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Conservative therapy of extensive unicystic ameloblastoma: a case report
현창림,송지영,Hyun, Chang Lim,Song, Ji-Young Korean Academy of Stomatognathic Function and Occl 2018 구강회복응용과학지 Vol.34 No.3
법랑아 세포종은 치성 상피에서 기인한 양성 종양의 일종이다. 하악골에 가장 흔하게 발생하는 양성종양이며 공격적인 성장과 국소적 침범의 특징을 가진다. 그 중 단방성 법랑아 세포종은 방사선학적으로는 단방성의 특징을 가지며 병리학적으로는 낭종의 특징을 가진다. 낭종성 법랑아 세포종의 병소의 크기가 큰 경우 감압술 및 조대술이 보존적인 치료 방법으로 사용된다. 이 치료 방법의 목적은 병소의 크기를 줄여 완전 적출이 손쉽게 하며 악안면 부위 변형이나 신경 손상을 방지하는데 있다. 본 증례에서는 병소의 크기가 큰 낭종성 법랑아 세포종을 감압술 및 조대술로 성공적으로 치료한 치험례를 논문 고찰과 함께 보고하고자 한다. Ameloblastoma is a benign neoplasm originating from odontogenic epithelium. It is the most common neoplasm in the jaws and is characterized by aggressive behavior and local invasion. Unicystic ameloblastoma (UA) has a unilocular feature in radiologic examination and a cystic feature histologically. Decompression and marsupialization are conservative method of treatment of large UA. The purpose of decompression and marsupialization are size reduction of the mass, which makes it easy to handle at total enucleation with protection of nerve damage and facial deformity. Here we report successful conservative treatment of extensive UA using decompression and marsupialization with a review of literatures.
한국형 삼일열말라리아의 약제내성 관련 유전자 변이 검색
송현욱 ( Hyun Ouk Song ),박민규 ( Min Kyu Park ),현창림 ( Chang Lim Hyun ) 국군의무사령부 2012 대한군진의학학술지 Vol.43 No.1
목적 1993년 한국에서 재유행하기 시작한 말라리아(삼일열말라리아, Plasmodium vivax)는 이후 꾸준히 발생이 증가하여 2000년에는 4000명넘게 발생하였다가 이후 2004년까지 급격히 감소하였다. 군에서는 발생 초기부터 말라리아 문제에 관심을 가지고 모기 박멸, 예방약 복용(클로로퀸과 프리마퀸) 등 적극적으로 대처해 왔지만 지금까지 환자가 꾸준하게 발생하고 있는 상황이다. 한국군은 우리나라 말라리아 재유행의 최초 보고지이며, 우리나라 말라리아 위험지역 내 부대가 다수 분포하고 있는 지리적 특성, 민간과 달리 예방약을 꾸준하게 사용하고 있는 특수성을 가지고 있다. 이에 이 연구는 말라리아의 약제 내성에 관한 특성을 연구하고자 계획되었다. 대상 및 방법 2008년~2009년 사이 국군 양주병원, 벽제병원, 일동병원에 내원한 말라리아 감염 환자 중 연구에 동의한 36명의 환자를 대상으로 연구를 시행하였다. 환자 동의 정도에 따라 내원 당일 혹은 내원일부터 4일까지 혈액을 채혈하여 전혈을 냉동 보관하여 국군의학연구소로 이송하고 연구에 사용하였다. 결과 환자들의 설문지를 분석한 결과 부대 근처에 산(80%)이나 수풀(55%)이 많이 있었고, 환자의 대다수가 상병(60%) 및 병장(24%)으로 나타나 말라리아 모기가 발생할 수 있는 여건에서 일정기간 이상 근무한 경우에 환자 발생이 많은 것으로 나타났다. 이들 중 클로로퀸과 프리마퀸을 정확히 복용하였다고 답한 수는 각각 24%와 12%에 불과해 약제의 불충분한 복용은 말라리아 환자발생의 한 원인으로 사료된다. 혈액에서 분리한 원충의 유전자 검사 결과 Pvmdr-1 부위의 변이가 최고 19.3% 확인되었다. 결론 부정확한 예방약 복용실태, 향후 예상되는 약제 내성 발현 가능성, 진단키트의 발달 및 보급가능 여부 등을 종합적으로 판단할 때 앞으로 군 내 말라리아 정책은 일선부대 진단키트 보급을 통한 빠른 진단 및 치료의 방향으로 가는 것이 바람직하다고 생각된다. Plasmodium vivax (vivax malaria) re-emerged in the South Korea in 1993. Annual incidence of malaria was steadily increased, reaching over 4,000 in 2000. After then, incidence was decreased in 2004, and once again increased, annual cases were reported over 2,000. Malaria has mainly occurred among the peoples in the areas near the Demilitarized Zone, especially soldiers who served in a unit that was in the Northern Gyeonggi-do, strongly suggests that malaria occurrence has been influenced by the present situation of malaria occurrence in the Democratic People’ 's Republic of Korea. The korean army had an interest in malaria prevention in early days and actively coped with the problem. Despite of mosquito eradication, and chemoprophylaxis with chloroquine and primaquine, malaria patients were raised steadily even now. This study were planned to study characteristics of drug resistance of malaria and will provide basic information for prevention and treatment of malaria in the korean army. In analysis of questionnaire of the patients who agreed with this study, majority of rank of the patients was corporal (60%) and sergeant (2%). Of these patients, only 24% and 12% of people exactly took chloroquine and primaquine, respectively. Moreover, analysis of the pvmdr1 and pvcrt-o site of plasmodium parasite which isolated from blood of patients shows some genetic variation. These result suggest that insufficient malaria drug intake plays a role in persistent case of malaria.
전이성 간세포 암종과 감별이 필요했던 굴모양 혈관 확장증 2예
현종훈 ( Jong Hoon Hyun ),조유경 ( Yoo Kyung Cho ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),현창림 ( Chang Lim Hyun ),권정미 ( Jung Mi Kwon ),김봉수 ( Bong Soo Kim ),송병철 ( Byung Cheol Song ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.4
Hepatic sinusoidal dilatation is a rare benign vascular disorder characterized by focal dilatation of the sinusoidal spaces. In most cases, the underlying etiology is unclear but it may be related to the impairment of venous outflow or sinusoidal infiltration by diverse causes. Diagnosing hepatic sinusoidal dilatation based soley on imaging study is not easy since there are no pathognomonic radiologic findings indicative of this condition. Recently, the authors experience two cases of hepatic sinusoidal infiltration. The first patient was a 53-year-old man detected to have multiple hepatic nodules on ultrasonography (US) during a routine medical check-up. The second patient was an 82-year-old woman with abdominal discomfort who was referred from local clinic with high suspicion of hepatic metastases on US. In both cases, CT scan demonstrated multiple nodules with rim enhancement on arterial phase that became iso-dense to adjacent liver parenchyma on delayed phase. On MRI, these nodules showed rim enhancement on arterial phase, had high signal intensity on T2 weighted images, and became iso-intense with partial defect on hepatobiliary phase. Because imaging studies could not exclude the presence of hepatic metastases, liver biopsy was performed and it demonstrated hepatic sinusoidal dilatation with well preserved reticulin fiber without any evidence of malignancy. Herein, we report two cases of idiopathic hepatic sinusoidal dilatation mimicking hepatic metastases. (Korean J Gastroenterol 2014;64:239-245)
감세훈(Se-Hoon Kahm),현창림(Chang-lim Hyun),김성준(Sung-Joon Kim) 대한치과의사협회 2014 대한치과의사협회지 Vol.52 No.2
Completely avulsed tooth caused by a traumatic injury needs replantation for treatment choice. But, replantated tooth usually comes with inflammatory root resorption, replacement resorption and ankylosis, moreover ankylosis cause severe functional and esthetic problems. The outcome of replantated tooth depends on the following factors; minimal damage to pulp and periodontal tissue, the length of extraoral time, the medium of the tooth stored, the level of root formation and so on. The purpose of this case report is to describe the variable resorption pattern and to discuss types that influence the occurrence of resorption.
우연히 발견된 장간막의 단중심성 형질세포형 Castleman병 1예: 초음파와 CT 소견 중심으로
김현민,김봉수,정인호,현창림,정승욱,조재민,Kim, Hyun Min,Kim, Bong Soo,Jung, In Ho,Hyun, Chang Lim,Jung, Seung Wook,Jo, Jae Min 제주대학교 의과학연구소 2018 The Journal of Medicine and Life Science Vol.15 No.1
Castleman's disease is a benign lympho-proliferative disorder that commonly occurs in mediastinum. It is known that the disease rarely occurs in mesentery. Most localized abdominal Castleman's diseases are histologically hyaline vascular type. The contrast-enhanced CT in patient with hyaline vascular type Castleman's disease shows a well-defined mass with homogenously intense enhancement. On the other hand, the patient with plasma cell variant has systemic symptoms, but not specific imaging features. We report a unicentric plasma cell variant Castleman's disease in mesentery nearby superior mesenteric artery as presenting a single mass, not accompanied by systemic symptoms with similar characteristics to hyaline vascular type.
김민지 ( Min Ji Kim ),국진이 ( Ji Ni Kuk ),성지현 ( Ji Hyun Sung ),현창림 ( Chang Lim Hyun ),심순섭 ( Soon Sup Shim ),박철민 ( Chul Min Park ),김성엽 ( Sung Yob Kim ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.6
Angiomyofi broblastoma (AMFB) is a rare mesenchymal tumor mostly involving the female lower genital tract. Although a large number of cases of vulva and vagina has been reported, a report on a case of the uterine cervix is uncommon. Despite unknown pathogenesis of AMFB, positive immunoreactivity for hormonal receptor of AMFB allows to make an assumption that the hormonal stimuli may have a role on the development of AMFB. Therefore, it is potential that estrogenic effect of tamoxifen gives stimuli on hormonally responsible mesenchymal cells, resulting in AMFB. We report a case of AMFB of the uterine cervix in a breast cancer patient with prolonged tamoxifen treatment with brief literature review.