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갑상샘의 미만성 경화아형 유두상암의 1예 보고: 초음파와 컴퓨터 단층촬영 영상
김흥철,남궁숙,홍명선,황임경,김한준<SUP>1<.SUP>,최영희<SUP>2<.SUP>,Heung Cheol Kim,M.D.,Sook Namkung,M.D.,Myong Son Hong,M.D.,Im Kyung Hwang,M.D.,Han Joon Kim,M.D.<SUP>1<.SUP> and Young Hee Choi,M.D.<SUP>2<.SUP> 대한갑상선-내분비외과학회 2008 The Koreran journal of Endocrine Surgery Vol.8 No.1
We report here on a case of diffuse sclerosing papillary carcinoma (DSPC), which is a subtype of papillary carcinoma of thyroid, in a 27-year-old female. The ultrasound images showed diffuse enlargement of the thyroid lobes and this was associated with underlying diffuse scattered microcalcifications and a heterogeneous hypoechoic background parenchyma that was without any masses. The CT image showeddiffuse scattered dot-like hyperdensities with bilateral multiple metastastic lymph nodes. Because making the cytological diagnosis of DSPC is still challenging, the radiological findings that show this disease's characteristic features may be important clues for making the correct diagnosis. <B>(Ko</B><B></B><B>rean J Endocrine Surg 2008;8:43-47)</B>
조롱박동루와 연관된 반복적 갑상선 및 주변 연조직 감염의 방사선학적 소견: 1예 보고
김흥철,황임경,남궁숙,홍명선,장지연,이지연,정희록,Heung Cheol Kim,M.D.,Im Kyung Hwang,M.D.,Sook Namkung,M.D.,Myung Sun Hong,M.D.,Ji Yeon Jang,M.D.,Ji Yeon Lee,M.D. and Hee Rok Jeong,M.D. 대한갑상선-내분비외과학회 2008 The Koreran journal of Endocrine Surgery Vol.8 No.3
We report here on a case of a recurrent left anterior neck infection and focal left suppurative thyroiditis that were associated with a congenital pyriform sinus fistula (PSF) in an 18-year-old male. Acute suppurative thyroidits is a very rare clinical condition and it is usually caused by infection that's derived from infected perithyroidal tissue or a congenital internal fistula. The PSF can lead to recurrent episodes of neck inflammation and abscess, and it is the most common cause of acute suppurative thyroiditis in young man. In this current case, the CT scan showed an air-containing tract of a PSF from the left pyriform sinus to the left thyroid gland and the perithyroidal soft tissue. The CT scan also showed a neck inflammatory infiltration or abscess along the course of the sinus tract. The focal low density of the thyroid parenchyma was seen and this was suggestive of suppurative thyroiditis. Barium esophagography demonstrated the fistulous tract in the PSF. We performed laryngoscopy, and the internal opening of the pyriform sinus fistula was successfully cauterized with AgNO<SUB>3</SUB> and the post procedure course was fair. When an air-containing tract and a recurrent inflammatory infiltration or abscess are present at the left anterior neck with including the thyroid and perithyroidal soft tissue, a PSF should be strongly suspected. <B>(Ko</B><B></B><B>rean J Endocrine Surg 2008;8:206-209</B><B>)</B>
한태균,류대식,김홍철,허헌,엄경태,남궁숙,박만수,황우철,이관섭,Han, Tae-Kyun,Ryu, Dae-Sik,Kim, Heung-Chul,Hur, Hun,Eom, Kyeung-Tae,Namkung, Sook,Park, Man-Soo,Hwang, Woo-Chul,Lee, Kwan-Seop 대한영상의학회 1996 대한영상의학회지 Vol.34 No.5
Purose: To discribe the radiologic findings of idiopathic portal hypertension and to find the points of differentiation between idiopathic portal hypertension and liver cirrhosis. Material and Mathods: Four portograms in five patients who for four years had suffered from pathologically confirmed idiopathic portal hypertension were retrospectively analyzed and compared with a portogram obtained from a cntrol subject with liver cirrhosis. Results: Portographic findings of idiopathic portal hypertension were paucity of medium-sized portal branches, irregular and obtuse-angled division of peripheral branches, abrupt interruption and an avascular area beneath the liver margin. Conclusion: A portogram of idiopathic portal hypertension may be useful in differentiating this andliver cirrhosis.
제2새열 낭종의 초음파 소견;다양한 소견들과 진단에 도움이 될 만한 소견들
김흥철(Heung Cheol Kim),이준호(Jun Ho Lee),남궁숙(Sook NamKung),홍명선(Myung Sun Hong),황임경(Im Kyung Hwang) 대한두경부종양학회 2008 대한두경부 종양학회지 Vol.24 No.1
Objectives :The purpose of this study was to evaluate the variable sonographic features in addition to clas-sic findings and to find the helpful characteristic findings for diagnosis of branchial cleft cysts. Subjects and Methods :We retrospectively analyzed the sonographic finding of 16 histopathologically proven branchial cleft cysts. Assessment involved the following variables : location related to carotid artery, size, cyst wall, border, margin, shape, internal echotexture, post echoic enhancement, orientation of longitudinal axis rel-ative to the long axis of the neck, and tapering edge. Results :Most branchial cleft cysts were seen as well defined(15/16), oval shape(13/16), smooth inner (12/16) and outer margin(13/16), and post echoic enhancement(16/16). Their diameter varied from 1 to 6cm (mean 3.3cm). The branchial cleft cysts showed variable internal echopatterns;hyperechogenicity or pseu-dosolid appearance(1/16), heterogeneous echogenicity(4/16) in addition to classic form of anechoic(5/16) or hypoechoic internal echogenicity(6/16). Longitudinal axis of most branchial cleft cysts were arranged in the direction of the long axis of the neck(13/16) and some branchial cleft cysts had tapering edge(6/16). Conclusion :If both atypical sonographic findings and location are showed, longitudinal arrangement of long axis and tapering edge of branchial cleft cysts are helpful findings for differential diagnosis.