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      • KCI등재

        유방의 섬유낭성 변화 : 단순유방촬영상 유방실질유형과 섬유선종의 연관성

        이기열 대한영상의학회 1996 대한영상의학회지 Vol.35 No.4

        Purpose : To determine the relationship between fibrocystic change and parenchymal pattern and fibroadenoma onmammogram. Materials and Methods : Mammograms of 135 patients with histologically- diagnosed fibrocystic diseaseafter excisional biopsy were retrospectively analyzed and correlated with pathologic specimens. Classification ofthe parenchymal pattern was based on Wolfe's method. Results : On mammogram, we observed abnormality in 88 out ofthe 135 cases ; these latter consisted of 70 cases of DY, 30 of P2, 20 of P1, and 15 of Nl, following Wolfe'sparenchymal patterns. Among the 88 abnormal cases we observed 37 cases of mass with clear boundaries, five casesof mass with unclear boundaries, 22 with clustered microcalcifications, six with macrocalcifications and 18 withasymmetric dense breast. Histologic examination revealed a varying composition of stromal fibrosis, epithelialhyperplasia, cyst formation, apocrine metaplasia, etc. Histologically fibroadenomatoid change in 18 cases wasappeared as a radiopaque mass on mammogram, especially in those cases where the change was well-defined, whichwere all except three. Conclusion : Fibrocystic disease was prevalent in Wolfe's P2 and DY patterns(about 80 %).About 40 % of fibrocystic change appearing as a well defined mass on mammogram showed fibroadenomatoid changehistologically and was difficult to differentiate from fibroadenoma. Fibrocystic disease should therefore beincluded in the differential diagnosis of a mass which on mammogram is well-defined.

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        수술후 장폐쇄 환자에서 감압목적의 Miller-Abbott 관을 통한 소장관장법의 유용성

        이명환 대한영상의학회 1996 대한영상의학회지 Vol.34 No.2

        Purpose : The purpose of this study is to assess the efficacy of enteroclysis through the previously insertedMiller-Abbott (M-A) tube for decompression in the postoperative intestinal obstruction. Materials & Methods : Thisstudy includes twenty patients who had intestinal obstruction symptoms after operation for benign(12) ormalignant(8) abdominal lesions. Small amount of barium was introduced to M-A tube for enteroclysis. We evaluatedthe presence, level, degree, and causes of obstruction on enteroclysis, compared with surgical(11) and clinical(9)findings. Results : Obstruction was seen in 18 cases including the two cases in which the level of obstruction wasnot clear. There was no obstruction in two cases. Obstruction on enteroclysis was demonstrated in all 11 operatedcases(100% accuracy, 11\11). The level of obstruction on enteroclysis were jejunum in three cases, ileum in seven,and colon in one case. The levels of obstruction on enteroclysis were matched with those in operation field in 10cases. There were two cases of nonobstruction, nine cases of low-grade partial obstruction, and nine cases ofhigh-grade partial obstruction. We analyzed the findings on enteroclysis regarding causes of obstruction in 16patients with the findings of adhesive bands of extrinsic cause(9), cancer recurrence of intrinsic cause(6), andbezoar of intraluminal cause(1). Misinterpreted cases were two cases(87.7% accuracy, 14/16). The cause, fornonvisualization of obstruction site on enteroclysis in four patients included technical failure such asinadequate location of tube(1) and bowel overlapping(1), minimal obstruction(1), and nonexistent obstruction(1),in spite of diffuse edematous mucosa. Conclusion : Enteroclysis through the M-A tube for decompression in patientswith postoperative intestinal obstruction is an useful method for evaluation of intestinal obstruction.

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