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윤재하,정보영,전찬,서연림,김형진,김윤덕,Jae-Ha Yun,M,D,Bo-Young Jung,M,D,Chan Jeon,M,D,Yeon-Lim Suh,M,D,Hyung-Jin Kim,M,D,Yoon-Duck Kim,M,D 대한안과학회 2008 대한안과학회지 Vol.49 No.11
Purpose: To report two cases of giant cell angiofibroma in the orbit. Case summary: (Case 1) A 17-year-old girl was referred for evaluation of the left upper eyelid swelling which had developed 6 months ago. On initial examination, a 1.5 cm sized ovoid and nontender mass was palpated in the medial aspect of the left orbit. CT scan and MR imaging of the orbit showed a non-calcified, well-circumscribed homogenous soft tissue mass, which was uniformly enhanced and did not invade the adjacent tissue. Excisional biopsy of the orbital mass was performed. (Case 2) A 30-year-old man presented with left proptosis which had developed 2 months ago and hemorrhage into the upper and lower eyelid which had developed 1 week ago. CT scan and MR imaging showed an heterogeneously enhancing mass, not involving the adjacent tissue in the superior retrobulbar space. Excisional biopsy through a lateral orbitotomy was performed. Histologic evaluation revealed proliferation of spindle cells with pseudovascular spaces and multinucleated giant cells.Immunohistochemical staining for CD34 and vimentin was positive and staining for CD31, smooth muscle actin was negative. A diagnosis of giant cell angiofibroma was made. Conclusions: The possibility of giant cell angiofibroma should be considered in the differential diagnosis for an orbital mass without a hemorrhage or with a hemorrhage in the eyelid in adult patients. J Korean Ophthalmol Soc 2008;49(11):1850-1856
축구 시합도중 발생한 정복 불가능한 고관절 골절 탈구 증례보고
윤지열 ( Ji-yeol Yoon ),윤재하 ( Jae-ha Yoon ),최동훈 ( Dong-hun Choi ),최성우 ( Sung-woo Choi ) 국군의무사령부 2011 대한군진의학학술지 Vol.42 No.1
The fracture dislocation of the hip is commonly seen following high energy motor vehicle accidents. The hip fracture-dislocation in soccer game is uncommon. In addition, irreversible cases in soccer related injury are extremely uncommon. Scanty information is published regarding irreducible soccer related hip fracture-dislocation. The cases of hip fracture-dislocation are reported in recreational soccer players caused by low energy mechanisms than motor vehicle accident. However, the same prognostic factors that determine the functional outcome apply to soccer related cases. Hip fracture -dislocation must be treated by emergency. But repeated closed reductions maybe delay the treatment time, complication rate maybe increased. As a result, irreversible cases must be treated by operation as soon as possible.