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      • SCOPUSKCI등재

        늑간신경에 발생한 신경초종 1예

        이두연,계기식,송계용,Lee, Du-Yeon,Gye, Gi-Sik,Song, Gye-Yong 대한흉부심장혈관외과학회 1978 Journal of Chest Surgery (J Chest Surg) Vol.11 No.3

        Recently, we experienced a case of rare neurilemmoma originated from intercostal nerve [9th] in the right chest wall in a 25 year old male officer. The tumor was incidentally found in the routine chest X ray, where the round well circumscribed mass tumor the ninth rib with notching and sclerotic margin, suggesting slowly growing benign benign of chest wall was revealed and the tumor mass was easily extirpated in the exploratory thoracotomy, with uneventful recovery. Grossly, the tumor was firm, partly soft and well circumscribed, measuring 4.5X3.0X 3.0 cm with yellowish smooth outer surface, attached with intercostal nerve trunk. Cut surface exhibits partly grayish white and largely hemorrhagic areas. Microscopically, the characteristic palisading arrangement of schwann cells and Verocay bodies are seen but dominant features are cystic degeneration and hemorrhage with organization and fibrosis. The sheath of intercostal nerve and capsule of neurilemmoma were con joined. There is no evidence of malignancy. The tumor was confirmed as neurilemmoma of intercostal nerve, Antony type B.

      • KCI등재
      • KCI등재후보
      • SCOPUSKCI등재

        선상 국소 탄력섬유증 4 례

        김성언(Seong Eon Kim),김행석(Haeng Seok Kim),김종경(Jong Kyeong Kim),오지원(Chee Won Oh),송계용(Gye Yong Song),김태흥(Tae Heung Kim) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.2

        Linear focal elastosis is characterized clinically by horizontal yellowish palpable striae on the lower back and histologically fragmentation or aggregation of elastic fibers. We herein report four cases of linear focal elastosis in male patients. They were 12 to 17 years old and the disease duration was 1 to 3 years. We suggest linear focal elastosis is a variant of striae distensae affecting elastic fibers.

      • SCOPUSKCI등재

        피부선병(Scrofuloderma) 2예

        최성욱 ( Choe Seong Ug ),서성준 ( Seo Seong Jun ),김명남 ( Kim Myeong Nam ),홍창권 ( Hong Chang Gwon ),노병인 ( No Byeong In ),송계용 ( Song Gye Yong ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.11

        Scrofuloderma results from a direct extension of an underlying tuberculosis focus such as the lymph node, bone or joint to the underlying skin, and is often associated with pulmonary tuberculosis. One 72-year-old man presented with erythematous swollen patch with scales on the left hand and erythematous swollen patch on the left elbow. He had tuberculous osteomyelitis of left elbow. And another patient who is a 59-year-old man presented with hemorrhagic, purulent ulcers with crust and exudate on the left and right chest. Each size of ulcers are 6.0×5.Ocm and 5.O×5.Ocm. He had reactive pulmonary tuberculosis and tuberculous spondylitis. Biopsy specimens from the skin showed lymphocytes, epitheloid cells, and Langerhan`s giant cells with caseation necrosis. Acid-fast bacilli were identified on AFB staining. We report two unusual cases of scrofuloderma associated with tuberculous osteomyelitis and pulmonary tuberculosis respectively. (Korean J Dermatol 2003;41(11) : 1503∼1507)

      • 진주종 상피의 전자현미경적 소견

        전병훈,백승찬,송계용 인제대학교 1995 仁濟醫學 Vol.16 No.4

        다양한 임상상과 합병증을 야기하는 진주종성 중이염에서 관찰되는 진주종 상피는 조직학적으로 중이장내에는 없는 각질형 편평상피세포로 구성되어 있다. 진주종 상피의 광학현미경 관찰 결과에서 진주종 상피는 각질형 중층 편평상피층외에 비각질형 중층 편평상피층 및 그들간의 이행부위가 관찰되어 이 부위 각각의 미세구조를 전자현미경으로 관찰하는 것이 진주종 병인연구에 도움이 될 것으로 생각되어 본 연구를 시행하였다. 그 결과 각질형 편평상피에서는 각질유리질 과립과 당김세사와 교소체 등 피부상피와 같은 구조를 가지고 있었으며 비각질형 편평상피에서는 각질유리질 과립과 당김세사가 거의 관찰되지 않았으나 교소체는 뚜렸하였다. 반면에 이행부위라고 생각되는 상피에서는 당김세사와 각질유리 질 과립이 소수 관찰되었고 일부에서는 거대한 과립도 관찰되었다. 기저막은 염증이 심하고 증식성이 강한 곳에서는 형성이 불완전하였으나 각질형 상피로 갈수록 점차적인 기저막의 완전한 형성을 관찰하였다. 또한 기저층세포와 결체조직내의 염증세포 및 섬유모세포와의 직접적인 접촉은 발견되지 않고 피부의 상피와 미세구조상 별다른 유의한 차이가 없는 것으로 보아 성숙한 진주종상피는 표피와 구조적으로 동일한 것으로 보였다. 이와같은 소견에서 비각질형 진주종상피가 활발한 증식과 분화를 통해 성숙한 각질형 상피로 이행할 수 있는 것으로 생각되었다. The cholesteatoma was known to composed of be keratinizing striated squamous cells on the histology. On the previous study, we had found the cholesteatoma consisted of nonkeratinizing striated squamous epithelium, keratinizing epithelium, and transitioning zone on light microscope. We tried the electromictoscpoic exam to elucidate the pathogenesis of the cholesteatoma. As a result, the keratinizing epithelium had many keratohy-alinene granules, tonofilaments, obvious desmosomes like as the skin, the nonkeratininzing epithelium had few keratohyailne granulse and tonofilaments, and many obvious desmosomes. The transitional zone was composed of a few of keratohyaline granules and tonofilaments, large granule in the certain region. The incomplete basement membrane formation was found at the severe inflammatory and hyperproliferating zone, but completely organized basement membrane was toward the keratinizing epithelium. Fully matured keratinzing epithelium of cholesteatoma was similar to the epithelium of the skin, because the basement membrane was intact, and the basal cells did not contact the inflammatory cells and fibroblasts, and the epithelium of the cholesteatoma was not different from the epithelium of the skin, ultramicroscopically. Based upon the observations, we thought that the nonkeratinizing epithelium of the cholesteatoma was continually proliferating and differentiating toward the matured keratinizing epithelium.

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