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비장을 침범하여 비장낭종으로 자라난 췌장의 점액성 낭선암 1 예
김기훈(Ki Hun Kim),박성호(Sung Ho Park),서호종(Ho Jong Seo),최진욱(Jin Wook Choi),김광석(Kwang Seok Kim),고성만(Sung Man Go),서광섭(Kwang Seop Seo),김홍자(Hong Ja Kim),김호정(Ho Jung Kim),강유미(Yoo Mee Kang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Mucinous cystic neoplasms of the pancreas are rare primary tumors. They are low-grade tumors that occur predominantly in middle-aged woman. They usually arise within the tail of the pancreas and manifest as large, multiloculated cystic masses. In most cases, they are confined to the tail or body of the pancreas. All mucinous cystic neoplasms should be considered as mucinous cystadenocarcinomas of low-grade malignant potential. Complete surgical excision alone results in an excellent clinical outcome. We experienced a case of mucinous cystadenocarcinoma of the pancreas with invasion to the spleen in a 66-year-old woman. The mucinous cystadenocarcinoma involving the spleen is extremely rare and there has been no case report in Korea. Distal pancreatectomy and splenectomy was performed. It was concluded that multiloculated cyst developed from pancreatic tail and manifested as a huge splenic cyst. We report this rare case with a review of literature.(Korean J Gastroenterol 2001;38:453-456)
서호종,김기훈,박성호,최진욱,김광석,고성만,서광섭,김홍자,김호정,허병원,김해경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3
Ulcerative colitis(UC)is a disease that affects the mucosal lining of the colon. Epidemiologlcal studies revealed that UC is global in distribution and the incidence has risen in recent decades. The pathogenesis of UC, remains uncertain. However, recent studies have suggested that colonic environment, most notably bacteria flora, genetic susceptibility, mucosal defects, immunologic abnormalities, altered levels of specific cytokine and inflammatory mediators,and dietary factors are implicated. The major symptoms of ulcerative colitis include diarrher, abdominal pain, and hematochezia(rectal bleeding). Ulcerative colitis also may be complicated by many local and systemic disorders as extracolonic symptoms. Erythema nodosum is one of the most frequent dermatologic complications associated with ulcerative colitis. It is an acute, painful, rective skin inflammation of unknown cause. Physicians can disgnose clinically, since there is no accepted histological diagnostic criteria. Conventational therapy is preferred to control causative disease. We authors experienced a case of suppurative erythema nodosum on both shins of ulcerative colitis patient, which was treated with high dose corticosteroids and discharged with clinical improvement of dematologic manifiestation, coincidently controlled acute exacerbation of the bowel disease. So we report this case with a brief literature review.
고성만,김기훈,서호종,서광섭,유광렬,채선애,임병욱,김홍자,김호정,김진승,허병원,김해경 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3
The superficial spreading type of early gastric cancer has usually been defined as an early gastric cancer in which the product of the longest diameter and the diameter perpendicular to it was greater than 25㎠. Although the superficial spreading type of early gastric cancer is histologically aggressive compared with those without such histological aggressiveness, the 5 year survival rate is as good as a non-superficial spreading types of early gastric cancers if the wide surgical resection with extensive lymph node dissection is performed as a treatment. We experienced a case of superficial spreading early gastric cancer in a 59-year-old man. This case is reported with a brief review of related literature.