• 제목/요약/키워드: thoracic cavity

검색결과 309건 처리시간 0.021초

흉곽내벽에 발생한 거대섬유종 -1예 보고- (A Huge Intrathoracic Fibroma (One case report))

  • 조성래;박동식;이성광
    • Journal of Chest Surgery
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    • 제12권2호
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    • pp.97-100
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    • 1979
  • Primary intrathoracic neoplasms occur frequently, and the most frequent intrathoracic tumors are of pulmonary or bronchogenic origin. Second in frequency are mediastinal tumors, and least frequency or comparatively rare are the neoplasms arising from the wall of the thorax and extending into the thoracic cavity. Of all intrathoracic tumors, fibroma is extremely rare. Recently, we have experienced a huge rapid growing intrathoracic fibroma originating from thoracic wall, which is removed successfully and confirmed histopathologically. Authors present one case of fibroma and discussion with a brief review of the relevant literatures.

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폐아세포종 수술치험 1례 (Surgical Experience of Pulmonary Blastoma -A Report of a Case -)

  • 박성혁
    • Journal of Chest Surgery
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    • 제22권2호
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    • pp.357-363
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    • 1989
  • We experienced very rare case of pulmonary blastoma in a 5 year old girl. She complained of right chest pain and productive cough for 3 months. With computerized tomography and echocardiography it is disclosed that huge mediastinal solid tumor is occupied to whole right thoracic cavity and compressed mediastinal structures to left and extended to left atrium. We removed the thoracic tumor and its extended intracardiac portion completely using the technique of intrapericardial pneumonectomy with cardiopulmonary bypass. Postoperatively the patient recovered without any problem and received adjuvant chemotherapy and radiotherapy. But she was succumbed 2 months later because of opportunistic pulmonary infection with pneumocystis carinii.

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심장의 이상 회전으로 유발된 기관기관지의 협착 1예 (Tracheobronchial Stenosis due to Malrotation of the Heart -A case report -)

  • 김진선;최선우;이호석;양지혁;전태국
    • Journal of Chest Surgery
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    • 제38권12호
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    • pp.863-865
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    • 2005
  • 본원에서는 우측 흉곽내 폐용적이 감소하면서 심장이 우측으로 이상 회전을 하게 되어 기관기관지의 협착이 유발된 3세 여환아를 우측 폐의 확장을 유도하여 심장의 이상 회전을 교정해 줌으로써 기관기관지 협착을 치료하였기에 이에 보고하는 바이다.

Porcine Dermal Collagen (Permacol) for Sternal Reconstruction

  • Lee, Kwang Hyoung;Kim, Kwang Taik;Son, Ho Sung;Jung, Jae Seung;Cho, Jong Ho
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.312-315
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    • 2013
  • In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity. We report a case of a 63-year-old male with a large invasive thymic carcinoma in the anterior mediastinum. The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles. The patient underwent subtotal sternectomy, radical thymectomy, and reconstruction with biological mesh (Permacol). Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

Two-stage Surgical Treatment of a Giant Solitary Fibrous Tumor Occupying the Thoracic Cavity

  • Song, Joon Young;Kim, Kyung Hwa;Kuh, Ja Hong;Kim, Tae Youn;Kim, Jong Hun
    • Journal of Chest Surgery
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    • 제51권6호
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    • pp.415-418
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    • 2018
  • A solitary fibrous tumor (SFT) is a mesenchymal fibroblastic tumor inside the pleura, for which complete surgical resection is the standard treatment. For large SFTs, preoperative identification of tumor-feeding vessels using angiography is important for achieving complete resection without unexpected operative bleeding. Extensive adhesions can make resection difficult in a limited operative window, and pulmonary resection may be required to achieve complete SFT resection. Herein, we report successful resection of a large pleural SFT in a 39-year-old man without any complications using a 2-stage approach, in which ligation of the feeding vessels through small another operative window was the first step.

Primary Sternal Osteomyelitis Caused by Actinomyces israelii

  • Lee, Jun Ho;Jeon, Seok Chol;Jang, Hyo-Jun;Kim, Hyuck;Kim, Young Hak;Chung, Won-Sang
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.86-89
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    • 2015
  • Primary sternal osteomyelitis is a rare disease. Common infectious organisms causing primary sternal osteomyelitis include Staphylococcus aureus and Pseudomonas aeruginosa. Actinomyces species are common saprophytes of the oral cavity, but there have been few reports in the literature of primary sternal osteomyelitis caused by Actinomyces species. We describe a case of primary sternal osteomyelitis caused by Actinomyces israelii without pulmonary involvement.

누두흉 치험 2례 보고 (Surgical correction of funnel chest: report of 2 cases)

  • 유회성
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.303-307
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    • 1982
  • Two patients with funnel chest deformity were corrected in the department of Thoracic Surgery, N.M.C. The first case was a 12 months old male suffering from recurrent upper respiratory tract infection and symmetrical funnel chest deformity, of which hollow cavity was measured 40 ml of water. He was corrected by method of sternal turnover. The result was satisfactory. The second case was a 16 years old male suffering from exertional dyspnea, recurrent upper respiratory tract infection, wheezing sound [esp., at night], and asymmetrical funnel chest deformity, of which hollow cavity was measured 80 ml of water. He was corrected by modified Ravitch method. Until postoperative 4 months, result was satisfactory. Thereafter, respiratory wheezing, exertional dyspnea and chest wall deformity were returned to pre-operative status.

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누두흉의 수술교정 (Surgical Correction of Funnel Chest: A Report of 2 Cases)

  • 이남수
    • Journal of Chest Surgery
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    • 제10권1호
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    • pp.1-6
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    • 1977
  • Two patients with funnel chest deformity corrected in the Department of Thoracic Surgery, Korea University Hospital are presented. The first case was a 21 year old male suffering from exertional dyspnea and recurrent upper respiratory tract infection with asymmetrical funnel Chest deformity, which the hollow cavity was measured 250ml of water. He was corrected by Ravitch method. The result was uneventful. The second case was a 34 year old male with symmetrical and asymptomatic deformity which the hollow cavity was measured 45ml of water. He was corrected by the method of sternal turnover [Wada Method]. On postoperative 8th day, seroma was noted in subxiphoid space and followed secondary infection of the pseudomonas. So, the infected cartilages were resected and curetted. The result was uneventful.

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Pulmonary adenocarcinoma in a slaughtered female Hanwoo

  • Yang, Hyoung-Seok;Kim, Jae-Hoon
    • 대한수의학회지
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    • 제59권1호
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    • pp.51-54
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    • 2019
  • Pulmonary masses were observed in the thoracic cavity of a 9-year-old female Korean native cattle (Hanwoo) encountered at a Jeju, Korea slaughterhouse. Grossly, the thoracic cavity was filled with pulmonary masses. Histologically, the neoplastic masses were composed of many abnormal papillary structures lined by single to double columnar neoplastic cells and formed arborizing fronds supported by significant fibrovascular stroma. The neoplastic cells showed strong destructive and infiltrative growth to adjacent tissues and were strongly positive for pan-cytokeratin (CK), CK 7 and sporadically positive for CK MNF116. The masses in the female Hanwoo were diagnosed as a papillary pattern of pulmonary adenocarcinoma.

절제폐(切除肺)에서 본 폐결핵병소(肺結核病巢)의 X선상(線像)의 특징(特徵)에 관(關)한 연구(硏究) (A Study on the Roentgenologic and Pathological Characteristics of the Pulmonary Tuberculous Lesions)

  • 조광현
    • Journal of Chest Surgery
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    • 제9권2호
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    • pp.175-186
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    • 1976
  • The cellular change of the pulmonary tuberculous lesions may be divided into two groups,exudative and proliferative form by their course and fate. In the most cases, the patients usually have very much complex type of cellular changes. Therefore, the shadows of the chest films in pulmonary tuberculosis are also much variable in nature. And Daniel said that knowledge of the pathology of tuberculosis and an appreciation of the method of progression and healing are essential to proper interpretation of the films. Author, having reviewed 33 cases of resected tuberculous lung obtained in N.M.T.H. for one year from Oct. '75 to Sep. '76 by surgical managements, classified the Pathological findings such as: 1) caseation only, 2) tuberculoma, 3) atelectatic lung 4) cavitary lesion and 5) atelectasis with cavity, and examined the relationship between the roentgenological characteristics of the chest films and the pathological process of tuberculous lesions of the resected lungs, The result were obtained as follows. (1) Tuberculoma was commonly appeared in $S_2$ segment in right and $S_6$ segment in left. (2) Atelectasis and destroyed lung were more commonly appeared in left lung than right, and their containing rate of cavity was 82%. (3) Cavities were mostly appeared in $S_1$ and $S_2$ segments of both lung and the appearance-rate of cavity on $S_6$ segment was higher in left than right. And among the cavitary lesions of the resected lung, cavity was not seen in the preoperative chest films in 22%. (4) The configuration, thickness and sharpness of the walls of cavities, which revealed the cavitary shadows in the preoperative chest films, were mostly depended on the degree of increased collagenous fiber of the wall, existence of perifocalitis, and more or less of the caseous masses on the inner surface of the cavity wall.

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