2.A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception.
Jeong Hwan CHO ; Jin Seok JANG ; Chae Ryeong JANG ; Seung Uk LEE ; Myung Hwan ROH ; Sang Young HAN ; Seok Reyol CHOI ; Jin Han CHO ; Sook Hee HONG
Korean Journal of Gastrointestinal Endoscopy 2007;35(2):100-104
Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5x4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination.
Adenoma*
;
Adult
;
Anemia*
;
Duodenum
;
Dyspnea
;
Endoscopy, Digestive System
;
Gastrointestinal Hemorrhage
;
Hemorrhage
;
Humans
;
Intussusception*
;
Melena
;
Pylorus*
;
Rare Diseases
;
Upper Gastrointestinal Tract
3.A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception.
Jeong Hwan CHO ; Jin Seok JANG ; Chae Ryeong JANG ; Seung Uk LEE ; Myung Hwan ROH ; Sang Young HAN ; Seok Reyol CHOI ; Jin Han CHO ; Sook Hee HONG
Korean Journal of Gastrointestinal Endoscopy 2007;35(2):100-104
Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5x4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination.
Adenoma*
;
Adult
;
Anemia*
;
Duodenum
;
Dyspnea
;
Endoscopy, Digestive System
;
Gastrointestinal Hemorrhage
;
Hemorrhage
;
Humans
;
Intussusception*
;
Melena
;
Pylorus*
;
Rare Diseases
;
Upper Gastrointestinal Tract
4.Ectopic ACTH syndrome caused by pulmonary carcinoid tumor mimicking long-standing sclerosing hemangioma.
Sung Yong HAN ; Bo Hyun KIM ; Hee Ryeong JANG ; Won Jin KIM ; Yun Kyung JEON ; Sang Soo KIM ; In Ju KIM
The Korean Journal of Internal Medicine 2016;31(4):794-797
No abstract available.
ACTH Syndrome, Ectopic*
;
Carcinoid Tumor*
;
Histiocytoma, Benign Fibrous*
;
Neuroendocrine Tumors
5.A case of immune thrombocytopenia associated with invasive thymoma successfully treated with eltrombopag
Jung Ki YOON ; Hee Ryeong JANG ; Jin Hyun PARK ; Ki Hwan KIM ; Eu Youn ROH ; Ja Min BYUN
Blood Research 2019;54(1):74-79
No abstract available.
Purpura, Thrombocytopenic, Idiopathic
;
Thymoma
6.Maximum standardized uptake value on positron emission tomography/computed tomography predicts clinical outcome in patients with relapsed or refractory diffuse large B-cell lymphoma.
Hee Ryeong JANG ; Moo Kon SONG ; Joo Seop CHUNG ; Deok Hwan YANG ; Jeong Ok LEE ; Junshik HONG ; Su Hee CHO ; Seong Jang KIM ; Dong Hoon SHIN ; Young Joo PARK ; Jin Suk KANG ; Jeong Eun LEE ; Moon Won LEE ; Ho Jin SHIN
Blood Research 2015;50(2):97-102
BACKGROUND: Few clinical studies have clarified the prognostic factors that affect clinical outcomes for patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after immunochemotherapy. METHODS: A total of 158 patients with relapsed or refractory DLBCL were enrolled. All patients underwent positron emission tomography/computed tomography (PET/CT) before and after salvage therapy. All enrolled patients previously received the ifosfamide, carboplatin, and etoposide regimen. Clinical outcomes were compared according to several factors (age > or = 65 years, low age-adjusted International Prognostic Index [aa-IPI], maximum standardized uptake value [SUVmax] <6.0 on PET/CT, time to relapse > or =12 months, complete response after salvage therapy). A low aa-IPI, SUVmax <6.0, and time to relapse > or = 12 months were independent prognostic factors for survival. RESULTS: In univariate analysis and multivariate analysis, SUVmax below 6.0 (P<0.001 for progression-free survival (PFS), P<0.001 for overall survival (OS)) and low aa-IPI (P<0.001 for PFS, P<0.001 for OS) were independent prognostic factors associated with favorable outcome. CONCLUSION: The aa-IPI and initial SUVmax were powerful prognostic factors in patients with relapsed or refractory DLBCL.
Carboplatin
;
Disease-Free Survival
;
Electrons*
;
Etoposide
;
Humans
;
Ifosfamide
;
Lymphoma, B-Cell*
;
Multivariate Analysis
;
Positron-Emission Tomography
;
Positron-Emission Tomography and Computed Tomography
;
Recurrence
;
Salvage Therapy
7.A Case of Transverse Myelitis Caused by Varicella Zoster Virus in an Immunocompetent Older Patient.
Jeong Eun LEE ; Shinwon LEE ; Kye Hyung KIM ; Hee Ryeong JANG ; Young Joo PARK ; Jin Suk KANG ; Sung Yong HAN ; Sun Hee LEE
Infection and Chemotherapy 2016;48(4):334-337
Varicella zoster virus (VZV) is a human neurotropic alphaherpesvirus that causes chickenpox (varicella) in children. VZV reactivation may lead to neurological complications, including transverse myelitis. However, transverse myelitis caused by VZV reactivation is rare in immunocompetent patients. Herein, we report a case of transverse myelitis caused by VZV in an immunocompetent older patient, and confirmed this case by polymerase chain reaction. A 79-year-old woman visited our service with complaints of weakness in the right lower leg, generalized vesicular eruptions, and throbbing pain in the right flank for ten days. Spine MRI showed transverse myelitis in the thoracic spine at level T4–T11. The patient was treated with acyclovir and her neurological functions improved, except for sensory impairment below level T10. For older patients, early and aggressive antiviral treatment against VZV may be necessary even though these patients are immunocompetent.
Acyclovir
;
Aged
;
Chickenpox*
;
Child
;
Female
;
Herpesvirus 3, Human*
;
Humans
;
Leg
;
Magnetic Resonance Imaging
;
Myelitis, Transverse*
;
Polymerase Chain Reaction
;
Spine
8.Type B Aortic Dissection with Malperfusion of Both Common Iliac Arteries That Underwent Stent Placement Using the Left Brachial Approach.
Young Joo PARK ; Jeong Eun LEE ; Jin Suk KANG ; Hee Ryeong JANG ; Min Ji KIM ; Sang Pil KIM ; Han Cheol LEE
Korean Journal of Medicine 2016;90(5):433-439
Malperfusion syndrome is a complication of acute descending aortic dissection (DAD) and it is associated with a poor clinical outcome. Surgical treatment for it has a high rate of mortality. Thoracic endovascular aortic repair (TEVAR) for DAD with malperfusion syndrome has resulted in good clinical outcomes. However, when both common iliac arteries are compromised by a false lumen, it is impossible to conduct TEVAR because there is no accessible artery. We successfully treated a case of DAD with malperfusion syndrome in which both common iliac arteries were compromised by placing stents in both arteries using the left brachial approach.
Aorta
;
Arteries
;
Iliac Artery*
;
Mortality
;
Stents*