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임동명,김순호,임중규,허진득,장진형,김훤,위대철,윤철승 대한내분비학회 1992 Endocrinology and metabolism Vol.7 No.4
The syndrome of polyostotic fibrous dysplasia (PFD), cutaneous pigmentation and endocrinopathy (Albright's syndrome) continuous today to remain enigmatic. Not all patient with PFD have complete syndrome. In addition to the described in Albright's original patients, other endocrinopathies have been reported, including hyperthyroidism, acromegaly, hyperparathyroidism, Cushing's syndrome, adenoma of pituitary, thyroid, parathyroid and adrenal gland, vitamine Dresistant rickets and hypothalamic hypogonadotrophic hypogonadism. A 27-year-old man was found to have polyostotic fibrous dysplasia of bone, cutaneous pigmentation and acromegaly with diabetes mellitus. He started to have pain in left hip joint and it caused an alternation on his gait in 1983. X-ray study revealed that he had fibrous dysplasia. He gradually developed clinical feature of acromegaly. Subsequent biochemical study of growth hormone and radiologic study of the sellar confirmed the diagnosis of acromegaly. Bone biopsy and microscopic examination of the pituitary tumor tissue obtained through transsphenoidal procedure were reported to be fibrous dysplasia and acidophilic adenoma, respectively. The purpose of this report is to describe a patient with incomplete Albright's syndrome with acromegaly, which is very rare and we believe this is the first case to be reported in Korean literature.(J Kor Soc Endocrinol 7:402~408, 1992)
증후성 Rathke열 낭종 : Transseptal transsphenoidal approach via columella flap
임동명,전세영,장석정 조선대학교 부설 의학연구소 1999 The Medical Journal of Chosun University Vol.24 No.1
Rathke's cysts are sellar and suprasellar lesions that are found incidentally in about 13-22% of autopsy cases. Clinical symptoms of Rathke's cyst are usually the result of local mass effect. The most common symptom is headache, and other symptoms which arise are pituitary dysfunction, compression of the visual apparatus and the pituitary stalk. It is very important to distinguish Rathke's cyst from craniopharyngiomas(more common cystic tumor) because of the operative management. We reported a rare case of symptomatic Rathke's cleft cyst. This cyst was removed by transseptal transsphenoidal approach via columella flap. Postop result was satisfactory without serious complications.
임동명(Dong Myung Lim),김훤(Hueon Kim),위대철(Dae Chel Wee),윤철승(Cheol Seung Yun),임연근(Yun Geun Lim),여향순(Hyang Sun Yeo),박홍배(Hong Bae Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Pyogenic liver abscess has been a serious illness with a uniformly fetal outcorne if left un- treated. Recently, there has been a steady rise in cornplications of pyogenic abscess with the irnprovement of diagnosis and management. Rupture into the peritoneum is second most fre- quent complication next to extention into the thorax. Rupture into the stomach and bowel is extremely rare. We report a case of hepatocolic fistula associated with ruptured multiple pyo- genic abscess in 59 years old female with the review of literatures.(Korean J Gastroenterol 1994; 26: S96%00)