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학교선별뇨검사를 통하여 조기에 발견된 Oligomeganephronia의 4년 추적 관찰 1례
함주연,구남향,임현이,김기혁,배기수,Ham Ju-Yeon,Koo Nam-Hyang,Lim Hyun-Yi,Kim Kee-Hyuck,Pai Ki-Soo 대한소아신장학회 2003 Childhood kidney diseases Vol.7 No.2
Oligomeganephronia는 선천적인 신형성 부전으로 신원의 수가 감소되고 보상성으로 사구체가 비대해진 질환으로 지금까지 전 세계적으로 약 60례만이 보고될 정도로 매우 드문 질환이다. 저자들은 학교선별뇨검사상 현미경적 혈뇨를 보였던 환아에서 신생검을 통하여 oligomeganephronia를 조기에 진단하고, 4년간 신부전증 및 성장부전의 진행 소견과 함께 사구체 경화증의 발생으로 사구체 용적이 감소하는 소견을 관찰할 수 있었기에, 이를 문헌 고찰과 함께 보고하는 바이다. Oligmeganephronia is congenital hypoplasia of kidney with renal pathology showing very small number of nephrons with compensatory hypertrophy of the remaining glomeruli. A 7-year-old girl was referred to our nephrology clinic due to hematuria detected on school screening urinalysis and diagnosed as chronic renal failure and oligomeganephronia on renal biopsy. We are reporting the clinical and histomorphometric changes for the four years follow-up with review of literatures.
신현승,강진경,박인서,문영명,정재복,박찬일,송시영,정진이,임현이 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.2
The endoscopic fine needle aspiration cytology may add to the diagnostic accuracy of endoscopic biopsy and brush cytology. It is also of particular value in submucosal, infiltrative and ulceronecrotic tumors. Endoscopic fine needle aspiration cytology was done with sclerotherapy needle(23 gauge) in. the 17 patients with submucosal tumor(18 cases), extrinsic compression(2 cases), infiltrative gastric cancer(one case) and cancer of the ampulla of Vater(one case) on the upper gastrointestinal endoscopy. Endoscopic fine needle aspiration cytology established the diagnosis in 6 cases(submucosal tumor of the stomach; 2 cases, submucosal tumor of the duodenum; one case, extrinsic mass of the duodenum; one case, infiltrative cancer of the stomach; one case, and the cancer of ampulla of Vater; one case) of 17 cases. There were negative results for malignancy in 7 cases and material insufficiency in 4 cases. Five cases of the positive results with endoscopic fine needle aspiration cytology were not diagnosed with endoscopic forceps biopsies. There was no complication. We conclude that endoscopic fine needle aspiration cytology is a simple and safe technique and is of particular value in submucosal tumor, extrinsic compression of the upper gastrointestinal tract by tumor, and infiltrative gastric cancer.