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근치적 절제술 후 림프절 재발이 발생한 진행성 위암에 대한 고식적 치료 1례
주종석,정현용,문희석,성재규,강선형,Jong Seok Joo,Hyun Yong Jeong,Hee Seok Moon,Jae Kyu Sung,Sun Hyung Kang 대한소화기암연구학회 2015 Journal of digestive cancer reports Vol.3 No.2
A 54-year-old male patient who was diagnosed with advanced gastric cancer underwent a distal gastrectomy, D2 lymph node dissection, and adjuvant chemoradiotherapy. After a year, in a follow-up PET-CT, lymph node metastases were observed in the neck and abdomen, and therefore, the patient underwent chemotherapy. After treatment, the follow-up PET-CT revealed a growth of the posterior neck lymph node. Thus, an excisional biopsy was performed, and the growth was diagnosed as metastatic adenocarcinoma. Therefore, the patient received chemotherapy with FOLFIRI. Another follow-up PET-CT after chemotherapy revealed a growth in the right inguinal lymph node, and the patient underwent salvage radiotherapy for this lesion. The PET-CT taken for the response evaluation showed no evidence of further metastasis of the lymph node. We hereby report a case of advanced gastric cancer with neck and inguinal lymph node recurrence showing complete remission after palliative chemotherapy and salvage radiotherapy.
주종석 ( Jong Seok Joo ),이병석 ( Byung Seok Lee ) 대한간학회 2016 Postgraduate Courses (PG) Vol.2016 No.1
The successful treatment of chronic hepatitis B infection was achieved in earnest in the early 1990s with the increasingly widespread use of interferons. Currently, pegylated interferon (PEG-IFN) and six oral antiviral agents are used in clinical situations. Although the ideal therapeutic target of antiviral agents is to remove the hepatitis B virus completely, current therapeutic agents are unable to remove the cccDNA in hepatocytes, and are limited in terms of the development of resistance during long-term administration. Thus, a variety of drugs are under investigation in order to overcome this challenge. In this article, the natural course of hepatitis B infection is reviewed, together with indications for treatment, issues surrounding hepatitis B treatment and the management of hepatitis B management (past and present).Various drugs under investigation are discussed.
복강경 담낭절제술 후 헤모락 클립의 이동으로 발생한 복통 1예
류우선 ( Woo Sun Rou ),주종석 ( Jong Seok Joo ),강선형 ( Sun Hyung Kang ),문희석 ( Hee Seok Moon ),김석현 ( Seok Hyun Kim ),성재규 ( Jae Kyu Sung ),이병석 ( Byung Seok Lee ),이엄석 ( Eaum Seok Lee ) 대한소화기학회 2018 대한소화기학회지 Vol.72 No.6
During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip. (Korean J Gastroenterol 2018;72:313-317)