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한예식,김보현,이정윤,안희창 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.1
Amelanotic melanoma is extremely rare and more aggressive than similarly staged pigmented lesion. It has been estimated that 2 percent of all melanoma is clinically amelanotic. The authors recently experienced 2 cases of amelanotic melanomas. An amelanotic melanoma of the left lower eyelid was widely excised, and reconstructed with the nasal mucochondral graft and Mustard cheek flap. Until 33month after the operation, no metastatic lesion was found and well being state. An amelanotic melanoma on the right buccal mucosa, in the other patients was widely excised and reconstructed with bilobed forearm flap. 10month later lung metastasis was noted.
한예식,김보현,이정윤,안희창 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.1
Macrodactyly is one of the rare congenital anomalies of the upper extrimity. Fastt found 19 cases among 1476 patients with congenital anomalies of the upperextrimity, an incidence of 0.9 percent. The index finger is most commonly invlove. Multiple digits are involved two to and the index-long fingers. The authors recently experienced one case of macrodactyly involving the thumb and index finger in 20 year old female patient. The patient was treated with finger shortening using multiple corrective step ostectomies with the preservation of joints. We present this case with a review fo the literature.
Evaluation of Metabolic Syndrome Risk in Korean Premenopausal Women
Hyun, Yae Jung,Kim, Oh Yoen,Jang, Yangsoo,Ha, Jong-Won,Chae, Jey Sook,Kim, Ji Young,Yeo, Hyun Yang,Paik, Jean Kyung,Lee, Jong Ho Japanese Circulation Society. 2008 CIRCULATION JOURNAL Vol.72 No.8
<P><B>Background</B> In clinical practice, using the patient's waist circumference (WC) to evaluate visceral obesity may underestimate disorders with a metabolic origin. This study examined whether or not the WC derived from the cut-off point of the visceral fat area (VFA) can reflect the features of metabolic syndrome (MetS) in premenopausal women. <B>Methods and Results</B> Computed tomography-scanned VFA, MetS components and the concentrations of high-sensitivity C-reactive protein (CRP) and adiponectin were measured in a total of 349 premenopausal women. The VFA at the L1 and the L4 sites was a significant index (p<0.001) of incremental MetS risk. Receiver-operating characteristic curve analysis showed that 75 cm<SUP>2</SUP> of VFA at L4 and 87.5 cm<SUP>2</SUP> at L1 were the optimal thresholds for discrimination of MetS risk. Significant differences in all MetS components, as well as CRP (p<0.05) and adiponectin levels (p<0.005), were observed when subjects were subdivided by the L4 VFA cut-off point (<75/≥75 cm<SUP>2</SUP>), whereas there was a significant difference only in the triglycerides level in the groups divided by WC (WC <88/≥88 cm). Moreover, subjects with a lower WC - higher VFA showed a similar pattern in MetS components and lower adiponectin than those with a higher WC - higher VFA. <B>Conclusions</B> This study clarified that VFA rather than WC is a major determinant of MetS risk in premenopausal women. (<I>Circ J</I> 2008; <B>72:</B> 1308 - 1315)</P>