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      • 右側 胸廓을 侵犯한 Leiomyosarcoma의 1例

        하해구,김기정 최신의학사 1972 最新醫學 Vol.15 No.9

        A 33-year-old Korean male patient with leiomyosarcoma involving the right lateral thoracic wall was reported. Leiomyosarcoma in thoracic wall is extremely rare. This patient's chief complaints were dull pain with slowly growing bulging mass in right lateral thoracic wall for about 2 months duration. Physical examination on admission showed moderately developed and nourished man with a large hard bulging mass (about 1OX15cm in diameter) with severe tenderness around the right subaxillary region. Coughing and deep respiration made severe chest pain. Chest X-ray (P-A and lateral view) showed large diffuse soft tissue mass densities were occupying the entire right lateral thoracic wall and also involving the pleura with destructive bony missing of lateral parts of right 4th, 5th and 6th ribs. All biochemical findings were nonspecific except elevated erythrocyte sedimentation rate (127 nimHr) Biopsy with histopathology revealed malignant mesenchymal tumor of smooth muscle cell origin (Leiomyosarcoma). Surgical treatment was not indicated, and palliative radiotherapy was recommended.

      • KCI등재

        Carotid Body Tumor (Chemodectoma)의 1예

        하해구 대한영상의학회 1975 대한영상의학회지 Vol.11 No.1

        A case of the carotid body tumor is reported. The patient is a 29 year old Korean women whose chief complaint on admission is about a hen egg sized mass in right lateral portion of the neck just below the mandible angle that is well defined, smooth surfaced, movable and slowly growing for last 5 years. Right carotid arteriography reveals typical well defined tumor staining around the bifurcation area with widening and encircling of the angle between internal and external carotid arteries. (Fig. 2,3 and 4) Other laboratory study and physical examinations are non-specific. The patient rejected surgical operation and discharged after 1 week admission.

      • KCI등재

        태액선촬영(100례)에 관한 방사선학적 연구

        하해구 대한영상의학회 1977 대한영상의학회지 Vol.13 No.2

        The materials are 50 sialographies in 50 patients of the National Medical Center for last 5 years (1968-1973) and 50 normal parotid sialographies in 26 patients of 57 Evacuation (army) Hospital for last several months (1974.5 -1974.10) in Korea. Total is 100 sialographies in 76 patients. The patients in army hospital were selected at random for normal study, but the patients with past or present disease history on salivary glands were excluded. The method is hydrostatic (70-100cm H2O) or manual with catheterization (1.60 polyethylene catheter) and 60% urografin 1-3ml as contrast. The target-film and skin-film distances are 70cm and 3cm. 84% (42 cases) of 50 N. M. C. cases were positive findings radiographically. The contents of these are 17 chronic non-specfic inflammations (parotid 9, submax. 8), 17 neoplasms (parotid 15, submax. 2), and 8 stones (submax. 5, suling. 3). Mixed tumors (8 cases) are highest incndence in neoplasms (17 cases), (table 3, 4, 5). The measurements of he 50 normal parotid sialographies in 26 patients of the 57 Evacuation (army) Hospital revealed main duct diameter(a) 1.06$\pm$0.11 (standard deviation) mm, duct length (1) 5.64$\pm$0.61cm, lateral displacement of the duct(d) from mandible ramus in straight P-A view 1.27$\pm$0.32cm, number of first branches of the main duct(br.) 7.6$\pm$1.9br., and gland dimensions of anteroposterior(w) 4.94$\pm$0.99cm, superoinferior(h) 4.75$\pm$0.72cm, medialolateral(w') 3.30$\pm$0.79cm. (table 6). Parenchymal lesions were better picture with distention slalographies and ducts lesions were better pictures with hydrostatic sialographies. During or after the examinations non-significant complications were noted.

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        색소 혐성선종 1례 보고

        하해구 대한영상의학회 1972 대한영상의학회지 Vol.8 No.2

        This is a report of 24-year-old male with chromophobic pituitary adenoma which was confirmed histopathologically in autopsy. The chromophobic pituitary adenoma is the most common type of pituitary tumor, and elaborates no specific hormone. The effects are simply caused by pressure of the expanding growth. Careful history taking, physical examination, radiological examination and histopathological study revealed typical chromophobic pituitary abenoma.

      • 大腸과 直腸을 침범한 2例의 放線菌症

        하해구 한양대학교 의과대학 1983 한양의대 학술지 Vol.3 No.1

        Two cases of actinomycosis involving the rectosigmoid area are presented with previous research papers. Judging by the very few cases reported in medical literature, actinomycosis of the colon ie rare. The fact that a correct diagnosis was not made preoperatively or during life, in many of the cases reported, justifies special consideration. The first case, 42year old a housewife, has the colon study with barium enema, that reveals neoplasm-like picture, and correct differential diagnosis between inflammatory process and tumor is impossible, even in operative findings. The second case is also 37 year old female. She had 3 times abortion history. The cases had lower abdominal pain, mild tender-ness, and pa;pable mass. The barium study of the second case revealed rather long segmental narrowing with irregular spasms along the rectosigmoid area (fig. 2), that suggests inflammatory process rather than neoplasm. But endoscopy revealed mass in all cases. Two cases have ovary, ovarian ducts involvements by actinimycosis in one side. The mucosa of resected colo-rectum were rather intact. Markedly widened retro-rectal space was noted in two cases in barium study. The actinomyces is fortunately sensitive to penicillin. Two cases became well-being after colostomy repair and with penicillin.

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