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박찬흔(C H Park),김충배(C B Kim),황규철(K C Whang) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
N/A Non parasitic liver cyst is a rare disease, and cases have been reported since first discription of Bristowe in 1856. However there are difficulties in classification, diagnosis and treatment about this disease. The diagnostic methods have been developed, and the diagnostic accuracy is high now, but the nature of the cyst can be identified only at the time of operation or by aspiration of the cyst, and the treatment methods are decided according to the content of the cyst. We have experienced 33 cases of non parasitic cystic disease of the liver at the Sevrance hospital from Jan. 1964 to Apr. 1984, and analysed them The following results were obtained; 1) Male and female ratio was 1:2.7, and 82% of the patients were over the age of 35. 2) The abdominal symptoms were noted in 22 cases (67%), and the symptoms were Rt upper abdominal pain, Rt. Upper abdominal discomfort, upper abdominal mass and indigestion etc. 3) The liver function tests were normal in most patient.4) The solitary liver cyst only were 9 cases, solitary liver cyst with renal cyst were 10 cases, polycystic liver only were 10 cases, and combined polycystic liver and polycystic kidney were 4 Cases. ) The ultrasonography was important and accurate diagnostic tool above the other.6) 8 cases were operated; 4 excisions, 2 lobectomy, 1 unroofing, and 1 Roux en Y cystojejunostomy. 7) The postoperative complication and motality were not occurred.
식도에 발생한 원발성 Small Cell Carcinoma - 보고 -
박찬일(C I Park),김충배(C B Kim),최일섭(I S Choi),홍인철(I C Hong),김주항(J H Kim),이두연(D Y Lee) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
The primary small cell carcinoma of the esophagus is very rare malignant disease. McKeown described if first 2 cases at 1952 and about 70 cases were reported thereafter. This tumor is indistinguishable clinically from the squamous cell carcinoma but it is more aggressive than that. It is easily diagnosed with the light microscope and the pulmonary lesion should be ruled out. And it is confirmed by detection of neurosecretory granule under the electron microscope or cytoplasmic argyrophilia with the Grimelius stain. The choice of treatment is the chemotherapy but the surgery or radiationtherapy is indicated in bulky tumor. The prognosis is extremely poor and the most cases were not survived 1 year. We experienced a case of primary small cell carcinoma of the esophagus at Severance Hospital Yonsei University College of Medicine.