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뼈 전이를 동반한 진행성 위암 환자에서의 Flare Phenomenon
이상기 ( Sangki Lee ),시혜진 ( Hyejin Shi ),손성민 ( Sungmin Sohn ),박성락 ( Sungrock Park ),왕성호 ( Sungho Wang ),송진경 ( Jinkyung Song ),장근두 ( Geundoo Jang ) 대한내과학회 2016 대한내과학회지 Vol.91 No.3
Flare phenomenon refers to increased radiotracer uptake in bones despite clinical findings showing a positive response to treatment. Flare phenomena are most often observed in patients with breast or prostate cancer. Here, we present a case of bone flare in a 54-year-old male who had advanced gastric cancer with bone metastases. After three cycles of chemotherapy, a bone scan showed increased intensity, but the patient`s bone pain was alleviated and abdominal computed tomography revealed a decrease in the size of the primary mass and metastatic lymph nodes. We therefore continued chemotherapy using the same regimen, and a follow- up bone scan revealed decreased intensity. A flare phenomenon after treatment is rare in cases of gastric cancer with bone metastasis. Although flare phenomena are not common, they should be considered in patients with gastric cancer when the clinical results are inconsistent with bone-scan findings. (Korean J Med 2016;91:321-324)
왕성호 ( Sungho Wang ),이상기 ( Sangki Lee ),손성민 ( Sungmin Sohn ),박성락 ( Sungrock Park ),시혜진 ( Hyejin Shi ),최재원 ( Jaewon Choi ),서원우 ( Won-woo Seo ) 대한내과학회 2016 대한내과학회지 Vol.91 No.3
폐정맥혈전증은 매우 드문 질환으로, 폐 이식 수술이나 폐엽 절제술 후 합병증 그리고 악성 종양 등에 의해 발생한다. 일반적으로 종양의 침범이나 수술 후 정맥 문합 부위의 봉합선 등에 의한 국소적 협착에 의해 발생하는 것으로 알려져 있다. 저자들은 대엽성 폐렴에 의한 국소적 혈전 정맥염의 기전에 의해 발생한 폐정맥혈전증 증례 1예를 경험하였기에 보고하는 바이다. Pulmonary vein thrombosis is a rare disease related to a lung malignancy or complication after lung surgery. Generally, it is caused by tumor invasion or localized stenosis of a vein anastomosis site after an operation. Here we report a case of pulmonary vein thrombosis that occurred in a patient with local thrombophlebitis due to lobar pneumonia. (Korean J Med 2016;91:283-286)