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하시모토 갑상선염에서 갑상선 유두암과 여포암이 동시 발견된
홍진헌 ( Jin Hon Hong ),남수민 ( Soo Min Nam ),이미영 ( Mi Young Lee ),고장현 ( Jang Hyun Koh ),신장열 ( Jang Yeol Shin ),정춘희 ( Choon Hee Chung ),조미연 ( Mee Yon Cho ) 대한내과학회 2007 대한내과학회지 Vol.72 No.5
We report here on a rare case of papillary and follicular carcinoma of the thyroid gland that developed in a 31 years old woman who was previously diagnosed with Hashimoto`s thyroiditis. Her chief complaint was a palpable neck mass. The antimicrosomal and antithyroglobulin antibody levels were elevated. Ultrasonography of the left thyroid gland revealed a 2.5×2.0 cm sized thyroid nodule. Fine needle aspiration biopsy of the thyroid nodule was done and this was diagnosed as Hashimoto`s thyroiditis. There was no evidence of thyroid cancer. After 1 year, thyroid ultrasonography and biopsy were repeated for examining an enlarged thyroid nodule. Total thyroidectomy was then performed. The histopathologic examination revealed that the right and left thyroid glands were in accordance with the diagnosis of papillary and follicular cancer, respectively. Until now, no known case of simultaneous papillary and follicular carcinoma in Hashimoto`s thyroiditis has been reported. This case suggests that adequate follow up for Hashimoto`s thyroiditis patients with thyroid nodule may help the early detection and management of thyroid cancer. (Korean J Med 72:558-562, 2007)
김송이,김재우,홍진헌,조기원,박홍준,이일영,예창진,김현수,백순구,조미연 대한소화기내시경학회 2007 Clinical Endoscopy Vol.35 No.6
A mushroom bezoar is an unusual type of bezoar and a rare cause of small bowel obstruction, with the only cases being previously described in the foreign literature. Common sites of obstruction are the gastric outlet, the terminal ileum as well as segments of pre-existing gastrointestinal stenosis of various etiologies. Predisposing factors include a high fiber intake, inadequate chewing, gastric hyposecretion and hypomotility, and a previous gastrectomy and vagotomy. Computed tomography has the capability of directly showing the bezoar and displaying the resulting small bowel obstruction. We report a case of incomplete small bowel obstruction in a 38-year-old woman, caused by a mushroom bezoar in the terminal ileum. (Korean J Gastrointest Endosc 2007;35:410-414) 버섯 위석은 소장 폐색을 일으키는 드문 원인 중의 하나이다. 국내에서의 보고는 아직 없으며 외국문헌에 수 개의 증례만 보고되고 있다. 위석에 의한 폐색이 발생하는 부위는 위 출구, 말단 회장부, 다양한 원인으로 인한 위장관 협착부위이다. 위석이 잘 형성되는 요인으로는 다량의 섬유질 섭취, 불충분한 저작, 급속한 삼킴, 위 운동 저하, 유문부의 기능저하, 위 절제술 등을 들 수 있다. 진단에 있어서는 전산화 단층 촬영이 소장폐색을 일으키는 위석의 진단에 유용성이 높은 것으로 알려져 있다. 저자들은 복통을 호소하여 내원한 38세 여자에서 버섯 위석에 의해 불완전 소장 폐색을 일으킨 1예를 경험하여 보고하는 바이다.
김정아,정찬종,윤경섭,홍정인,이승철,박상융,최소론,이동현,정진헌 대한마취통증의학회 2018 Anesthesia and pain medicine Vol.13 No.2
A 72-year-old man underwent spinal anesthesia for artificial urinary sphincter placement for urinary incontinence. After the block level was confirmed below T6, 1 g of cefotetan, which had not shown any reaction on skin test, was administered as a prophylactic antibiotic. The patient began complaining of chest discomfort and dyspnea shortly after injection. ST elevation appeared on the electrocardiogram and the patient’s pulse could not be palpated. Accordingly, cardiopulmonary resuscitation was performed for 5 minutes; the patient recovered spontaneous circulation. The patient was diagnosed as experienced coronary artery spasm by coronary angiography with spasm test. Because coronary artery spasm can also develop in patients with no history of coronary artery disease and under spinal anesthesia, careful observation, suspicion of coronary artery spasm and prompt response to hemodynamic and electrocardiogram changes are necessary.
윤지영,이경찬,오원석,홍진헌,곽지훈,박홍기,Yoon, Ji-Young,Lee, Kyung-Chan,Oh, Won-Seok,Hong, Jin-Hun,Kwak, Ji-Hoon,Park, Hong-Ki 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.1
Purpose: Nerve conduction study (NCS) test is a standard diagnostic study of the tarsal tunnel syndrome. The purpose of this study was to determine the relation between the results of the NCS and postoperative clinical results. Materials and Methods: From June 2004 to July 2015, 104 patients were diagnosed with tarsal tunnel syndrome and treated surgically. Of 104 patients diagnosed through NCS preoperatively and postoperatively, 41 patients were included in this study. There were 23 male and 18 female patients with mean age of 49.2 years old and the average follow-up period was 15.5 months. NCS, pain visual analogue scale (VAS) score, and subjective satisfaction were examined preoperatively and postoperatively. Results: On the preoperative NCS, 32 patients (78.0%) were positive and 9 patients (22.0%) were negative, and 32 positive NCS patients consisted of 9 positive (28.1%), 16 improved (50.0%), and 7 negative (21.9%) postoperatively. VAS score was 7.4 preoperatively and 4.4 postoperatively. According to satisfaction, there were 8 excellent (19.5%), 21 good (51.2%), 6 fair (14.6%), and 6 poor (14.6%) patients. For 32 patients who were positive on the preoperative NCS, the postoperative VAS score was 4.87 and there were 7 excellent (21.9%), 16 good (50.0%), 4 fair (12.5%), and 5 poor (15.6%) patients. Sixteen patients were negative on the postoperative NCS, with a VAS score of 3.75, 1 excellent (6.3%), 11 good (68.8%), 2 fair (12.5%), and 2 poor (12.5%). There was no statistical correlation between the preoperative NCS and postoperative VAS score (p=0.10), between preoperative NCS and postoperative satisfaction (p=0.799), between preoperative NCS and postoperative VAS score (p=0.487), and between postoperative NCS and postoperative satisfaction (p=0.251). Conclusion: For patients diagnosed with tarsal tunnel syndrome and treated surgically, NCS showed little correlation with postoperative result.