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김양식,정재혁,김호규,원영준,최성대,서영배,배효근,조창호,한승묵 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.6
Blood-borne metastatic involvement of the gastric mucosa as a result of cancer is a rare occurrence. The tumors which were most commonly reported to metastasize to the stomach include melanoma, breast carcinoma, and lung carcinoma. Some reports document that large cell carcinoma and squamous cell carcinoma of the lungs have a higher pre- dilection for gastrointestinal tract metastases. Upper gastrointestinal endoscopic findings of metastatic lesions may vary but often produce a characteristic single or multiple bulls eye or target lesion. Therefore, whenever single or multiple target lesions are seen in the stomach on upper gastrointestinal endoscopy or barium study, the examination should include careful radiographic evaluation of the chest. Moreover, when the patient is known to have lung cancer, metastatic disease should be suspected. With a correct diagnosis and proper treatment, relief of symptoms and prolongation of life can sometimes be achieved, A case in reported involving squamous cell lung cancer with stomach metastasis in a 73 year-old woman. The patient was diagnosed by bronchoscopy, upper gastrointestinal endoscopy, chest CT, and abdominal CT. The chest and abdominal CT revealed a poorly marginated, lobulated, and 4 x 3 cm sized mass lesion in the right lower lobe causing obstruction of right lower lobe bronchus with invasion to the left atrium. right inferior pulmonary vein, and superior vena cava. Mediastimal lymph node enlargement and liver metastasis was also detected. Upper gastrointestinal endoscopy showed two $quot;bulls eye$quot; lesions with different sizes and two nodules without tip ulceration.
김정용,조양식,민영돈,김성환,전홍준 朝鮮大學校 附設 醫學硏究所 1992 The Medical Journal of Chosun University Vol.17 No.2
Hirschsprung's disease is a well known cause of intestinal obstruction in infant. However, a few patients can survive until adult with this disease. The authors experienced three adult patients with Hirschsprung's disease recently. They were all suffered from constipation from infant but none of them was worked for the definitive diagnosis until their lives. They had huge dilated rectosigmoid colon and large amount of feces in it. The authors performed modified Duhamel's operation in all patients. The results were good except one with fecal fistula, which was manageable with medical treatment. We suggest that adult patient with chronic constipation,especially from infant shoud be considered Hirschsprung's disease as one of causes of chronic constipation.
Castleman's Disease of the Mesentery : A Case Report
Kim, Cheong Yong,Cho, Yang Sik,Min, Young Don,Jung, Yang Soo,Kee, Keun Hong 朝鮮大學校 附設 醫學硏究所 1991 The Medical Journal of Chosun University Vol.16 No.2
52Castleman's disease는 드문 lymphoproliferative disease로써 양성 경과를 취하며, 원인은 확실하지 않지만 아마도 환경 요인에대한 일종의 반응성 과정이라 여겨진다. 발생위치는 주로 종격동이나 드물게는 후복막,장간막,경부 등에도 생길수있으며 조직학적으로 hyaline-vascular 형과 plasma-cell 형, 또한 두 형의 중간형으로 나누어지며 약 90% 는 hyaline-vascular형이라 알려져 있다. 저자들은 52세 여자환자의 장간막에 발생된 plasma-cell 형의 Castleman's disease를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Castleman's disease is rare lymphoproliferative disorder of uncertain cause characterized by a distinctive pttern of hypervascular lymphoid hyperplasia. It was reported first by Castleman at 1956 and has been reported under a variety of headings that reflect various theories of pathogenesis. Most cases occur as mediastinal tumor, although involvement of other anatomic site has been rarely reported. We present a case of Castleman's disease of mesentery of 52-year-old female patient suffering from abdominal discomfort.