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      • SCOPUSKCI등재

        위에 발생한 악성 Carcinoid 종양

        황영남(Young Nam Whang),최규식(Kyu Sik Choi),김영자(Young Ja Kim),양윤모(Yoon Mo Yang),조승운(Seung Woon Cho),나정호(Jung Ho La),윤세옥(Sei Ok Yoon),이성공(Sung Kong Lee),윤영준(Young Joon Yoon),김희숙(Hee Sook Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3

        Carcinoid tumors are slowly growing rare neoplasms that arise from argentaffin cells. In general, gastric carcinoids are very rare, constituting only 0.7-2.5% of all gastrointestinal carcinoids and approximately 0.3% of all gastric tumors. Gastric carcinod tumor commonly presents as a single polypoid mass and the most frequent site is the antral cavity. Clinical diagnosis is often difficult because the typical carcinoid syndrome is uncommon and nonspecific gastrointestinal symptoms are the more frequent clinical feature of this disease. Preoperative diagnosis is possible by large and deep endoscopic biopsies of the gastric wall. This paper presents a case of malignant gastric carcinoid tumor and a brief review of pertinent literature. A 52 year old female visited our medical hospital with the symptom of epigastric pain and indigestion for several months. Upper G-I series and gastrofiberscope showed malignat ulcerative lesion in the lesser curvature of the antral cavity. She had been operated under the diagnosis of gastric adenocarcinoma, but pathological findings demonstrated argyrophilic granules in tumor cell.

      • SCOPUSKCI등재

        정맥로를 이용한 자가통증 조절기의 사용 시작 시점이 환자의 회복지수에 미치는 영향

        김상태,배진호,김상범,승운,신영덕,광태,손호정 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.3

        The Effect of the IV-PCA (Intravenous-Patient Controlled Analgesia) on the Recovery Index Gwang Tae Cho, M.D., Ho Jung Sohn, M.D., Sang Bum Kim, M.D. Young Deok Shin, M.D., Jin Ho Bae, M.D., Sang Tae Kim, M.D. and Seung Woon Lim, M.D. Department of Anesthesiology and Medical Research INstitute, College of Medicine, Chungbuk Nationa University, Cheongju, Korea Background: It is well known that intravenous patient controlled analgesia (IV-PCA) is an effective method to reduce the magnitude of postoperative pain. However, we do not know the appropriate time to start the IV-PCA. To determine the appropriate time to minimalize the sympathetic stimulation and shorten the awakening time after general anesthesia, experiments to indicate whether starting an infusion of the IV-PCA before the end of an operation has a minimal hemodynarmic change and similar recovery index compared with the control group were done. Methods: Seventy-eight patients scheduled for a total abdominal hysterectomy were randomly allocated to two groups. In the IV-PCA group (n = 37), we started the infusion of the IV-PCA before the end of the operation and in the control group (n = 41) which received no IV-PCA, we did not use the IV-PCA as a postoperative pain control method. We measured heart rate, blood pressure, postanesthesia recovery score every 10 minutes for 60 minutes and awakening time at the post-anesthesia care unit. Results: The postanesthesia recovery scores on arrival, 10, 20, 30, 40 and 50 minute after arrival at the post-anesthesia care unit were lower in the IV-PCA group than in the control group. In addition the awakening time after vaporizer-off and at the post-anesthesia care unit was longer in the IV-PCA group than in the control group. Conclusions: We conclude that starting the infusion of the IV-PCA before the end of the operation is not effective in early recovery and awakening. (Korean J Anesthesiol 2001; 41: 318~323)

      • KCI등재후보

        후복막강에 발생한 고립성 악성 신경초종 1 예

        김영자,김영배,홍영규,양윤모,최규식,최인준,이경식,소의영,황영남,조승운 대한내과학회 1988 대한내과학회지 Vol.35 No.5

        Solitary malignant schwannoma is a rare primary nerve sheath tumor and has been reported to occur in almost any anatomic location, most commonly in the extremities, but rarely in the retroperitoneum. The typical clinical presentation is that of a painless, slowly enlarging soft tissue mass, occasionally associated with a peripheral neuropathy. A high percentage of the patients experience local recurrence even after radical surgical therapy and the results of treatment with radiation and chemotherapy have also been disappointing. This paper presents a case of solitary malignant schwannoma occuring in the retroperitoneal cavity with a brief review of the pertinent literature. A 71 year-old male visited our medical hospital with the symptom of a progressive growing painless mass in the left upper abdomen of 2 months duration. Abdominal ultrasonography and CT scan highly suggested a pancreatic tail carcinoma or primary retroperitoneal tumor. Radical surgical resection was performed successfully and the histological findings were compatible with malignant schwannoma.

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