of lesion site was 37 : 32(Rt : Lt). 6) Superficial parotidectomy was the most common procedure(43%). 7) According to histopathologic findings of 69 cases, Benign tumor was 56 cases(81%) and malignant tumor was 13 cases (19%). In the benign cases, pleomorphic adenoma was the most common(44 cases(65%)). In the malignant, mucoepidermoid ca. was the most common(5 cases (37%)). 8) Postoperative complication occured in 9 cases(13%), facial palsy was in 7 cases, and wound hematoma was 2 cases.

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The Diagnostic Accuracy of Endoscopic Biopsy for Gastric Dysplasia

  • Lee, Sung-Bae;Kang, Hye-Yun;Kim, Kwang-Il;Ahn, Dae-Ho
    • Journal of Gastric Cancer
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    • 제10권4호
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    • pp.175-181
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    • 2010
  • Purpose: There is controversy over the treatment for low grade dysplasia, while resection is recommended for high grade dysplasia. But the concordance of the grade of dysplasia between pre- and post-resection is low because of sampling errors with endoscopic biopsy. We attempted to establish a clearer direction for the treatment of dysplasia by clarifying the discrepancy between the pre- and postresection diagnoses. Materials and Methods: We performed a retrospective review of 126 patients who had undergone resection with the diagnosis of dysplasia on biopsy at Bundang CHA Hospital from 1999 to 2009. Results: Seventy patients were diagnosed with low grade dysplasia and 56 patients were diagnosed with high grade dysplasia. Among the 33 patients who received gastrectomy with lymph node dissec-tion, 30 patients were revealed to have invasive cancers and 4 patients showed lymph node metastasis. Discordance between the diagnoses from biopsy and resection occurred in 55 patients (44%). There was no correlation on the comparative analysis between the size, location or gross type of lesion and the grade of dysplasia. Conclusions: The rate of discordance between the diagnoses of endoscopic biopsy and the post resection pathologic report was as high as 44%. Endoscopic mucosal resection was not sufficient for some patients who were diagnosed with dysplasia on biopsy due to the presence of lymph node metastasis. It is necessary to be prudent when determining the follow-up and treatment based solely on the result of the biopsy.

조대술을 이용한 함치성낭종의 치험례 (TWO CASES OF DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION)

  • 엄찬용;최영철;이긍호
    • 대한소아치과학회지
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    • 제25권2호
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    • pp.268-276
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    • 1998
  • 낭종은 환자의 연령, 낭종의 종류 및 위치에 따라 치료방법을 선택하는 것이 바람직하며, 환자의 연령이 어린 경우에는 조대술을 통하여 낭종에 이환된 치아를 가능한 보존시키는 것이 바람직한 것으로 생각된다. 낭종에 포함되었던 치아는 조대술로 낭종을 제거후에 생리적인 맹출이 이루어지는 것을 관찰할 수 있었으며 기능도 정상적으로 수행하는 것으로 판단된다. 그러나, 조대술을 이용하여 시술한 후에는 맹출된 치아에 병리조직이 잔존되어 재발의 가능성이 있으므로 주기적인 관찰이 요구될 것으로 생각된다.

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기관지 천식으로 오인된 기관지 평활근종 2예 (Two Cases of Bronchial Leiomyoma Initially Misdiagnosed as Bronchial Asthma)

  • 이승철;박무석;정재호;김영삼;김길동;장준;정경영;신동환;김성규;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제55권6호
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    • pp.616-622
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    • 2003
  • 호흡곤란, 기침, 천명 등의 증상으로 기관지 천식을 진단 받고 이에 대한 치료를 받던 중증상 호전이 없어 시행한 흉부전산화단층촬영 및 굴곡성 기관지내시경 검사상 진단되어 기관지절개술 및 기관지성형술로 재발과 잔여 종괴 없이 치료된 기관지 평활근종 2예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

객혈을 동반한 양성 전이성 폐 평활근종 1예 (Benign Metastasizing Pulmonary Leiomyoma with Hemoptysis)

  • 박소영;임은주;장지선;김창환;지현근;조성진;박용범;이재영;모은경
    • Tuberculosis and Respiratory Diseases
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    • 제60권1호
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    • pp.92-96
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    • 2006
  • 자궁근종으로 자궁절제술을 시행받은 과거력이 있는 43세 여자가 객혈을 주소로 내원하였다. 컴퓨터단층촬영에서 다발성 폐결절이 발견되어 흉강경하에서 조직검사 시행 후 양성 전이성 폐평활근종을 진단받았다. 폐경 전 환자로 GnRH analogues 치료를 시도하였고 3개월 후 추적검사에서 폐결절의 크기는 이전과 변화가 없는 상태를 확인하였고 객혈도 없는 안정된 상태로 경과 관찰중이다.

Rhizopus Soft Rot on Cherry Tomato Caused by Rhizopus stolonifer in Korea

  • Kwon, Jin-Hyeuk;Kang, Soo-Woong;Kim, Jeong-Soo;Park, Chang-Seuk
    • Mycobiology
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    • 제29권3호
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    • pp.176-178
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    • 2001
  • A soft rot of fruits caused by Rhizopus stolonifer occurred on cherry tomato in Jinju City Agricultural Products Wholesale Market, Korea. The disease infection usually started from wounding after cracking of fruits. At first, the lesions started with water soaked and were rapidly softened and diseased lesion gradually expanded. The mycelia grew vigorously on the surface of fruits and formed stolons. Colonies on potato dextrose agar at $25^{\circ}C$ were white cottony at first, becoming heavily speckled by the presence of sporangia and the browinish black, and spreading rapidly by means of stolons fired at various points to the substrate by rhizoids. Sporangia were $82.7{\times}196.7{\mu}m$ in size and globose or sub-globose with somewhat flattened base. The color of sporangia was white at first and then turned black with many spores, and never overhanging. Sporangiophores were $2.6{\sim}5.8{\times}12.3{\sim}24.2{\mu}m$ in width, smooth-walled, non-septate, tight brown, simple, long, arising in groups of $3{\sim}5$ from stolons opposite rhizoids. Sporangiospores were $8.2{\sim}18.8{\mu}m$ long, irregular, round, oval, elongate, angular, and browinish-black streaked. Columella was $64.1{\times}136.3{\mu}m$. brownish gray, and umberella-shaped when dehisced. The causal organism was identified to be R. stolonifer. This is the first report of Rhizopus soft rot on cherry tomato caused by R. stolonifer in Korea.

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Sclerotium rolfsii에 의한 설악초 흰비단병 (Stem Rot of Euphorbia marginata Caused by Sclerotium rolfsii)

  • 권진혁;강동완;김민근
    • 한국균학회지
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    • 제39권3호
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    • pp.254-255
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    • 2011
  • 경상남도농업기술원 화단에서 S. rolfsii에 의한 설악초 흰비단병이 발생되었다. 병징은 줄기가 수침상으로 물러지고 썩으면서 서서히 시들어 말라 죽었다. 병든 줄기와 지제부, 토양 표면에 흰색의 곰팡이가 발생하고 갈색의 작은 둥근균핵을 많이 형성하였다. 균핵의 크기는 1~3mm이며 균사의 폭은 4~9 ${\mu}m$였다. 균사특유의 clamp connection이 관찰되었다. 균사생육과 균핵형성 적온은 $30^{\circ}C$이었다. 설악초에서 발생한 병징과 병원균의 균학적 특징을 조사한 결과, 이 병을 Sclerotium rolfsii Saccardo에 의한 설악초 흰비단병으로 명명하고자 제안한다.