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김홍,김정식,김옥배,우성구,서수지,Kim, Hong,Kim, Jung-Sik,Kim, Ok-Bae,Woo, Seong-Ku,Suh, Soo-Jhi 대한영상의학회 1989 대한영상의학회지 Vol.25 No.4
CT is useful for the elderly patient in whom the diagnosis of periappendiceal abscess has not been suspected clinically due to an atypical clinical presentation. CT findings and its clinical applicability of periappendiceal abscesses were reviewed retros-pectively in 11 patients older than 40 years. The correct diagnosis was possible clinically in 4 patients(36%) The CT findings were mainly cystic (45%) of mixed (36%) masses which were located inferomedially to cecum(55%) or medially to right-sided colon (27%) The common associ-ated findings were adjacent peritoneal and intestinal thickenings mesenteric and/or omental ated findings were adjacent peritoneal and intestinal thickenings. mesenteric and/or omental infiltrations in most of the cases and retroperitoneal extensin of the inflammatory process(55%) . However there we five false-positive diagnoses in patients with a fluid-filled cecum a noncomplicated acue appendicitis and three chronic inflammatory diseases of the pericecal area. CT has the potential advantage of directly imaging the periappendiceal inflammation with a full assessment of the nature localization and extension of the abscesses and may guide percutaneous drainage of abscesses as an alternative to surgical drainage.
박우현,최순옥,백태원,이희정,서수지,김상표,Park, Woo-Hyun,Choi, Soon-Ok,Paik, Tae-Won,Lee, Hee-Jung,Suh, Soo-Jhi,Kim, Sang-Pyo 대한소아외과학회 1995 소아외과 Vol.1 No.1
Segmental dilatation of the colon is a very rare disease entity of unknown etiology and may mimic Hirschsprung's disease. It is characterized by dilatation of a segment of the colon of variable length with obstruction due to lack of peristalsis in a normally innervated intestine. Recently authors experienced a case of segmental dilatation of the sigmoid colon in a 6 month-old male, who presented with severe constipation, abdominal distention, and abdominal mass since 2 months of age. Down's syndrome and congenital nystagmus were associated. Barium enema demonstrated focal dilatation of the sigmoid colon, but the rectum and descending colon proximal t o the affected colon were of normal caliber. Rectal suction biopsy with acetylcholinesterase staining was normal and anorectal manometry showed normal rectosphincteric reflex. At operation, there was a massively dilated and hypertrophied sigmoid colon with increased tortuous serosal vessels, measuring 15 cm in length and 10 cm in width. Teniae coli were identifiable in the affected segment. Frozen section biopsies at the proximal, affected, and distal colon showed ganglion cells. Descending loop colostomy was constructed initially and segmental resection and end to end colocolostomy were carried out 3 months later. Final histologic examination showed 1) normal colonic mucosa with ganglion cells, 2) prominent submucosal fibrosis and marked muscular hypertrophy, 3) unremarkable acetylcholinesterase activity and immunohistochemical findings against S-100 protein. On 8 months follow-up, he has been doing well and moves bowels 1-2 times daily.
김홍,김옥배,우성구,서수지,김성수,Kim, Hong,Kim, Ok-Bae,Woo, Seong-Ku,Suh, Soo-Jhi,Kim, Sung-Soo 대한영상의학회 1985 대한영상의학회지 Vol.21 No.5
It is diffidult to distinguish benign from malignant, ulmonary nodule by conventional roentgenologic examination. But CT makes it easier to evaluate adjacent parenchymal invasion, pleural or mediastinal extension, or early metastasis to intra- or extrathoracic lymph node as well s distant organs, although only a solitary peripheral pulmonary nodule is seen on plain radiograph. Authors reviewed CT of 22 cases of histopathologically confirmed primary lung cancer seen as a solitary peripheral pulmonary mass from May 1980 to September 1984 at Dongsan Medical Center, Keimyung University. The results are as follows: 1. The incedence was most common in the 6th decade(36%). Male to female ratio was 10:1 and 2 females all had bronchioloalveolar cell carcinoma. 2. The distributions of histologic cell type were as follows: squamous cell carcinoma 40%, adenocarcinoma, small cell carcinoma, bronchioloalveolar cell carcinoma and unclassified carcinoma 14% in each cases, and adenoid cystic c rcinoma 4%. 3. The computed tomographic findings were as follows: a) Superior and posterior basal segments of both lower lobes were most frequently involved(68%). b) The mean diameter of the mass was 48mm, and most common in the range of 30-49mm in the greatest dimension(46%). c) The mean CT attenuation value was 57 H.U., and most common in the group of 41-70 H.U.(64%). d) Lymph node metastasis was found in 13(59%) of 22 cases, and the involved nodes were as follows: hilar nodes 10 cases, paratracheal nodes 8 cases, subcarinal nodes 7 cases and extrathoracic nodes 3 cases. In 2 of 3 cases with small cell carcinoma, diffuse multiple lymph nodes were involved. e) Distant metastasis was seen relatively early in 3 cases: cerebral metastasis in 1 case of squamous cell carcinoma, right adrenal metastasis without intrathoracic lymph node metastasis or invasion of adjacent structures in 1 case of bronchioloalveolar cell carcinoma, and liver and bone metastases in 1 case of unclassified carci oma. f) Adjacent pleural or mediastinal invasion was found in 7 cases(32%): pleural invasion alsong chest wall in 4 cases, and invasion of adjacent mediastinal pleura in 3 caes of 2 squmous cell carcinoma and 1 unclassified carcinoma. g) Calcifications within the mass were found in 5 caes(23%), and most common in squamous cell carcinoma(3 caes). In all cases, a few granular calcifications were seen along the peripheral margin of the mass. h) Tumor necrosis was seen in 4 cases(18%), and 3 cases were squamous cell carcinoma, and one of them showed irregular central cavitation. i) The margins of tumor were irregularly lobulated with radiating spiculations in all except one of adenoid cystic carcinoma, which revealed oval shaped, smooth clear margin. j) In 9(41%) of 22 cases, some enlargement of pulmonary vessels with perivascular linear infiltrations were found in the adjacent lung parenchymes of the mass, which were thought to be retrograde perivascular lymphangitic spread along pulmon ry vessels.
단회 및 분할 X-선 전신조사가 가토의 혈중 NP-SH 에 미치는 영향
정복득 ( Pock Tuck Chung ),서수지 ( Soo Jhi Suh ) 대한내과학회 1971 대한내과학회지 Vol.14 No.2
In a hope to elucidate possible changes in blood NP-SH levels when X-irradiation is made in single or fractionated dose, a whole body X-irradiation was done to rabbits either in single dose of 900 r or in fractionated dose of 300r each day for three days.
신주용,장종운,이창수,이은영,차병훈,김홍,김정식,주양구,서수지,Shin, Joo-Yong,Chang, Jong-Wun,Rhee, Chang-Soo,Lee, Eun-Young,Cha, Byung-Hun,Kim, Hong,Kim, Jung-Sik,Joo, Yang-Goo,Suh, Soo-Jhi 대한영상의학회 1996 대한영상의학회지 Vol.34 No.4
Purpose : To demonstrate the radiologic characteristics of the pelvic actinomycosis. Materials and Methods : We retrospectively reviewed the radiologic findings of seven patients with pathologically proven pelvic actinomycosis and analyzed the anatomical location, characteristics of the lesion and alteration of surrounding structures. Results : The location of the lesions were the ovary and adnexa(n = 4), rectum(n = 1), cecum and terminal ileum(n = 1), and bladder(n = 1). Three of the seven patients had a past history of intrauterine devices. Post-contrast enhanced CT showed an ill-defined mass with inhomogeneous enhancement and a tendency to invade the surrounding normal tissue plane. Conclusion : Pelvic actinomycosis should be included in differential diagnosis when an unusually aggressive infiltrative mass is located in the pelvic cavity, especially in a patient with long-term use of intrauterine contraceptive devices.
김옥배(Ok Bae Kim),최태진(Tae Jin Choi),서수지(Soo Jhi Suh) 대한방사선종양학회 1989 Radiation Oncology Journal Vol.7 No.1
Three-dimension paraffin compensator was designed to construct the tissue equivalent compensator for irregular body contours and obiliques beam incidence. The ratio of compensator thickness to tissue deficit was depended on field size, depth and air gap because the scattered dose loss. The ratio of compensator-tissue was optimized 0.79, 0.73, 0.61 and 0.56 in 6MV x-rays as function of field size 4×4, 10×10, 20×20 and 30×30cm² respectively in our study. Using this tissue equivalent compensator, it can be got 2% difference of dose at same mid-plane in phantom study.
임재훈(Jae Hoon Lim),고영태(Young Tae Ko),서수지(Soo Jhi Suh),우성구(Seong Koo Woo) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Four patients with pancreatic clonorchiasis vere examined with endoscopic retrograde pancreatography. Each of four cases showed diffuse irregular dilatation of tributaries of the pancreatic duct in the pancreatic tail. The main pancreatic duct and tributaries draining into the body and head portion were not dilated in three cases. Sonogram from a patient showed diffuse enlargement of the pancreas, especially the tail. All four patients showed typical cholangiographic findings of hepatic clonor- chiasis, namely diffuse peripheral intrahepatic bile duct dilatation with no or minimal dilatation of the extrahepatic duct. When the tributaries of the pancreatic duct in the tail of the pancreas are diffusely dilated, in the appropriate clinical setting, pancreatitis caused by Clonorach.is sinensis should be considered.