http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
선천성 담관 낭종 수술 후 잔류 낭종에서 15년 만에 발생한 담관암
이형경 ( Hyeung Kyeung Lee ),이경민 ( Kyoung Min Lee ),김진영 ( Jinyoung Kim ),이정선 ( Jungsun Lee ),안소연 ( Soyeon An ),홍승모 ( Seung-mo Hong ),이현우 ( Hyun Woo Lee ),김명환 ( Myung-hwan Kim ) 대한췌담도학회 2017 대한췌담도학회지 Vol.22 No.3
담관 낭종은 담관에 발생하는 선천성 담관 확장증을 의미하며, 담도계에 발생하는 비교적 드문 질환이다. 담관 낭종과 관련된 합병증으로는 담석 형성, 담관염, 췌장염이 있으며, 무엇보다도 담관암이 발생할 수 있어서 낭종 절제술 같은 외과적 절제가 치료 원칙이다. 담관 낭종을 수술한 후에도 담관 낭종의 불완전 절제로 인해 남아있는 낭종에서 담도계 암이 발생하는 경우가 종종 있다. 저자들은 담관 낭종으로 수술받은 후일부 남아있는 췌장내 총담관 부위 낭종에서 수술 15년 후 담관암이 발생한 1예를 경험하여 보고하고자 한다. 이 증례는 담관 낭종의 치료로써 완전 절제의 중요성과 정기적인 추적 검사의 필요성을 일깨워준다고 볼 수 있다. Among complications of choledochal cysts, malignant transformation is most concerning and management of choledochal cyst now includes complete cyst excision, whenever possible. In cases of choledochal cyst associated with pancreaticobiliary maljunction like our case, cholecystectomy along with the resection of dilatated bile duct and the biliary diversion are generally performed. However, incomplete cyst excision can result in malignant transformation within the remnant cyst. We present the case of cholangiocarcinoma arising from remnant intrapancreatic cyst 15 years after choledochal cyst excision in a patient with Todani type 1 choledochal cyst associated with pancreaticobiliary maljunction. We learn from the case that a careful long-term follow-up is needed in patients with choledochal cysts if residual cyst is remained after excision.
Young Kyung Lee(李螢京),Yong Hwi Yoon(尹用輝),Il Sun Chung(鄭鎰仙),Jong Soon Lee(李鍾焞),Sang Jong Lim(林尙鍾),In Gyu Song(宋仁圭),Dal Ung Kim(金達雄) 한국육종학회 1996 한국육종학회지 Vol.28 No.3
To analyse the genetic relationship among garlic accessions(Allium sativum L.) the polymerise chain reaction(PCR) was performed with total genomic DNAs of 13 garlic accessions by random 14 primers. The genetic diversity and genetic distance among 13 garlic accessions were used to generate a dendrogram showing phylogenic relationship. Thirteen garlic accessions were classified into two groups(group Ⅰ, Ⅱ). In additon, one of the two groups Group Ⅰ was divided into three sub-groups(group Ⅰ-a, Ⅰ-b, Ⅰ-c). Group Ⅰ included garlic accessions of Hongcheon, Gangwha, Yeongdong, Cheongju, Danyang, Gochang, Euesung, Yaechun, Seosan, Samcheog and China, while Group Ⅱ included garlic accessions of California and Austria. Sub-group Ⅰ-a included garlic accessions of Cheongju, Euesung, Yaechun, Seosan, sub-group Ⅰ-b included garlic accessions of Gangwha, Yeongdong, Samcheog and sub-group Ⅰ-c included garlic accessions of Hongcheon, Danyang, Gochang, China, respectively.
김민철 ( Min Chul Kim ),이형경 ( Hyeung Kyeung Lee ),박진오 ( Jin Oh Park ),박진석 ( Jin Seok Park ),오동욱 ( Dong Wook Oh ),강효정 ( Hyo Jeong Kang ),유은실 ( Eun Sil Yu ),김명환 ( Myung Hwan Kim ) 대한췌장담도학회 2015 대한췌담도학회지 Vol.20 No.3
Actinomycosis is a chronic, slowly progressive, and suppurative disease caused by filamentous anaerobic bacteria Actinomyces, which results in characteristic sulfur granules. Clinically, actinomycosis can present with a mass-like lesion, and this bacterial nidus has been frequently mistaken for a malignancy. For that reason many patients undergo surgical resection before the correct diagnosis is established. We report a case of a 63-year-old man with a solitary, asymptomatic pancreatic actinomycosis that masqueraded as pancreatic cancer. He did not have any other concurrently infected organs and did not have any signs or symptoms of infection. All radiologic images of the patient favored a malignancy to a great extent rather than an inflammatory mass. He was finally diagnosed with actinomycosis by endoscopic ultrasound (EUS)-guided fine needle aspiration biopsy without surgery. After one month of treatment with antibiotics, the pancreatic head mass was completely resolved on the follow-up computed tomography (CT).
김진영 ( Jinyoung Kim ),김호연 ( Hoyun Kim ),이형경 ( Hyeungkyeung Lee ),정민선 ( Minseon Cheong ),형례창 ( Li Chang Hsing ),김도훈 ( Do Hoon Kim ),정훈용 ( Hwoon-yong Jung ) 대한내과학회 2018 대한내과학회지 Vol.93 No.5
결핵의 식도 침범 및 이의 합병증인 식도종격동누공 형성은 매우 드물고 국내 보고가 거의 없다. 대부분 종격동 림프절염에서 식도 침범이 이루어지고 이러한 경우 식도종격동누공을 형성할 수 있다. 저자들은 식도종격동누공 치료에 내시경적 클립 결찰술을 먼저 시도하였으나 누공 폐쇄에 실패하였고, 경피적 내시경 위루술을 통한 항결핵제 치료만으로 누공 폐쇄를 경험하였기에 보고한다. Tuberculosis rarely involves the esophagus, and most esophageal tuberculosis occurs secondary to adjacent tuberculous lymphadenitis. An esophago-mediastinal fistula is a very unusual complication of tuberculous lymphadenitis. Herein, we report a case of an esophago-mediastinal fistula due to tuberculous lymphadenitis. A 28-year-old woman who had dysphagia was assessed by chest computed tomography, endoscopy, esophagogram, and a lymph node biopsy. An esophago-mediastinal fistula was found and an antituberculous agent was considered initially. However, because of her severe dysphagia, she managed with endoscopic clipping as an alternative. However, the fistula remained on follow-up esophagography. A gastrostomy was eventually performed, and she was treated with an antituberculous agent. The fistula had closed after 4 weeks of medication. Antituberculous agents are the mainstay treatment for esophago-mediastinal fistula due to tuberculous lymphadenitis; endoscopic clipping may be a complementary treatment. (Korean J Med 2018;93:477-481)