• Title/Summary/Keyword: patch mass

Search Result 68, Processing Time 0.026 seconds

Chest Wall Hamartoma in Infancy A case report (흉벽의 간엽세포종(과오종)수술치험 1예 보고)

  • Jo, Hyeon-Min;Kim, Hae-Gyun;Mun, Dong-Seok
    • Journal of Chest Surgery
    • /
    • v.29 no.10
    • /
    • pp.1170-1172
    • /
    • 1996
  • Chest wall hamartoma Is a very rare disease. The female infant was suffered from frequent upper respiratory infection. The chest AP revealed destruction of the ribs and widening of the intercostal space Chest CT demonstrated well-defined solid and cystic extrapleural mass. Chest M Rl revealed high signal and low signal intensities In the mass. In December, 1995, she underwent excision of the mass with partial resection of the ribs and ch st wall reconstruction with thick Cortex patch. The chest wall hamartoma was confirmed with histopathological examination. The postop course was smooth and uneventful.

  • PDF

Preserved Respiratory Function after Reconstruction of a Large Chest Wall Defect

  • Kim, Yu Jin;Kim, Yoon Ji;Lee, Jae-Ik
    • Archives of Reconstructive Microsurgery
    • /
    • v.24 no.1
    • /
    • pp.28-31
    • /
    • 2015
  • A case report of a patient who developed radiation-induced sarcoma in the left chest wall is presented. The patient had partial mastectomy and adjuvant radiation therapy (total dose, 5,220 cGy) and chemotherapy. Five years later, she visited with rapidly growing mass with central ulceration in the irradiated chest wall. The mass was diagnosed as malignant fibrous histiocytoma. The chest wall mass resected en bloc ($23{\times}18cm$) including five consecutive ribs. After the defected thoracic cage was reinforced using a polytetrafluoroethylene patch, omental flap and split thickness skin graft was done for soft tissue coverage. We applied negative pressure wound closer system for effective suction of omeantal exudate. The wound healed without complications. The patient suffered no perioperative pulmonary complications. Pulmonary function tests showed no significant changes. Each of Gore-Tex, omental flap, negative pressure wound therapy and skin graft is widely used method. However, If these methods are used in combination, we can reconstruct the large defect of chest wall including multiple ribs without any repiratory function problems.

Dermatofibrosarcoma Protuberans on the Occipital Scalp Showed Uncommon Presentation: A Case Report (비전형적 임상양상을 보이는 후두부의 융기성 피부 섬유 육종에 대한 증례보고)

  • Jiwon Jeong;Chul Hoon Chung;SeongJin Cho
    • Korean Journal of Head & Neck Oncology
    • /
    • v.40 no.1
    • /
    • pp.49-53
    • /
    • 2024
  • Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma, with an incidence of about 0.8% to 5% per million people per year, accounting for 1% of soft tissue sarcomas. In its early stage, DFSP is typically found as a violet or pinkish macule or patch, and it can develop into a palpable mass with ulceration or bleeding. The standard treatment for DFSP is wide local excision of the tumor with a 2- to 3-cm negative margin, and radiation therapy or chemotherapy can be conducted with surgical treatment. A 35-year-old man had a palpable mass on the left side of his occipital scalp without color change, ulceration, or bleeding, which typically are present in malignancy. A magnetic resonance imaging (MRI) scan showed a 3-cm homogenous enhanced mass without adhesion between the scalp and the mass. Unexpectedly, a biopsy revealed the round mass to be DFSP. A wide excision and rotation of the scalp flap were performed. The patient recovered without any complications and received adjuvant radiotherapy at a dose of 60 Gray (Gy) for six weeks. There was no recurrence through six months of follow-up. Here we report this unique case of DFSP with atypical presentation.

The Oxidative Stress Induction and Response of Antioxidative Enzymes in the Large Patch-Infected Zoysiagrass I. Oxidative stress induction (라지 팻치에 감염된 잔디의 산화적 스트레스 발현과 항산화효소의 활력의 변화 I. 산화적 스트레스 발현)

  • Kim, Dae-Hyun;Lee, Bok-Rye;Li, Ming;Kim, Tae-Hwan
    • Journal of The Korean Society of Grassland and Forage Science
    • /
    • v.27 no.2
    • /
    • pp.129-136
    • /
    • 2007
  • To investigate the effect of large patch infection on oxidative stress induction, growth, $H_2O_2$ concentration and lipid peroxidation were compared between pathogen-infected and healthy (control) zoysiagrass. The sampling for leaves and roots were carried out every 2 days for a period of 6 days. Pathogen-infection increased root mortality by 30% compared to control. Dry mass was not significantly affected by pathogen-infection until day 4, but significant decreases in both leaves (-14%) and roots (-20%) were observed at day 6. The $H_2O_2$ concentration in pathogen-infected leaves rapidly increased within the first 2 days(+28%) and then slightly decreased. The increase of $H_2O_2$ in pathogen-infected roots was distinct, showing 1.7-fold higher level than control at day 6. The extent of lipid peroxidation caused by pathogen-infection continuously increased for the first 4 days. This was then stagnated until day 6. In roots, the significant increase of lipid peroxidation was observed only at day 2. These results indicate that large patch-infection induces oxidative stress, and that the oxidative stress responsive pattern was plant organ specific.

Resistance Evaluation of Several Turfgrass Species and Graminious Crop Species against Rhizoctonia cerealis and Typhula incarnata under Controlled Conditions (주요 잔디류와 화본과 식량 밭작물의 황색마름병원균 및 설부소립균핵병원균에 대한 저항성 평가)

  • Chang, Seog-Won;Chang, Tae-Hyun;Yang, Geun-Mo;Choi, Joon-Soo;Rho, Yong-Taek
    • Asian Journal of Turfgrass Science
    • /
    • v.24 no.1
    • /
    • pp.9-15
    • /
    • 2010
  • During 2008~2009 winter season, yellow patch and gray snow mold occurred on turfgrass plants in golf courses in Kangwon and Jeonbuk provinces, respectively. The fungi associated with the diseases were identified as Rhizoctonia cerealis Van der Hoeven and Typhlua incarnata Lasch ex Fr., based on the morphological characteristics of hyphae and sclerotia. R. cerealis and T. incarnata were pathogenic to most turfgrass and crop species tested. R. cerealis infected crown, stem and leaf tissue of the host plants, and the symptom was light yellow circular patch. Individual infected leaf near the margin of patch developed red color first and finally turn brown. The symptoms caused by gray snow mold pathogen are water-soaked spots, and became a watery soft rot. Infection parts became yellow and then turned brown followed by death of the whole plant. White mycelia were developed on higher petioles, leaves, and on soil where these plant parts lay, and black sclerotia of variable size and shape formed in the mycelial mass. All isolates tested were pathogenic on most turfgrass and crop plants, and significantly different in aggressiveness. Disease severity increased with longer snow cover days on target plants, suggesting that disease severity was expressed over snow cover days. There were significant differences in disease severity among the graminious species, and among cultivars within each species, indicating varying levels of susceptibility to R. cerealis and T. incarnata.

Antibiotic Properties of Helicosporium sp. KCTC 0635BP to Rhizoctonia solani AG2-2 IV (Rhizoctonia solani AG2-2 IV에 대한 Helicosporium sp. KCTC 0635BP의 항균활성)

  • Lee, Sang Myeong;Kim, Dong Soo;Lee, Kwang-Soo;Lee, Chong-Kyu;Lee, Dong Woon
    • Weed & Turfgrass Science
    • /
    • v.2 no.2
    • /
    • pp.202-206
    • /
    • 2013
  • Biocontrol potential of an isolate of Helicosporium spp. against Rhizoctonia solani, Fusarium oxysporium and Phytophthora drechsleri was evaluated in vitro and in vivo. A selected biocontrol agent designated as Helicosporium 0635BP strongly inhibited growth and lysed mycelium of Rhizoctonia solani and Fusarium oxysporium on PDA. Autoclaved culture filtrate of the agent also completely inhibited growth of the turfgrass large patch pathogen, R. solani AG2-2 IV at the concentration of 50 ml $L^{-1}$. The pathogen was killed when dipped under the 20% filtrate for four hours or 50% for one hr. In a field trial, plots applied with the crude or times diluted culture filtrate showed 100% control efficacy of the turfgrass large patch as a chemical applied for a comparison. Results indicated that Helicosporium 0635BP is a promising biocontrol agent on control of the turfgrass large patch disease and its culture filtrate contained unknown heat suitable antifungal substance (s). Further studies on mass production, purification and identification of the unknown compound (s) are in progress for practical use.

Cardiac Hemangioma of the Anterior Mitral Valve Leaflet - A case report - (승모판막 전엽에 발생한 심장혈관종 - 1예 보고 -)

  • Choi, Jae-Sung;Kim, Eung-Joong
    • Journal of Chest Surgery
    • /
    • v.40 no.12
    • /
    • pp.859-862
    • /
    • 2007
  • A hemangioma at a cardiac valve leaflet is a rare finding. There are only five reported cases in the medical literature and no prior case reported in Korea. A previously healthy 45-year-old woman presented with an acute episode of numbness in the left side of the face and hand. Although no definite abnormalities were found on the neurological examination and testing the echocardiography revealed an echogenic mass in the anterior mitral valve leaflet. The tumor was excised en bloc from the leaflet and the defect was repaired with an autologous pericardial patch. Pathology examination confirmed the mass to be a hemangioma of the valve leaflet. Here we report this case and review the medical literature.

Factors Related to the Recognition and Behavioral Intention for Smoking Cessation Programs (금연프로그램에 대한 인지도, 이용의도 및 영향요인)

  • 장혜정;노맹석
    • Korean Journal of Health Education and Promotion
    • /
    • v.20 no.3
    • /
    • pp.1-18
    • /
    • 2003
  • This study was conducted to evaluate factors related to the recogniton and behavioral intention for smoking cessation programs. Five effective smoking cessation programs were considered: acupuncture, nicotine patch, clinic program, mass education, and alliance programs. To explain the health behavior for smoking and smoking cessation programs, a five-stage behavioral intention model was built, and 500 questionnaires were completed through a telephone survey. Stages of the model included recogniton of the programs, past experiences, present smoking status, intention for smoking, and behavioral intention for smoking cessation programs. The results showed that the recogniton rate of the programs were low in general, therefore strategies of education, public relations, and advertisement need to be pursued. Nicotine dependency resulted in the fact that success rates were low although trial rates of smoking cessation were high among smokers. The necessity for smoking cessation programs was suggested. And the significant factors related to the intention for smoking cessation were individual attitude and reluctancy to pay time and money. Others' attitude was insignificant to subjects' smoking cessation. Purchase rates for nicotine patches were 11.3% for male and 27.3% for female, those for acupunture were 7.6% for male and 10.0% for female. There were very low purchase rates for clinic, mass education, and alliance programs. In conclusion, evidence-based and effective smoking cessation programs need to be promoted by medical doctors. Strategies in education, public relations, and advertisement also need development. In addition, continuing legal and systematic support for smoking cessation would lower the smoking rate and ultimately contribute to the nation's health.

Stroke Recurrence in a Patient Twelve Years after Repair of a Secundum Atrial Septal Defect

  • Ok, Taedong;La, Yun Kyung;Cha, Hyun Seo;Cheon, Kyeongyeol;Choi, Bo Kyu;Yi, Gi Jong;Lee, Kyung-Yul
    • Journal of Neurocritical Care
    • /
    • v.11 no.2
    • /
    • pp.124-128
    • /
    • 2018
  • Background: Secundum atrial septal defect (ASD) is a common congenital heart defect in adults. Patients with ASDs at high risk of cardiovascular complications undergo either surgical repair or percutaneous device closure. Case Report: We report the case of an 85-year-old male with unusual recurrent cerebral infarctions. The patient has undergone repair of secundum ASD 12 years ago. Evaluation by transesophageal echocardiography revealed a mobile mass at the patch repair site in the left atrium. The mass was surgically removed due to recurrent stroke during the anticoagulation. Conclusion: This case emphasizes the importance of regular cardiac checkup and the need to consider cardioembolic source as being part of the etiology of stroke recurrence, even if the event occurs many years after intracardiac shunt closures.

Removal of intraosseous hemangioma in frontal bone under direct vision through a small incision

  • Kim, Hyeon Seok;Kim, Woo Seob;Kim, Han Koo;Bae, Tae Hui
    • Archives of Craniofacial Surgery
    • /
    • v.22 no.1
    • /
    • pp.52-55
    • /
    • 2021
  • Complete surgical excision within a margin of normal healthy bone is the treatment of choice for intraosseous hemangioma. A 56-year-old man visited with complaints of a firm, mildly tender, immovable, and palpable mass on the right forehead (size: 1.5×1.5 cm). Non-contrast brain computed tomography performed preoperatively revealed a 1.5 cm heterogenous osteolytic lesion with suspected internal trabeculation in the right frontal bone. Under general anesthesia, a 2 cm transverse incision was made on the forehead skin rather than bicoronal incision. Full-thickness en bloc resection of the frontal bone including the mass was performed. The frontal bone was removed with care taken not to damage the frontal sinus mucosa. The frontal sinus was sealed with a collagen patch (Tachocomb) and a cranioplasty was performed using bone cement. At 6 months postoperative, a clean wound was confirmed without any complications, and there was no local recurrence. Surgical excision of intraosseous hemangioma in the frontal sinus bone can be performed via direct incision or the bicoronal approach. In this case, the direct incision approach was used to achieve smaller scars and faster recovery than the bicoronal approach.