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방사선치료 중인 암환자들과 비암환자들 간의 정신병리의 비교
고경봉,김귀언 大韓神經精神醫學會 1990 신경정신의학 Vol.29 No.3
Psychiatric aspects of 84 cancer patients on radiotherapy were investigated, using SCL-90-R and other questionnaires. The results were as follow ; 1) 67% of the cancer patients accepted diagnosis of their illness, whereas 33% denied it. 2) Anxiety was the most predominant emotional response when radiotherapy was recom-mended. 3) 73% of the patients showed positive attitude toward effect of the radiotherapy, whereas 26% showed uncertain attitude. 4) After the first radiotherapy, the cancer patients tended to show lower scores of hosti-lity than noncancer patients, but there were no significant differences between both the groups regarding other psychopathologies. 5) After the first radiotherapy, the patients who denied their illness showed higher sco-res of hostility and tended to show higher scores of psychoticism than those who accepted it. After the last radiotherapy, however, there were no significant differences in psychopa-thology between the both groups. These results suggest that in early stagte of radiothe-rapy, the patients' denial was related to their psychopathology, and that over time, they were more adaptable to radiotherapy. 6) The cancer patients who were uncertain about effects of radiotherapy were significan-tly more anxious and hostile than those who were positive toward them. In coclusinn, a considerable number of cancer patients denied their illness, although they were being treath with radiotherapy under the confirmed diagnosis of cancer. Hostility was noted to be predominant trait in such patients.
성문상부암(聲門上部癌)의 근치적(根治的) 방사선치료(放射線治療) 성적(成績)
김귀언,서창옥,김병수,김광문,홍원표,Kim G.E.,Suh C.O.,Kim B.S.,Kim K.M.,Hong W.P. 대한두경부종양학회 1985 대한두경부 종양학회지 Vol.1 No.1
A total of eighty five cases with supraglottic carcinoma treated by radical radiotherapy in Yonsei Cancer Center between Jan. 1974 and Dec. 1980, was observed through retrospective analysis. This study is concerned wi th patients selection for irradiation alone or combined treatment with surgery. Emphasis is directed to the analysis of effectiveness of radical radiotherapy instead of partial laryngectomy in T-1, T-2 and early T-3 lesion. A satisfactory control of laryngeal disease and preservation of a normal voice ranging from 100% for $T_1N_0$ lesions, 61.1% for $T_2N_0$ to 50% for $T_3N_0$. But 47.1% of cases with node metastasis on admission had poor results to irradiation suggesting of necessicity of combined treatment. 5 year recurrence-free survivals was 43.3% in all cases with supraglottic carcinoma treated by irradiation alone, although it was 87.5% in T-1 and 51.8% in T-2.