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각종 폐질환에 있어서 경기관지 폐생검과 Tru - Cut Needle 을 이용한 경피적 폐생검의 비교
김광중(Kwang Joong Kim),이병철(Byung Chul Lee),유진우(Jin Woo Yu),김동윤(Dong Yun Kim),김귀완(Kwi Wan Kim),김문중(Moon Joong Kim) 대한내과학회 1989 대한내과학회지 Vol.37 No.3
N/A Lung cancer has become one of the most common cancers in Korea. Chest X-rays show solitary or diffuse infiltrative lesions but these arc not confirmed by sputum chtology and bronchoscopic exam. It is extremely necessary to establish a tissue diagnosis. Transbronchial lung biopsy and transthoracic needle lung biopsy were compared with respect to diagnostic accuracy and complications. The age distribution of the patients was from nineteen to seventy-five years and the male to female ratio was about 6:1. The diagnostic yields of the transbronchial lung biopsy and the transthoracic needle lung biopsy were 68% and 86% respectively. Common diseases were primary malignancy, pulmonary tuberculosis and interstitial fibrosis; next in order were pneumonia and lung abscess. Among the nonspecific diagnoses, 7 cases were confirmed as malignant diseases by subsequent diagnostic procedures. Complications of the transthoracic needle lung biopsy were pneumothorax in 5 cases (8%) hemothorax in one case (2%) and hemoptysis in 2 cases (4%) Complications of the transbronchil lung biopsy were hemothorax in one case (2%), and hemoptysis in two cases (4%). We think that the transthoracic needle lung biopsy represents minor, safe, accurate and simple procedure for peripheral lung lesions and the transbronchial lung biopsy is the procedure of choice for central lung lesions.
폐암진단을 위한 객담세포검사 결과 - 16개월간의 전주 예수병원 객담세포검사 결과를 바탕으로 -
이혜경,이광민,정동규,강대송,김귀완,Lee, Hye-Kyung,Lee, Kwang-Min,Chung, Dong-Kyu,Kang, Dae-Song,Kim, Kwi-Wan 대한세포병리학회 1994 대한세포병리학회지 Vol.5 No.2
A prospective survey of sputum cytologic specimen was performed for 16 months from Jan. 1993 to Apr. 1994 in Presbyterian Medical Center. The purpose of this study is to find the positive rate of sputum cytology in the diagnosis of lung cancer and to correlate these results with tumor location and stage. Sputum cytologic specimen were received from 104 patients among 158 patients diagnosed as lung malignancy by histologic examination. Cytologic diagnosis of "suggestive of malignancy" was made in 61 patients (59%) and dysplasia in 9 patients(9%), atypia in 14 patients(13%), benign in 15 patients(14%) and inadequate specimen in 5 patients (5%), respectively. Among 84 patients beyond the cytologic diagnosis of atypia, 51 patients (61%) disclosed a central location, while 33 patients (39%) showed peripheral lesions. All 54 patients diagnosed as suggestive of non-small cell carcinoma were stage III or over, and all 7 patients diagnosed as suggestive of small cell carcinoma were in advanced stage. These results suggest that the cytologic examination of sputum seems to be an important tool in diagnosis of lung cancer.