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수술 전 간세포암으로 진단되었으나 수술에서 간세포암이 아니었던 증례 수술전 고분화 간세포암종으로 진단되었던 고등급 이형성 결절
조상형 ( Sang Hyung Cho ),박중원 ( Joong Won Park ),손현배 ( Hyun Bae Son ),김성훈 ( Seong Hoon Kim ),장현정 ( Hyun Jung Jang ),박홍석 ( Hong Suk Park ),이우진 ( Woo Jin Lee ),박상재 ( Sang Jae Park ),홍은경 ( Eun Kyung Hong ) 대한간암학회 2003 대한간암학회지 Vol.3 No.-
조상형 ( Sang Hyung Cho ),천재희 ( Jae Hee Cheon ),이상원 ( Sang Won Lee ),박홍석 ( Hong Suk Park ),김성훈 ( Seong Hoon Kim ),박상재 ( Sang Jae Park ),이우진 ( Woo Jin Lee ),홍은경 ( Eun Kyung Hong ),박중원 ( Joong Won Park ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.6
Osteoclast-like giant cell tumor of the pancreas is a very rare tumor. Despite their striking morphologic resemblance to certain mesenchymal tumors of bone and tendon sheath, it has been suggested that these tumors may arise from epithelial precursors. Th
조광희(Kwang Hee Cho),조상형(Sang Hyung Cho),조현호(Hyun Ho Cho),최대현(Dae Hyun Choi),한철주(Chul Ju Han),김진(Jin Kim),정숙향(Sook Hyang Jung),이병희(Byung Hee Lee),김영호(Young Ho Kim),정진모(Jin Mo Jung),김유철(You Choul Kim),이진 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2
Reports of portal vein aneurysm are scattered in the literature. However, with the increased use of sonography, CT, MRI, it is found incidentally with greater frequency. Clinical presentation ranges from without symptom to hemobilia, hemoperitoneum, thrombosis, compression of adjacent structures, and spontaneous arteriovenous fistula. Sometimes, it is confused with a pancreatic head mass, raising a diagnostic problem. We report a case of extrahepatic portal vein aneurysm confused with pancreatic head cancer. A 45-year-old woman presented with weight loss of 10 kg, and ultrasonography and CT revealed a pancreatic head mass. Laparotomy was performed, but resection of the mass was impossible. Later review of the enhanced spiral CT and angiography revealed that the mass actually represented a portal vein aneurysm. Her condition has remained stable with just clinical observation. Portal vein aneurysm should be considered when there is an enhancing mass adjacent to the portal vein or superior mesenteric vein. (Korean J Gastroenterol 2002;39:137-141)
김영호(Young Ho Kim),정진모(Jin Mo Jung),조광희(Kwang Hee Cho),조상형(Sang Hyung Cho),조현호(Hyun Ho Cho),최대현(Dae Hyun Choi),한철주(Chul Ju Han),김진(Jin Kim),정숙향(Sook Hyang Jung),김유철(Yu Chul Kim),이진오(Jin Oh Lee),고재수(Jae 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2
Iron deficiency anemia and hypoproteinemia occur commonly in patients with Crohn's disease. They invariably have other clinical manifestations, principally abdominal pain, diarrhea and weight loss. However, severe anemia and hypoproteinemia as the sole presentation without any other clinical evidence to suggest Crohn's disease is extremely uncommon and raises a diagnostic problem. A 31-year-old man presented with generalized edema and dyspnea on exertion without any significant gastrointestinal symptoms. Hemoglobin level was 3.8 g/dL, and serum protein and albumin levels were 3.5 g/dL and 1.2 g/dL, respectively. Urinalysis finding was normal, and fecal clearance of α-1 antitrypsin increased markedly up to 873 mL/24 hr, suggesting severe protein loss through the gastrointestinal tract. A CT scan and small bowel barium study revealed lesions in the jejunum. Surgical resection corrected his problems, and pathological examination of the specimen proved to be Crohn's disease. (Korean J Gastroenterol 2002;39:128-132)
정진모(Jin Mo Jung),한철주(Chul Ju Han),홍영준(Young Joon Hong),조현호(Hyun Ho Cho),김영호(Young Ho Kim),최대현(Dae Hyun Choi),조상형(Sang Hyung Cho),조광희(Kwang Hee Cho),김진(Jin Kim),정숙향(Sook Hyang Jung),김유철(You Choul Kim) 대한소화기학회 2002 대한소화기학회지 Vol.39 No.3
Background/Aims: Cancers of the gastrointestinal tract might cause chronic occult blood loss leading to iron deficiency. The aim of this study was to determine the usefulness of the tests for iron deficiency in detection of stomach cancer. Methods: Seventy one patients with advanced gastric cancer (AGC), 13 patients with early gastric cancer (EGC), and 104 patients with functional GI disorder (FGID) as a control were consecutively enrolled in this study. The test results for iron-deficiency parameters such as hemoglobin, serum ferritin, serum iron, total iron binding capacity, and transferrin-saturation rates were compared among the groups. Incidence of iron deficiency or anemia was compared among the groups. Results: The levels of hemoglobin, serum ferritin, serum iron, and the rates of transferrin saturation were significantly lower in the AGC group than in the control group. These differences were even marked in male patients. They were not significantly different between the EGC group and the control group. In male patients with AGC, the incidence of anemia or iron deficiency was markedly higher than the control group. Conclusions: In males over 50 years, tests for iron-deficiency parameters such as hemoglobin, serum ferritin, serum iron, and transferrin saturation might be helpful in detection of AGC. Further study is needed to reveal whether these tests are helpful in the early detection of stomach cancer. (Korean J Gastroenterol 2002;39:179-185)
Non - B, Non - C 간세포암종의 임상적 특징과 B형 간염바이러스, C형 간염바이러스 및 TT Virus 바이러스혈증의 빈도
김영호,김창민,조광희,조현호,이진오,한철주,김유철,정숙향,이진혁,최대현,정진모,조상형 대한간학회 2001 Clinical and Molecular Hepatology(대한간학회지) Vol.7 No.4
Background/Aims: About 15% of Korean hepatocellular carcinoma(HCC) are negative both of Hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (anti-HCV)in their sera. They can be classified as a non-B, non-C hepatocellular carcinoma group(NBNC group). The aims of our study were, firstly, to describe the clinical characteristics of Korean NBNC HCC and compare them with those of HBsAg-positive HCC(HBV group) and anti-HCV-positive HVV(HCV group). Secondly we wanted to assess the frequency of viremia of HBV, HCV and transfusion-transmitted virus(TTV)in NBNC HCC patients. Methods : we prospectively collected clinical data and sera from 113 NBNC HCC patients and performed PCR for HBV DNA, HCV RNA and TTV DNA. We also collected clinical data from 125 HBsAg-positive HCC patients during a similar period. Results : The mean age of the NBNC HCC group was 59 years, in-between that of the HBV and the HCV groups. A History of heavy alcohol drinking was found in 48% of the NBNC HCC group. This was significantly higher than that of the HBV group, but similar to that of the HCV group. Serum α FP level in the NBNC HCC group was more frequently in the normal range compared to that in the HBV and HCV groups. The detection rates of HBV DNA, HCV RNA and TTV DNA in the NBNC HCC group were 17%, 13% and 67% respectively. Conclusions : The NBNC HCC patients seemed to comprise a heterogeneous group of various etiologies and clinical presentations. About one third of these patients displayed evidence of viremia of HBV or HCV.