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증례 : 혈액종양 ; 신세포암의 폐 전이와 원발성 폐암이 혼동된 1예
김진동 ( Jin Dong Kim ),권윤재 ( Yun Jae Kwon ),이은서 ( Eun Seo Lee ),김유석 ( You Suk Kim ),이유정 ( You Jung Lee ),공성민 ( Sung Min Kong ),지준호 ( Jun Ho Ji ) 대한내과학회 2015 대한내과학회지 Vol.89 No.5
폐 종괴를 처음 발견하였을 때는 예후와 치료 방법이 달라질 수 있기 때문에 원발성 종양에 대한 고려, 영상학적 소견, 임상소견을 충분히 고려하여 원발성 폐암인지, 전이성 폐암인지에 대한 구별이 필요하다. 저자들은 신세포암으로 우측 신장 절제술을 받은 62세 남자가 특이 증상 없는 컴퓨터 단층촬영 상의 양측 각각 26 mm, 4 mm 크기의 종괴로 내원하여 시행한 조직 검사에서 우측 폐에서 원발성 편평상피세포암 진단 후 우측 우상측 폐엽 절제술 시행 및 그 후 좌상측 폐 종괴의 조직검사 통해 신세포암의 전이가 발견된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Renal cell carcinoma (RCC) is rare relative to other urological cancers, but relatively common overall among males. Even when primary tumors are successfully removed by surgery, metastases are often noted within a few years. On the other hand, masses found at other sites in patients with RCC may represent different primary cancers. We present the case of a 63-year-old man with a right lung mass and a left lung nodule who underwent radical right nephrectomy for RCC. We found no local recurrence of RCC in the abdomen. Despite treatment for RCC, the right lung mass increased in size. We performed a lung needle biopsy and diagnosed primary lung cancer. Postoperatively, the remaining left lung nodule also increased in size. It was diagnosed as an RCC metastasis upon biopsy and removed by wedge resection. The patient was treated with everolimus after the second surgery. (Korean J Med 2015,89:576-580)
한신자 ( Sin Ja Kim Han ),김유석 ( You Suk Kim ) 한국컨벤션학회 2009 MICE관광연구 Vol.9 No.1
The study looked into the environmental issues that the convention industry has been facing such as un-established qualification certificate, market analysis based on number of holding international meetings, and additional value creating effects and so on from underestimated convention industry. To deal with these current issues, a collaborative system should be settled together with convention, exhibition, hotel, and tourism to revitalize the strategic paradigm of MICE industry. On the basis of the collaborative system, strategies to boost the MICE industry are suggested as followings. First, MICE industry to be classified as a service industry according to the standard industrial classification. Second, MICE industry to be included in the Star Project policy to grow the Brand Convention. After that, support policies as of tax break and financial sponsorship allocation to PCO`s and etc. should be revamped and extended to revitalize hosting international meetings. Finally enlarged financial support for convention industry of small and medium enterprise policies and relieve of business office tax from local tax laws should be applied.