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이혁,김영통,서광원,김서희,신형철,한건수,김일영,이혜경,Lee, Hyeok,Kim, Young-Tong,Seo, Kwang-Won,Kim, Seo-Hee,Shin, Hyeong-Cheol,Han, Kun-Soo,Kim, Il-Young,Lee, Hye-Kyung 대한영상의학회 1997 대한영상의학회지 Vol.37 No.6
Purpose:To analyse the ultrasonographic findings normal thymus in infants and determine the pathologic findings. Materials and Methods:Forty two infants without a history of chronic disease, tumor or steroid therapy were scanned in the axial planes with a 7.0 MHz sector transducer. Bilaterality, homogeneity, and the types, namely bilobate, quadragular or triangular. The intensities of thymic echogenicity were compared with those of the liver and spleen under the same conditions(time-gain compensation, depth and gain). Results:Bilaterality was seen in 36 cases, homogeneity in 35, homogeneity and bilaterality in 29, inhomogeneity and bilaterality in seven, and homogeneity and unilaterality in six. No case showedinhomogeneity and unilaterality. The shape was bilobate in 23 case, quadrangular in 13 and triangular in six, while the other border was convex in 29 cases and straight in 13. In no case wasechogenicity of the thymus greater than that of the liver or spleen. Transverse diameters were echogenicity of the thymus greater than that of the liver or spleen. Transverse diameters were 21-47mm(mean, 37.0mm;SD, 9.4mm) and depths were 10-37.5mm(mean, 25.8mm;SD, 5.9mm). Conclusion:The usual findings of normal thymus in infants are bilaterality and homogeneity, convex or shaight outer border, and echo intensity less than or equal to that of the liver and spleen. The possibility of thymic pathology is suggested when ultrasonography shows uniaterality, inhomogeneous echogeneity, and echogenicity greater than that of the liver and spleen.
우하복부 통증을 주소로 내원한 복막수염(Epiploic Appendagitis) 1예
강효철,남지형,전세윤,유경희,김영통,Kang, Hyo Cheol,Nam, Ji Hyung,Jeon, Se Yun,Yoo, Gyeong Hee,Kim, Young Tong 대한소아소화기영양학회 2006 Pediatric gastroenterology, hepatology & nutrition Vol.9 No.1
저자들은 우하복부 통증을 주소로 내원한 11세 남아에서 복부 초음파와 복부 컴퓨터 단층 촬영으로 복막수염을 진단하고, 대증 요법만으로 회복된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. An inflammation of an epiploic appendage is a relatively rare cause of acute abdominal pain. It can be clinically misdiagnosed as either acute appendicitis or diverticulitis. Judicious interpretation of imaging with ultrasound or computed tomography may lead to an early diagnosis and prevent unnecessary surgical or medical treatment. Conservative treatment of symptoms is usually sufficient. We have experienced a case of epiploic appendagitis treated by conservative management and report this case with the review of the literature.
토혈과 동반된 십이지장 이물 적출 시진단한 선천성 불완전 십이지장 격막 1례
염희현,권기범,박경배,박준수,박재옥,김영통,Yeom, Hee Hyun,Kwon, Ki Beom,Park, Kyung Bae,Park, Joon Soo,Park, Jae Ock,Kim, Young Tong 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.1
선천성 불완전 십이지장 격막은 매우 드문 질환이나 반복되는 구토나 성장 지연 등이 보일 경우 반드시 의심해 보아야 한다. 저자들은 갑작스런 사출성 구토와 토혈, 혈변으로 내원한 13개월 여아에서 단순복부 방사선 사진에서 발견된 십이지장 내 이물질(단추)을 위십이지장내시경으로 제거하며 진단한 불완전 십이지장 격막 1례를 경험하였다. We have experienced a case of incomplete congenital duodenal diaphragm with a foreign body (a button), which was found by endoscopy in a 13 month-old girl. She had symptoms of hematemesis, vomiting and bloody stool for a day probably due to foreign body impaction.
정보용 ( Bo Yong Jung ),김도환 ( Do Hwan Kim ),박은서 ( Eun Seo Park ),한승효 ( Seung Hoe Han ),김영통 ( Young Tong Kim ),오미혜 ( Mi Hye Oh ),이석열 ( Seok Yul Lee ),최재성 ( Jae Sung Choi ),나주옥 ( Joo Ock Na ),서기현 ( Ki Hyun 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.60 No.6
Both bronchial leiomyoma and pulmonary sequestration are rare conditions, and to the best of our knowledge there are no reports of the two conditions coexisting. We report a female patient with bronchial leiomyoma with acquired pulmonary sequestration who presented with dyspnea, cough and purulent sputum. The patient had been treated for pneumonia at a local medical clinic. but was transferred to our clinic beacausr there was no clinical improvement. A 3-D computed tomography scan revealed a 1.5㎝ sized mass near the distal portion of the left main bronchus and an anomalous artery arising from the aorta. The patient showed clinical improvement after a left lower lobectomy and a ligation of the anomalous artery. (Tuberc Respir Dis 2006; 60: 678-683)
스테로이드 치료로 호전을 보인 폐동맥 고혈압을 유발한 특발성 섬유화성 종격동염
정보용 ( Bo Yong Jung ),어성준 ( Sung Jun Eo ),박은서 ( Eun Seo Park ),김영통 ( Young Tong Kim ),최재성 ( Jae Sung Cho ),오미혜 ( Mi Hye Oh ),서기현 ( Gi Hyun Seo ),나주옥 ( Joo Ock Na ),이상도 ( Sang Do Lee ),어수택 ( Soo Taek Uh 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.1
Idiopathic fibrosing mediastinitis is, an uncommon cause of pulmonary hypertension this is characterized by excessive fibrosis of the mediastinum with an unknown etiology. Steroid therapy has been suggested for individuals with progressive symptoms, bu there is littlet data demonstrating the efficacy of such therapy are lacking. We present a case of pulmonary hypertension secondary to a compression of a main pulmonary artery by fibrosing mediastinitis which was confirmed by a biopsy with a thoracotomy. The chest CT scan and 2D echocardiography performed before and after a trial of steroid therapy demonstrated improvement after steroid therapy. (Tuberc Respir Dis 2006; 61: 74-79)
Paraquat 중독환자에서 Free Radical Scavenger 를 이용한 치료경험
홍세용(Sae Yong Hong),양동호(Dong Ho Yang),김영통(Young Tong Kim) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
The purpose of this paper is to report three cases of severe paraquat intoxication treated successfully with multiple antioxidants combination therapy of superoxide dismutase inhalation by nebulizer, intravenous administration of aminoacids, vitamin C and E. Three cases of the patients with paraquat intoxication were treated with Superoxide dismutase inhalation by nebulizer, packed RBC transfusion, intravenous injection of aminoacids, Vitamin C and Vitamin E. Case-1 was a 35 year old woman, swallowed 6 mouthfuls of 20% paraquat for the purpose of suicide. The plasma paraquat concentrations were 2133 ng/ml at 2 hours retrospectively, Case-2 was a 50 year old woman, swallowed two mouthful of 20ra paraquat. The plasma paraquat concentrations were 3522 ng/ml at 6 hours, 1358 ng/ml at 12 hours, 85 ng at 18 hours, and 8 ng/ml at 24 hours retrospectively. Case-3 was a 55 year old man who drank 2 mouthfuls of 20% paraquat. The plasma paraquat concentrations were 1172 ng/ml at 10 hours, 189 ng/ml at 16 hours, and 16 ng/ml at 22 hours retrospectively. All of the three cases were treated successfully and discharged without specific complication except exertional dyspnea in case. We found that the mortality of paraquat intoxication could he decreased by various efforts to improve free radical scavenger which are easily available in clinic. Further controlled study is necessary to prove it.
박준수(Joon Soo Park),편복양(Bok Yang Pyun),김영통(Young Tong Kim) 대한소아알레르기호흡기학회 1997 소아알레르기 및 호흡기학회지 Vol.7 No.2
Asthma is a common disease in children. However, CT findings in childhood asthma are rarely reported. Several authors reported CT findings in adult: bronchial wall thickening, bronchiectasis, mucoid impaction, acinar pattern, lobar or subsegmental collapse, air-trapping, or emphysema. We have studied three cases of HRCT findings in childhood asthma, and HRCT findings included bronchial wall thickening, bronchial dilatation, patchy air-space consolidation, ill-defined acinar nodules, centrilobular nodule, subsegmental atelectasis, and multiple focal areas of lobular air-trapping or mosaic perfusion pattern. These above findings are similar to those of adult. A Brief review of related literature was presented.
한국인에서 Ataxia Telangiectasia 유전자의 다형성에 대한 연구
김영통,정동준,이정은,이용진,김창진 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3
Ataxia-telangiectasis(AT) is an autosomal recessive disorder characterized by berebellar ataxia, oulocutaneous telangiectaisa, immune defects, and a predisposition to malignancy. The gene for AT, deginated ATM(ataxia telangiectasia mutated), located on chromosome 11q22-q23, contains 66 exons spanning approximately 150 kb of genomic DNA and encodes a protein of 3056 amino acids. It is sell established that patiens with At have a strong predispositon to malignancy, particularly leukemias and lymphomas. An increase predisposition to malignancy has also been suggested to involve heterozygotes for ATM gene mutations. The genetic bases of carcinogenesis for various cancers in Korea have not been studies in detail and the study on the heterozygosity of AT in Korean population would be necessory. In this study, 150 healthy Koreans were studies for the polymorphism at AT using PCR of exon 39 of AT gene. The result was that 110 persons (73%) were heterozygote for wild and polymorphic type(A1/A2), and 40(27%) revealed homozygous polymorphic type A2/A2. The wild type homozygous tyep A1/A1 was not noted in Korean. Above results suggests that heterozygosity of AT is not infrequent in Koreans, and further studies on the carcinogenetic effects of AT in various cancers in Korea would be necessory.
김영통,전우기,한창열,김호균,서현숙 인제대학교 1995 仁濟醫學 Vol.16 No.1
42예의 방광암의 CT소견과 수술소견을 후향적으로 비교분석하여 다음과 같은 결론을 얻었다. 환자의 성별은 남자가 31명, 여자가 11명이었고, 연령은 39∼85세(평균연령:63세)였으며, 40대에서 60대사이에 가장 많았다. 조직학적으로 전이성세포암이 40례, 편평세포암이 1례, 그리고 선암이 1례였다. CT의 방광암 병기 결정의 전체 정확도는 총 42례중 32례에서 병리소견과 일치하여 76%였으며, 과병기는 8례로 19%였고 저병기는 2례로 5%였다 CT병기 B2혹은 그 이하였던 19례에서 95%(18/19)가 정확했고 나머지 1례(5%)는 저병기였다. CT 병기 C는 36%(4/11)의 정확도와 55%(6/11)에서 과병기 그리고 나머지 1례는 저병기를 보였다. CT 병기 D는 83%(10/12)의 정확도와 나머지는 2례는 과병기였다. Staging of carcinoma of the urinary bladder is important for the choice of therapy and also has prognostic implications. Computed tomography (CT) is a very convenient and noninvasive method in the staging of bladder carcinoma as CT glees an accurate information of extension of tumor outside the bladder into the neighboring structures and pelvic side walls. CT is also a very useful method in determination of lymph node status or distant metastases. We performed the comparative study between CT staging and pathologic staging in 42 cases of bladder cancer. Overall accuracy of CT staging of bladder carcinoma was 76%, overstaging by CT was 19% and understaging was 5%.
조원수,김영통,김영화,김일영,이문호 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.1
Purpose: To evaluate clinical outcome after documentation of pancreatic pseudocyst by computed tomography (CT). Methods: The clinical course of 18 patients with pancreatic pseudocysts documented by computed tomography (CT) were retrospectively reviewed. History, physical examination, laboratory findings and CT finding were analyzed between operated and non -operated group of pancreatic pseudocysts. Result: There are 20 pancreatic pseudocysts in 18 patients with 16 males and two females (mean age: 45). There is no significant difference between operated and non- operated group in clinical symptoms and laboratory findings. On CT study, there are six cases of intrapancreatic pseudocysts and four cases of extrapancreatic pseudocysts in operated group. The mean diameter of pancreatic pseudocyst is 10.4 cm. In 10 pseudocysts of non-operated group, there are four case of intrapancreatic pseudocysts and six cases of extrapancreatic pseudocysts. The mean diameter of pancreatic pseudocyst is 5.4cm. There are approximately twice in diameter of the pseudocysts between operated and non-operated group (p < 0.05). Conclusion: CT is useful in the guiding of pancreatic pseudocyst management.