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강용구,유기원,이승구,박원종,정양국,박창구,Kang, Yong-Koo,Rhyu, Kee-Won,Rhee, Seung-Koo,Bahk, Won-Jong,Chung, Yang-Guk,Park, Chang-Goo 대한근골격종양학회 2009 대한골관절종양학회지 Vol.15 No.2
목적: 척추 거대세포종은 매우 드문 질환으로, 종양이 추체 내에 확산이 될 때까지는 증상이 나타나지 않아, 진단이 늦어지는 경우가 대부분으로 치료가 매우 힘든 질환으로 알려지고 있다. 최근 척추수술 술기의 발전과 진단기기의 발달로 척추종양을 척추 전절제술(total spondylectomy)로 치료하여 좋은 치료결과를 보고하고 있는바, 전절제술로 치료한 증례와 소파술로 치료한 증례를 분석하여, 척추 전절제술의 효용성을 알아보기 위하여 본 연구를 하였다. 대상 및 방법: 1987년 4월부터 2006년 3월까지 척추의 거대세포종에 대한 수술적 치료를 받은 환자 중에서 3년 이상 추시가 된 10례를 분석하였다. 남자 3명, 여자 7명이었으며, 평균나이는 32세(25-44세)이었다. 경추 2례, 흉추 4례, 요추 2례, 천추 2례이었다. 전례에서 동통이 주소이었으며 7례는 신경학적 증상도 동반되었다. 4례는 전후방 도달에 따른 척추 전절제술, 1례는 후방도달에 따른 천추전절제술 수술을 시술받았으며, 경추 2례를 포함한 5례에서는 소파술 및 전방추체유합술로 치료를 받았다. 결과: 수술적 치료 후 9례에서 동통과 신경학적 증상의 호전이 있었다. 그러나 4례(40%)에서 국소재발이 합병하였는데 2례가 경추에서, 흉추와 천추에서 각 1례가 발생하였다. 국소재발은 소파술로 치료한 3례와 전절제술로 치료 받은 1례이었다. 결론: 거대세포종은 수술적인 치료 후에도 국소재발이 많이 합병하는 바, 초기 치료에서 척추에 대한 전후방 도달법을 이용한 전절제술과 같은 완전 절제술이 필수적임을 알 수 있었다. Purpose: Giant cell tumor of the spine is very rare, and the treatment is very difficult. However, surgical techniques and diagnostic modalities are developed, and postoperative functional results are improved. To evaluate the efficacy of total spondylectomy for giant cell tumor of the spine, the clinical results of the surgical treatments for the giant cell tumor of the spine with intralesional curettage or total spondylectomy were evaluated. Materials and Methods: From April 1987 to March 2006, 10 patients who were underwent surgical treatments using total spondylectomy or intralesional curettage were studied. There were 3 men and 7 women. The mean age of the patients was 32 years (range, 25~44 years). The mean duration of follow-up was 8 years (range, 3~15 years). Locations of the tumor were 2 cervical spines, 4 thoracic spines, 2 lumbar spines and 2 sacrum. Initial main symptom of 10 patients was pain, and 7 patients had neurologic impairments too. Four patients were treated with total spodylectomy using anterior and posterior combined approach, 1 patient was treated with total sacrectomy using posterior approach only, and 5 patients were treated with intralesional curettage using anterior approach. Results: Nine patients improved pain and neurologic impairments. Local recurrences developed in 4(40%) patients (2 cervical spines, 1 thoracic spine, 1 sacrum). While a local recurrence developed from 5 total spondylectomy, 3 local recurrences developed from 5 intralesional curettage. Conclusion: Local recurrence rate after surgical treatment with intralesional curettage for the giant cell tumor of the spine was very high. Total spondylectomy using anterior and posterior approach is advisable to prevent the local recurrence after surgical treatment.
강용구,이인주,장한,권순용,유기원,이상훈,Kang, Yong-Koo,Lee, In-Ju,Chang, Han,Kwon, Soon-Yong,Rhyu, Kee-Won,Yi, Sang-Hoon 대한근골격종양학회 1998 대한골관절종양학회지 Vol.4 No.1
Between 1992 and 1996, 5 patients with the giant-cell tumor of the spine were treated. Four were female and one was male. The mean age was 34 years old, and the mean follow-up time was 36 months. The locations of the lesions were the cervical spine in 1, the thoracic spine in 3, and the lumbar spine in 1. Pain was the predominant presenting symptom in all cases and four had a neurological deficit. A combined anterior and posterior surgical approach wds as performed in all cases, which were also treated with AIF(anterior interbody fusion) and anterior and/or posterior instrumentation. Adjuvant radiation therapy was performed in 1 case of cervical spine. At the final follow-up, the pain and neurologic symptoms were improved. Radiologic examination showed no evidence of local recurrence and no failure of instrumentation of the spine.
강용구,이한용,고해석,유기원,송주현,장일석,Kang, Yong-Koo,Lee, Han-Yong,Koh, Hae-Seok,Rhyu, Kee-Won,Song, Joo-Hyoun,Jang, Il-Suck 대한근골격종양학회 1999 대한골관절종양학회지 Vol.5 No.1
A parosteal lipoma is a benign tumor containing mature adipose tissue and is intimately related to the adjacent periosteum. We experienced a very rare case of parosteal lipoma arising from the shaft of femur. A 46 years old lady visited the hospital with complaining of slowly growing mass in her thigh for 7 month. Initially, it was difficult to differentiate from osteochondroma, parosteal osteosarcoma or liposarcoma. Based on the assessment of plain radiogram and magnetic resonance imaging, it was suspected the parosteal lipoma or osteosarcoma. Marginal excision was performed, and it was confirmed to parosteal lipoma histologically. We present the case with review of literatures.
강용구(Yong-Koo Kang),이한용(Han-Yong Lee),유기원(Kee-Won Rhyu),김건형(Kun-Hyung Kim),허성우(Sung-Woo Huh),이주엽(Joo-Yup Lee) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.1
목적: 생체에서 채취한 동종골에서 면봉법을 이용한 세균 배양을 시행하고, 동종골의 세균 오염 정도 및 추가적인 조직처리의 필요성을 확인하고자 하였다. 대상 및 방법: 2001년 9월부터 2004년 6월까지 인공 관절 수술 중 채취한 동종골 334예를 대상으로 하였다. 대퇴골두가 214예, 슬관절이 86예, 기타가 34예 있었다. 이 중 염증성 질환을 가진 공여자는 없었다. 수술 중 채취한 동종골의 표면에서 면봉을 이용하여 검체를 얻고, 이를 48시간 동안 혈액 배지에서 배양하여 세균 오염 여부를 확인하였다. 과거 병력이나 동종골의 기증에 동의하지 않은 경우, 혈액 검사 양성 등으로 폐기된 동종골에서는 조직 전체를 이용한 세균 배양을 시행하고, 이를 면봉법을 이용한 세균 배양 결과와 비교하였다. 결과: 총 334예의 동종골 중 20예(6%)에서 세균 배양 검사 양성을 나타내었다. 과거 병력이 있었던 경우 26예, 동종골의 기증에 동의하지 않은 경우 54예, 혈액 검사에서 양성 반응을 보인 10예 등 총 132예의 동종골이 폐기되었는데, 이중 20예(15%)에서 면봉법을 이용한 세균 배양 검사 양성 소견을 보인 반면에, 조직 전체를 이용한 세균 배양 검사에서는 25예(19%)에서 양성 소견을 나타내어 면봉법의 민감도는 44%에 불과하였다. 결론: 골면봉법을 이용한 세균 배양 검사는 민감도가 낮아 동종골의 세균 오염을 발견하는데 부적합하다. 따라서 세균 배양 검사가 음성일지라도 추가적인 조직 처리가 필요하며, 저자들은 저강도 감마선을 이용하여 조직 처리를 시행하고 있다. Purpose: To analyze the rate of allograft contamination from living donors using a swab culture method and to determine the necessity of antibacterial processing. Materials and Methods: From September 2001 to June 2004, 334 allografts were obtained from living donors undergoing total joint arthroplasty. Two hundred and fourteen allografts were obtained from the femoral heads, 86 from the knee joint, and 34 from other sources. All allografts from donors with inflammatory diseases were discarded. After retrieving the graft, the entire surface of the allograft was carefully swabbed, and the specimen was inoculated and cultured on blood agar for 48 hours. A bacterial culture with the entire tissue was also carried out on discarded allografts, and the rate of contamination was compared with that of used allografts. Results: Of the 334 allografts, 20 (6%) allografts were culture positive using swab method. 132 allografts were discarded. The reasons for discarding were a prior medical history in 26, no informed consent in 54 and a positive blood test in 10. The rate of contamination of the discarded allografts was 15% (20/132) using the swab method, and 19% (25/132) using entire tissue culture method. The sensitivity of the swab culture technique was only 44%. Conclusion: The low sensitivity implies that the swab method is unsuitable for detecting bacterial contamination. Unprocessed swab-culture-negative grafts may be contaminated with organisms that can cause infections. Therefore, additional antibiotic processing such as gamma-irradiation will be required.