비인두암의 국소 종양 치유와 생존율에 관한 예후 인자 분석

정웅기(Woong-Ki Chung),조재식(Jae-Shik Cho),박승진(Seung Jin Park),이재홍(Jae-Hong Lee),안성자(Sung Ja Ahn),남택근(Taek Keun Nam),최찬(Chan Choi),노영희(Young Hee Noh),나병식(Byung Sik Nah) 대한방사선종양학회 1999 Radiation Oncology Journal Vol.17 No.2

목 적 : 비인두암 환자에서 항암화학요법과 방사선치료 후 국소종양제어율, 생존율, 무병생존율에 미치는 예후 인자를 알아보고자 하였다. 대상 및 방법 : 1986년 7월부터 1996년 6월까지 약 10년간 전남대학교병원에서 비인두암으로 확진되어 근치적 목적으로 치료를 받은 47명의 환자를 대상으로 후향적 분석을 시행하였다. 대상 환자의 연령 분포는 16세에서 80세까지였고 중앙 값은 52세였다. 성별 분포는 남자가 33명(70%), 여자가 14명(30%)이었다. WHO의 기준에 의한 조직학적 유형은 제1형(케 라틴형성 편평세포암)이 3례(6%), 제2형(비케라틴형성 편평세포암)이 30례(64%), 제3형(미분화암)이 13례(28%)였고 나머 지 1례(2%)는 조직학적 유형이 알려지지 않았다. 미국암합동위원회(1997)의 병기분류법에 따라 후향적으로 다시 분류한 병기는 T1, T2a, T2b, T3, T4에서 각각 11례(23%), 6례(13%), 9례(19%), 7례(15%), 14례(30%)였다. 그리고 림프절 침범 상태는 N0, N1, N2, N3에서 각각 7례(15%), 14례(30%), 21례(45%), 5례(10%) 있었다. 병기군별 분포는 Stage I, IIA, IIB, III, IVA, IVB에서 각각 2례(4%), 2례(4%), 10례(21%), 14 례(30%), 14례(30%), 5례(11%) 있었다. 방사선치료 전에 항암제 치료를 받은 환자는 42례이며 5례는 항암제 치료가 시행되지 않았다. 방사선치료는 선형가속기의 6MV와 10MV X-ray 및 9 MeV 전자선을 사용하였으며 원발 병소에 조사된 총방사선량은 6120- 7920cGy(중앙값: 7020cGy)였다. 항암화학요법은 Cisplatin+5-Fluorouracil(25명), Cisplatin+Pepleomycin(17명)으로 1회에서 3회까지 시행하였다. 국소종양제어율, 생존율, 무병생존율을 Kaplan-Meier법에 의하여 산출하였으며 두 군간의 생존율의 차이는 Generalized Wilcoxon test를 이용하여 검증하였다. 영향을 주는 인자의 다변량분석에는 Cox 모델을 이용하였다. 결 과 : 국소종양 제어율은 2년에 89%, 5년에 81%이었다. 5년 생존율은 60%(범위; 6-132개월, 중앙값; 32개월)이었다. 예후에 영향을 미치는 위험 인자로 연령, 성별, 두개신경침범, 병리조직학적 유형, 병기군, 항암화학요법, 항암화학요법과 방사선치료 사이의 간격, 방사선량, 방사선치료기간을 다변량분석에 포함시켰다. 국소종양제어율에는 두개신경침범(P=0.004)만이 의의 있는 것으로 나타났다. 생존율과 무병생존율에는 병기군(P=0.006, P=0.003)과 총방사선량(P=0.012, P=0.008)이 의의 있는 것으로 나타났다. 치료 후 합병증은 구강건조증, 치아손상, 이증상 등이 많았으며 2례의 갑상선기능저하증이 있었다. 결 론 : 비인두암에서 예후에 영향을 미치는 인자로서 국소종양제어율은 두개신경침범 여부가, 생존율 및 무병생존율에는 총방사선량 과 병기군, 특히 N 병기가 의의 있는 것을 알 수 있었다. 사용된 항암화학요법과 방사선치료는 심각한 부작용이 없이 효과적으로 이용될 수 있음을 알 수 있었다. Purpose : This study was performed to find out the prognostic fac tors affecting local control, survival and disease free survival rate in nasopharyngeal carcinomas treated with chemotherapy and radiation therapy. Materials and Methods : We analysed 47 patients of nasopharyngeal carcinomas, histologically confirmed and treated at Chonnam University Hospital between July 1986 and June 1996, retrospectively. Range of patients' age were from 16 to 80 years (median; 52 years). Thirty three (70%) patients was male. Histological types were composed of 3 (6%) of keratinizing, 30 (64%) of nonkeratinizing squamous cell carcinoma and 13 (28%) of undifferentiated carcinoma. Histological type was not known in 1 patient (2%). We restaged according to the staging system of 1997 American Joint Committee on Cancer. Forty seven patients we re recorded as follows: T1; 11 (23%), T2a; 6 (13%), T2b; 9 (19%), T3; 7 (15%), T4; 14 (30%), and N0; 7 (15%), N1; 14 (30%), N2; 21 (45%), N3; 5 (10%). Clinical staging was grouped as follows: Stage I; 2 (4%), IIA; 2 (4%), IIB; 10 (21%), III; 14 (30%), IVA ; 14 (30%) and IVB; 5 (11%). Radiation therapy was done using 6 MV and 10 MV X- ray of linear accelerator. Electron beam was used for the lymph nodes of posterior neck after 4500 cGy. The range of total radiation dose delivered to the primary tumor was fro m 6120 to 7920 cGy (median; 7020 cGy). Neoadjuvant chemotherapy was performed with cisplatin+5-fluorouracil (25 patients) or cisplatin +pepleomycin (17 patients) with one to three cycles. Five patients have not received chemotherapy. Local control rate, sur vival and disease free survival rate were calculated by Kaplan- Meier method. Generalized Wilcoxon test was used to evaluate the difference of survival rates between groups. Multivariate analysis using Cox proportional hazard model was done for finding prognostic factors. Results : Local control rate was 81% in 5 year. Five year survival rate was 60% (median survival; 32 months). We included age, sex, cranial nerve deficit, histologic type, stage group, chemotherapy, elapsed days between chemotherapy and radiotherapy, total radiation dose, period of radiotherapy as potential prognostic factors in multivariate analysis. As a result, cranial nerve deficit (P=0.004) had statistical significance in local control rate. Stage group and total radiation dose were sig nificant prognostic factors in survival (P=0.006, P=0.012), and in disease free survival rates (P=0.003, P=0.008), respectively. Common complications were xerostomia, tooth and ear problems. Hypothyroidism was developed in 2 patients. Conclusion : In our study, cranial nerve deficit was a significant prognostic factor in local control rate, and stage group and total radiation dose were significant factors in both survival and disease free survival of nasopharyngeal carcinoma. We have concluded that chemothe rapy and radiotherapy used in our patients were effective without any serious complication.

방사선치료를 받은 조기 성문암 환자의 국소 종양 제어에 관한 예후 인자

정웅기(Woong-Ki Chung),안성자(Sung Ja Ahn),남택근(Taek Keun Nam),나병식(Byung Sik Nah),조재식(Jae-Shik Cho),임상철(Sang-Chull Lim) 대한방사선종양학회 2000 Radiation Oncology Journal Vol.18 No.4

목 적 :방사선 단독 치료를 받은 조기성문암 환자에서 국소종양제어율에 영향을 주는 예후 인자를 알아보고자 하였다. 대상 및 방법 : 1986년 7월부터 1995년 12월 까지 전남대학교병원에서 조기성문암으로 확진되어 근치적 목적의 방사선치료를 받은 37명의 환자를 대상으로 후향적 분석을 시행하였다. 대상 환자의 연령 범위는 30세에서 73세였으며 중앙값은 59세였다. 성별 분포는 남자가 35명(95%), 여자가 2명(5%)이었다. 조직학적 유형은 모두 편평세포암이었다. 미국 암합동위원회의 병기분류법(1997)에 따라 다시 분류한 병기는 T1a, T1b, T2가 각각 27명(73%), 3명(8%), 7명(19%)이었다. 방사선치료는 선형가속기의 6 MV X- ray를 이용하였다. 후두에 조사된 총방사선량은 5,040 cGy에서 7,020 cGy 범위였으며 중앙값은 6,600 cGy였다. 추적기간의 중앙값은 80개월이었고 생존율과 국소종양제어율을 Kaplan-Meier 법에 의하여 산출하였으며 두군간의 비교는 generalized Wilcoxon test를 이용하여 검증하였다. 국소종양제어율에 영향을 줄 수 있는 인자들의 다변량분석에는 Cox 모델을 이용하였다. 결 과 :전체 환자 37명의 5년 생존율은 89%였고 국소종양제어율은 74%였다. 국소종양제어율에 영향을 줄 수 있는 인자들로 연령, T-병기, 전연합침범, 일회조사량, 총방사선량, 방사선치료기간을 분석에 포함시켰다. 단변량분석에서 치료기간이 50일 미만인 경우 5년 국소종양제어율이 93%, 50일 이상인 경우 60%로서 통계학적 의의가 있었다(p=0.026). 다변량분석에서도 치료기간만이 통계학적 의의가 있었다(p=0.017). 치료 후 합병증은 1명에서 갑상선기능저하증이 나타났다. 결 론 :조기성문암에서 근치적 방사선치료시 치료기간이 국소종양제어율에 영향을 줄 수 있는 인자로 분석되었다. Purpose :This study was performed to find out the prognostic factors affecting local control in early glottic cancer treated with radiation therapy alone. Mate ria ls and Me thods :We analysed 37 patients of histologically confirmed early glottic cancer treated at Chonnam National University Hospital between July 1986 and December 1995, retrospectively. Age of patients ranged from 30 to 73 years (median; 59 years). Thirty- five (95%) patients were male. Histological type was all squamous cell carcinoma. According to the staging system of 1997 American Joint Committee on Cancer, 37 patients were restaged as follows: T1a; 27 (73%), T1b; 3 (8%), T2; 7 (19%). Radiation therapy was done using 6 MV X- ray of linear accelerator. The range of total radiation dose delivered to the glottic lesion was between 5,040 cGy and 7,020 cGy (median; 6,600 cGy). Median follow- up period was 80 months. Local control rates were calculated by Kaplan-Meier method. Generalized Wilcoxon test was used to evaluate the difference of control rates between comparable groups. Multivariate analysis using Cox proportional hazard model was done to find out prognostic factors affecting local control. Results :5 year survival rate of 37 patients was 89%. Local control rate of 37 patients was 74% in 5 years. We included age, T- stage, anterior commissure involvement, fraction size, total radiation dose, treatment time of radiotherapy as potential prognostic factors in univa riate and multivariate analysis. As a result, treatment time had statistical significance in local control rate in both univariate (p=0.026) and multivariate (p=0.017) analysis. Complication was not recorded except one patient with hypothyroidism. Conclusion :This study revealed that overall treatment time of radiation was a significant factor affecting local control rate.

Comparison of Microscopic Images of Some Animal Vibrissae Hair Shaft using Hard X-Ray Microscopy

( Seok Yong Ahn ),( Seung Phil Hong ),( Soo Young Jeon ),( Ja Woong Goo ),( Long Quan Pi ),( Hwa Shik Yoon ),( Won Soo Lee ) 대한피부과학회 2007 초록집 Vol.45 No.20

Fabrication of SiC nanoparticles by physical milling for ink-jet printing.

Kim, Jong-Woong,Shim, Jae-Shik,Maeng, Changjun,Kim, Young-Sung,Ahn, Jinho,Kwak, Min-Gi,Hong, Sung-Jei,Cho, Hyun-Min American Scientific Publishers 2013 Journal of Nanoscience and Nanotechnology Vol.13 No.8

<P>Here we tried to show the possibility of mechanical milling method for fabrication of SiC nanoparticles and ink-jet printing method to make SiC patterns for use as several applications, e.g., micro hotplates. Planetary milling was employed to fabricate the nano-scale SiC particles from coarse powders. After 100 hours of milling, the size of the SiC particles decreased to about 100 nm, which was sufficient for the formulation of ink for ink-jet printing. The SiC particles were dispersed in an ink system consisted of ethylene glycol and ethanol with a small amount of additives. The ink with SiC nanoparticles could be successfully printed on an alumina substrate by the ink-jet printing method.</P>

Identification and Prevalence of Globocephalus samoensis (Nematoda: Ancylostomatidae) among Wild Boars (Sus scrofa coreanus) from Southwestern Regions of Korea

Kyu-Sung Ahn,Ah-Jin Ahn,Tae-Hoon Kim,Guk-Hyun Suh,Kyoung-Woong Joo,Sung-Shik Shin 대한기생충학열대의학회 2015 The Korean Journal of Parasitology Vol.53 No.5

Comparison of Microscopic Images of Some Animal Vibrissae Hair Shaft using Hard X-Ray Microscopy

( Seok Yong Ahn ),( Seung Phil Hong ),( Soo Young Jeon ),( Ja Woong Goo ),( Long Quan Pi ),( Hwa Shik Yoon ),( Won Soo Lee ) 대한피부과학회 2007 대한피부과학회 학술발표대회집 Vol.59 No.2

Bacillus subtilis SNU 816의 Phage에 대한 전자현미경적 관찰

안경준,이주식,이웅직,Ahn, Kyung-Joon,Lee, Zoo-Shik,Lee, Woong-Jik 한국현미경학회 1982 Applied microscopy Vol.12 No.1

The phages of Bacillus subtilis SNU 816 were observed by electron microscope with their host. The results are as follows; The phage had hexagonal head, contractile tail sheath and base plate with six tail fibers. During the lysis of bacteria due to attack of phage, dissolution of flagella were initiated from distal end of flagella.

Induction of apoptosis in MCF-7 and MDA-MB-231 breast cancer cells by Oligonol is mediated by Bcl-2 family regulation and MEK/ERK signaling

Jo, Eun-Hye,Lee, Soo-Jin,Ahn, Nam-Shik,Park, Joon-Suk,Hwang, Jae-Woong,Kim, Sung-Hoon,Aruoma, Okezie I.,Lee, Yong-Soon,Kang, Kyung-Sun Lippincott Williams & Wilkins 2007 EUROPEAN JOURNAL OF CANCER PREVENTION Vol.16 No.4

Oligonol is a novel catechin-rich biotechnology product. The role of oligonol in modulating intracellular signaling mechanisms was investigated with the view of demonstrating its potential chemopreventive effect and the ability to inhibit cell proliferation using the estrogen-responsive MCF-7 and the estrogen-unresponsive MDA-MB-231 human breast cancer cell lines. Cell survival assay indicated that Oligonol was cytotoxic to both cells. Oligonol triggered apoptosis as revealed by the morphological features typical of nucleus staining and the accumulation of sub-G1 peak. Treatment with 25 μg/ml Oligonol resulted in an activation of caspase-7 and up-regulation of Bad on MCF-7 cells, while the Oligonol (20 μg/ml) induced up-regulation of Bcl-2 protein in a time–response manner on MDA-MB-231 cells. ERK1/2 in both cells were inactivated after Oligonol treatment in a time-dependent manner, and also inactivated upstream MEK1/2. Oligonol triggers apoptosis in MCF-7 and MDA-MB-231 cells through the modulation of pro-apoptotic Bcl-2 family proteins and MEK/ERK signaling pathway.

Inhibition of human breast carcinoma by BLC (Sargassum fulvellum) and BLC/HEN Egg in vitro and in vivo

Jo, Eun-Hye,Cho, Sung-Dae,Ahn, Nam-Shik,Jung, Ji-Won,Yang, Se-Ran,Park, Joon-Suk,Hwang, Jae-Woong,Lee, Sung-Hoon,Park, Jung-Ran,Kim, Sun-Jung,Park, Hyun-Kyung,Lee, Yong-Soon,Kang, Kyung-Sun The Korean Society of Veterinary Science 2005 大韓獸醫學會誌 Vol.45 No.1

Much of the interest on the chemopreventive properties of herbs and plants has been raised, whereas little is regarding to anti-tumor effect of farming and aquatic products. In the present study, the anti-tumor effect of hot-water extract of a seaweed, BLC (Sargassum fulvellum) and BLC/HEN egg was investigated using MCF-7 cells in vitro and in vivo systems. We found that the BLC extract and BLC/HEN egg inhibited cell proliferation in a dose-dependent manner, which might be mediated through up-regulation of p53. Furthermore, this test compound can directly induce apoptosis in MCF-7 cells, which might be mediated through up-regulation of a pro-apoptotic Bax protein and down-regulation of a anti-apoptotic Bcl-2 protein, not by immune system. Nude mice bearing established breast tumors (with exogenous estradiol) were treated with BLC extract and BLC/HEN egg. Treatment BLC extract and BLC/HEN egg caused a 42% and 71% inhibition of tumor growth, respectively. Both agents caused a significant inhibition of volume and weight growth of estrogen independent human breast tumors established from MCF-7 cells. Our results suggested that BLC extract and BLC/HEN egg have the efficacious effect of human breast cancer not only in vitro but also in vivo.

Preparation of Micro-fabricated Biodegradable Polymeric Structures Using NCDS

Lee, Jae-Hoon,Ha, Won-Shik,Chu, Won-Shik,Park, Chun-Woong,Ahn, Sung-Hoon,Chi, Sang-Cheol 대한약학회 2008 Archives of Pharmacal Research Vol.31 No.1

PLGA scaffolds were prepared using a nano-composite deposition system (NCDS). 5-Fluorouracil (5-FU) was used as a model drug. Hydroxyapatite (HA) was included in the scaffolds to improve the mechanical properties of the scaffolds and modulate the release of 5-FU from the scaffolds. 5-FU and HA were dispersed well in the prepared scaffolds when evaluated with SEM, FT-IR, XRPD and DSC. The release of 5-FU from the prepared scaffolds consisting of different compositions was determined using 40 mL PBS as the medium. The release profiles of 5-FU from PLGA scaffolds followed the typical triphasic release pattern. The addition of HA to the compositions increased the release rate of 5-FU from the scaffolds and improved the mechanical properties of the scaffolds, while it retarded the degradation of PLGA. Therefore, NCDS could be a good system to prepare polymeric implants of various shapes with different drug release patterns.