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고등급 표면(High Grade Surface) 골육종 - 증례 보고 -
이봉진,이성락,유태열,엄기성,하창원,Lee, Bong-Jin,Lee, Sung-Rak,Yoo, Tae-Yeul,Eom, Ki-Seong,Ha, Chang-Won The Korean Musculoskeletal Tumor Society 2002 대한골관절종양학회지 Vol.8 No.1
High grade surface osteosarcoma is the most rare subtype of osteosarcoma arising on the surface of bone, accounting for less than 1% of the total number of osteosarcomas. Only a few case reports and studies have been reported in the world. In Korea, only one case out of 127 osteosarcomas has been described up to now, but there was no information about the patient, clinicopathologic features and treatment. We experienced a case of high grade surface osteosarcoma in the subtrochanteric area of a 66-year-old female and treated her with neoadjuvant chemotheraphy, wide resection and limb salvage operation with tumor prosthesis and adjuvant chemotheraphy. This tumor is identical to conventional high grade intramedullary osteosarcoma in histology, treatment and prognosis. So, this tumor should be differentiated from other surface osteosarcomas such as parosteal osteosarcoma and periosteal osteosarcoma. 고등급 표면(high grade surface) 골육종은 골의 표면에서 발생하는 골육종의 희귀한 아형으로, 발생빈도는 전체 골육종의 1%에 못 미친다고 한다. 몇 편의 증례 보고와 연구 논문에서 이 고등급 표면 골육종을 소개하였는데, 국내의 경우 127예의 골육종 중 1예가 고등급 표면 골육종이었음을 기술한 논문이 있으나, 환자 및 진단과 치료에 대한 정보가 포함되어 있지 않았다. 저자들은 66세 여자 환자의 대퇴골 전자하부에서 발생한 고등급 표면 골육종 1예를 진단하고, 수술 전 항암 화학 요법, 광범위 절제술과 사지 구제술 및 수술 후 항암 화학 요법을 시행하였다. 이 종양은 위치만 골 표면에서 발생할 뿐 조직학적으로 전형적인 골수강내 골육종과 같으며, 다른 표면 골육종과는 달리 치료나 예후에 있어 전형적인 골수강 내 골육종과 같기 때문에, 진단과 치료에 있어 방골성 골육종이나 골막성 골육종 등의 표면 골육종과 구별하여야 할 것으로 생각한다.
장의찬,유태열 대한골절학회 2000 대한골절학회지 Vol.13 No.3
Introduction: The purpose of this study was to investigate the characteristics and types of accident caused to pediatric fracture and to concern the prevention of children' s accident. Material and Method: In retrospective study, the pediatric patients, who were visited to our emergency room due to fracture, were classified by age, fracture site, placement of accident, injury mechanism, time and side of injured site which is right or left. Result: Total 441 patients were visited due to fracture from Jan. 1994 to Dec. 1998, frequent fracture site associated to each age group was the elbow joint in 0-4 years and in 5-9 years, and the wrist joint in 10-14 years(P$lt;0.05), and the most frequent accident place was home in 0-4 years, street in 5-9 years and in 10-14 years, and the most frequent mechanism of injury was a fall from height in 0-4 years and slip down in 5-9 years and 10-14 years(P$lt;0.05), and the most frequent time occurring the accident was 7-9 PM in 0-4 years, 4-6 PM in 5-9 years and in 10-14 years. Conclusion In children aged 0-4 years, the accident occurred most frequently during 7-9 PM when child were staying home through fall from height and the common fracture site was elbow joint, and in children aged 5-9 years, the accident occurred most frequently during 4-6 PM through slip down and the common fracture site was elbow joint, and in children aged 10-14 years, the accident occurred most frequently during 4-6 PM through slip down and the common fracture site was wrist joint.
성숙 백서의 골절 치유에 있오 비스테로이드성 항염증약물의 영향
강수용,이은우,강기서,김진수,유태열,김미경 중앙대학교 의과대학 의과학연구소 1998 中央醫大誌 Vol.23 No.3
This study was performed to evaluate the effects of nonsteroidal anti-inflammatory drugs(NSAIDs) on fracture healing in rats. The closed tibial fractures were induced via three-point bending technique. An NSAID, piroxicam(0.6mg/kg/day) was administered intramuscularly for 3 weeks. Control animals were received no medication. In each group, a minimum of five animals were killed at the following intervals: 3, 5, 7, 14, and 21 days postfracture. The fracture healing was determined by an immunohistochemical evaluation. The immunohistochemical evaluation was performed on serial longitudinal sections stained with proliferating cell nuclear antigen using percentage of stained cells. Significant difference was noticeable between two groups at 3 days. This data suggest that piroxicam has a possible inhibitory effect on initial fracture repair. So we should take care for prescribing NSAIDs for fracture patients.
가토 요골 간부 골 결손 부에 혈관 부착 생골막 수술후 신생골 형성에 관한 연구 : 방사선학적, 조직학적 및 면역조직화학적 소견
김미경,염재광,최호림,정영복,한정남,유태열 대한골절학회 1999 대한골절학회지 Vol.12 No.4
Vascularized periosteal flap(VPF) is thought to enable formation of new bone and promote union in bone defect without risk of complications in donor site. Studies about the VPF thus far have been centered on the long term result than early change after VPF. The purpose of this study was to elucidate the process of new bone formation in early stage after VPF by radiological, histological, electron microscopical and immunohistochemical studies. In experimental group, segmental resection of bone including the periosteum was performed in fifty-six radii of immature New Zealand white rabbits preserving the periosteal circulation from median artery which is the main source of blood supply to the periosteum. In order to simulate the transplantation of VPF, the vascular pedicle of median artery and veins was dissected from adjacent soft tissue and the periosteum was longitudinally incised to remove the bone tissue in the periosteum. Thereafter the vascularized periosteum was repaired. From the first to fourteenth day after the simulated VPF, the finding in the VPFs were observed by radiological, light microscopical, scanning electron microscopical methods and activity of osteocalcin was measured by immunohistochemical method. In control group, the bone tissue and periosteum were completely removed from the mid-shaft of seven radii, thereafter the radiological findings were observed at 1, 2, 3, 4, 8, 12, 16th week and light microscopical findings were observed at 8, 16th week after operation. From the results of this study, it is concluded that VPF is vigorously and uniformly osteogenic in its early stage. It is thougt that this study could serve as a basic data for the future experimintal studies about VPF in animals and clinical application.