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이태희 ( Tae Hee Lee ),임의혁 ( Eui Hyeog Im ),허규찬 ( Kyu Chan Huh ),최용우 ( Young Woo Choi ),정동진 ( Dong Jin Chung ),김범경 ( Bum Kyeong Kim ),강영우 ( Young Woo Kang ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자들은 23세 남자에서 우연히 발견된 간내 종물로 세침 흡인 생검상 간의 혈관근지방종으로 진단된 1예를 문헌고찰과 함께 보고하는 바이다. Angiomyolipoma is a common benign tumor in the kidney, composed of blood vessel, smooth muscle cells, fat and myelocomponent, but hepatic angiomyolipoma is a rare benign mesenchymal neoplasm. Radiologic findings are not specific because the composed elements are variable in proportion and distribution. Recently, we experienced a case of angiomyolipoma in a incidental tumor of the liver in a 23-year-old man with history of tuberculous pericarditis. The tumor, measuring 1.7×1.8 cm, was located in the segment Ⅴ of the liver. Diagnosis was aquired by fine needle aspiration biopsy under ultrasonographic guidance. Microscopically, it showed smooth muscle cells, lipocytes and blood vessels. Immunohistochemically, the tumor cells were positive for HMB-45, S-100 protein, focally positive for SMA, but negative for cytokeratin, anti-hepatocyte antigen and chromogranin. (Korean J Med 69:S787-S792, 2005)
증례 : 장중첩증으로 내원한 고립성 회장 신경섬유종 1예
김선문 ( Sun Moon Kim ),이태희 ( Tae Hee Lee ),임의혁 ( Eui Hyeog Im ),허규찬 ( Kyu Chan Huh ),강영우 ( Young Woo Kang ),김범경 ( Bum Kyeong Kim ),최용우 ( Young Woo Choi ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자들은 심와부 통증을 주소로 내원하여 급성 소장폐쇄로 진단을 받고, 수술을 시행하여 회장에 고립성으로 발생하여 소장중첩증을 일으킨 신경섬유종을 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Small bowel neoplasms are uncommon and intussusception in adults is an unusual cause of bowel obstruction. Neurofibromas of the gastrointestinal tract are usually associated with neurofibromatosis type 1, but they could be rarely solitary. We experienced a case of small bowel obstruction associated with ileo-ileal intussusception caused by solitary neurofibroma. The patient was diagnosed as a small bowel obstruction based on a simple X-ray and a CT scanning, and underwent a small bowel segmental resection including the mass and anastomosis. We histologically confirmed that as a neurofibroma originated in submucosal Meissner`s plexus of the ileum. We report a rare case of solitary ileal neurofibroma with review of the literatures.(Korean J Med 69:S767-S771, 2005)
골수 이형성 증후군에서 급성 백혈병으로 전환기에 발생한 위 과립구 육종 1예
김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),임대승 ( Dae Seung Im ),이태희 ( Tae Hee Lee ),임의혁 ( Eui Hyeog Im ),허규찬 ( Kyu Chan Huh ),강영우 ( Young Woo Kang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.5
저자들은 골수 이형성 증후군으로 외래에서 추적관찰 중이던 환자에서 혈액 검사와 골수 검사 결과 급성 골수성 백혈병으로의 전환기에 위벽에서 발생한 과립구성 육종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granulocytic sarcoma is a localized tumor that`s composed of immature cells of the granulocytic series. The tumor may be involved anywhere in the body, but we present here a rare case that involved the gastrointestinal tract (and especially the stomach). Granulocytic sarcoma may represent the initial manifestation of blast transformation or it may herald the onset of acute leukemia from myelodysplastic syndrome. We report here on a case of gastric granulocytic sarcoma in a patient with transformed acute leukemia from myelodysplastic syndrome. A 56-year-old male who was suffering with myelodysplastic syndrome (RARS) for 5 years presented with upper abdominal pain. Gastrofiberoscopy revealed an elevated lesion with central erosion at the posterior wall of the gastric upper body, which histologically proved to be a granulocytic sarcoma. The peripheral blood smear and bone marrow examination showed acute myeloid leukemia.(Korean J Med 74:570-573, 2008)