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증례 : 순환기 ; 성인에서 폐동맥판협착과 난원공개존증을 동반한 동맥관개존증 1예
김선아 ( Seon A Kim ),허성호 ( Sung Ho Her ),박만원 ( Mahn Won Park ),나수진 ( Soo Jin Na ),김형덕 ( Hyung Duk Kim ),김지은 ( Ji Eun Kim ),김우현 ( Woo Hyeon Kim ) 대한내과학회 2013 대한내과학회지 Vol.85 No.4
저자들은 중증 폐동맥판협착과 난원공개존증이 있음에도 동맥관개존증이 동반되어 무증상으로 나타난 성인에서의 증례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. Pulmonary valve stenosis (PS) is the 3rd most common form of adult congenital heart disease. The patient was a 56-year-old woman, with known congenital heart disease but who was not receiving any treatment as she was not functionally limited. A two-dimensional echocardiogram showed severe right ventricular hypertrophy, pulmonary valve thickening and systolic doming. A color Doppler revealed a retrograde flow from the aorta to the left pulmonary artery. She had severe heart failure on the right hand side from a PS but did not display any symptoms. We hypothesized that she had a retrograde flow to the pulmonary circulation through a patent ductus arteriosus (PDA), through which oxygenated blood could be supplied to the systemic circulation and, hence, no hypoxia. We attempted a balloon valvuloplasty for the PS followed by a device closure for the PDA. Here we report on this adult female with severe PS but lacking any symptoms, due to the presence of a PDA. (Korean J Med 2013;85:406-410)
하부요로 폐색 증상을 보인 고령 환자에서 진단된 원발성 전립선 림프종 1예
박만원,정현화,심병용,변재호,홍영선,이경식,강창석 대한내과학회 2004 대한내과학회지 Vol.66 No.2
본 예는 전립선 비대로 인한 하부요로 폐색증상을 호소하는 고령의 환자에서 방사선 검사 및 생검을 통해 원발성 전립선 림프종을 진단한 에로 국내에서 아직 보고된 증례가 없기에 문헌고찰과 함께 보고하는 바이다. Malignant lymphoma involving the prostate, whether presenting as primary extranodal lymphoma or as secondary spread to the prostate from other site, are rare. Most are secondary, so primary lymphoma of the prostate is extremely rare. We report a case of primary prostate non-Hodgkin's lymphoma who presented with symptoms of lower urinary tract obstruction and constipation. The patient underwent cyclophosphamide, vincristine, prednisone combination chemotheraphy for 3 cycles and than now under involved-filed radiotheraphy.