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담도 : 진행 췌장암의 젬시타빈, 5-FU, 시스플라틴 복합화학요법에 관한 2상 연구
최상봉 ( Sang Bong Choi ),이활연 ( Hwal Youn Lee ),유영진 ( Young Jin Yuh ),김성록 ( Sung Rok Kim ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.5
Background/Aims: Gemcitabine has been the standard regimen for advanced pancreatic cancer, but the effect on the response rate and survival is still disappointing, leading to many trials of combination chemotherapy. 5-FU and cisplatin were combined with g
오석진 ( Seok Jin Oh ),이세준 ( Se Joon Lee ),이활연 ( Hwal Youn Lee ),백용한 ( Yong Han Paik ),이동기 ( Dong Ki Lee ),이관식 ( Kwan Sik Lee ),정재복 ( Jae Bock Chung ),유정식 ( Jeong Sik Yu ),윤동섭 ( Dong Sup Yoon ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.3
Background/Aims: Intraductal papillary mucinous neoplasm (IPMN) of the pancreas has a favorable prognosis, but seems to be associated with a high incidence of extrapancreatic tumors. The purpose of this study was to evaluate the incidence and clinicopathological features of extrapancreatic tumors associated with IPMN. Methods: Thirty-seven patients with IPMN of the pancreas, confirmed by surgical resection and typical findings of endoscopic ultrasonography and CT imaging between October 1, 1998 and August 31, 2006 were included. Seventeen patients were diagnosed with surgical resection and biopsy, and others by typical imaging findings of IPMN. These patients were examined for the development of extrapancreatic tumors. Results: Of 37 patients with IPMN, 14 (38%) had 18 extrapancreatic tumors, and 10 (27%) had 13 extrapancreatic malignancies. Five, six, and two extrapancreatic malignancies had diagnosed before during, and after the diagnosis of IPMN. Gastric adenocarcinoma (3 patients, 23%) and colorectal carcinoma (3 patients, 23%) were the most common neoplasms. Other extrapancreatic tumors included lung cancer (n=2), prostatic cancer (n=1), renal cell carcinoma (n=1), cholangiocelluar carcinoma (n=1), urinary bladder cancer (n=1), and gallbladder cancer (n=1), respectively. As benign tumor, there were two gallbladder adenoma, one gastric adenoma, one colonic adenoma and one benign ovarian cystic neoplasm, respectively. Conclusions: IPMN is associated with high incidence of extrapancreatic tumors, particularly gastric and colorectal neoplasms. Upper gastrointestinal endoscopy and colonoscopy should be done, and systemic surveillance for the possible occurrence of other tumors may allow early detection of extrapancreatic tumor in patients with IPMN. (Korean J Gastroenterol 2009;54:162-166)
급성신부전, 막성 신병증과 간염이 합병된 제2기 매독1례
김현수,박영정,엄흥식,이활연,최상봉,김상현,박원도 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Syphilis is a systemic infectious disease infected by the spirochete Treponema pallidum. It shows variable clinical manifestations. Nephrotic syndrome from secondary syphilis is a rare complication in Korea. One letter was reported before in Korea. This report describes 64-year-old male patient with syphilis presented with feature of hepatitis, acute renal failure and nephrotic syndrome. A diagnosis of secondary syphilis was done by the serologic test for syphilis. After diagnosis of syphilis, we supposed that nephrotic syndrome and hepatitis were the complication of secondary syphilis and performed a kidney biopsy. A kidney biopsy revealed membranous nephropathy characterized by subepithelial deposits involving the glomerular basement membrane and effacement of epithelial foot-process on electron microscopy. The patient was treated with intramuscular benzathine penicillin 2.4 million units. Proteinuria, renal failure, hepatitis were resolved in 3 weeks after penicillin therapy.