https://kumel.medlib.dsmc.or.kr/handle/2015.oak/822 Thu, 19 Mar 2026 10:33:05 GMT 2026-03-19T10:33:05Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14328 Title: 악성 섬유 조직구종 Author(s): 권건영; 장은숙; 정재홍 Abstract: Malignant Fibrous Histiocytoma (MFH) has become a well known malignant tumor of soft tissue since its description by O'Brien and Stout, and Stout and Lattes proposed as having a common origin from the tissue histiocyte, but there are different opinion that MFH is a neoplasm of undifferentiated mesenchymal cell with binary differentiation into histiocytoid and fibroblastic cells. Irrespective of its precise histogenesis, the tumor contains both fibroblast-like and histiocyte-like cells in varying proportions, accounting in part for its broad morphologic spectrum. The major microscopic characteristics include fibrogenic areas with spindle cells(fibroblast-like) arranged in a focal storiform pattern, clusters or sheets of histiocyte-like cells, benign and malignant giant cells, foam cells, inflammatory cells, scattered mitotic figures are frequently observed. This report presents a case of malignant fibrous histiocytoma arising in the previous laparotomy scar of low abdominal wall, where had been previously irradiated, of 39-year-old female patient who had had history of total abdominal hysterectomy with left salpingo-oophorectomy for cervical carcinoma on February 24, 1977’ radiation therapy after hysterectomy, right salpingo-oophorectomy for infiltrating papillary carcinoma of right ovary on April 18，1978, and after that Co therapy for 27 days, total 5400 rad, till June 15, 1978，and right hemicolectomy with ileo-colostomy for postoperative intestinal obstruction on November 11, 1978. It is our aim in this report to discuss histogenesis and to emphasize on the development of prognostic criteria of MFH. Fri, 31 Dec 1982 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14328 1982-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14327 Title: Neoplasms of Gastric Smooth Muscle Author(s): Ki Yong Chung Abstract: 위의 평활근에 생기는 종양인 평활근종, 평활근육종, 평활근육아세포종은 그 발생빈도가 매우 낮으며 주로 백인에 많고 남녀의 발생비율은 2:1로 남자에 많으며 줄 40-50대에서 호발한다. 주요 증상은 종양의 종류나 악성도에 따라 다르나 주로 위출혈, 복통, 조기포만감, 식욕부진 등이며 위내의 호발부위는 평활근종의 경우는 위중부, 평활근육종에서는 위체부, 평활근육아세포종에서는 위전정부와 위분문부이다. 이들 종양들은 대체로 단단하며 잘 피막화되어 있어 초기에는 양성종과 악성종의 감별이 어려우나 종양의 크기와 세포핵분별의 수가 악성도를 나타내는 지표가 된다. 여기에서 평활근종 1예와 평활근육아세포중 1예를 문헌고찰과 더불어 보고하고자 한다. Fri, 31 Dec 1982 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14327 1982-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14326 Title: 흉수를 압박한 고립성 연골종 Author(s): 손은익; 추우홍; 임만빈; 김인홍 Abstract: Solitary osteochondroma is a very unusual cause of spinal cord compression. The tumor is benign, and surgical removal produces an excellent clinical result. We have experienced a case of solitary osteochondroma in the posterier neural arch of the 11th thoracic vertebra which compressed spinal cord and resulted in paraparesis. Plain spine x-ray revealed calcified bony lesion with smooth border at Tll level. Myelogram showed nearly complete blockage of dye column, extradural type, at the Tll level. Total laminectomies including the pathological lesion resulted in excellent recovery. Fri, 31 Dec 1982 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14326 1982-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14325 Title: Raynaud증후군을 위한 Reserpine, Procaine의 동맥주사와 성상교감신경절 차단 Author(s): 최규택; 전재규 Abstract: Efforts from many different approaches have been made to cure Raynaud's phenomenon, such as dorsal sympathectomy, topical injection of nitroglycerin, phentolamin and procaine, and oral or parentr al administration of various drugs. However, there has been no successful management proven yet. In recent years, it was reported that intra-arterial administration in normal subjects as well as patients with Raynaud's syndrome has demonstrated a significant rise in blood flow to the hands. We used intermittent stellate ganglion blocks in conjunction with intra-arterial injections of reserpine and procaine in one patient suffering from bilateral finger necrosis. The stellate ganglion block was performed in a paratracheal approach by injection of 0.75% bupivacaine without epinephrine mixed and followed by the administration of reserpine I mg and procaine 50 mg through a butterfly needle inserted in the radial artery. The administration of reserpine and procaine was done only one time. The stellate ganglion block was carried out once in a 5 days for about I month, then once in a 2 weeks as needed for 2 months. As the procedure was carried out and the necrotic tissue sloughed off, oozing appeared and new granulation tissue was observed. Now the patient was healed completely and he is waiting for revision of the stump. We concluded that the intra-arterial administration of resrepine and procaine helped initiate and accelerate increasing blood flow to the hand and the stellate ganglion block continued to help revascularization by dilating the peripheral beds. Fri, 31 Dec 1982 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14325 1982-12-31T15:00:00Z