• The Journal of the Korean bone and joint tumor society
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• 제5권4호
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• pp.201-207
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• 1999

Malignant tumors of the hand are very rare. Between 1989 and 1998, 17 patients with malignant tumors of the hand were evaluated for clinical features, prevalence, treatment and results. The mean age was 45 years and median duration of follow-up was 38 months. A painless mass was the most common symptom and the most common lesion was the digit. Fifteen cases of soft tissue and 2 cases of bone tumor were diagnosed. On pathology, soft tissue tumors were comprised of 8 cases of malignant melanoma, 2 cases of angiosarcoma and 1 case each of malignant fibrous histiocytoma, malignant peripheral nerve sheath tumor, extraskeletal chondrosarcoma, and squamous cell carcinoma. Bone tumors were metastatic tumors and each originated from the rectal cancer or lung cancer. Lymph node involvements were noted in 4 cases of malignant melanoma and 1 case of squamous cell carcinoma. Six cases of metacarpo-phalangeal joint disarticulation and 4 cases of phalanx amputation were performed. Wide excision, ray amputation and below-elbow amputation were also performed. Three cases expired due to metastasis and progression of the original lesion. Among the surviving 14 cases, a malignant melanoma had metastasis on the axillary lymph node and 13 cases showed no local recurrence or metastasis during the follow-up.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5727-5731
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• 2015

Background: There is a long standing interest in natural compounds especially those with a high polyphenolic content and high scavenging activity for hazardous free radicals. Cornus mas (CM) fruit is well known for its antioxidant activities; however, its toxicity against human cancers needs to be addressed. Here, we investigated selective anticancer effects of CM on different human cancer cells. Materials and Methods: A hydro-alcoholic extract of CM (HECM) was prepared and total phenolic content (TPC) and total flavonoid content (TFC) were determined by colorimetric assays. Antioxidant activity was assessed with respectto DPPH radical scavenging. MTT assays were used to evaluate the cytotoxicity of different doses of CM (0, 5, 20, 100, 250, 500, $1000{\mu}g/ml$) towards A549 (lung non small cell cancer), MCF-7 (breast adenocarcinoma), SKOV3 (ovarian cancer) and PC-3 (prostate adenocarcinoma) cells. Results: Significant (P<0.05) or very significant (P<0.001) differences were observed in comparison to negative controls at all tested doses ($5-1000{\mu}g/ml$). In all cancer cells, HECM reduced the cell viability to values below 26%, even at the lowest doses. In all cases, $IC_{50}$ was obtained at doses below $5{\mu}g/ml$. The mean growth inhibition was 81.8%, 81.9%, 81.6% and 79.3% in SKOV3, MCF-7, PC-3 and A549 cells, respectively. Conclusions: Altogether, to our best knowledge, this is a first study that evaluated toxicity of a HECM with high antioxidant activity in different human cancer cells in vitro. Our results indicated that a hydro-alcoholic extract of CM possesses high potency to inhibit proliferation of different tumor cells in a dose independent manner, suggesting that an optimal biological dose is more important and relevant than a maximally tolerated one.

• Nuclear Medicine and Molecular Imaging
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• 제42권5호
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• pp.414-418
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• 2008

The role of positron emission tomography (PET) with F-18 fluorodeoxyglucose (F-18 FDG) in the diagnosis of hepatocellulcar carcinoma (HCC) has been limited because of a variable FDG uptake in HCC. However, the usefulness of PET/CT for detecting extrahepatic metastasis and monitoring of the treatment response in HCC has been reported. A 55-year-old man with a hepatitis B surface antigen-positive, was admitted to our hospital due to dyspnea, general weakness and body weight loss for one month. Chest X-ray showed multiple reticulo-nodular densities on both lower lung fields, which implies metastatic lesions. F-18 FDG PET/CT revealed consecutively intense hypermetabolic mass in right hepatic lobe, inferior vena cava and right atrium. We report a case of HCC with IVC and right atrium invasion identified by F-18 FDG PET/CT.

• Journal of Trauma and Injury
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• 제31권2호
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• pp.103-106
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• 2018

Fat embolism refers to the presence of fat droplets within the peripheral and lung microcirculation with or without clinical sequelae. However, early diagnosis of fat embolism is very difficult because the embolism usually does not show at the computed tomography as a large fat complex within vessels. Forty-eight-year-old male with pedestrian traffic accident ransferred from a local hospital by helicopter to the regional trauma center by two flight surgeons on board. At the rendezvous point, he had suffered with dyspnea without any airway obstruction sign with 90% of oxygen saturation from pulse oximetry with giving 15 L of oxygen by a reserve bag mask. The patient was intubated at the rendezvous point. The secondary survey of the patient revealed multiple pelvic bone fracture with sacrum fracture, right femur shaft fracture and right tibia head fracture. Abdominal computed tomography was performed in 191 minutes after the injury and fat embolism with Hounsfield unit of -86 in his right common iliac vein was identified. Here is a very rare case that mass of fat embolism was shown within common iliac vein detected in computed tomography. Early detection of the fat embolus and early stabilization of the fractures are essential to the prevention of sequelae such as cerebral fat embolism.

• Toxicological Research
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• 제30권1호
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• pp.55-63
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• 2014

Objectives: The use of indium compounds, especially those of small size, for the production of semiconductors, liquid-crystal panels, etc., has increased recently. However, the role of particle size or the chemical composition of indium compounds in their toxicity and distribution in the body has not been sufficiently investigated. Therefore, the aim of this study was to examine the effects of particle size and the chemical composition of indium compounds on their toxicity and distribution. Methods: Male Sprague-Dawley rats were exposed to two different-sized indium oxides (average particle sizes under 4,000 nm [IO_4000] and 100 nm [IO_100]) and one nano-sized indium-tin oxide (ITO; average particle size less than 50 nm) by inhalation for 6 hr daily, 5 days per week, for 4 weeks at approximately $1mg/m^3$ of indium by mass concentration. Results: We observed differences in lung weights and histopathological findings, differential cell counts, and cell damage indicators in the bronchoalveolar lavage fluid between the normal control group and IO- or ITO-exposed groups. However, only ITO affected respiratory functions in exposed rats. Overall, the toxicity of ITO was much higher than that of IOs; the toxicity of IO_4000 was higher than that of IO_100. A 4-week recovery period was not sufficient to alleviate the toxic effects of IO and ITO exposure. Inhaled indium was mainly deposited in the lungs. ITO in the lungs was removed more slowly than IOs; IO_4000 was removed faster than IO_100. IOs were not distributed to other organs (i.e., the brain, liver, and spleen), whereas ITO was. Concentrations of indium in the blood and organ tissues were higher at 4 weeks after exposure. Conclusions: The effect of particle size on the toxicity of indium compounds was not clear, whereas chemical composition clearly affected toxicity; ITO showed much higher toxicity than that of IO.

• Advances in pediatric surgery
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• 제6권2호
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• pp.95-99
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• 2000

Thyroid carcinoma is relatively rare in children. Eight cases of thyroid carcinoma were among 18 patients operated upon for thyroid tumors at Pediatric Surgery, Asan Medical Center in 11 years' period between 1989 and 2000. Five patients were boys and three were girls. The age distribution ranged from 10 to 14 years with a median age of 11.6 years. We studied clinical presentations, diagnostic workup, pathology, treatment, and follow-up (recurrence, mortality, and survival). All patients presented with anterior neck mass but one with multiple cervical lymph nodes enlargement. Familial history of thyroid cancer was seen in one case. All patients had a cold nodule by 1-131 thyroid scan. Fine needle aspiration (FNA) biopsy was performed in all patients. The right lobe was involved in four patients and the left lobe in two. Two had both lobes involvement. Pathologically, six cases were papillary carcinoma, one was follicular carcinoma, and one insular carcinoma. Four patients underwent unilateral lobectomy and isthmectomy. Total thyroidectomy was performed in three patients. The insular carcinoma case was preoperatively diagnosed as follicular neoplasm by FNA. After confirmation of the pathology by initial right thyroid lobectomy, total thyroidectomy was subsequently done. Cervical lymph node metastases were presented in three cases (37.5%), and lung metastasis in two cases (25%). Three patients received postoperative I-131 ablation. After a median follow-up of 53 months, all patients were alive without evidence of recurrence. In conclusion, thyroid carcinoma in children is frequently associated with lymph nodes involvement and distant metastasis, however, the prognosis is relatively good.

• The Journal of the Convergence on Culture Technology
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• 제1권3호
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• pp.77-82
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• 2015

Recently there are a lot of cases of pneumothorax disease among young people. Also, thoracic Surgery is just a disease that often emerges in the background in the medical drama related to a pneumothorax. However, despite being exposed to a lot of diseases in the mass media pneumothorax, actual pneumothorax patient do not know cases that have early signs of tension pneumothorax, the disease occurs even when coming to the emergency room, and Patients are also looking for the hospital of right lung surgery. When early symptoms of pneumothorax helps to prevent the onset of these problems, it has been studied and dose not receive any treatment. In this paper pneumothorax is compared by the various methods of treatment, and pneumothorax is introduced patients with symptoms in many medical dramas. And Other internet sites including google were investigated for various treatment methods through academic papers related to pneumothorax.

• Nuclear Engineering and Technology
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• 제43권4호
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• pp.399-404
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• 2011

A LEGO-type multi-purpose dosimetry phantom was developed for intensity-modulated radiation therapy (IMRT), which requires various types of challenging dosimetry. Polystyrene, polyethylene, polytetrafluoroethylene (PTFE), and polyurethane foam (PU-F) were selected to represent muscle, fat, bone, and lung tissue, respectively, after considering the relevant mass densities, elemental compositions, effective atomic numbers, and photon interaction coefficients. The phantom, which is composed of numerous small pieces that are similar to LEGO blocks, provides dose and dose distribution measurements in homogeneous and heterogeneous media. The phantom includes dosimeter holders for several types of dosimeters that are frequently used in IMRT dosimetry. An ion chamber and a diode detector were used to test dosimetry in heterogeneous media under radiation fields of various sizes. The data that were measured using these dosimeters were in disagreement when the field sizes were smaller than $1.5{\times}1.5\;cm^2$ for polystyrene and PTFE, or smaller than $3{\times}3\;cm^2$ for an air cavity. The discrepancy was as large as 41% for the air cavity when the field size was $0.7{\times}0.7\;cm^2$, highlighting one of the challenges of IMRT small field dosimetry. The LEGO-type phantom is also very useful for two-dimensional dosimetry analysis, which elucidates the electronic dis-equilibrium phenomena on or near the heterogeneity boundaries.

• Environmental Analysis Health and Toxicology
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• 제21권1호
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• pp.57-69
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• 2006

Lately human exposure to fine particles smaller than $2.5{\mu}m$ in aerodynamic diameter ($PM_{2.5}$) has become a great concern in Korea due to their possible cause of elevated mortality, lung function decrements, and more frequent hospital admissions for asthma. This study was conducted to investigate seasonal variations of human exposure to residential $PM_{2.5}$ and particle-associated polycyclic aromatic hydrocarbons (PAHs). Ten homes in Chuncheon, Korea were visited for continuous 72 hour sampling of $PM_{2.5}$ in the living rooms using a MiniVol Portable Sampler from December 22, 2002 to November 3, 2003. During the same period, outdoor $PM_{2.5}$ samples were collected on the top of the Natural Sciences Building of Kangwon National University which is located in the middle of the ten households. Samples were analyzed for $PM_{2.5}$ mass concentrations and six selected PAHs. In two smoking homes, the highest $PM_{2.5}$ concentrations were measured ranging from 51.1 to 69.7 {\mu}g/m^3$ on average in all seasons, indicating smoking is a very important contributor to the elevation of indoor particle concentrations. Seasonal comparison showed that indoor particle concentrations were higher than outdoor ones except winter. Total PAH concentrations in smoking homes were highest in winter among the seasons primarily due to low ventilation rate, followed by the outdoor site and nonsmoking homes. BaP toxic equivalents (TEQs) were calculated for five PAHs. The TEQ for smoking homes in winter was highest followed by the outdoor site in winter. It is concluded that smoking and ventilation rate are two important contributors to the elevation of indoor $PM_{2.5}$ and PAH concentrations.

• Tuberculosis and Respiratory Diseases
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• 제44권6호
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• pp.1419-1425
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• 1997

Primary mediastinal nonseminomatous germ cell tumor associated with Klinefelter's syndrome is a rare disorder. We experienced a case of recurred primary mediastinal nonseminomatous germ cell tumor developed in a 24-year-old patient with Klinefelter's syndrome. The patient had been treated with surgery and combination chemotherapy under the diagnosis of primary mediastinal nonseminomatous germ cell tumor before. A round mass was found on the right lower lung field in the chest X-ray during follow up. The patient was diagnosed as recurred primary nonseminomatous genu cell tumor and Klinefelter's syndrome through tumor markers, peripheral blood karyotyping, and other tests including hormonal assay and was treated with combination chemotherapy and surgery again. When the patient is diagnosed as primary mediastinal nonseminomatous germ cell tumor, Klinefelter's syndrome and hematologic malignancies should be considered to be associated diseases and vice versa.