https://kumel.medlib.dsmc.or.kr/handle/2015.oak/851 2026-04-04T13:39:01Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40221 Title: 우연히 발견된 부신의 지방종성 종양 2례 Author(s): 조성우; 김지영; 윤혜진; 장석현; 임동미; 박근용; 김병준 Abstract: Fatty tumors of the adrenal gland are uncommon. Several types of lipomatous tumors can be found in the adrenal gland. They are usually asymptomatic and incidentally detected. Current imaging techniques cannot reliably distinguish the different type of adrenal lipomatous tumors from other adrenal functioning tumors. We report two cases of two adrenal lipomatous tumors found incidentally. Surgical treatment were performed to rule out malignant tumors due to large tumor size. The surgical pathology was confirmed an adrenal angiomyolipoma and myelolipoma. 2011-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15941 Title: 뇌정위 방사선 수술기법 Author(s): 최태진 Abstract: A conversing beam is firstly designed for radiosurgery by a neurosurgeon Leksell in 1949 with orthogonal x-rays tube moving through horizontal moving arc to focusing the beam at target center. After two decades he composits 201 source of the Co-60 for gamma knife which beams focused at locus. Several LINAC-based stereotactic radiosurgery using the circular collimated beam which size range for 0.4~4.0 cm in a diameter by non-coplanar multiarc have been developed over the decades. The irregular lesions can be treated by superimposing with several spherical shots of radiation over the tumor volume. Linac-based techniques include the use of between 4 and 11 non-coplanar arcs and a dynamic rotation technique and use photon beam energies in the range of 6~10 MV. More in recent, static conformal beams defined by custom shaped collimators or a mini- or micro-multileaf collimator (mMLC) have been used in SRS. Finally, in the last few years, intensity-modulated mMLC SRS has also been introduced. Today, many commercial and in-house SRS programs have also introduced non-invasive immobilization systems include the cyberknife and tomotherapy and proton beam. This document will be compared the characteristics of dose distribution of radiosurgery as introduced gamma knife, BrainLab include photon knife in-house SRS program and cyberknife in currently wide used for a cranial SRS. 2011-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15930 Title: 자궁간질임신의 기왕력이 있는 산모에서의 임신 제 3분기 자궁파열 Author(s): 배진곤; 김종인 Abstract: Uterine rupture is an obstetrical emergency. With a 5% maternal mortality rate and a 61% perinatal mortality rate, prompt and effective management is necessary to save lives. Therefore, obstetricians need to be ever watchful for the sign and symptoms of uterine rupture to manage the emergent situration. The major risk factor for uterine rupture is uterine surgery, especially previous cesarean delivery. Other risk factors contributing to uterine rupture are multiparity, oxytocin stimulation, fetopelvic disproportion and malpresentation. We experienced uterine rupture at the 3rd trimester in woman with a history of interstitial pregnancy, and report this case with a brief review of literature. 2011-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15588 Title: Treatment of Oro-antral Communication : 2 Case Reports Author(s): Ju Yeon Cho Abstract: Oro-antral communication (OAC) is a pathological communication between oral cavity and maxillary sinus, which is occasionally produced during routine surgical procedures or dental infections. Swift diagnosis and proper treatment are essential to successful management of OACs. This article deals with two different cases: Case 1 was a chronic OAC, fully communicated with oral mucosal defect which needed a surgical approach (buccal fat pad flap), and Case 2 was not fully communicated, nor in chronic condition, which was treated with conservative method. The purpose of this report is to provide suitable treatment options such as surgical or non-surgical method according to each different clinical evaluation. Buccal fat pad was effectively used as surgical method in Case 1, otherwise antimicrobial medication was considered enough in Case 2. 2011-12-31T15:00:00Z