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      • SCOPUSKCI등재

        공간점유간병소 및 췌병소에 대한 초음파 유도하 세침흡입 세포진에 관한 연구

        양웅석(Ung Suk Yang),조중현(Joong Hyeon Cho),김영훈(Young Hoon Kim),강영진(Young Jin Kang),이강희(kang Hee Lee),허윤(Yun Huh),문한규(Han Kiu Moon),유방현(Bang Hyeon Liu) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

        N/A Liver biopsy by Menghini technique has a relatively low sensitivity and high risk in diagnosing space occupying lesions of the liver. Moreover, any biopsy method except exploratory laparotomy has not been useful in pancreatic lesions. Recently ultrasonically guided percutaneous fine needle aspiration cytodiagnosis is widely used in evaluating space occupying lesions of the liver and deep-seated organ, such as pancrea, because of its high sensitivity, safety and simplicity. Ultrasonically guided percutaneous fine needle aspiration cytodiagnosis was carried out to evaluating its diagnostic performance in 20 patients with space occupying lesions of the liver and in 3 patients with pancreatic lesions who were admitted to the Pusan National University Hospital from Oct. 1985 to Jan. 1986. The results were as follows: 1) Clinically diagnosis before ultrasonically guided percutaneous fine needle aspiration cytodiagnosis were primary hepatoma in 16 patients, liver abscess in 2 patients, hepatic cyst in 2 pateints, pancreatic cancer in 2 patients. 2) The cytodiagnosis in space occupying lesions of liver were as follows: The 14 patients of the 16 patients with clinically primary hepatoma were positive. All of the 2 patients with suspected liver abscess were confirmed. And all of the 2 patients with suspected heaptic cyst were same as clinical diagnosis. 3) The cytodiagnosis of the pancreatic lesions were as follows: Of the two patients with suspected pancreatic cancer one was positive and the negative patient were confirmed pancreatic cancer by the exploratory laparotomy. One patient with clinically pancreatic cyst was revealed as pancreatic cyst by the cytodiagnosis. 4) There was no complication in performing ultrasonically guided percutaneous fine needle aspiration cytodiagnosis.

      • SCOPUSKCI등재

        총수담관 결석에 동반된 담즙종

        김무영(Moo Young Kim),최성호(Seong Ho Choi),김영수(Young Soo Kim),이수걸(Soo Keol Lee),송근암(Geun Am Song),조몽(Mong Cho),양웅석(Ung Suk Yang),문한규(Han Kiu Moon) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1

        Biloma, a newly described entity, was first introduced in 1979 by Gould and Patel to de- scribe extrahepatic loculated collection of bile due to traumatic bile duct rupture. Subsequently, the definition was expanded to include intrahepatic bile collections located outside the bile ducts. Bilomas are caused by iatrogenic, traumatic, or spontaneous rupture of biliary tree. Prior reports have documented an association of biloma with abdominal trauma and abdominal surgery, but spontaneous bile leakage associated with other primary causes has been reported rarely. A 67-year old man was admitted to Pusan National University Hospital with complaint of fever, chills, vague epigastric discomforts and yellowish discoloration of the sclerae. Huge cystic mass was detected by ultrasonography and CT scan and choledocholi- thiasis was detected by ERCP. Biloma was confirmed by sonographic guided percutaneous needle aspiration and drained successfully with pig tail catheter(8.5 French). W e present a case of bilorna associated with choledocholithiasis with review of the literatures. (Korean J Gastroenterol 1994; 26: 206 209)

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