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김은희,서영광,김달래,고병희,전성하,어완규,최원철,이수경,Kim, Eun-Hee,Seo, Young-Kwang,Kim, Dal-Lae,Koh, Byung-Hee,Cheon, Seong-Ha,Eo, Wan-Kyu,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.2
1. Objectives In this case report, We report a case of advanced non-seminomatous germ tell tumor(NSGCT) of the testis to retroperitoneal lymph node. We successfully managed with sasang medical treatment. 2. Methods We treated a man with NSGCT of testis with retroperitoneal lymph node metastasis. We evaluated pain grade by VAS(visual analogue scale). and fever grade by body temperature(by axillary thermometer) 3. Results Pain and fever were improved with the Sasang constitutional medicine. 4. Conclusions Cancer pain and fever was markedly improved by Sasang Constitutional management. Further studies are needed to evaluate the cause of the improvement.
대장 및 복강으로 전이된 위암 환자의 설사와 복통을 태음인 사상방으로 관리한 증례
서영광,김은희,김달래,고병희,전성하,최원철,이수경,Seo, Young-Kwang,Kim, Eun-Hee,Kim, Dal-Lae,Ko, Byung-Hee,Cheon, Seong-Ha,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.3
1. Objectives We introduced a case of postoperation stomach cancer patient with metastasis to peritoneum and colon who suffered from repetitive diarrhea and abdominal pain. 2. Methods Stomach cancet is the most common cancer in Korea. Eventhough the 5-year survival rate of stomach cancer is increasing recently, metastasized stomach cancer does not show good prognosis, especially when the surgical operation is not applicable. After partial resection of stomach, most of patients experienced gastrointestinal disorders like dyspepsia, reduced meal size, abdominal discomfort, loose stool, and constipation. 3. Results and Conclusions Taeumjowi-tang, a Sasang Constitutional Medicine, improved the diarrhea and abdominal pain.
폐전이된 담낭암 환자를 사상의학적 관리를 통해 제반 증상과 삶의 질을 개선시킨 1례
서영광,김은희,김달래,고병희,전성하,어완규,김세현,최원철,이수경,Seo, Young-Kwang,Kim, Eun-Hee,Kim, Dal-Lae,Ko, Byung-Hee,Cheon, Seong-Ha,Eo, Wan-Kyu,Kim, Se-Hyun,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.2
1. Objectives The incidence of Gallbladder(GB) cancer is increasing through out the world. And the death rate of GB cancer is highest compared with other kinds of cancers. We treated Stage IV GB canter with lung metastasised patient with Sasang constitutional medicine. 2. Methods We fellowed up the changes of Symptoms and QOL. 3. Results The symptoms and quality of lift(QOL) of Stage IV GB cancer with both lung metastasis patient are improved markedly by Sasang constitutional medicine. 4. Conclusions The symptoms of GB cancer with both Lung mets were effectively managed through the constitutional treatment So we report the healing process and result of this patient in this study.
자궁암 환자의 수신증으로 인한 소변불리와 조영제로 유발된 발진을 사상방으로 관리한 치험 1례
김은희,서영광,김달래,고병희,전성하,최원철,이수경,Kim, Eun-Hee,Seo, Young-Kwang,Kim, Dal-Lae,Ko, Byung-Hee,Cheon, Seong-Ha,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.3
1. Objectives This paper reports a case of cervical cancer patient who showed positive results to Sasang Constitutional Medicine. The target symptoms were urinary disorder due to unilateral hydronephrosis and urticaria due to adverse drug reactions. 2. Methods We measured urinary output and interval. We evaluated skin urticaria by severity and size of itchy site. The patient treated using Sasang Constitutional Medicine. 3. Results and Conclusions Significant improvement was observed in urinary output and interval.
수술이 힘든 고령의 직장-S상결장암 환자에 대한 알러젠 제거 옻나무 추출물 위주의 한방치료 1례
권은미,정의홍,김경석,정현식,전성하,어완규,최원철,이상헌,Kwon, Eun-Mi,Jeong, Yee-Hong,Kim, Kyung-Suk,Jung, Hyun-Sik,Cheon, Seong-Ha,Eo, Wan-Kyu,Choi, Won-Cheol,Lee, Sang-Hun 대한암한의학회 2010 大韓癌韓醫學會誌 Vol.15 No.1
We report a case of an 85-year old man with an adenocarcinoma of the rectosigmoid colon (clinical stage II). Though tumor was resectable, the patient was considered to be inoperable because of old age and comorbidities such as asthma, diabetes and old myocardial infarction. He wanted to receive alternative care, so he was exclusively treated with standardized Allegern-removed Rhus verniciflua Stokes (aRVS) extract and other herbal medicine such as BOJUNGIKGI-TANG GAMIBANG. During 18 months, he has shown good performance status without transfusion. This report suggests that herbal treatment including standardized aRVS for rectosigmoid colon cancer could be an alternative treatment option when it is unabled to be treated by surgical resection.
황혜진 ( Hye Jin Hwang ),서원나 ( Won Na Seo ),전성완 ( Sung Wan Chun ),전성하 ( Seong Ha Cheon ),이한성 ( Han Sung Lee ),이정은 ( Jung Eun Lee ),김범석 ( Bum Suk Kim ),강신욱 ( Shin Wook Kang ),최규헌 ( Kyu Hun Choi ),이호영 ( Ho 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.1
목적: 호산구증가증은 대개 알러지 반응에 의한 것으로 기관지 천식, 아토피 피부염 등에서 흔히 보이고 이외에 기생충 감염, 과호산구증 증후군 등에서 뿐만 아니라, 혈액투석 환자에서도 나타나는 것으로 알려져 있다. 이에 반해 복막투석 환자에 있어서 호산구증가증에 대해서는 아직까지 많이 알려져 있지 않다. 본 연구는 복막투석을 시작하는 환자에서 호산구증가증 발생율 및 위험요인을 후향적으로 비교 분석하였다. 방법: 2001년에서 5월부터 2004년 5월까지 연세대학교 의과대학 세브란스 병원에 내원하여 복막투석을 시작한 환자 47명을 대상으로, 호산구증가증 발생율, 호산구수의 변화 양상 및 복막투석 후 호산구증가증이 나타난 환자군과 나타나지 않은 환자군에서 복막투석액의 종류, 복용중인 약물, 기저 신장질환, 복막투석 전 혈액투석, 복막투석 중 혈액투석, 수혈, 비경구 철분제 및 스테로이드제제 투여 여부를 의무기록을 통하여 후향적으로 비교하였다. 결과: 복막투석 시작한 환자의 35%에서 호산구증가증이 발생하였으며, 대부분 40일 이내에 호산구가 상승되기 시작하였고, 호산구증가증이 지속되는 기간은 다양하였다. 호산구증가증이 있는 환자에게서 최고 호산구 수치의 평균은 750±257/mm3이었다. 나이, 성별, 투석액의 종류, 복용중인 약물, 기저 신장 질환, 수혈, 스테로이드 제제 투여, 비경구 철분제 투여, 복막투석 전 혈액투석 및 복막투석 중 혈액투석 여부는 호산구증가증이 발생한 환자군과 발생하지 않은 환자군 간에 통계적으로 유의한 차이가 없었다. 결론: 본 연구를 통해 복막투석 중인 말기 신부전 환자에 있어서 호산구증가증이 발생할 수 있으며, 향후 혈중 호산구증가증을 일으키는 요인에 대해 보다 많은 환자를 대상으로 한 전향적 연구를 비롯하여 투석 환자에 있어서 면역체계 변동 및 호산구증가증과의 연관성에 대한 연구가 있어야겠다. Purpose: The prevalence of blood eosinophilia in patients who are maintained on regular hemodialysis has been well established. Blood eosinophilia in patients initiating peritoneal dialysis has been mentioned, but its prevalence and etiologic factors have not been well delineated. Therefore, we performed this retrospective study to find out prevalence and possible etiologic factors of blood eosinophilia in patients undergoing continuous ambulatory peritoneal dialysis. Methods: Between May 2001 to May 2004, the patients who began continuous ambulatory peritoneal dialysis at one renal center were included in this study. Patients with allergic history or allergic reaction during observed period were excluded. The routine peripheral WBC counts of 47 patients were reviewed and possible predisposing factors of eosinophilia were investigated. Results: Blood eosinophilia was observed in 17 of 47 patients (35% of all patients). In most patients with blood eosinophilia, the time in which the eosinophil count began to be rise was within 40 days, and duration of eosinophilia was variable (mean±SD;74±67 days). The mean of the peak eosinophil count was 750±257/mm3 (mean±SD). Possible predisposing factors included recent parenteral iron therapy, but not statistically significant (p=0.09). Conclusion: Our retrospective study showed that the eosinophil counts in patients with end stage renal disease on continuous ambulatory peritoneal dialysis were frequently elevated. Predisposing factors for this eosinophilia were not clear, suggesting that immunologic disturbance by uremia or dialysis itself might have influence on eosinophil homeostasis.
이풍렬(Poong Lyul Rhee),이종철(Jong Chul Rhee),최규완(Kyoo Wan Choi),김은주(Eun Joo Kim),박창영(Chang Young Park),손정일(Jong Chul Rhee),전우규(Woo Kyu Cheon),김병익(Byeong Ik Kim),정을순(Eul Sun Jung),전성국(Seong Gook Cheon),박기호 대한내과학회 1999 대한내과학회지 Vol.57 No.1
N/A To estimate bowel patterns in the Korean, we surveyed routine check-up subjects about their bowel habits, using self-reported questionnaire. Methods : We analyzed 2939 subjects (male 1430, female 1509; age range 25 - 65 years) who had visited health promotion center for routine check-up. Subjects were given a validated self-report questionnaire, which measured the defecation frequency; stool consistency; self-report of constipation; straining to defecate; and levels of laxative use. Results : Of the whole subjects 96.4% had defecation frequency between three per week and three per day. The prevalence of two or less bowel movements per week (4.1% compared to 0.6%), straining to defecate (20.8% compared to 13.0%) and hard stool (18.0% compared to 9.3%) was higher in women than men (p<0.01). The prevalence of self-reported constipation was higher in women than men (9.0% compared to 2.9%, p<0.01). Women were more likely to use laxatives than men (5.5% compared to 0.6%, p<0.01). Conclusions : Defecation frequency in most of routine check-up subjects is between three per week to three per day. Bowel dysfunction is a greater problem in women.
결장 및 직장암에서 Ki- 67 Index의 임상적인 의의
양형태(Hyeong Tae Yang),윤대근(Dae Kun Yoon),장우영(Woo-Young Jang),최규성(Gyu-Seong Choi),강희준(Hee Jun Kang),전성은(Seong Eun Cheon),박성길(Sung Gil Park),김종현(Jong Hyun Kim),전욱(Wook Chun),허준(Jun Hun),김도헌(Do Hern Kim),이 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.4
Purpose: Monoclonal antibody Ki-67 has been employed to evaluate the growth fraction of various tumors. The purpose of this study is to determin the prognostic value of the Ki-67 index for colorectal cancer. Methods: The Ki-67 index was investigated by counting the immunohistochemically stained cells. We described this as the permillage. We reviewed the test results of 36 colorectal cancer patients and we compared the Ki-67 index with other clinical factors. Results: There was no correlation between the Ki-67 index and the other established risk factors, and only the number of invaded lymph nodes and their degree of differentiation were related with the Ki-67 index. Conclusion: The Ki-67 index is an important marker of the growth fraction of tumor. The pattern of tumor growth is determined not only by the growth fraction, so the discovery of other parameters that can reflect tumor growth and the Ki-67 index can help the patients with respect to their prognosis & treatment.