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윤환곤(Whan Gon Yoon),추무엽(Moo Youp Choo),황교승(Kyo Seung Hwang),권영철(Young Cheol Kwon),김경태(Kyung Tae Kim),전재민(Jae Min Jeon),신선영(Sun Young Shin),최성근(Seong Kuen Choi),이윤석(Yun Suk Lee),안희권(Hee Kwon Ahn),이주택(Ju 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1
Pancreatic cystadenoma is a very rare slow-growing cystic lesion that only about 350 cases were reported in the literlatures. The lesions occur predominantly in late middle aged woman characterized by a slowly growing palpable mass in the epigastrium. The etiology of the cyst- adenoma is still obscure. Pancreatic mucinous cystadenoma occur predominantly in the tail and the body of the pancreas. Pancreatic mucinous cystadenoma has a definite malignant po- tential in contrast to microcystic(serous) cystadenoma which is benign and then total excision is the ideal treatment for pancreatic mucinous cystadenoma. A 54 year old woman patient was admitted to this hospital with the complaints of epigastric discomfort and the discovery of a slow-growing palpable mass in left upper quadrant abdomen for the preceding 7 years. Exploratory laparatomy was performed which disclosed a smooth cystic mass about 15cm in diameter in the tail of the pancreas. The cut surface of the turnor showed multiple cyst containing gray mucinous fluid. The mass was adhered to the stomach and jejunum. For the complete excision of the tumor, distal pancreatectomy and splenectomy were performed. Histopathological examination confirmed the mucinous cystadenoma of the pancreas.(Korean J Gastroenterol 1994; 26: 210 213)
말단 회장부 궤양을 동반한 Behcet 씨 증후군 1 예
김경태,이윤석,신선영,윤창상,권영철,안희권,윤환곤,전재민,최성근,이주택 대한내과학회 1994 대한내과학회지 Vol.47 No.4
The concept of Behcet's syndrome is progressing as a systemic disease involving multiple organs and system. In 1937 Behcet described a chronic relapsing triple- symptom complex of recurrent oral ulceration, genital ulceration, and ocular inflammation. Other manifestation of the syndrome include arthritis, cutaneous vasculitis, thrombophlebitis, epididymitis, ulcers of the gastrointestinal tract, and meningoencephalitis. Recently, we experienced a case of intestinal Behcet's syndrome with obstructive ileus A 21-year-old female patient with incomplete type of Behcet`s syndrome suffered from abdominal pain, aphthous stomatitis, and genital ulceration. The frequent obstructive site of intestine is ileocecal area. The mucosa of ileum shows large geographic ulcer with fibrous wall thickening and multiple small round ulcers with punched-out in appearance. After ileocecotomy and administration of steroid, we showed rapid & remarkable symptomatic improvement.