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RISS 인기검색어
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- 저자 : 윤승욱 ( Seoung Wook Yun ) (검색결과 2 건)
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강민호 ( Min Ho Kang ),김배환 ( Bae Whan Kim ),윤승욱 ( Seoung Wook Yun ),이순일 ( Soon Il Lee ),신정은 ( Jeong Eun Shin ),남궁환 ( Goong Hwan Nam ),이원애 ( Won Ae Lee ) 대한내과학회 2008 대한내과학회지 Vol.74 No.6
위암의 직장으로의 재발은 다른 원격장기에 비해 상대적으로 흔하지 않은데 대부분 복강내 전파를 통한 직장선반(Blumer`s rectal shelf)의 형태나 직장 주위 림프절 종대를 동반하는 경우이고 복막 전이나 림프절 전이없이 고립성으로 직장에 원위 재발을 보인 경우는 극히 드물다. 저자들은 복강 및 주위 조직으로의 전이나 원발 부위인 잔존 위에 재발 없이 미만성 침윤형태로 직장에 재발한 진행성 위암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The present research was conducted through the research fund of Dankook University in 2006. Rectal recurrence of gastric cancer is uncommon. A few cases have been reported, with the majority of them associated with peritoneal recurrence. A 71-year-old man visited our hospital complaining of bowel habit changes and fecal incontinence. He had undergone radical subtotal gastrectomy and postoperative adjuvant chemotherapy for advanced gastric cancer 9 years earlier. Colonoscopy showed a rigidly constricted and erythematous rectum. Abdominopelvic CT showed diffuse rectal wall thickening with enhancement. PET-CT showed a hot uptake in the corresponding area on abdominopelvic CT scan, with no evidence of distant metastasis. We performed transanal full thickness biopsy and confirmed a diagnosis of adenocarcinoma pathologically similar to the former gastric cancer. The patient was diagnosed with solitary rectal recurrence simulating linitis plastica, without gastric remnant recurrence. We report this case with a review of the literature.(Korean J Med 74:680-684, 2008)
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김배환 ( Bae Hwan Kim ),이준혁 ( Joon Hyuk Lee ),백두산 ( Du San Baik ),윤승욱 ( Seoung Wook Yun ),김지환 ( Ji Hwan Kim ),공재환 ( Jae Hwan Kong ),김석배 ( Seok Bae Kim ) 대한소화기학회 2007 대한소화기학회지 Vol.50 No.6
Gastrointestinal stromal tumor (GIST) is an uncommon mesenchymal tumor of the gastrointestinal tract and is generally located in the stomach and small intestine. They usually present with abdominal pain, gastrointestinal bleeding, and palpable mass. Some patients present with rare symptoms that are more common in malignant GIST. Malignant GIST combined with a liver abscess has not been reported yet in the literatures. We report a case of 67-year-old woman who suffered from liver abscess combined by malignant GIST with central necrosis and fistula in the ileum. She complained of fever, chills, and abdominal pain. Abdominal CT scan showed huge liver abscess and ileal mass with air pocket. Small bowel series showed contrast material filling into the ileal GIST mass. An operation was performed and the final diagnosis was malignant GIST of the ileum with invasion into the sigmoid colon and urinary bladder. (Korean J Gastroenterol 2007;50:393-397)
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