http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
유효경 ( Hyo Kyeong Yu ),김태균 ( Tae Kyun Kim ),장이선 ( Yi Sun Jang ),김혜수 ( Hye Soo Kim ),이종민 ( Jong Min Lee ),김군순 ( Koon Soon Kim ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
22세 여자 환자가 흉부 X-ray 상에서 우연히 발견된 종격동 확대로 내원하여 항갑상선글로불린항체 양성, 갑상선자극호르몬 결합억제 면역글로불린항체 음성인 그레이브스병에 동반된 흉선 증식증으로 진단을 받았고, 장기간의 항갑상선제 투여로 흉선증식증의 관해와 갑상선기능항진증의 정상화를 유도한 사례를 보고하는 바이다. Graves` disease is an autoimmune thyroid condition characterized by the production of auto-antibody against the TSH receptor of thyroid gland. The antibody mimics the effect of the thyroid stimulating hormone on thyroid cells, which stimulates autonomous production of thyroxine and triiodothyronine. It has been hypothesized that cross-reactivity of auto-antibody may result in thymic hyperplasia. However, TBII negative Graves` disease combined with thymic hyperplasia has not previously been reported. A 22-year-old woman incidentally detected anterior mediastinal mass was hospitalized for evaluation. She was diagnosed with TBII negative Graves` disease and thymic hyperplasia through CT guided biopsy. After anti-thyroid drug treatment, we restored both hyperthyroidism and thymic hyperplasia.
Kim, Jin-Suk,Cha, Eun Jung The Korea Society of Nuclear Medicine 2016 핵의학 분자영상 Vol.50 No.2
Multilocular thymic cysts are rare and acquired lesions induced by an inflammatory arising within the thymus. We report a rare case of multilocular thymic cyst with follicular lymphoid hyperplasia in a 59-year-old female. Chest CT and MRI revealed a large multilocular cystic mass, which contains thick septa and nodules in the thymus. F-18 FDG PET/CT showed almost no FDG uptake of the multilocular cystic mass but moderate FDG uptake of the solid nodules. Extended total thymectomy was performed. Histopathological findings revealed follicular lymphoid hyperplasia of thymic tissue but no neoplastic lesion. Based on these findings, diagnosis of multilocular thymic cyst with follicular lymphoid hyperplasia was made. This is a rare case that preoperatively was difficult to diagnose.
임동현,권수경,강상중,김진구,최영식,박요한,김광수,장희경 고신대학교(의대) 고신대학교 의과대학 학술지 2000 고신대학교 의과대학 학술지 Vol.15 No.1
Myasthenia gravis is considered as a systemic autoimmune disorder of acetylcholine receptor and often presented with other autoimmune diseases such as autoimmune thyroid disease, systemic lupus erythematosus, and Rheumatoid arthritis. Graves' disease occurs in 3 to 6 percent of patients association with myasthenia gravis. However, Graves' disease associated with recurrent myasthenia gravis is rare. Recently we experienced a case of Graves' disease associated with recurrent myasthenia gravis. A 25-year-old woman presenting with palpitation, tremor, ptosis and diplopia visited our hospital. Thirteen years ago, she diagnosed myasthenia gravis and treated for 3 months. Chest CT shows enlarged thymus. We performed thymectomy. Histologic examination showed thymic lymphoid hyperplasia. The thyroid function of patient became euthyroid and the clinical symptom related myasthenia gravis improved after the medication of anticholinesterase and propylthiouracil. We reported this case with a brief review of literature.
임동현,권수경,강상중,김진구,최영식,박요한,김광수,장희경 고신대학교 의학부 2000 高神大學校 醫學部 論文集 Vol.15 No.1
최근 저자들은 흉선증식증을 가진 재발현 중증근무력증 환자에서 동봔된 그레이브스병 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Myasthenia gravis is considered as a systemic autoimmune disorder of acetylcholine receptor and often resented with other autoimmune disease such as autoimmune thyroid disease, systemic lupus erythematosus, and Rheumatoid arthritis. Graves' disease occurs in 3 to 6 percent of patients association with myasthenia gravis. However, Graves' disease associated with recurrent myasthenia gravis is rare. Recently we experienced a case of Graves' disease associated with recurrent myasthenia gravis. A 25-year-old woman presenting with palpitation, tremor, ptosis, and diplopia visited our hospital. Thirteen years ago, she diagnosed myasthenia gravis and treated for 3 months. Chest CT shows enlarged thymus. We performed thymectomy. Histologic examination showed thymic lymphoid hyperplasia. The thyroid function of patient became euthyroid and the clinical symptom related myasthenia gravis improved after the medication of anticholinesterase and propylthiouracil. We reported this case with a brief review of literature.
박재홍(Jae Hong Park),김도형(Do Hyeong Kim),박강수(Kang Soo Park),정의태(Eui Tae Jeong),김영호(Young Ho Kim),고경수(Kyung Soo Ko),이병두(Byoung Doo Rhee),박재현(Jae Hyeon Park),곽영태(Young Tae Kwak),조혜제(Hye Jae Cho) 대한내과학회 1996 대한내과학회지 Vol.50 No.2
Graves' disease occurs in about 3 to 6% of patients with myasthenia gravis, and approximately l% of patients with Graves' disease develop myasthenia gravis, These associations are of interest in view of the frequent association of thymic enlargement with Graves' disease. Further, antibodies against specific receptors, i.e., the TSH receptor and the acetylcholine receptor, are involved in the pathogenesis of the two diseases. We experienced a 20-year-old man who presented with Graves' disease(primary hyperthyroidism with diffuse goiter and antithyroid autoantibodies) and isolated ocular myasthenia gravis. Chest CT revealed homogenously enhanced enlarged thymus. Following restoration of euthyroidism with propylthiouracil, ocular myasthenic symptom persisted. We performed near total thyroidectomy and thymectomy. Histologic examination showed thyroid and thymic hyperplasia. The patient is followed up with anticholinesterase medication after operation. The effects of both thyrotoxicosis and its alleviation on the course of myasthenia gravis is variable, but in the majority of instances, myasthenia is accentuated during the thyrotoxic state and improves when a eumetabolic state is restored, Recently, we experienced a case of concomitant Graves disease and myasthenia gravis, so we reported the case with literature review.
악성림프종 환자에서 고용량화학요법 후 발생한 흉선과형성
조석구,송선화,김학희,지정선,박종원,김훈교,김춘추,이경식 대한내과학회 2002 대한내과학회지 Vol.62 No.3
Thymic hyperplasia results from thymic regrowth after atrophy during a stressful period. Differentiation from recurrent or residual neoplasm may be an important consideration. Thymic hyperplasia is most problematic when it is observed in patients with malignant lymphoma. We report a case of thymic hyperplasia in which thymic enlargement is developed in a malignant lymphoma patient with high-dose chemotherapy and autologous peripheral blood stem cell transplantation and this condition is confirmed by the findings of serial chest computed tomography without chemotherpy.(Korean J Med 62:293-296, 2002) 결론적으로, 종양 환자에서 흉선과형성이 의심될 경우에는 화학요법 후 발생할 수 있는 정상적인 반응으로서 인식하고 원질환의 재발 병소 혹은 잔여 병소와의 감별을 위하여 서둘러 침습적인 진단 방법 혹은 항암치료를 시행하기 보다는 전산화단층촬영을 주기적으로 시행하면서 경과를 관찰하는 것이 합리적이다. 저자들은 악성림프종 환자에서 고용량화학요법과 말초혈액조혈모세포 이식 후 관해 상태에서 인터페론 알파를 투여하던 중 발생한 흉선과형성을 특별한 치료없이 흉부 전산화단층검사 소견으로 추적 관찰함으로써 종양의 재발과 감별할 수 있었던 1예를 보고하고자 한다.
주종은,석동수 인제대학교 1989 仁濟醫學 Vol.10 No.2
최근 8년간 부산백병원에서 흉선절제술에 의해 절제된 31예의 흉선에서 조직학적인 진단과 임상적 증세와의 관련성에 대하여 검토하였다. The study was done on 31 cases of thymus which were resected due to mediastinal mass and or myasthenia gravis, from june 1979 to june 1987 in Pusan Paik Hospital. The results were summarized as following. 1) There were 9 cases of thymoma, 17 cases of follicular hyperplasia, 1 case of thymic cost and 4 cases of normal histology. 2) There were 8 males and 23 females. Four out of 9 cases of thymoma were male of above 40 years of age, and 14 out of 17 cases of thymic hyperplasia were female of under 50 years of age. 3) Myasthenia gravis was observed in 5 out of 9 cases of thymoma and in all cases of thymic hyperplasia and normal thymus. 4) There were moderate varieties of size and shape of lymph follicles in the thymus of follicular hyperplasia accompanying mild and focal infiltration of plasma cells and eosinophils. 5) There was a focal infiltration to the adjacent tissue observed grossly in 5 out of 9 cases of thymoma. But there was no histologically malignant cells observed. 6) There were 2 positive cases of 9 thymoma stained with EMA by PAP method which indicated epithelial nature of the thymoma.
김유진,김우선,천정은,임윤정,김인원,연경모,정경천,변선주 대한영상의학회 2011 Korean Journal of Radiology Vol.12 No.3
We report a case of thymic hyperplasia accompanied by pericardial lipomatosis and right facial hemihypertrophy in an 8-year-old boy. On imaging studies, the hyperplastic thymus had prominent curvilinear and nodular fatty areas simulating a fat-containing anterior mediastinal mass, which is an unusual finding in children. To our knowledge, this is the first report on a child with a combination of thymic hyperplasia, pericardial lipomatosis, and right facial hemihypertrophy. The radiologic findings are presented with a brief discussion.
문두섭 ( Doo Seop Moon ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),전재범 ( Jae Bun Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),최웅환 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Possible association between systemic lupus erythematosus and disorders of thymus has been shown in several reposrts. But the association is clearly not common as judged by fewer than 20 case reports in the world literature. One case of systemic lupus erythematosus in a patient with thymic hyperplasia is described. The woman had been suffered from purpura, dry mouth and dry eyes and complained of chest discomfort. In this case, thymectomy did not modify the course of systemic oupus erythematosus. Systemic lupus erythematosus with thymic disorder is very rare so we report this case with a review of literatures.