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이강대,이형신 대한갑상선학회 2014 International Journal of Thyroidology Vol.7 No.2
Considering the relatively good prognosis of papillary thyroid carcinoma, surgical treatment should be conducted with an adequate method and extent of surgery with minimal complications. The optimal indications and extent of central neck dissection in papillary thyroid carcinoma has been introduced by variable guidelines. However, there have been controversies in several aspects regarding central neck dissection (i.e., prophylactic versus therapeutic, unilateral versus bilateral), which will remain until a large prospective study is completed. Successful management of cervical lymph node metastasis in papillary thyroid carcinoma requires thorough preoperative evaluation, knowledge on adequate indications and extent of surgery and considerations on surgical anatomy. In this article, we reviewed the rationales for optimal central neck dissection in papillary thyroid carcinoma based on recent studies and presented the surgical strategy and skills based on personal experience of a single surgeon.
이강대,정헌,문효성,박요한 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.9
Parathyroid cancer is a rare disease, of which about 700 cases have been reported since first being described by de Quevain in 1904. In particular, multiple primary parathyroid cancer is extremely rare and to our knowledge only 4 cases have been reported in the literature since the first report in 1990. A 41-year-old male patient was presented with bilateral neck mass, polydypsia and polyuria with hypercalcemia and high parathyroid hormone level. The patient underwent surgery at Kosin University Gospel Hospital and was diagnosed as double parathyroid cancer on pathologic examination. So, we report this rare case with literature.
이강대 대한기관식도과학회 1997 大韓氣管食道科學會誌 Vol.3 No.2
실험실에서 면역세포가 종양세포를 죽일 수 있다든가 혹은 드물지만 암 환자에서 암이 자연적으로 소실되었다는 임상적 보고 그리고 AIDS 환자와 같은 면역계의 장애를 가진 환자에서 Kaposi 육종, 특정 형태의 림프종이 더 잘 생긴다는 것 등으로 미루어 보면 동물이나 인간에 발생하는 암에 대해 어느 정도의 면역반응이 일어나는 것은 분명하다. 인체는 규칙적으로 암세포를 생산하지만 면역계에 의해 제거되는 것으로 추측된다. 그러나 아직도 면역계가 어떻게 암을 억제하는지 그리고 면역계가 암발생을 억제하는데 왜 실패하는지에 대해서는 정확히 모르고 있다. 이러한 의문점들은 앞으로 종양 면역학이 규명해야 할 과제이다.