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강신광,김시욱,원태희,구관우,박상순,유재현,나명훈,임승평,이영,Kang, Shin-Kwang,Kim, Si-wook,Won, Tae-Hee,Ku, Kwan-Woo,Park, Sang-Soon,Yu, Jae-Hyun,Na, Myung-Hoon,Lim, Seung-Pyung,Lee, Young 대한흉부심장혈관외과학회 2001 Journal of Chest Surgery (J Chest Surg) Vol.34 No.12
폐동정맥루는 비교적 흔하지 않은 질환이다. 뇌농양은 폐동정맥루의 드물고, 가장 심각한 합병증이며, 폐동정맥루는 신경학적 증상으로 처음 발현되는 수도 있다. 저자들은 뇌농양으로 발견된 폐동정맥루를 치험하였기에 보고하는 바이다. Pulmonary arteriovenous malformations(PAVM) are uncommon diseases. Brain abscesse could be a rare and devastating comlplication of PAVM. Central nervous complaints may be the first manifestations of PAVM. We report a case of PAVM presented by brain abscess which was treated by craniotomy.
좌심실 보조장치를 이용한 전격성 심근염의 치료 - 1례 보고 -
강신광,박상순,나명훈,유재현,임승평,이영,성인환,Kang, Shin-Kwang,Park, Sang-Soon,Na, Myung-Hoon,Yu, Jae-Hyeon,Lim, Seung-Pyung,Lee, Young,Seong, In-Whan 대한흉부심장혈관외과학회 2001 Journal of Chest Surgery (J Chest Surg) Vol.34 No.6
17세 여자 고등학교 학생이 전흉부 동통을 주소로 입원하였다. 약물 치료와 대동맥내 풍선 펌프에도 불구하고 폐부종과 순환 허탈이 악화되었다. 급성 전격성 심근염 추정 진단 하에 좌심실 보조장치를 설치하였다. 유입구 도관은 유방하 좌전개흉술로 좌심이를 통하여 좌심방에 삽입하였고, 좌심이의 일부를 조직검사를 위해 떼어냈다. 유출구 도관은 좌측 대퇴 동맥에 PTFE도관을 간치시켜 삽입하였다. 체외순환 158시간 후 심초음파에서 좌심실의 운동성이 거의 정상으로 회복되었고, 좌심실 보조장치를 성공적으로 이탈할 수 있었다. 면역화학 검사와 중화 항체 검사에서 콕사키바이러스가 확인되었다. 환자는 입원 23일 째 아무런 심부전 증상없이 퇴원하였다. A 17 year-old high school girl was admitted for anterior chest pain. Pulmonary edema and circulatory collapse progressed in spite of the medical treatment and intra-aortic balloon pump. Left ventricular assist device(LVAD, Bio-Pump, Medtronic Bio-Med, USA) was instituted under the impression of acute fulminant myocarditis. The inlet cannula was inserted in the left atrium(LA) via left submammary anterior thoracotomy. Biopsy was taken from left atrial appendage. The outlet cannula inserted to the left femoral artery using PTFE cuff. After 158 hours of extracorporeal circulation, LVAD was able to be weaned successfully with nearly normalized LV motion on echocardiogram, Coxsakievirus was identified with immunochemistry and serum neutralization test. She was discharged without any heart failure symptoms after 23 days of hopitalization.
Steinmann 씨 고정편의 흉강내 이동 - 1례 보고 -
박상순,강신광,구관우,나명훈,유재현,임승평,이영,Park, Sang-Soon,Kang, Shin-Kwang,Ku, Kwan-Woo,Na, Myung-Hoon,Yu, Jae-Hyen,Lim, Seung-Pyung,Lee, Young 대한흉부심장혈관외과학회 2001 Journal of Chest Surgery (J Chest Surg) Vol.34 No.6
충남대학교 의과 대학 흉부외과학 교실에서 상박 외과경 골절 고정에 이용한 Steinmann씨 핀이 흉강내로 이동한 환자 1예를 치험 하였다. 핀 하나는 흉벽에 약간의 유착을 형성하여,흉벽에 위치했고 하나는 흉곽출구에서 흉강 내로 관통하고 있었다. 우측방 개흉으로 어려움 없이 제거하고 환자는 수술 10일에 경쾌 퇴원하였다. Migration of Steinmann pins into the thoracic cavity is uncommon, but when occurs it can bring devasting consequences. A Sixty-year-old woman had pinning of the right humerus surgical neck fracture. She was not followed up after discharge Two years later, a chest x-ray film and chest CT showed that the pin had migrated to the right hemithorax. The migrated pins were removed with right anterolateral thoracotomy incision without any difficulties.
이혜경,김성남,강신광,강창석,윤혜경,Lee, Hye-Kyung,Kim, Sung-Nam,Khang, Shin-Kwang,Kang, Chang-Suk,Yoon, Hye-Kyoung 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2
In Korea, the quality control(QC) program forcytopathology was introduced in 1995. The program consists of a checklist for the cytolopathology departments, analysis data on all the participating institutions' QC data, including the annual data on cytologic examinations, the distribution of the gynecological cytologic diagnoses, as based on The Bethesda System 2001, and the data on cytologic-histolgical correlation of the gynecological field, and an evaluation for diagnostic accuracy. The diagnostic accuracy program has been performed 3 times per year with using gynecological, body fluid and fine needle aspiration cytologic slides. We report here on the institutional QC data and the evaluation for diagnostic accuracy since 2004, and also on the new strategy for quality control and assurance in the cytologic field. The diagnostic accuracy results of both the participating institutions and the QC committee were as follows; Category 0 and A: about 94%, Category B: 4-5%, Category C: less than 2%. As a whole, the cytologic daignostic accuracy is relatively satisfactory. In 2008, on site evaluation for pathology and cytology laboratories, as based on the "Quality Assurance Program for Pathology Services" is now going on, and a new method using virtual slides or image files for determining the diagnostic accuracy will be performed in November 2008.
증례 : 혈액종양 ; 간 전이를 동반한 VIPoma에서 간동맥 색전술을 이용한 현저한 증상 호전
최윤숙 ( Yun Suk Choi ),고기영 ( Gi Young Ko ),류민희 ( Min Hee Ryu ),강신광 ( Shin Kwang Khang ),김정은 ( Jeong Eun Kim ),송준선 ( Joon Seon Song ),강윤구 ( Yoon Koo Kang ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
Vasoactive intestinal polypeptide-secreting tumors (VIPomas) cause VIPoma syndrome, which is characterized by watery diarrhea, hypokalemia, and achlorhydria. The treatment options for metastatic VIPomas include somatostatin analogs, cytoreductive surgery, and chemotherapy. We report the case of a 54-year-old male who presented with a peripancreatic mass with multiple hepatic metastases on computed tomography. After resection, the peripancreatic mass was demonstrated pathologically to be a neuroendocrine tumor. Although the patient received systemic chemotherapy and somatostatin analogs for the hepatic metastatic masses, the tumor increased in size. The patient then experienced severe diarrhea, despite treatment with the somatostatin analogs. Elevated serum VIP levels (3,260 pg/mL) and typical symptoms confirmed the diagnosis of VIPoma. We performed hepatic artery embolization (HAE) to reduce the tumor volume and control his symptoms, which led to a very rapid symptomatic response. The patient has remained symptom-free for 18 months with repeated HAE. (Korean J Med 2014;87:363-368)
간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 개의 동소성 간 이식에서 나타난 이식 간의 허혈성 손상 양상
이혁상(Hyuck Sang Lee),왕희정(Hee Jung Wang),백계형(Kye Hyeong Paik),전재홍(Jae Hong Jeun),서연림(Yeon Lim Suh),강신광(Shin Kwang Kang),우성(Sung Woo) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A The results of biopsy findings of livers in orthotopic liver transplantation of 24 dogs are as follows: 1) Ischemic injury sustained during the pre-reperfusion period is considered to manifest itself in association with reperfusion. 2) The predominant finding in harvesting injury of dogs is congestion, uncommon finding in humans. 3) Severe changes began to appear with the cold ischemic time of 205 min. or longer. 4) Hemosiderin deposits, not seen in humans, are found in 87.5% of organs with the cold ischemic time of over 295 min. 5) PMN-infiltrations in the necrotic area, seem to be the result of ischemic injury rather than the manipulation injury.
강신광,강구 인제대학교 1992 仁濟醫學 Vol.13 No.1
갑상선 흡입세포검사에서 다수의 핵구출현은 유두상암의 진단에 중요한 소견이며 고배율로 핵막의 주름 및 함몰을 확인함이 필요하다. In order to assess the dialgnostic significance of nuclear grooves in cytologic smears, the pesence of this feature was evaluated in needle aspiration from 14 papillary carcinomas, 9 follicular adenomas, 1 follicular carcinoma, 11 adenomatous goiters and 3 cases of Hashimoto's thyroiditis, all of which were histologically confirmed. Nuclear grooves were observed in 13 out of 14 papillary carcinomas(93%), 6 out of 9 follicular adenomas(67%), and 1 out of 11 adenomatous goiters(9%) They were not observed in cases of follicular carcinoma and thyroiditis. Grooves, however, in follicular adenomas and adenomatous goiters were fewer in number and not as distince as those in papillary carcinomas. Since artifacts such as linearly aligned nuclear chromatin, different stainability in a single nucleus, folding over of nuclear membrane and overlapped nuclei may be indistinguishable from true grooves, grooves should be interpreted cautiously and used in conjunction with other criteria in the diagnosis of papillary carcinoma Observation of nuclear infoldings in oil immersion level would be important in the diagnosis of papillary carcinoma.
두개강내로 전이된 Adenoid Cystic Carcinoma 2례 : 증례보고 Report of Two Cases
송재욱,윤상민,이창훈,장지수,이승훈,조경자,강신광 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10
The authors describe two cases of unusual intracranial metastatic adenoid cystic carcinomas. A 42-year-old woman had a right pariental epidural metastatic mass. presumed hematogenous. spread from a primary tumor in the parotid gland. In second case, a 32-year-old man had a intracranial metastatic adenoid cystic carcinoma mimicking calcified psammomatous meningioma on CT scans. We present these unusual cases with a review of relevant literature and a discussion of possible pathogenesis.