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김규환(Gyu Hwan Kim),표지수(Ji Soo Pyo),김양욱(Yang Ook Kim),류승환(Seung Hwan Ryoo),이상혁(Sang Hyuk Lee),설상영(Sang Yong Seol),정정명(Jung Myung Chung),최하진(Ha Jin Choi) 대한내과학회 1995 대한내과학회지 Vol.48 No.6
N/A Objectives: Because it is difficult to differentiate the intrahepatic bile duct carcinoma from hepatocellular carcinoma by the general clinical features and the post-operative survival rate of intrahepatic bile duct carcinoma may he better than the one of hepatocellular carcinoma, we studied the clinical characteristics of the intrahepatic bile duct carcinoma. Methods: We studied 41 patients with intrahepatic bile duct carcinoma diagnosed by untrasonoguided liver biopsy or operation from January 1990 to December 1993 at our hospital. Results. 1) 178 patients were diagnosed as hepatocellular carcinoma with the ratio to intrahepatic bile duct carcinoma of 4.3:1 and the number of patients with extrahepatic bile duct carcinoma is 44 with the ratio to intrahepatic bile duct carcinoma of 1.1: 1 in the same duration. 2) Of the 41 cases, the peak incidence was in 6th decade and the average age was 58.8 years. The male to female ratio was 3.1: l. 3) Abdominal pain was the most common complaint on admission(75.6%). For the duration from symptom onset to admission, the most common duration was less than 1 month(48.8%) and hepatomegaly was the most common physical finding(51.2%). 4) On the laboratory findings, leukocytosis was seen in 25 cases(61.0 %). AST was elevated in 20 cases(48.8 %) and ALT was elevated in 12 cases(29.3). 5) The Clonorchiasis was the most commonly associated disease(34.1%). AFP was elevated in 12.8%, CEA and CA19-9 also were elevated in 57.1% and 78.3% respectively. 6) Abdominal ultrasonography showed hyperechogenicity in 13 cases(31.7%), isoechagenicity in 9 cases(22.0%), and hypoechogenicity in 19 cases(46.3 %). Celiac angiography showed hypervascularity in one case out of seven cases(14.3%). 7) Of the 41 cases, the mean survival was 6.3 months and the longest survival was 31 months, The mean survival of 14 casess with surgery was 9 months. Conclusion: If the curative resection of intrahepatic bile duct carcinoma is performed in more early clinical course with the above characteristics, the better prognosis would be expected.
위의 염증성 섬유양 용종 : 6례 보고 Report of 6 Cases
이성근,김양욱,이상혁,설상영,정정명,최하진,김영주,주종은 인제대학교 1994 仁濟醫學 Vol.15 No.1
상부위장관 내시경증 위의 염증성 섬유양용종 6례를 발견하고 문헌고찰과 함께 보고한다. Six cases of inflammatory fibroid polyp of the stomach were presented and their histology characteristics, pathogenesis and malignant change were discussed along the line of inflammat basis. They ocurred as polypoid lesion in the antrum except for two found in the body of the stoma The size of polyp was variable from 0.6×1.0cm to 6.0×5.0cm in size. A instance with concomitant adenoma In the same area was noted among 6 cases of the stomach. more treatment was needed after tissue diagnosis by endoscopic polypectomy and by gastrecton They were reaction to unique stimuli that were undetermined rather than tumor due to their histology characteristics.