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안세현(Sei Hyun Ahn),박건춘(Kun Choon Park),민병철(Pyung Chul Min),이인철(In Chul Lee),김신형(Sin Hyung Kim),이규형(Gyu Hyung Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Cystic tumor is a rare disease of the spleen. Even the cystic lymphangioma of the spleen is the rarest one. We experienced a case of splenic cystic lymphangioma of 40 year old Korean woman. Splenectomy was performed and the final diagnosis was made by histologcal examination.
위장관 ( 胃腸管 ) : 20대 청년기 위암의 일반적 특성
안세현(Sei Hyun Ahn),박건춘(Kun Choon Park),김신형(Sin Hyung Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A A clinical review was carried out in 64 cases of gastric cancer of the 3rd decade male patients who were diagnosed at the Department of Surgery, Capital Armed Forces General Hospital between Jan. 1980 and Dec. 1989. The results were as follows; 1) The incidence of gastric cancer in 3rd decade male patients was 23.8% among the all gastric cancers. 2) The incidence of gastric cancer in 21-25 of age was 60.9%< and 26-30 of age was 39.1% among the 3rd decade gastric cancers. 3) The patients with blood type A were 39.1#9p and blood types 0, B, AB were 29.1%p, 25.0%, 6.2% in order. 4) Chief complaints in order of frequency were as follows; epigastric pain (75.0%), indigetion (35.9%) and weight. loss (31.2%). On physical exeminations, epigastric tenderness (73.4%), epigastric palpable mass (32.8%), and anemia (29.7%) were common. 5) Most patients were admitted to hospital after 6 months of illness. (59.4%) 6) The preoperative diagnostic rate was 82.0% by UGIS, 90.1% by gastroscopy and 93.8% by endoscopic biopsy. 7) The most common site of tumor was pylorus and antrum (65.6%). 8) The most popular size distribution of primary tumor was between 4 and 8 cm in diameter(42.2%). 9) In Borrmanns classification, common types were type III (46.9%) and type II (29.7%), and early gastric cancer was 3 cases (4.7%). 10) In pathologic findings, the most common type was adenocarcinoma (76.6%). 11)Regional lymph node metastasis was seen in 77.4% of resected cases, and distant metastasis was in pancreas, liver and mesocolon in order. 12) Curative gastric resection was performed in 30 cases of the 62 cases (48.4%) and resectability
맹장 및 맹장주위 염증에 관한 새로운 인식 - 1980년에서 1987년까지 증례를 통한 임상적 고찰 -
안세현(Sei Hyun Ahn),홍성국(Song Cook Hong),김진천(Jin Cheon Kim),김동건(Dong Kun Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
N/A Typhlitis and perityphitis is a rare disease manifested by cecal inflammation, distinguished from appendicitis or periappendiceal abscess requiring immediate operative intervention. The pathogenesis of thyphlitis and perityphlitis may be different from that of acute appendicitis, arised from circulatory impairment due to the obstruction of the base of appendix. Conservative management is expected to ameliorate typhlitis and perityphlitis. Among the patients operated due to severe right lower quadrant pain at Department of Surgery, SNUH between May, 1980 and July, 1987, 20 Cases were confirmed as typhlitis and perityphlitis. Several important results were found from them by the clinical review. 1) 2 cases of primary typhlitis and perityphlitis were idiopathic. The other 18 cases were secondary, associated with previous inflammation of appendix or adjacent structures, preceded by inadequate appendectomy or incomplete management of appendicitis. 2) The most common symptom was intermittent right lower quadrant pain. The duration of symptom were more than 1 month in 15 cases and more than 2 weeks in 5 cases. Otherwise anorexia, conspitation, abdominal distension, diarrhea, nausea and vomiting, were also noticed. 3) Preoperative diagnosis was made by physical findings, ultrasonography, and colon study. 4) Open biopsy was performed in 7 cases, wheras right hemicolectomy in 6 cases. Adhesiolysis and cecectomy was done in 5 cases and 1 cases, respectively. 5) The histopathologic findings of specimen showed that cecal inflammation was characterized by infiltration of small round cells and plasma cells, proliferation of fibroblasts and endothelial cells through the whole layer of cecum, in other words, chronic inflarnmation predominated in their whole depth. In conclusion, for the adequate managenivnt of typhlitis and perityphlitis it is of importance to treat appendicitis adequately in order to prevent. The development of typhlitis and perityphlitis. Furthermore the precise research for the pathogenesis of typhlitis and perityphlitis as well as the understanding of the physiologic characteristics of cecum is essential to the management of typhlitis and perityphlitis.
김윤정,공경엽,허주령,박정미,안세현,김온자,Kim, Yoon-Jung,Gong, Gyung-Yub,Huh, Joo-Ryung,Park, Jeong-Mi,Ahn, Sei-Hyun,Kim, On-Ja 대한세포병리학회 1996 대한세포병리학회지 Vol.7 No.2
Fine needle aspiration(FNA) is an effective tool in diagnosing mammary carcinoma. We experienced 7 cases of histologically confirmed mammary mucinous carcinoma among 3,052 aspirated cases of breast from 1992 to 1996 in Asan Medical Center. The average age of the patient was 48(33-64) years. The mean size of the lesions was $1.6(0.7{\sim}3)cm$, and they were palpated as well-defined, firm to hard masses. The cytologic features that may be useful in making a FNA diagnosis of mucinous carcinoma of the breast were analysed. Mucinous background and tumor cell clusters with occasional single cells were observed in all cases. Among them, two cases showed abundant scattered single cells, whereas only few single cells were seen in the other two cases. Tumor cells exhibited mild pleomorphism in four cases and moderate pleomorphism in three cases. Nucleoli tended to be not prominent and are observed in three cases, rarely noted in other three cases and not seen in one. There was microcalcification in four cases(57%). In conclusion, mucinous background and clustered tumor cells showing mild to moderate pleomorphism with characteristic clinical findings allow us to diagnose mucinous carcinoma of the breast.