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김일만,이창영,손은익,김동원,임만빈,김상표,Kim, Il-Man,Lee, Chang Young,Son, Eun Ik,Kim, Dong Won,Yim, Man Bin,Kim, Sang Pyo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.3
Objective : We have currently changed treatment strategies to methotrexate(MTX)-based preirradiation chemotherapy with subsequent planned radiation for the initial therapy of primary central nervous system lymphoma (PCNSL). The aim of this study was to evaluate the results of treating PCNSL with chemotherapy plus radiotherapy (CRT) or radiotherapy(RT) alone. Method and Material : This study involved 10 females and 3 males patients with a mean age of 54.2 years. All patients underwent surgery, open(8 cases) or stereotactic biopsy(5 cases) for histological diagnosis. Eleven tumors were diffuse large B-cell lymphomas. Tumor volume change in the follow-up images and survival time were evaluated in patients treated with CRT and RT alone. In the beginning, two patients received ProMACE-Cytabom chemotherapeutic regimen, but did not complete the course and died of progressive tumor 8 and 9 months after diagnosis, respectively. One patient died at 6 months before chemotherapy. These three were excluded from the survival analysis. Five patients(RT group) completed full courses of cranial irradiation with or without boost. For the current combined modality treatment, high-dose MTXbased chemotherapy(systemic and intrathecal MTX, IV vincristine, and oral procarbazine) followed by whole brain irrdiation to 45Gy to tumor was introduced in 5 patients of CRT group. Result : A complete response was achieved in three of five who received RT only and in all of five who received CRT. All patients in CRT groups are in disease free status at a mean 23 months following therapy. The RT group patients refused any additional salvage therapy at tumor relapse and survived at mean 20 months from diagnosis. The Karnofsky performance status improved in eight of ten patients with treatment. The treatment toxicity included leukoencephalopathy in RT group and severe leukopenia, transient hepatitis, avascular necrosis of femoral head, hearing loss, and amenorrhea in CRT group, respectively. Conclusion : The combined modality therapy of MTX-based chemotherapy plus radiotherapy for PCNSL may enhance tumor response and improve patient survival. The patients who received CRT should be carefully followed up because of the higher risk of treatment-induced late neurotoxicity.
김일만,손은익,김동원,임만빈,Kim, Il-Man,Son, Eun Ik,Kim, Dong Won,Yim, Man Bin 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.6
Objectives : The less invasive stereotactic surgery of hypertensive intracerebral hematoma has been preferred. Many techniques were developed to facilitate aspiration of a dense blood clot in acute stage. Authors describe a method for evacuation of putaminal hematoma via computerized tomography(CT)-aided free-hand stereotactic infusion of urokinase and frequent negative pressure aspiration. Patients and Methods : A total of ten patients with spontaneous putaminal hematoma underwent surgery with negative pressure aspiration in the three-year period. All procedures were performed within 12 hours of insult. A silicone ventricular catheter was inserted into the center of hematoma through a burr hole at the Kocher's point under local anesthesia. In a typical case of putaminal hematoma, the trajectory of catheter was pointed the center of hematoma parallel to sagittal plane vertically and the external auditory meatus posteriorly. Immediately after the first trial of hematoma aspiration low-dose urokinase solution(2,000IU/5ml saline) was administrated through the catheter and drain was clipped for 30 minutes. Subsequently, the partially liquified hematoma was manually aspirated using a 10ml syringe with a negative pressure of less than 2 to 3ml. The procedure was carefully repeated every 1 hour until the hematoma was near totally evacuated. Results : The patients population consisted composed of 4 men and 6 women with a mean age of 61.6 years. All had major neurological deficits preoperatively. The mean hematoma volume was 44.3 ml and hematoma was drained for 20 to 48 hours. No complications such as rebleeding, meningitis, or malplaced catheter were noted. Outcome was moderately disabled in four patients and good recovery in three patients. Conclusion : Although the frequent negative pressure aspiration and low-dose urokinase infusion has the disadvantage of possbility of rebleeding and infection, it is consisdered to be an effective method because it allows a simple, safe, and complete removal of hematoma.
김찬수(Chan-Soo Kim),송관필(Gwan-Pil Song),문명옥(Myong-Ok Moon),송국만(Kuk-Man Song),김진(Jin Kim),이은주(Eun-Ju Lee) 한국자원식물학회 2005 한국자원식물학회지 Vol.18 No.2
본 조사는 식물상을 밝힘으로서 체계적이고 효율적인 보존관리대책을 마련하데 필요한 정보를 제공하고 우리나라 최남단에 속하는 도서에 있어서 식물자원의 분포특성을 파악하고자 수행하였다. 관속식물은 65과 140속 162종 2변종으로 총 164분류군이었는데 그 중 양치식물은 6과 13속 15종, 나자식물은 1과 1속 1종, 피자식물에 있어서는 쌍자엽식물이 49과 97속 114종 1변종으로 115분류군, 단자엽식물은 10과 29속 32종 1변종으로 33분류군이 출현하여 계 59과 126속 146종 2변종으로 계 148종이었다. 미기록 종은 양치식물 중 점고사리, 쇠고비, 큰족제비고사리, 사다리고사리 등 4종, 단자엽식물 중 강아지풀, 줄, 송이고랭이, 꽃토란, 개구리밥, 부채마 등 6종, 쌍자엽식물 중 큰사방오리, 개모시풀, 애기싱아, 미국자리공, 갯장구채, 새머루, 누리장나무, 보리장나무. 진득찰 등 9종 총 16과 19속 19종이었다. 희귀식물로서는 국내 거문도와 제주도에만 분포하는 것으로 알려진 박달목서가 자생하고 있으며, 바위연꽃의 자생지도 확인되었다. 또한 귀화식물은 총 20과 33속 34종 1변종으로 총 35분류군이었다. This study was conducted to prepare systematic and efficient measures for nature conservation and management in Beomseom Island, and to clarify characteristics of distribution of plant resources in southernmost islands of Korean peninsula. The numbers of vascular plants were summarized as 164 taxa included 6 families, 13 genera, and 15 species in pteridophyta, 1 family, 1 genus, and 1 species in coniferophyta, and 59 families, 126 genera, 146 species, and 2 varieties in endospermae composed of 49 families, 97 genera, 114 species, and 1 variety in dicotyledonae and 10 families, 29 genera, 32 species, and 1 variety monocotyledonae. Unrecorded taxa of the flora of Beomseom Island were 19 taxa included 4 taxa of pteridophyta, i.e. Hypolepis punctata, Cyrtomium fortunei, Dryopteris pacifica, and Thelypteris granduligera, 6 taxa of monocotyledonae, i.e. Setaria viridis, Zizania latifolia, Scirpus triangulatus, Zantedeschia aethiopica, Spirodela polyrhiza, and Dioscorea nipponica, and 9 taxa of dicotyledonae, i.e. Alnus firma, Boehmeria Platanifolia, Aconogonum ajanense, Phytolacca americana, Melandryum oldhamianum var. roseum, Vitis flexuosa, Clerodendron trichotomum, Elaeagnus glabra, and Siegesbeckia glabrescens. The two rare species, Osmanthus insularis that distributed only Jeju-do and Geomoondo Island and Orostachys iwarenge that distributed only southern parts of Jeju-do in Korea were investigated. The numbers of naturalized plants were 20 families, 33 genera, 34 species, and 1 variety.