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윤정현,Yun, Jeong-Hyeon 대한석유협회 2011 석유와 에너지 Vol.283 No.-
기름 값 문제를 기한과 규모를 정해놓고 단기간에 무조건 만들어 놓은 틀에 맞추는 것은 해결책이 될 수 없다. 서민경제와 맞물려 규모가 크고 다양한 이해관계가 얽혀 있기 때문이다. 지금이라도 알뜰주유소의 가격 인하 방식이나 효과, 기존 주유소와의 형평성 문제까지 어떻게 해결할지 처음부터 다시 고민이 필요하다.
Imaging Surveillance of Patients with Breast Cancer after Primary Treatment: Current Recommendations
윤정현,김민정,김은경,문희정 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.2
Women who have been treated for breast cancer are at risk for second breast cancers, such as ipsilateral recurrence or contralateral metachronous breast cancer. As the number of breast cancer survivors increases, interest in patient management and surveillance after treatment has also increased. However, post-treatment surveillance programs for patients with breast cancer have not been firmly established. In this review, we focus on the imaging modalities that have been used in post-treatment surveillance for patients with breast cancer, such as mammography, ultrasonography, magnetic resonance imaging, and positron emission tomography, the effectiveness of each modality for detecting recurrence, and how they can be applied to manage patients.
윤정현,김은경,곽진영,문희정,김가람 대한초음파의학회 2014 ULTRASONOGRAPHY Vol.33 No.1
Purpose: To evaluate the characteristic ultrasonographic (US) features of metastatic carcinoma to the thyroid, and how accurate US features and ultrasonography-guided fine-needle aspiration (US-FNA) are for the diagnosis of thyroid metastases. Methods: Twenty-three thyroid lesions in 23 patients (mean age, 66.7 years; range, 46 to 85 years) that had been diagnosed as thyroid metastases were included. The composition, echogenicity, margin, shape, presence of calcifications, underlying parenchymal echotexture, and vascularity were analyzed in US images of the thyroid metastases. Final US assessments were categorized into probably benign and suspicious malignancy. The presence of suspicious metastatic cervical lymph nodes was noted. The medical records, US-FNA cytology, and pathology reports of these patients were retrospectively reviewed. Results: Of the 23 thyroid lesions, the general US appearance was mass-forming in 21 (91.3%) and non-mass-forming in 2 (8.7%). All 23 lesions showed a solid tumor composition. Common US features among the 21 mass-forming thyroid metastases were hypoechogenicity (81.0%), non-circumscribed margins (90.5%), no calcifications (76.2%), and parallel shape (81.0%). Suspicious cervical lymph nodes were present in 18 patients (78.3%). Of the 23 lesions, 21 (91.3%) were classified as suspicious malignancy, and 2 (8.7%) as probably benign. US-FNA showed diagnostic results specific for metastases in 21 of the 22 patients (95.5%) who had undergone US-FNA. Conclusion: Common US features in thyroid metastasis were hypoechogenicity, non-circumscribed margins, no calcifications, parallel shape, and the presence of suspicious cervical lymph nodes. US-FNA can be effectively used in the diagnosis of thyroid metastasis, preventing unnecessary surgery.