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CASE REPORT : A case of mediastinal ectopic thyroid presenting with a paratracheal mass
( Eun Roh ),( Eun Shil Hong ),( Hwa Young Ahn ),( So Yeon Park ),( Ho Il Yoon ),( Kyong Soo Park ),( Young Joo Park ) 대한내과학회 2013 The Korean Journal of Internal Medicine Vol.28 No.3
Mediastinal ectopic thyroid is a very rare condition, with few reported cases in the literature and no reported cases in Korea. This report describes an asymptomatic 65-year-old man with a right paratracheal mass compressing the superior vena. Additionally, the epidemiology, clinical manifestation, diagnosis, and management of mediastinal ectopic thyroids are discussed. A mediastinal ectopic thyroid should be considered in the differential diagnosis of all mediastinal masses. Surgical excision is recommended for both the diagnosis and treatment of this condition, because of its potential for malignancy and compression of mediastinal structures. This case demonstrates the clinical importance of mediastinal etopic thyroid.
GLUT-1 and metabolic activity in PET-CT may predict tumor response, RFS in LD-SCLC patients
( Ji Eun Lee ),( Jung Oh Kim ),( Chan Kwon Jung ),( Yeoun Shil Kim ),( Ie Ryung Yoo ),( Eun Kyoung Jeon ),( Sook Hee Hong ),( Seung Jun Kim ),( Young Kyoon Kim ),( Jin Hyoung Kang ) 대한내과학회 2012 대한내과학회 추계학술발표논문집 Vol.2012 No.1
Young-Shil Lim(임영실),Moo-Sik Lee(이무식),Jee-Young Hong(홍지영),Hyun-Soo Kim(김현수),Eun-Young Kim(김은영) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.8
이 연구는 일개광역시 보건소 금연클리닉 서비스 이용자의 금연관련 요인을 찾고자 수행되었다. 연구 대상자는 2007 년 일개광역시 보건소 금연클리닉에 등록된 이용자 2,125명이었다. 빈도분석, 카이제곱검장, 다중로지스틱 회귀분석 등이 이 용되었다. 6개월 금연 성공률은 39.8%였다. 남성, 65세 이상에서 금연률이 높았다. 고혈압, 주 2회 이상 음주자, 규칙적인 운동 자, 10ppm 이상의 일산화탄소량 일수록 금연성공률이 유의하게 높았다. 다른 독립변수는 금연성공률과 통계학적으로 유의한 결과를 보이지 않았다. 로지스틱회귀분석 결과, 연령, 사용된 니코틴패치 수, 총 의뢰횟수 등이 금연성공과 유의한 기여요인 으로 도출되었다. 특히 총 의뢰횟수가 가장 높은 오즈비를 보였다. 규칙적인 의뢰가 보건소 금연클리닉 프로그램에서 금연성 공의 가장 효과적인 중재가 될 수 있음을 확인하였다. The aim of this study was to find the factors related to smoking-cessation among citizens receiving smoking-cessation clinics' services in a public health center in Daejeon metropolitan city. The study subjects were 2,125 participants registered in "smoking-cessation clinic", public health centers in 2007. Frequency analysis, chi-squared test and multiple logistic regression analysis were used to determine the relationships between the success rate of smoking-cessation and the characteristics. The success rate of smoking-cessation during 6 months was 39.8%. Males had a higher rate than females, and people over 65 years of age had a higher rate than those less than 40 years of age. High blood pressure, drinking of more 2 times per week, regular exercise, CO under 10ppm had significantly relationships with the smoking-cessation rate. The other independent variables had no statistically significance with the smoking-cessation success rate. Logistic regression analysis showed that age, number of nicotine patches used and total consultation times had significantly relationships with the smoking-cessation success rate. The total consultation times showed the highest odds ratio than the other significant factors. This study suggests that regular consultations will be the most effective intervention towards maintaining smoking cessation programs of smoking-cessation clinics in public health centers.
( Ah Reum Khang ),( Eun Ki Kim ),( Eun Shil Hong ),( Hyung Jin Choi ),( Chan Soo Shin ),( Kyong Soo Park ),( Seong Yeon Kim ) 대한내과학회 2011 대한내과학회 추계학술발표논문집 Vol.2011 No.1
Parathyroid cysts are very rare among the causes of primary hyperparathyroidism (PHPT). They are divided into functional and nonfunctional cysts. Operative removal is a treatment of choice for a functional cyst. 99mTc-Sestamibi parathyroid scan is a highly effective and sensitive diagnostic tool for localization of hyperparathyroidism, however it shows a false-negative result, occasionally. We found one case which was presumed to have cystic parathyroid adenoma based on clinical findings and neck computed tomography (CT) with negative finding in parathyroid scan. A male patient who was 44 years-old visited to hospital due to legs pain and it was occurred 5months ago and deteriorated gradually. In addition, he presented with the compressive symptoms such as dysphagia and hoarseness. Serum calcium level was 14.4 mg/dl, phosphorus 2.0 mg/dl, creatinine 0.99 mg/dl and intact parathyroid hormone (iPTH) was increased to 478.1 pg/ml. On neck CT, 6.2×3.8×2.7 cm sized cystic nodule was found in inferior part of right thyroid gland. Sestamibi uptake for the found nodule was not detected on 2 hour delayed imaging of 99mTc-Sestamibi parathyroid scan. Fine needle aspiration for diagnosis and localization was done and intracystic iPTH was increased to 61,600 pg/ml. The iPTH monitoring for focused parathyroidectomy led to successful enucleation of right inferior parathyroid. It was a parathyroid adenoma and serum calcium, phosphate and iPTH was normalized after operation. A cystic parathyroid adenoma can be hardly detected on 99mTc-Sestamibi parathyroid scan sometimes. The multidisciplinary approach which considered clinical findings, laboratory results, physical examination and other imagings (CT, Ultrasound, etc) is important for differential diagnosis of hyperparathyroidism. The iPTH monitoring helps the focused parathyroidectomy.
Associations between thyroid hormone levels and regional fat accumulation in euthyroid men
Moon, Min Kyong,Hong, Eun Shil,Lim, Jung Ah,Cho, Sun Wook,Soo, Lim,Choi, Sung Hee,Yi, Ka Hee,Park, Do Joon,Park, Young Joo,Jang, Hak Chul European Federation of Endocrine Societies 2013 European journal of endocrinology Vol.168 No.6
<P><B>Objective</B></P><P>Body adiposity, especially ectopic fat accumulation, has a range of metabolic and cardiovascular effects. This study aimed to investigate whether thyroid function is associated with various regional fat quantities in euthyroid subjects.</P><P><B>Methods</B></P><P>A total of 100 euthyroid men (free triiodothyronine (fT<SUB>3</SUB>), 4.77±1.21 pg/ml; free thyroxine (fT<SUB>4</SUB>), 1.38±0.21 ng/dl; and TSH, 2.09±0.91 μIU/ml) were enrolled in this cross-sectional study. We measured accumulated regional fat using 64-slice multi-detector computed tomography. Multiple linear regression analysis was used to determine whether accumulated fat in each region was associated with clinical parameters after adjusting for age.</P><P><B>Results</B></P><P>FT<SUB>3</SUB> was inversely correlated with BMI (<I>r</I>=−0.232, <I>P</I>=0.029) and LDL cholesterol level (<I>r</I>=−0.277, <I>P</I>=0.019). FT<SUB>4</SUB> was inversely correlated with waist circumference (<I>r</I>=−0.350, <I>P</I>=0.008) and BMI (<I>r</I>=−0.355, <I>P</I><0.001). In multiple linear regression analysis, fT<SUB>3</SUB> and fT<SUB>4</SUB> levels were significantly associated with pericardial fat volume (fT<SUB>3</SUB>: <I>B</I>=−0.079, 95% CI −0.142 to −0.017, <I>P</I>=0.013; fT<SUB>4</SUB>: <I>B</I>=−0.411, 95% CI −0.780 to −0.042, <I>P</I>=0.030) in euthyroid men, independent of age. FT<SUB>3</SUB> level was inversely associated with intramuscular fat area (<I>B</I>=−0.059, 95% CI −0.106 to −0.011, <I>P</I>=0.016) and hepatic fat quantity (<I>B</I>=−0.237, 95% CI −0.441 to −0.033, <I>P</I>=0.024) in euthyroid men, independent of age.</P><P><B>Conclusions</B></P><P>In euthyroid men, low levels of fT<SUB>3</SUB> and fT<SUB>4</SUB> were significantly associated with increased pericardial fat volume and BMI.</P>