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위눈꺼풀에 발생한 원발성 기타 상세불명의 말초 T세포 림프종 1예
노시진,기정혜,김혜영,Si Jin Noh,Jeong Hae Kie,Hye Young Kim 대한안과학회 2012 대한안과학회지 Vol.53 No.11
Purpose: To report a case of primary peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS), of the eyelid. Methods: A 48-year-old healthy male patient presented with a mass on the upper lid of 2 months in duration. The lesion was reddish, well - demarcated, oval shaped, and measured approximately 8 × 4 mm. The mass did not respond to incisional drainage and intra-lesional triamcinolone. An excisional biopsy for diagnosis was performed. Results: On microscopic examination, a localized dense lymphocytic infiltration was observed in the subepithelial area, and cytologic atypia was observed under high power. On immunohistochemical examination, tumor cells were positive for CD3 but negative for CD20, CD30, CD56, ĸ-light chain immunoglobulin, λ-light chain immunoglobulin, and increased Ki-67 activity was noted. A histopathological diagnosis of PTCL-NOS was made. Conclusions: PTCL-NOS, which rarely occurs on the eyelids, commonly accompanies generalized lymphadenopathy and “B symptoms” such as fever and weight loss. Herein, the authors report a case of PTCL-NOS of the eyelid presenting as a rapidly growing solid mass in an otherwise healthy patient.
요관 세척 세포학적 검사로 진단된 요관 아밀로이드증 - 1 예 보고 -
이원애,기정혜,진윤미,이미경,Lee, Won-Ae,Kie, Jeong-Hae,Jeen, Yoon-Mi,Lee, Mi-Kyung 대한세포병리학회 2002 대한세포병리학회지 Vol.13 No.1
Localized amyloidosis of the ureter is rare and clinically confused with neoplasm. We describe a case of localized amyloidosis of the ureter in which the presence of amyloid was detected in ureteral washing cytology. A 75-year-old female presented with gross hematuria. Abdominal CT and retrograde pyelography revealed hydronephrosis and hydroureter on the left side with abrupt narrowing of the distal ureter. Ureteral washing cytology yielded a hypocellular smear with many irregular clumps of amorphous, extracellar, waxy material. Biopsy sections demonstrated submucosal deposits of eosinophilic amorphous material which gave characteristic apple green birefringence with Congo-red stain under the polarized light. Familarity with the cytologic features of amyloid is helpful for preoperative diagnosis and proper treatment.
박융,하중원,기정혜,홍승표 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.6
Osteochondroma is a common benign bone tumor, but relatively rare in the spine. Spinal osteochondroma originates mainly from the posterior column and sometimes invades the spinal canal causing cord compression and myelopathy. A 36-year-old man was admitted to the authors’ institution with a two-year history of neck pain. A radiology examination revealed osteochondroma, arising from the left superior articular process of the T1 vertebra with significant central canal narrowing. Most cases of the spinal osteochondroma originate in the cervical vertebra, but there are few reports of an origin of the cervicothoracic junction. This paper reports a case of osteochondroma at the cervicothoracic junction with a review of the relevant literature. 골연골종은 흔한 양성골병변이나 척추에서는 비교적 드물게 발견된다. 척추의 골연골종은 주로 척추후주에서 기원하며, 척수강 내로 확장하거나 척수병증을 유발하는 경우는 흔하지 않다. 36세 남자 환자가 2년 전부터 시작된 경부통을 주소로 내원하였다. 영상학적 검사상 흉추 제1번의 상관절돌기에서부터 척수강을 침범하는 골연골종 소견이 관찰되었다. 척추 골연골종의 대부분은 경추에서 기원하는 반면 경흉추 이행부에서의 기원은 보고된 바가 극히 드물다. 이에 저자들은 경흉추 이행부에서 발생한 골연골종을 그 발생 부위의 희귀성에 비추어 문헌 고찰과 함께 보고하는 바이다.
이태성,신향애,기정혜,김지훈 대한후두음성언어의학회 2022 대한후두음성언어의학회지 Vol.33 No.2
Fibrolipomas are a rare microscopic variant of lipomas, characterized by mature adipose tissue interspersed with dense fibrous connective tissue. These lesions are rarely observed in the head and neck region and represent <0.6% of all benign tumors of the larynx and hypopharynx. Their clinical presentation depends on the location and size of lesions. Patients present with variable symptoms; however, fibrolipomas of the larynx and hypopharynx are clinically important because these tumors can cause unpredictable airway obstruction, particularly during general anesthesia induction. We present a case of a hypopharyngeal fibrolipoma in a 61-year-old patient with frequent dyspnea, dysphagia, and muffled voice. Laryngoscopy revealed a well-demarcated pedunculated ovoid mass involving the larynx. We performed laryngomicrosurgery using a carbon dioxide laser for surgical excision and subsequent evaluation confirmed the diagnosis of fibrolipoma. We report a case of hypopharyngeal fibrolipoma, together with a literature review.
소두증을 동반한 조기 발현 신증후군 1례 : Galloway-Mowat 증후군
유병원,조성민,기정혜,정희정,김기혁,Yoo Byung-Won,Cho Sung-Min,Kie Jeong-Hae,Jung Hee-Jung,Kim Kee-Hyuck 대한소아신장학회 2003 Childhood kidney diseases Vol.7 No.2
The Galloway-Mowat syndrome, a rare inherited disorder, is characterized by congenital microcephaly with various neurological abnormalities and early onset of nephrotic syndrome with unresponsiveness to treatment, progressive deterioration in renal function and death in early lifetime. In this report, we describe a girl with microcephaly, seizures. and psychomotor retardation who developed nephrotic syndrome at 17 months of age. 다양한 신경학적 이상을 동반한 소두증과 조기발현 신증군을 보이는 Galloway-Mowat 증후군은 치료반응이 불량하며 신기능의 저하가 진행되 조기에 사망하는 드문 유전성 질환이다. 임상적, 조직학적 다양성을 보이는 소두증과 신증후군을 동반한 일련의 질환군에 대해 아직 그 견해가 정립되지 않았고 향후 지속적인 연구가 이어질 것으로 생각되며 유전성 및 예후 등을 고려할 때 주목해야 할 필요가 있다고 생각되어 저자들이 경험한 소두증과 신경학적 이상을 동반한 조기발현 신증후군 1례를 보고하는 바이다.