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RISS 인기검색어
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- 저자 : 류형선(Hyung Sun Ryeu) (검색결과 2 건)
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김지운(Ji Woon Kim),정만(Mann Jung),이영미(Young Mi Lee),류형선(Hyung Sun Ryeu),심승식(Seung Sig Sim),박창현(Chang Hyun Park),박찬웅(Chan Woong Park) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.3
Primaty adenocarcinoma of the duodenum is a uncommon neoplasm, accounting for about 0.3% of all gastrointestinal cancers. Adenocarcinomas tend to metastasize to regional lymph nodes, liver and pancreas, Peritoneal carcinomatosis also occurs and is more common than wide spread metastasis to lungs or bones. But with increasing awareness of its modes of presentation and improved diagnostiic techiques, more cases should be recognized at an earlier stage in the course of the disease. We experienced a case of primary adenocarcinoma of the duodenum associated with pancreatic metastasis, and report it with a review of the literature.
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박창현(Chang Hyun Park),박찬웅(Chan Woong Park),심승식(Seung Sig Sim),정만(Mann Jung),이영미(Young Mi Lee),류형선(Hyung Sun Ryeu),김지운(Ji Woon Kim) 대한내과학회 1993 대한내과학회지 Vol.45 No.4
N/A Background: Tsutsugamushi disease is a common febrile illness. For the better understanding it, we need more studies on its clinical and epidemiological characteristics. Methods: We analyzed clinically and epidemiological-ly 218 cases of tsutsugamushi disease which were diagnosed at St. Columban Hospital in 1990 and 1991. Results: Of the 218 cases, the age distribution ranged from teen-agers to the nineties: the 50's, 31.7%: the 60's, 23.4%. and the 40's, 22.5%. Among them. 104 cases were males and 114 cases were females. The ratio of male and female was 1:l.l. The monthly incidence rates were November, 67.4%: October, 24.3%: December, 7.8%: and September, 0.5%. The frequent symptoms and their rates were as follows: fever and chills, 97%: myalgia, 96%: headache, 95%. and fatigue, 83%. Rash, eschar, and lymphadenopathy were observed at the rate of 96%, 85.6%. and 39.4%, respectively. The laboratory findings showed such percentages as elevation of AST, 91.7%: ALT, 68.8%: and alkaline phosphatase, 57.2%. The positive indirect immunofluor-escent antibody test and cross serologic reaction rate of Hantavirus and Tsutsugamushi were observed at the rates of 62.4%, 11.5%, respectively. Increased interstitial markings of the chest X-ray were also observed in 59 cases (27.1%). There were good responses to the treatment of dox-ycycline and chloramphenicol, but no responses to the other antibiotics such as ampicillin and cephapirin. Conclusion: Tsutsugamushi disease is an acute febrile illness which is characterized by fever and chills, head- ache, mylagia, resh, and eachar during autumn and early winter, therefore we make every efforts for the early diagnosis and treatment before serologic examination.
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