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20대 이하 간세포암종의 증례 : 20대 여성에서 임신 중 발견된 간세포암
최강국 ( Kang Kook Choi ),홍영주 ( Young Ju Hong ),최새별 ( Sae Byeol Choi ),이남준 ( Nam Joon Yi ),황신 ( Shin Hwang ),박영년 ( Young Nyun Park ),최진섭 ( Jin Sub Choi ),서경석 ( Kyung Suk Suh ),전재윤 ( Chae Yoon Chon ),김경식 대한간암연구회 2009 대한간암학회지 Vol.9 No.-
Hepatocellular carcinoma (HCC) in pregnancy is very rare. The cirrhosis which is present in the majority of patients with HCC induces infertility. The diagnostic methods and treatment modalities in HCC during pregnancy are different from those of usual types of other HCC. A 26-year-old, 32th-gestational-week pregnant female was sent to our hospital because of abnormal liver function test. A 1.5cm sized mass was identified in segment 6 of liver which was compatible to AJCC stage I. She did not have any other medical history except Hepatitis B Virus carrier and the HBs Ag of her mother also was positive. At the 40th gestational week, the female baby was delivered uneventfully. And then she underwent the transarterial chemoembolization (TACE) following the Rt. Hemihepatectomy. Since she underwent a surgical resection, the tumors have been recurred in the remnant liver only. Whenever the tumors were founded, the aggressive surgical approaches were performed including 3 times of hepatic resection with TACE or TACI. She is still alive with good general condition and normal liver function for 9 years since the first diagnosis was made. Therefore an extremely rare case of hepatocellular carcinoma in pregnancy is treated successfully because of aggressive therapies.
일개 권역외상 센터의 외상등록체계(KTDB) 입력 대상 분석
유병철 ( Byung Chul Yu ),정민 ( Min Chung ),이길재 ( Giljae Lee ),이민아 ( Min A Lee ),박재정 ( Jae Jeong Park ),최강국 ( Kang Kook Choi ),현성렬 ( Sung Yeol Hyun ),전양빈 ( Yang Bin Jeon ),마대성 ( Dae Sung Ma ),윤용철 ( Young C 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Purpose: Establishment of the trauma system changed quality of trauma care in many countries. As one of the first designated level 1 trauma center in Korea, we analyzed trauma registration data in 2014. Methods: Data was extracted from Korean Trauma Data Base (KTDB) that was started from august 2013. Variables related to demographics and trauma was collected through the year 2014. Results: There were 3269 trauma patients who admitted to our hospital and registered to KTDB in 2014. Median age was 49 years, 64.4% were men, and 90% of patients were blunt in mechanism. Median injury severity score (ISS) was 5, mean revised trauma score (RTS) was 7.65. There were 138 (4.2%) deaths and 87 (2.7%) patients of them was death after admission. Conclusion: This is the first report using KTDB registration from our institution. Trauma volume is appropriate but it should be compared with other trauma centers in Korea. In future national analysis of KTDB is mandatory. [ J Trauma Inj 2015; 28: 123-128 ]