Journal of Yeungnam medical science最新文献

Advances in hepatocellular carcinoma: hepatocarcinogenesis, role of exosomal noncoding RNAs, and diagnostic pathology. 肝细胞癌研究进展：肝癌发生、外泌体非编码 RNA 的作用以及病理诊断。

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Journal of Yeungnam medical science Pub Date : 2024-11-07 DOI: 10.12701/jyms.2024.01221

Joon Hyuk Choi

引用次数: 0

Comparison of ganglion cell-inner plexiform layer thickness among patients with intermittent exotropia according to fixation preference: a retrospective observational study. 根据固定偏好比较间歇性外斜患者神经节细胞-内丛样层厚度：一项回顾性观察研究。

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Journal of Yeungnam medical science Pub Date : 2024-10-25 DOI: 10.12701/jyms.2024.00864

Yeon Ju Lim, Soo Jung Lee

{"title":"Comparison of ganglion cell-inner plexiform layer thickness among patients with intermittent exotropia according to fixation preference: a retrospective observational study.","authors":"Yeon Ju Lim, Soo Jung Lee","doi":"10.12701/jyms.2024.00864","DOIUrl":"https://doi.org/10.12701/jyms.2024.00864","url":null,"abstract":"Background: This study was performed to compare the thickness of the ganglion cell-inner plexiform layer (GCIPL) depending on the presence or absence of fixation preference in patients with intermittent exotropia (IXT) with refractive values close to emmetropia and with no amblyopia.Methods: The study recruited pediatric patients diagnosed with IXT with a spherical equivalent within ±1.25 diopter and no amblyopia. The patients were categorized into two groups: a monocular exotropia group with fixation preference and an alternating exotropia group without fixation preference. GCIPL thickness was measured using spectral domain optical coherence tomography, and the macula was divided into nine sectors according to the Early Treatment Diabetic Retinopathy Study (ETDRS). GCIPL thickness in each sector was compared between the monocular and alternating exotropia groups.Results: In the monocular exotropia group, GCIPL thickness was significantly thinner in the dominant eye than in the nondominant eye in the S1 sector (91.2±7.4 μm vs. 93.3±5.2 μm, p=0.019). However, in the alternating exotropia group, there were no significant differences between the eyes across all ETDRS sectors. When comparing the interocular differences in GCIPL thickness between the two groups, the monocular exotropia group (absolute value of the dominant eye minus the nondominant eye) exhibited significantly greater differences in several ETDRS sectors than the alternating exotropia group (absolute value of the right eye minus the left eye).Conclusion: The significant interocular difference in GCIPL thickness in the monocular exotropia group suggests that fixation preference may influence the anatomical structure of the macula in patients with IXT.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pathology and diagnostic approaches to well-differentiated hepatocellular lesions: a narrative review. 分化良好的肝细胞病变的病理学和诊断方法：叙述性综述。

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Journal of Yeungnam medical science Pub Date : 2024-10-24 DOI: 10.12701/jyms.2024.00766

Joon Hyuk Choi, Swan N Thung

引用次数: 0

Invasive strategies for rhythm control of atrial fibrillation: a narrative review. 心房颤动节律控制的侵入性策略：综述。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-20 DOI: 10.12701/jyms.2024.00703

Hong-Ju Kim, Chan-Hee Lee

{"title":"Invasive strategies for rhythm control of atrial fibrillation: a narrative review.","authors":"Hong-Ju Kim, Chan-Hee Lee","doi":"10.12701/jyms.2024.00703","DOIUrl":"10.12701/jyms.2024.00703","url":null,"abstract":"Atrial fibrillation (AF) is the most common sustained tachyarrhythmia and its increasing prevalence has resulted in a growing healthcare burden. A recent landmark randomized trial, the EAST-AFNET 4 (Early Treatment of Atrial Fibrillation for Stroke Prevention Trial), highlighted the importance of early rhythm control in AF, which was previously underemphasized. Rhythm control therapy includes antiarrhythmic drugs, direct-current cardioversion, and catheter ablation. Currently, catheter ablation is indicated for patients with AF who are either refractory or intolerant to antiarrhythmic drugs or who exhibit decreased left ventricular systolic function. Catheter ablation can be categorized according to the energy source used, including radiofrequency ablation (RFA), cryoablation, laser ablation, and the recently emerging pulsed field ablation (PFA). Catheter ablation techniques can also be divided into the point-by-point ablation method, which ablates the pulmonary vein (PV) antrum one point at a time, and the single-shot technique, which uses a spherical catheter to ablate the PV antrum in a single application. PFA is known to be applicable to both point-by-point and single-shot techniques and is expected to be promising owing to its tissue specificity, resulting in less collateral damage than catheter ablation involving thermal energy, such as RFA and cryoablation. In this review, we aimed to outline catheter ablation for rhythm control in AF by reviewing previous studies.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A 32-year-old man with plexiform schwannoma of the thyroid gland: a case report. 一名患有甲状腺丛状分裂瘤的32岁男子：病例报告。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.12701/jyms.2024.00556

Il Rae Park, Min Chong Kim, Seung Min Chung, Si Youn Song

引用次数: 0

Myxoid lipoma in the perioral mandibular region: two case reports. 下颌骨口周肌样脂肪瘤：两份病例报告。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.12701/jyms.2024.00577

Jin-Ju Kwon, Sang-Hun Shin

引用次数: 0

Ruptured triple hormone-secreting adrenal cortical carcinoma with hyperaldosteronism, hypercortisolism, and elevated normetanephrine: a case report. 破裂的三激素分泌型肾上腺皮质癌伴有高醛固酮血症、高皮质醇血症和正常肾上腺素升高：病例报告。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-06 DOI: 10.12701/jyms.2024.00626

Sin Yung Woo, Seongji Park, Kun Young Kwon, Dong-Mee Lim, Keun-Young Park, Jong-Dai Kim

{"title":"Ruptured triple hormone-secreting adrenal cortical carcinoma with hyperaldosteronism, hypercortisolism, and elevated normetanephrine: a case report.","authors":"Sin Yung Woo, Seongji Park, Kun Young Kwon, Dong-Mee Lim, Keun-Young Park, Jong-Dai Kim","doi":"10.12701/jyms.2024.00626","DOIUrl":"10.12701/jyms.2024.00626","url":null,"abstract":"We report a case of a ruptured triple hormone-secreting adrenal mass with hyperaldosteronism, hypercortisolism, and elevated normetanephrine levels, diagnosed as adrenal cortical carcinoma (ACC) by histology. A 53-year-old male patient who initially presented with abdominal pain was referred to our hospital for angiocoagulation of an adrenal mass rupture. Abdominal computed tomography revealed a heterogeneous 19×11×15 cm right adrenal mass with invasion into the right lobe of the liver, inferior vena cava, retrocaval lymph nodes, and aortocaval lymph nodes. Angiocoagulation was performed. Laboratory evaluation revealed excess cortisol via a positive 1-mg overnight dexamethasone suppression test, primary hyperaldosteronism via a positive saline infusion test, and plasma normetanephrine levels three times higher than normal. An adrenal mass biopsy was performed for pathological confirmation to commence palliative chemotherapy because surgical management was not deemed appropriate considering the extent of the tumor. Pathological examination revealed stage T4N1M1 ACC. The patient started the first cycle of adjuvant mitotane therapy along with adjuvant treatment with doxorubicin, cisplatin, and etoposide, and was discharged. Clinical cases of dual cortisol- and aldosterone-secreting ACCs or ACCs presenting as pheochromocytomas have occasionally been reported; however, both are rare. Moreover, to the best of our knowledge, a triple hormone-secreting ACC has not yet been reported. Here, we report a rare case and its management. This case report underscores the necessity of performing comprehensive clinical and biochemical hormone evaluations in patients with adrenal masses because ACC can present with multiple hormone elevations.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screening and treatment of endocrine hypertension focusing on adrenal gland disorders: a narrative review. 以肾上腺疾病为重点的内分泌性高血压筛查和治疗：叙述性综述。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.12701/jyms.2024.00752

Seung Min Chung

引用次数: 0

Recent updates on classification and unsolved issues of diverticular disease: a narrative review. 憩室疾病分类和未决问题的最新进展：叙述性综述。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.12701/jyms.2024.00542

Kyeong Ok Kim

引用次数: 0

Cytomegalovirus retinitis with panretinal occlusive vasculopathy concealed by hypertensive uveitis: a case report. 巨细胞病毒视网膜炎伴有高眼压葡萄膜炎掩盖的全视网膜闭塞性血管病变：病例报告。

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Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.12701/jyms.2024.00584

Seongyong Jeong

{"title":"Cytomegalovirus retinitis with panretinal occlusive vasculopathy concealed by hypertensive uveitis: a case report.","authors":"Seongyong Jeong","doi":"10.12701/jyms.2024.00584","DOIUrl":"10.12701/jyms.2024.00584","url":null,"abstract":"Cytomegalovirus (CMV) retinitis is a rare disease, and overlapping manifestations involving the anterior segment are extremely uncommon. We report a patient who initially presented with persistent corneal edema and was later diagnosed with CMV retinitis. A 72-year-old man with uncontrolled intraocular pressure (IOP) in his right eye visited a tertiary hospital. At initial presentation, the IOP was 36 mmHg and the fundus was not clear due to corneal edema. Spectral domain optical coherence tomography revealed paracentral acute middle maculopathy (PAMM). Panretinal obstructive vasculopathy was observed on ultra-widefield fluorescein angiography. Three weeks later, trabeculectomy was performed to resolve the persistently high IOP. Once corneal edema improved, a white patch-like peripheral lesion and silver wire-like retinal vasculature were observed. Polymerase chain reaction of the aqueous humor was positive for CMV. Oral valganciclovir and intravitreal ganciclovir were administered as antiviral therapies. Despite treatment for 4 months, the final visual acuity was no light perception, with persistent corneal edema and neovascularization of the iris. We describe a rare case of the simultaneous occurrence of hypertensive uveitis and CMV retinitis. The presence of PAMM could be an initial identifiable sign of CMV retinitis, even in the presence of media opacity.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0