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정숙금(Seuk Kum Chung),설미영(Mee Young Sol),이선경(Sun Kyung Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.5
N/A Background/Aims: Although the incidence of intrahepatic biliary stone in Korea is relatively high, the pathogenetic role of intrahepatic biliary ]esion on the genesis of intrahepatic stone is not clearly understood yet. This study was perfomed to investigate the patbological changes of intrahepatic bile ducts in hepatolithiasis and compare with other reports, thus get some information about the pathophysiologic role of those lesions. Methods: Patho]ogical and histochemical studies were done on 43 cases of liver resected for the treatment of intrahepatic biliary stones during last 16 years. Results: The highest incidence was at the 6th decade. Male to female ratio was 1:1.4 (18cases to 25 cases) and mean age was 45.4 years. More than half of the cases complained less than 2 months of biliary symptom duration. Majority of the cases(38 cases, 88.3%) revealed stones in the left intrahepatic bile ducts. Histological changes of the intrahepatic bile ducts harboring biliary stones showed superficial epithelial hyperplasia in 20 cases(46.5%), proliferation of intramural glands in 36 (83.7%), extramural glandular hyperplasia in 42(97.7%), pseudopyloric glands in 3(7.0%)and pancreatic acinus in 3 cases(7.0%), and chronic inflammatory reaction in all the cases examined. Mucin in the pseudopyloric glands were mixture of class m mucin and sialo- and sulphomucin. Conclusions: It is concluded that histologic lesions associated with the intrahepatic biliary stones were chronic inflammatory reaction and proliferation of intrahepatic ductal epithelium and peribiliary glands secondary to the inflammation. Hypersecreted glandular secretion of peribiliary glands can be an augumenting factor of the increment of the biliary stones. (Korean J Gastroenterol 1996; 28: 697 - 704)
박은동,허만하,양승학,정숙금 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.6
저자들은 난소종양과 감별하기 어려웠던 후복막기원의 임파성종양 1예를 경험하였기에 간단 한 문헌고찰과 함께 보고하는 바이다. Retroperitoneal cysts are rare intra-abdominal tumors. They can appear as chronic abdominal pain, a painless abdominal mass, or acute abdomen. It is difficult to differentiate from ovarian tumor by pelvic examination. Diagnostic aids include pelvic computed tomography and ultrasound. We present a case of retroperitoneal lymphatic cyst required differential diagnosis.
류마토이드 관절염 환자에서 금치료후 발생한 미만성 간질성 폐질환 1 예
이재성,김미선,이신호,서기석,장희경,정만홍,조기범,최환준,장태원,정숙금 대한내과학회 1994 대한내과학회지 Vol.46 No.3
A 56-year-old woman with rheumatoid arthritis for 9 years was admitted in Oct. 1989 because of skin eruption, non-productive cough and exertional dyspnea for 1 month. She had been treated with gold sodium thiomalate (accumulated dose: 735 mg) for 3 months. Bibasilar inspiratory crackles were heard. Chest roentgenogram and computed tomogram showed diffuse interstitial infilterates. The lung specimen by open lung biopsy demonstrated alveolar septa1 thickening and interstitial lymphocyte infiltrates with fibrosis. The drug history, clinical features and the pathological findings support the diagnosis of gold pneumonitis.