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박병규 ( Byeong Kyu Park ),조윤영 ( Yoon Young Cho ),류헌모 ( Hun Mo Rhoo ),조형호 ( Hyeong Ho Jo ),손민영 ( Min Young Son ) 대한내과학회 2016 대한내과학회지 Vol.91 No.2
본 증례는 후복막섬유증이 의심되어 내원한 환자에서, 골수외 형질세포종이 진단된 사례이다. 골수외 형질세포종이 두경부가 아닌 후복막강에 발생했다는 점에 의의가 있고 표준 치료인 방사선 치료가 아닌 전신 항암화학요법으로 초기치료를 했다는 점에서 의의가 있다. 후복막강종양 또는 후복막섬유증이 의심되는 환자에서 골수외 형질세포종의 가능성을 고려하여 검사가 진행되어야 한다. Extramedullary plasmacytoma (EMP) is a plasma cell tumor located outside of the bone marrow. It most often occurs in the upper respiratory tract (85%), as well as the head and neck, and very rarely occurs in the retroperitoneum. Here we report the case of a 57-year-old woman with retroperitoneal EMP. (Korean J Med 2016;91:216-223)
박병규 ( Byeong Kyu Park ),김광하 ( Gwang Ha Kim ) 대한소화기학회 2018 대한소화기학회지 Vol.71 No.4
A fistula between the renal pelvis and duodenum (pyeloduodenal fistula) is very rare. It can occur spontaneously or after trauma to one of these organs. A spontaneous pyeloduodenal fistula is usually caused by chronic inflammation, including reactions to foreign bodies, nephrolithiasis, benign and malignant neoplasms, as well as pyogenic infections. The main treatment to date has been surgery. We encountered one case of pyeloduodenal fistula found during an evaluation for abdominal discomfort in a 39-year-old female. Pyeloduodenal fistula was diagnosed by upper gastrointestinal endoscopy and abdominal computed tomography, and it was caused by direct invasion of nephrolithiasis. Surgical operation was recommended, but the patient refused. The patient has been free of symptoms for four years. Herein, we report an unusual case of pyeloduodenal fistula without surgical management and relevant literature review. (Korean J Gastroenterol 2018;71:229-233)
증례 : 혈액종양 ; 16번 염색체 역위를 가진 급성 골수성 백혈병의 복막 골수성 육종 1예
김지윤 ( Ji Yoon Kim ),박병규 ( Byeong Kyu Park ),배성화 ( Sung Hwa Bae ),류헌모 ( Hun Mo Ryoo ),성우정 ( Woo Jung Sung ),이아진 ( A Jin Lee ) 대한내과학회 2015 대한내과학회지 Vol.89 No.5
골수성 육종(Myeloid sarcoma)은 골수 외를 침범하는 질환으로 급성 골수성 백혈병에서 발생하는 드문 종양이다. inv (16) 염색체 이상을 가진 골수성 육종은 대부분 복강 내에서, 특히 소화관을 침범하는 종괴의 형태로 나타나지만 본 증례에서는 복막의 침윤 및 복수의 형태로 나타나 1예가 있어 보고하는 바이다. Myeloid sarcoma is an extramedullary myeloid neoplasm that usually involves the skin, soft tissues, and lymph nodes. Myeloid sarcoma is found in 2.5-9.1% of acute myeloid leukemia patients, usually those with t (8,21), while inv (16) is rarely associated with myeloid sarcoma. Consequently, little is known of the characteristics and incidence of inv (16) in myeloid sarcoma. Myeloid sarcoma in acute myeloid leukemia patients with inv (16) is most often found in the abdominal lesions, the intestinal tract is involved most commonly, in the form of a mass. Here, we report an unusual myeloid sarcoma presenting as peritoneal carcinomatosis in acute myeloid leukemia with inv (16) that appeared to be ascites. (Korean J Med 2015,89:581-584)
조형호 ( Hyeong Ho Jo ),강선미 ( Sun Mi Kang ),김시혜 ( Si Hye Kim ),라모니 ( Moni Ra ),박병규 ( Byeong Kyu Park ),권중구 ( Joong Goo Kwon ),김은영 ( Eun Young Kim ),정진태 ( Jin Tae Jung ),김호각 ( Ho Gak Kim ),류헌모 ( Hun Mo Ry 대한소화기학회 2016 대한소화기학회지 Vol.68 No.1
In adults, most intussusceptions develop from a lesion, usually a benign or malignant neoplasm, and can occur at any site in the gastrointestinal tract. Intussusception in the proximal gastrointestinal tract is uncommon, and gastro-gastric intussusception is extremely rare. We present a case of gastro-gastric intussusception secondary to a primary gastric lymphoma. An 82-year-old female patient presented with acute onset chest pain and vomiting. Abdominal CT revealed a gastro-gastric intussusception. We performed upper gastrointestinal endoscopy, revealing a large gastric mass invaginated into the gastric lumen and distorting the distal stomach. Uncomplicated gastric reposition was achieved with endoscopy of the distal stomach. Histological evaluation of the gastric mass revealed a diffuse large B cell lymphoma that was treated with chemotherapy. (Korean J Gastroenterol 2016;68:40-44)