1.Primary Pulmonary Malignant Melanoma Presenting as Bilateral Multiple Subsolid Nodules: A Case Report
Eun Gyu SOH ; Ji Young RHO ; Sooyeon JEONG ; Se Ri KANG ; Keum Ha CHOI
Journal of the Korean Radiological Society 2022;83(2):387-393
Primary pulmonary malignant melanoma is an extremely rare type of melanoma. The radiologic features of primary pulmonary malignant melanoma are nonspecific; however, it almost always presents as a well-demarcated round or lobulated solitary solid nodule or mass. Herein, we report the case of a 78-year-old male with primary pulmonary malignant melanoma that was mistaken for primary pulmonary adenocarcinoma with lepidic growth and was seen as bilateral multiple subsolid nodules on CT.
2.Usefulness of 2D shear wave elastography for the evaluation of hepatic fibrosis and treatment response in patients with autoimmune hepatitis
Eun Gyu SOH ; Young Hwan LEE ; Youe Ree KIM ; Kwon-Ha YOON ; Keum Ha CHOI
Ultrasonography 2022;41(4):740-749
Purpose:
The purpose of this study was to determine the usefulness of two-dimensional shear wave elastography (2D SWE) in the assessment of liver stiffness (LS) and dispersion slope (DS) to evaluate hepatic fibrosis and the treatment response in patients with autoimmune hepatitis (AIH).
Methods:
Patients diagnosed with AIH who underwent 2D SWE between June 2014 and June 2021 were enrolled in this retrospective study. The patients were classified into four groups according to the histologic stage of fibrosis (F1-F4). The baseline characteristics, laboratory test results, histologic results, and 2D SWE results were analyzed. The diagnostic performance of LS measurements in hepatic fibrosis staging was investigated, and variables were compared before and after steroid treatment for AIH.
Results:
In total, 69 patients were analyzed. The LS values differed according to the stage of liver fibrosis (P<0.001). The area under the curve for LS was 0.903, 0.815, and 0.854 for ≥F2, ≥F3, and F4, respectively. The diagnostic performance of LS measurements was significantly greater than that of serum biomarkers, except for fibrosis index-4 for F4 (P<0.05). Significant differences were observed in follow-up examinations in both the LS value and DS in patients who received steroid therapy (P=0.012 and P=0.011, respectively).
Conclusion
In conclusion, 2D SWE is a useful method for the assessment of hepatic fibrosis in patients with AIH. In follow-up examinations, LS and DS can be used as reliable parameters to evaluate the treatment response of AIH.
3.Third trimester listeriosis in twin pregnant woman with multiple organ dysfunction syndrome and combined endocarditis: A case report.
Eun Jung SOH ; Tae Gyu AHN ; Ae Rah HAN ; Hyang Ah LEE ; Jong Yun HWANG ; Hye Sung WON ; Dong Heon LEE ; Jun Sik CHO
Korean Journal of Obstetrics and Gynecology 2008;51(5):568-573
Human listeriosis is a relatively rare but serious disease with mortality rate 20~40%. Listeria monocytogenes affects patients with decreased cell mediated immunity such as the elderly, transplant recipients, cancer patients, renal failure, diabetes, HIV, pregnant women and unborn child, neonate. We experienced a case of listeriosis in twin pregnant woman at 35th weeks without preterm labor. The pregnant woman present sepsis with fever at first time. Sepsis progress to MODS (multiple organ dysfunction syndrome) and combined endocarditis. We reported it with brief of literatures.
Aged
;
Child
;
Endocarditis
;
Female
;
Fever
;
HIV
;
Humans
;
Immunity, Cellular
;
Infant, Newborn
;
Listeria
;
Listeria monocytogenes
;
Listeriosis
;
Multiple Organ Failure
;
Obstetric Labor, Premature
;
Pregnancy
;
Pregnancy Trimester, Third
;
Pregnancy, Twin
;
Pregnant Women
;
Renal Insufficiency
;
Sepsis
4.A Case of Clinical Ulcerative Colitis with Concurrent Hepatocellular Carcinoma.
In Hwan YU ; Joo Il PARK ; Jae Il KIM ; Chang Hoo LEE ; Jung Hyup KANG ; Sung Min HAN ; Hwa Young KIM ; Hae Gyu PARK ; Soon Chan SOH ; Kyung Geun KUARK ; Seok Eun KIM ; Suk Joon PARK ; Young Hee PARK
Korean Journal of Gastrointestinal Endoscopy 1997;17(5):696-701
Ulcerative colitis is a diffuse inflammatory disease which is characterized by the vascular congestion and superficial ulcerations in the mucosal and the submucosal layers of the rectum and colon. Extraintestinal manifestations such as arthritis, skin lesion, hepatobiliary and ocular diseases occur in a large number of patients with ulcerative colitis, though gastrointestinal symptoms of mucous and bloody stool, diarrhea and abdominal pain are frequently presented. The association of ulcerative colitis and hepatobiliary disease has been frequently reported in the western countries since the first description by Thomas C.H. in 1874. Fatty degeneration, chronic active hepatitis, cirrhosis, primary sclerosing cholangitis and hepatobiliary carcinoma are included in this list of complications. In the case of hepatobiliary carcinoma, however, the histological diagnosis has almost invariably been cholangiocarcinoma. We report a case of clinical ulcerative colitis with coneurrent hepatocellular carcinoma confirmed by the histologic examination of biopsy specimen in a 49 year old man with the relevant literatures.
Abdominal Pain
;
Arthritis
;
Biopsy
;
Carcinoma, Hepatocellular*
;
Cholangiocarcinoma
;
Cholangitis, Sclerosing
;
Colitis, Ulcerative*
;
Colon
;
Diagnosis
;
Diarrhea
;
Estrogens, Conjugated (USP)
;
Fibrosis
;
Hepatitis, Chronic
;
Humans
;
Middle Aged
;
Rectum
;
Skin
;
Ulcer*