최준영 교수

A new 1,550-nm fractional erbium-glass laser may efficiently repress the formation and hypertrophy of thyroidectomy scars on the neck, and it can be safely applied in relatively dark Asian skin without noticeable adverse effects.

BACKGROUND AND OBJECTIVES: Melasma is a common acquired, chronic hypermelanosis and still remains a therapeutic challenge. The low-fluence 1 064 nm Q-switched Nd:YAG laser is the most widely used for the treatment of moderate to severe melasma in Asia. Recently, the picosecond laser has been introduced for various pigmentary disorders such as melasma. We evaluated the efficacy and safety of a picosecond laser with dual-wavelengths (1 064 and 595 nm) and topical 2% hydroquinone (HQ) combination t

BACKGROUND: Various options such as surgical excision, steroid injection, cryotherapy, pressure dressing, and radiation therapy are available for the treatment of auricular keloids. In particular, auricular keloid therapy using surgical excision is important because recurrence rates are low compared with keloids occurring in other parts of the body. AIMS: We aimed to evaluate the clinical outcomes of intralesional excision followed by postoperative triamcinolone acetonide intralesional injection

The novel low-fluence 1064-nm ps-Nd:YAG could be considered as an effective and safe optional modality for the treatment of HS in Asian skin.

BACKGROUND AND OBJECTIVES: Transdermally delivered gold nanoparticles (AuNPs) irradiated with near-infrared laser energy can create a photothermal effect within the sebaceous glands (SGs). Photothermal therapy (PTT) can be used clinically to reverse photoaging in SG-rich areas of the skin. Improvements in wrinkles and enlarged pores in Asian skin were assessed following AuNP-mediated PTT with a long-pulsed 755-nm alexandrite laser. STUDY DESIGN/MATERIALS AND METHODS: A single-arm, prospective tr

The clinical improvement with sufficient patients' satisfaction and no significant adverse events demonstrated that novel autologous plasma filler could be considered as efficient and safety treatment option for nasolabial fold wrinkles.

Becker's nevus (BN) clinically presents as brown patches with hypertrichosis. The risk of pigmentary changes still remains a concern when using lasers to treat Asian patients with BN. We aimed to evaluate the outcomes on reduction of hairs and pigment of BN using the long-pulsed 1064-nm Nd:YAG (LPNY) and/or 755-nm alexandrite (LP-Alex), before treating pigment in earnest. A total of 13 subjects were treated with the LPNY (n = 8), the LP-Alex (n = 4), and both (n = 1). Improvements on hair remova

BACKGROUND: Laser treatment has emerged as a novel treatment modality for onychodystrophy. Only a few small series have assessed the efficacy of laser treatment in onychodystrophy, most of which were case reports. The therapeutic effect of the 1064 nm neodymium-doped:yttrium aluminum garnet (Nd:YAG) laser for onychodystrophy has been demonstrated. Recently, the picosecond Nd:YAG (PSNY) laser has been introduced to improve various skin disorders. AIMS: The aim of this study was to verify the effi

Eccrine porocarcinoma is an uncommon malignant skin appendage tumor that is thought to evolve from the intraepidermal segment of the eccrine sweat duct. It usually affects elderly patients in both sexes and it is usually found on the lower extremities and the head. We report here on a case of eccrine porocarcinoma that showed squamous differentiation, and this developed on the palm of a 71-year-old woman. Wide excision and secondary intention were performed successfully and there was no recurren

BACKGROUND/OBJECTIVES: There are scant established data on the cause, distribution, treatment options, and recurrence rate of pediatric keloids in Asian populations. We characterized clinical features by comprehensively categorizing pediatric keloid patients into prepubertal and postpubertal groups at a single tertiary center. METHODS: We searched the database of Kangbuk Samsung Hospital for pediatric patients (< 18 years) with clinically proven keloids who underwent outpatient-based treatment f

We present a rare case of Pacinian corpuscle hyperplasia (PCH) presenting with typical finger pain in a 6-year-old girl. As appendages in children are smaller than those in adults, diagnostic criteria are needed for pathological confirmation of PCH in pediatric patients.

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목적: 비소세포성폐암(NSCLC)의 FDG-PET 판독 시 SUV만 진단기준으로 사용하면 우리나라와 같이 만성 염증성 폐질환이 호발하는 지역에서는 폐문 및 종격동 림프절에 대한 위양성률이 높다. 이에 최근 국내에 도입된 CT-보정 FDG-PET (PET/CT)을 이용하여 SUV외에 FDG 섭취양상 및 CT 영상에서 림프절 석회화 등의 다른 기준을 어떻게 적용하면 림프절의 악성 유무 판정 및 N 병기 결정에 있어 검사의 정확도가 높아질 수 있는지 전향적으로 알아보았다. 대상 및 방법: 림프절 절제술을 받기 전에 PET/CT를 시행한 91명의 NSCLC 환자를 대상으로 하였다(남/여: 62/29, 평균나이: 60±9 yr). 종격동 대혈관보다 FDG 섭취가 증가되어 있는 폐문과 종격동 림프절의 최대 SUV (maxSUV)와 단경을 측정하고, FDG 섭취증가 병변의 경계 및 석회화 유무를 파악하였다. 이 기준들을 이용하여 PET/CT 소견을 세 단계로 나누어 각각의 진단 성적을 병리결과와

목적: 식도암 수술 전의 정확한 병기 결정은 치료와 예후 모두에 큰 영향을 미치므로 이를 정확히 파악하는 것이 중요하다. 병기를 파악하는데 있어 컴퓨터단층촬영술(CT), 초음파내시경, 기관지내시경 등이 고식적으로 사용되어 왔다. 최근의 보고들에 의하면 양전자단층촬영술(PET)은 식도암에 있어서 전이를 찾는데 높은 민감도를 가지고 있음이 밝혀졌다. 이에 양전자단층촬영술(PET)이 고식적인 방법들과 같이 시행되었을 때 얼마나 진단성적이 상승하는지 알아보았다. 대상 및 방법: 대상은 1997년 2월부터 2002년 6월까지 새로이 식도암 진단을 받아 수술을 받은 환자 142명(62.3 8.3세)이며 모두 수술 전에 CT와 PET을 시행 받았다. 수술 이전에 항암화학요법을 받거나 수술이 지연(1개월 이상)된 환자는 본 연구에서 제외되었다. 흡연자/비흡연자 비는 101/41이었다. 처음에 저자들은 CT와 PET의 N 병기와 M 병기를 수술후의 결과와 비교하였다. 다시 저자들은 [EUS + CT

목적: CT를 사용한 측정감쇠보정(measured attenuation correction; CT-MAC) PET 영상은 68Ge을 사용한 분할감쇠보정(segmented attenuation correction; Ge-SAC) PET 영상보다 섭취값이 높은 것으로 알려져 있다. 이 연구에서는 정상인과 암으로 진단된 또는 암이 의심되는 환자를 대상으로 18F-FDG PET을 시행하고, 감쇠보정방법을 달리하여 각각 4가지 PET 영상을 얻고 이를 서로 정량적으로 비교하였다. 대상 및 방법: 5명의 정상인(남:여=4:1; 평균나이, 29.4±2.5세)과 35명의 환자(남17, 여18; 평균나이 52.7±15.2세)를 대상으로 18F-FDG PET을 시행하였다. 먼저, CT 영상(140 KeV, 80 mAs)을 얻은 뒤 방출영상(5 min/bed)과 68Ge 투과영상(3 min/bed)을 차례로 얻었다. Ordered subsets expectation maximization (28 sub