종설

Bleomycin을 이용한 낭포성 히그로마 치험 1례

정형목1, 이흥만1, 이상학1, 황순재1
Hyung Mog Jung1, Heung Man Lee1, Sang Hag Lee1, Soon Jae Hwang1
Author Information & Copyright
1고려대학교 의과대학 이비인후一두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University

© Copyright 1995 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Cystic hygroma is congenital malformation of the lymphatics. The majority occur in the neck, presumably as develops anomalies of the jugular lymphatic sac. 80% to 90% of the cystic hygroma are detected by the second year life. Cystic hygroma is presented benign, painless, soft, single, or multiloculated compressive mass. Surgical excision has been considered as the treatment of choice. However, complete excision is difficult because the lymphatic malformation tends to infiltrate the surrounding tissues. If surgical excision is incomplete, cervical mass may cause wound infection or recurrence. We experienced a case of cystic hygroma in 6 months old female infant who was admitted because of rapidly enlarging huge cystic mass on the left lateral neck presenting since at birth. Bleomycin injection was repeatedly performed. There was no serious side effects and the size of the mass has been reduced.

We report this case with the review of literatures.

Keywords: Cystic hygroma; Bleomycin


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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