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김억(Auk Kim),김용태(Yong Tae Kim),조진아(Jin a Cho),구자란(Ja Ran Ku),허윤(Yoon Hur),서동원(Dong Won Suh),황일순(Il Soon Whang),박기호(Ki Ho Park),김은주(Eun Ju Kim),이성공(Seong Kong Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.3
Colorectal cancer during pregnancy is extremely rare. The diagnosis is frequently delayed because symptoms may be confused with those of normal pregnancy. In 1S35, Cruvethier reported the first case of colorectal carcinoma complicating pregnancy. Since then, about 200 or more cases were reported in western countries, but no case of these has been reported in Korea. We experienced a 29-year-old pregnant woman concomitantly developed an adenocarcinoma of the right colon with intestinal obstruction at 12 weeks of gestation. We performed right hemicolectomy at 14 weeks of gestation and therapeutic abortion at 17 weeks of gestation. We report a case of colon cancer during pregnancy with a review of the diagnosis and management. (Korean J Gastroenterol 1996; 28:457 - 461)
이성규,이정길,김희숙,민용기,한인권,장학철,홍성란,이성공,조정현 대한내과학회 1994 대한내과학회지 Vol.46 No.6
Adrenal myelolipomas are rare, nonfunctioning, benign tumors composed of mature fat and bone-marrow elements. In the past, most cases were discovered incidentally at autopsy. Recently they are detected by ultrasonography, computed tomography, or magnetic resonance imaging scan, done for other reasons, When the preoperative diagnosis is difficult, fine-needle aspiration biopsy can be used to make the diagnosis and avoid an unnecessary operation. We report a case of adrenal myelolipoma that simulated clinically and biochemically a virilizing adrenal tumor. A 32-year-old woman was admitted to the hospital with complaints of hirsutism and amenorrhea. Endocrinologic evaluation showed mild elevation of serum testosterone, but the other adrenal hormones were normal. The computed tomography presented a 12×11×10cm-sized, well-defined, low-density suprarenal mass. The preoperative diagnosis was established by the ultrasono-guided fine needle aspiration. The tumor was surgically removed, then serum testosterone level was decreased and hirsutism was somewhat improved.
Castleman 병과 Hodgkin 병이 병발한 증례
김은주,이성규,이정길,한인권,이관우,임창훈,홍성란,방수관,이성공 대한내과학회 1994 대한내과학회지 Vol.46 No.5
Castleman's disease, a reactive lymphoid proliferation of unknown cause and pathogenesis, was initially described by Castleman et al under the heading $quot;localized mediastinal lymph node hyperplasia resembling thymoma$quot;. This disorder has been expanded to include other sites, systemic manifestations and multicentric lesions. Castleman's disease often complicates a malignant lymphoma. In some cases, Castleman's disease and Hodgkin's disease were found to be combined. More cases, however, are needed to define this association and establish its possible prognostic value. The following is a report of a 33-year-old infertile, anemic woman who has concomitant Castleman's disease and Hodgkin's disease.