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김태헌,정주환,태경,정원상 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.6
Metastasis to the sternum from follicular thyroid carcinoma is very rare. Because of a resistance to radioactive iodine therapy, skeletal metastases from differentiated thyroid cancer are difficult to treat. The surgical resection of skeletal metastatic lesion can be a valuable complement to radioactive iodine therapy and it can offer cure with prolonged survival. We recently experienced a case of follicular thyroid carcinoma with metastasis to the sternum in a 60-year-old woman,who presented with anterior chest wall mass and pain. We present this case with a review of the literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:390-3
우울증환자(憂鬱症患者)의 전신체열촬영(全身體熱撮影)에 의한 임상적(臨床的) 연구(硏究)
김태헌,이용근,Kim,,Tae-Heon,Lee,,Yong-Keun 대한한방신경정신과학회 2000 동의신경정신과학회지 Vol.11 No.1
Depression is a psychiatric syndrom consisting of dejected mood, psychomotor retardation, insomnia and weight loss, sometimes associated with irrational guilt feeling. And it is also similiar to Hwa-byung(火病) symptom in oriental medicine. But it is difficult to diagnose with objective method. Digital Infrared Thermographic Imaging(D.I.T.I.) is one of diagnotic method that measure the changes of skin temperature in body. Specially we checked the skin temperature on depressed patients by using D.I.T.I. and compared with Bell's palsy patients and normal persons group. The results are as follows; Average body temperature of the depressed patient group is $36.68{\pm}0.43^{\circ}C.$ and that of the control group is $36.73{\pm}0.40^{\circ}C.$. So there is no meaningful difference. The depressed patient group has higher temperature than the control group by ${\triangle}T>1.0^{\circ}C$ at the following acupuncture points in these body parts - upper and lower, left and right, anterior and posterior. When acupuncture points temperature was compared superior and inferior part of the body, depressed patient group have meaningful difference at the GV-4(Myung-moon) and also in the control group. When acupuncture points temperature was compared left and right part of the body, depressed patient group have no meaningful difference and also in the control group. When acupuncture points temperature was compared in the anterior and posterior part of the body, depressed patient group have meaningful difference at the GV-4(Myung- moon) and also in the control group. From this study, we think that D.I.T.I. could be used to diagnose objectively on the depressed patients and useful to another psychoneurogenic diagnosis in oriental medicine.
김태헌,류영수 대한한방신경정신과학회 1999 동의신경정신과학회지 Vol.10 No.1
First I chose a patient group and a comparative group composed of 23 members each. Then the body temperature differences in these groups was taken with D.L.T.I. The results are as follows. 1. Average body temperature of the Hwa-Byung patient group is 36.6˚C and that of the comparative group is 36.4˚C. So there is no meaningful body temperature difference. 2. The hwa-Byung patient group has higher temperature than the comparative group by △T〉1.0˚C at the following acupuntrue points in these body parts upper and lower, left and right , anterior and posterior, trunk and limb. Especially, the body temperature difference was clear in the CV-17 (jun-Joong) and the GV-4(Myung-moon). 3. When the body temperature was compared in the upper and lower part of the back, it had meaningful differences at the upper and lower acupunture points of the back in the Hwa-Byung patient group but not in the comparative group. 4. When the body temperature was compared in the left and right part of the body, its average difference was △T〈1.0˚C in the two groups and the result were meaningless. 5. When body temperature was compared in the anterior and posterior part of the body, its average difference was △T〈1.0˚C in the two groups and the result were meaningless. 6. When body temperature was compared in the trunk and limb part of the body, its difference in the patient group was meaningful compared with the non-patient group. From the above results, I think that D.I.T.I. could be used to objectively visualize heat sensation of the Hwa-Byung patients and make an objective concept of Han Yul in oriental medicine.
김태헌 대한영상의학회 1989 대한영상의학회지 Vol.25 No.3
We analyzed 40 cases of high resolution US findings of thyroid carcinoma proven by surgical or needle biopsy. The results were as follows: 1. The incidence was predominent in female(M/F=1:5.6). 2. Recent increase of the tumor size or the size over 5cm accompanying mass effect upon adjacent structures(such as trachea) was proved as significant findings of malignancy. 3. The nature of the masses showed solid in 30 cases (75%) complex in 10 cases (25%) of which 5 cases(12.5%) were prodominently cystic. 4. The echo pattern of the masses was hypoechoic in 21 cases (70%) hyperechoic in 6 cases (20%) and isoechoic in 3 cases (10%) Heteropeneous in 23 cases(10%) Hemogeneus in 7 cases (18%) 5. Internal calcification of the masses were observed in 13 cases (32.5%) The nature of calcifications was small multiple irregular punctate in all cases. 6. Halo sign were present in 20 cases(50%) 7. Invasion of adjacent structures: Lymph node in 10 cases(25%) Muscles in 5 cases(12.5%) Trachea in 2 cases(5%) 8. The accuracy of preoperative sonographic diagnoisis was 62.5%s
수술 가능한(UICC T병기 1, 2 및 3), Child A인 간세포암 환자의 초기 치료로서 수술적 절제술과 경동맥 항암색전술의 생존율 비교
김태헌,이태림,이효석,김정룡,윤정환,우광훈,김강모 대한소화기학회 2000 대한소화기학회지 Vol.35 No.5
Background/Aims : This study was designed to compare the survival rates of patients with hepatocellular carcinoma (HCC) who were treated either with surgical resection (SR) or transarterial chemoembolization (TACE). Methods : From 1993 through 1994, 183 patients with HCC in UICC T1-3N0M0 and liver function of Child-Pugh class A were enrolled. The patients were divided into two groups (SR group and TACE group) according to the treatment modality. Stratification was performed according to the tumor stage (UICC or CLIP) and the degree of lipiodol retention. Survival rates of SR group and TACE group were compared. Results : When the both groups were stratified with UICC T stage, median survival of SR group and TACE group was 54 and 31 months, respectively, in UICC T1 HCC (p=0.0998), 65 and 37 months in T2 (p=0.0154), and 14 and 27 months in T3 (p=0.5432). In the stratification with CLIP stage, median survival of SR group was significantly longer in CLIP 0 or 1 HCC patients than that of TACE group. In the patients showing compact lipiodol uptake, median survival of SR group and TACE group in UICC T1 and T2 was 65 and 50 months (p=0.1529), and 65 and 48 months in CLIP 0 (p=0.1012), respectively. Conclusions : When compact lipiodol uptake is observed, repeated TACE may be as effective as surgery in patients with HCC of UICC T1, 2 or CLIP 0, as well as the patients with more advanced HCC.