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김준현(Joon Hyun Kim),전상교(Sang Kyo Jeon),박정근(Jung Kun Park),김동월(Dong Wol Kim),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),이성규(Sung Kyu Lee),유선영(Seon Young Yoo),김정례(Jeong Rae Kim) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Leiomyosarcoma of duodenum is a rare malignant tumor, only ten percent are found in the duo- denum. The most common symptotns are abdominal pain, melena, weakness, weight loss, and jaundice, fever are rare complants. We reported a case of leiomyosarcoma with abscess formation in 54 year-old man confirmed by exploration and excisional biopsy. His chief complaints were right upper quadrant pain and high fever, a mass lesion combined with air bubbles on computerized tomography, upper gastrointestinal findings showed a duodenal mass hanging on 2nd and 3rd portion of duodenum and mucosal destruction. Excisional biopsy revealed low grade leiomyosar- coma in duodenum combined with necrosis and suppurations. (Korean J Gastroenterol 1996;28: 566 - 570)
전상교(Sang Kyo Jeon),박정근(Jung Kun Park),김동월(Dong Wol Kim),유선영(Seon Young Yoo),김정례(Jeong Rae Kim),김재홍(Jae Hong Kim),이진석(Jin Suk Lee),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),주재식(Jae Sik Joo) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Acinar cell carcinoma of the exocrine pancreas is a rare tumor with reported incidence of 1 to 2 % of pancreatic carcinoma. We reported a case of pancreatic acinar cell carcinoma in 58 year-old woman. Chief complaints were palpable mass and pain in left upper abdomen. Physical exatnination revealed huge aMominal mass in left upper abdomen. Abdominal ultrasonography and computed tomography revealed a huge well demarcated heterogeneous mass at the tail of the pancreas with liver metastasis. Distal pancreatectomy and excision of rnass were carried out. Pathological examination revealed acinar cell carcinoma in pancreatic tail. She died ninth day after operation. (Korean J Gastroenterol 1996;28: 592 - 596)
이창환(Chang Hwan Lee),김용흔(Yong Heun Kim),어호용(Ho Yong Au),김동우(Dong Woo Kim),송국진(Kuk Jin Song),김정례(Jong Hoon Byun),노만수(Man Soo Ro),변종훈(Jeong Rae Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
Adult Hirschsprung's disease appear to be a rare condition and few cases have previously been reported in the literature. In most instances, Hirschsprung's disease can be diagnosed in the neonatal period and not later than early infancy. Those that are recognized in the adult period are mild variety of disease, for example, the short segment type in most cases, and those with long segment type can be found very rarely because of its severe symptoms and fatal complications such as acute enterocolitis. In this article, we report a case of 28-year-old man with long segment Hirschsprungs disease. In addition, general concepts of the adult Hirschsprung's disease with brief review of literature are disclosed here.
김봉석,박성기,이성규,변종훈,김정례,소군호,진교현,김서종,고정석,노용호 대한내과학회 2000 대한내과학회지 Vol.59 No.4
Primary adrenal lymphoma is extremely uncommon. The tumor is accidentally discovered by abdominal ultrasonography(USG), computed tomography(CT) or magnetic resonance imaging (MRI) in patients with nonspecific symptoms and diagnosed at operation or autopsy. In this case, a 60-year-old man was admitted for the evaluation of mild left frank discomfort for two months before admission. The abdominal USG was performed and showed the dense masses in both adrenal glands. The laboratory tests including blood count, chemistry and hormonal tests showed the normal levels except for the basal ACTH level of 108 pg/ml(normal range: 9∼52 pg/ml). The 123I MIBG scan was normal. The bilateral adrenalectomy was done. The tumor was diagnosed as diffuse large B-cell non-Hodgkin's lymphoma(NHL) according to the Revised European-American lymphoma(REAL) classification. He was treated with the adjuvant combination chemotherapy of CHOP(cyclophosphamide, adriamycin, vincristine and prednisolone) but expired due to sepsis after the secod chemotherapy. We describe the first case of primary bilateral adrenal NHL in Korea. Primary adrenal lymphoma should be included in the differential diagnosis of suprarenal mass.(Korean J Med 59:423-427, 2000)
이홍복,이성규,변종훈,전인석,김웅봉,두창준,김정례 대한내분비학회 1988 Endocrinology and metabolism Vol.3 No.2
Adrenal myelolipoma is uncommon, nonfunctioning benign tumor, is composed of hemato-poietic cells and fat cells, which simulates the bone marrow. In most cases, this tumor is found incidnetally at autopsy. The advent of cross-sectional abdominal imaging technique has increased the incidence of this tumor, and the importance of the tumor has emphasized among the adrenal diseases. This tumor can be diagnosed by ultrasound and CT which show avasculr, highly fatty mass chatacterestically, and can be confirmed by fine-needle aspiration. Myelolipoma, in most, does not need any treatment, especially surgical removal. So, clinician do his or her best to avoid useless operation on facing such nonfunctioning adrenal tumor.