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최성우,양정은,장인강,김형옥,조성필 ( Sung Woo Choi,Jeung Eun Yang,In Gang Jang,Hyung Ok Kim,Seong Pil Joh ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.5
Basal cell carcinomas usually arise from the epidermis and show some epidermal connections. It is very unusual that basal celi carcinomas occur as subderrnal mass without epidermal connections. A 51 year-old female h;d an asymptomatic skin colored indurated plaque with linear old scar on the left side of nose fcr about 20 years. She had had a tumor that supposed to be a epidermal cyst, on the same site and the lesion was excised about 20 years ago. We performed the punch biopsy on her first visit which revealed hypertrophic scar. She was treated with intralesional injection of triamcinolone acetonide to reduce the size of hypertrophic scar. However, the lesion had not been reduced. She underwent the surgery to remove the scar at plastic surgery and the excisional biopsy showed a subdermal basal cell carcinoma. We recommend that the newly developed skin tumor in the pre-excised region should be required excisional biopsy instead of punch and close observation (KOfean J Dermatol 1997;35(5): 1036-1039)
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관골궁 골절의 정확한 고정을 위한 Fluoroscope 영상하에서의 관골궁하 K-강선 고정
이석기,안상태,최우식,조성필 大韓成形外科學會 2000 Archives of Plastic Surgery Vol.27 No.2
The fracture of zygomatic arch is one of the common fracture of the facial bone and commonly reduced by Gillies or Dingman method. However, if the reduced bone segments are unstable after reduction, they tend to be displaced by mastication or unintentional external forces. Though many techniques have been introduced for the treatment of the unstable zygomatic arch fracture, all of those techniques have their own shortcomings. We devised a new fixation method to prevent the displacement of the reduced zygomatic arch segments with 0.0047 inch K-wire under the fluoroscope. After reduction of zygomatic afch using Gillies method under the fluoroscope, a thin K-wire was inserted along the undersurface of the zygomatic arch through zygoma body for rigid fixation. The inserted K-wire was removed in 4 weeks. In ten cases, good cosmetic and functional results were observed without complications such as infection, facial nerve injury, displacement of fractured segments, and operative scar during the follow up period of 3 months. However, while the pin was being inserted, patients complained discomfort on their cheeks. This technique may be an available method to prevent the displacement of the reduced zygomatic arch and to obtain the rigid fixation.
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박준호,최성우,박현정,강석진,조성필 대한피부과학회 2001 大韓皮膚科學會誌 Vol.39 No.3
Malignant eccrine spiradenoma is an exceedingly rare neoplasm. To date about 30 cases have been reported in the literature and there have been 2 reports in Korea. Herein we report a case of malignant eccrine spiradenoma in a 56-year-old female, who had a 25-year history of a solitary mass on the abdomen. Histologically, the mass consisted of benign eccrine spiradenomas adjacent to carcinomatous area showing nuclear pleomorphism and marked mitotic activity.
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