• 제목/요약/키워드: misdiagnosis

검색결과 202건 처리시간 0.021초

Pancoast Syndrome Accompanied by Rotator Cuff Tear

  • Nam, Seung Oh;Shin, Dongju;Park, Kihong;Kim, Tae Kyun;Kim, Han Sang
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.43-46
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    • 2015
  • Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.

기관 평활근종의 수술적 절제;1례 보고 (Surgical Resection of Tracheal Leiomyoma; A cas report)

  • 심재천
    • Journal of Chest Surgery
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    • 제26권12호
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    • pp.965-968
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    • 1993
  • Primary benign tracheal tumors are exceedingly rare and leiomyoma has the least frequency among them. It is important to recognize early without misdiagnosis such as asthma because it is curable. A 41 year-old female was admitted for dyspnea and choking since November 1991. Under the impression of asthma, she received medication. Symptom was not improved and thus chest CT scan was performed. There was endotracheal tumor mass which was located just above the carina and arose from the right lateral tracheal wall with broad base. We successfully resected the tumor mass including trachea and the defected area of trachea was reconstructed with autologous graft using pericrdium & rib cartilage. During the follow up period, no complication was developed.

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골스캔 판독시 오류를 범할 수 있는 정상 변이소견 및 인공물 (Normal Variants and Artifacts in Bone Scan: Potential for Errors in Interpretation)

  • 손명희
    • 대한핵의학회지
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    • 제38권1호
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    • pp.1-20
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    • 2004
  • Bone scan is one of the most frequently peformed studios in nuclear medicine. In bone scan, the amount of radiolsotope taken up by lesion depends primarily on the local rate of bone turnover rather than on the bone mass. Bone scan is extremely sensitive for defecting bony abnormalities. However, abnormalities that appear on bone scan may not always represent disease. The normal scan appearances may be affected not only by skeletal physiology and anatomy but also by a variety of technical factors which can influence image quality. Many normal variants and artifacts may appear on bone scan. They could simulate a pathologic process and could mislead into the wrong diagnostic interpretation. Therefore, their recognition is necessary to avoid misdiagnosis. A nuclear medicine physician should be aware of variable appearance of the normal variants and artifacts on bone scan. In this article, a variety of normal variants and artifacts mimicking real pathologic lesion in bone scan interpretation are discussed and illustrated.

Where is the Lesion? Glomus Tumours of the Hand

  • Tang, Chris Yuk Kwan;Tipoe, Timothy;Fung, Boris
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.492-495
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    • 2013
  • Glomus tumours are vascular hamartomas that are commonly found in the hand, particularly the subungual region. They appear as solitary or multiple tumours, and often present as a bluish discoloration of the nail plate. Different diagnostic tests are outlined, as well as imaging studies such as magnetic resonance imaging and ultrasound. Misdiagnosis and delayed diagnosis of these tumours are common, while a familial tendency is a potential risk factor but not yet proven. Complete surgical excision often results in complete symptomatic relief, while recurrences are largely due to incomplete excision or the growth of a new glomus tumour. This article aims to review the key aspects of glomus tumours and provide a diagnostic algorithm so that the lesion can be recognized and treated earlier.

횡경막 탈장증 [Morgagni 형]치험 2례 (Diaphragmatic hernia [Morgagni hernia]: 2 cases report)

  • 김은기
    • Journal of Chest Surgery
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    • 제16권2호
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    • pp.221-225
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    • 1983
  • Morgagni, in 1760, 1st. described the findings of substernal herniation of abdominal contents into the thoracic cavity, based upon 25 postmortem dissections. Herniation through the foramen of Morgagni is the rarest occurrence of the congenital diaphragmatic hernias and is usually a few symptoms. With the increasing use of routine chest roentgenogram & the need to exclude the possibility of a mediastinal neoplasm, most such cases are brought to the attention of a surgeon. We had experienced 2 cases of Morgagni hernia, which one caused a simple mechanical intestinal obstruction & diagnosed as acute appendicitis with perforation & another one was diagnosed as mediastinal lipoma on routine chest X-ray film at arrival due to traffic accident. We had performed left paramedian abdominal incision as misdiagnosis of acute appendicitis with perforation and repair of the defect and returned transverse colon & stomach into abdominal cavity in one patient. And in another patient, we preferred to approach through right thoracotomy incision and then left upper paramedian abdominal incision and returned the omentum into the abdominal cavity. The post-operative courses were in uneventful and we report these cases and review and discuss the literatures.

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High grade carcinoma ex pleomorphic adenoma of parotid gland: a case report

  • Kim, Ji-Kwan;Kim, Moon-Young;Choi, Seung-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권5호
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    • pp.348-352
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    • 2020
  • Pleomorphic adenoma is the most prevalent benign tumor of the parotid gland, and shows potential malignancy. Carcinoma ex pleomorphic adenoma (CXPA) can occur in 3%-15% of pleomorphic adenoma cases. Owing to its clinical similarity to benign tumors, critical information related to CXPA can be easily overlooked, leading to frequent misdiagnosis of the condition. In this article, we report a rare case of CXPA found in the 55-year-old male patient with characteristic clinical, radiographic, and histological features, and subsequent treatment.

유도기 설비의 휴대용 회전자 진단 시스템 연구 (A Study on the Potable Rotor Diagnosis System for Induction Machines)

  • 현두수;윤민한
    • 전기학회논문지
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    • 제66권11호
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    • pp.1657-1662
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    • 2017
  • Rotor bar faults in induction machines, which are a part of main distribution of power system, can even stop the entire system by causing contact between a stator and a rotor. There are two methods of diagnosing rotor bar faults in induction motors, online and offline tests, and existing diagnosis methods have many limitations which can lead to misdiagnosis. This paper proposes a potable rotor bar faults diagnosis system based on single phase rotation test, one of offline test methods, which detects rotor bar faults through impedance interpretation by exciting AC current in a stator winding. The test was conducted on a motor of 0.4kW in the laboratory and a motor of 1500kW in industry field.

A Case of Epidermoid Cyst Initially Misdiagnosed as Temporomandibular Joint Disorder

  • Choi, Yun-Jeong;An, Seo-young;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제43권2호
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    • pp.56-60
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    • 2018
  • Epidermoid cyst in bony wall of external auditory canal (EAC) is a very rare pathologic condition. In addition to its extreme rarity, its positional proximity to temporomandibular joint (TMJ) might lead to clinical misdiagnosis as TMJ disorders, especially when it is accompanied by temporomandibular disorders-like symptoms. In this article, we report a patient with epidermoid cyst in anterior bony wall of EAC, which was misdiagnosed as TMJ disorder because the left TMJ pain aggravated during mastication.

시스템 진단을 위한 실장 MUX의 검사패턴 생성 알고리즘 (The Test Pattern Generation Algorithm of Embedded MUX for the System Diagnosis.)

  • 이강현;김용덕
    • 전자공학회논문지B
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    • 제30B권4호
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    • pp.85-91
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    • 1993
  • In this paper, we propose the test pattern generation algorithm of the embedded faulty MUX for the prevention of misdiagnosis of digital systems. When the system is partitioned with a large number of functional blocks, if the faults are exsisted in a embedded MUX then it can not diagnose the wanted observation of functional block. The proposed test pattern generstion algorithm can apply the MUXs that designd 2-level and multi-level both. Fault coverage becomes 100% and so it is no necessary of the additional fault simulation and the proposed algorithm that have the regulary and easily generated 2d test patterns. And we confirmed that the reduction of test cost becomes 85%, compared with the conventional segmentation testing scheme.

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Intramuscular Hemangioma Misdiagnosed as Unilateral Masseter Hypertrophy: A Case Report

  • Lee, So-Youn;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제41권1호
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    • pp.26-29
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    • 2016
  • Intramuscular hemangioma is a rare type of hemangiomas and sometimes overlooked by orofacial pain specialist who encountered various types of masticatory muscle problems. A 42-year-old male, presented with feeling of unilateral hypertrophy on left mandibular area, is finally diagnosed as hemangioma with thrombus by excisional biopsy. However, he was initially treated by injection of botulinum toxin A due to misdiagnosis as unilateral masseter hypertrophy. In the present report, we remind the importance of careful examination and diagnostic images to orofacial pain clinicians in early detection of intramuscular hemangioma of masticatory muscles.