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한민성 ( Min Sung Han ),고경원 ( Kyung Won Koh ),김여명 ( Yeo Myung Kim ),강민수 ( Min Soo Kang ),최두환 ( Du Hwan Choe ),김혜련 ( Hye Ryoun Kim ),김철현 ( Cheol Hyeon Kim ),이재철 ( Jae Cheol Lee ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.5
Prompt and proper discovery of cause is important in lung cancer patients with signs and symptoms of intestinal obstruction because approach for treatment may differ according to its etiology and emergency operation can often be required to prevent more severe complications. In this report, we present two different causes of intestinal obstruction in lung cancer. Physicians need to be aware of these possibilities to differentiate the cause of intestinal obstruction in patients with lung cancer.
증례 : 류마티스 ; 종양으로 오인될 수 있는 결절성 근육 유육종증 1예
안세한 ( Se Han Ahn ),김민수 ( Min Su Kim ),한민성 ( Min Sung Han ),윤정호 ( Jung Ho Yoon ),국은희 ( Eun Hee Kook ),전세용 ( Se Yong Jeon ),김철현 ( Cheol Hyeon Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2
The nodular form of muscular sarcoidosis is a rare malady that is often confused with a soft-tissue neoplasm or other lesion. Here, we present a case of nodular muscular sarcoidosis in the arms and legs of a 59-year-old woman. She presented at our hospital with a painless nodule in her left arm. Excision was performed and she was diagnosed with sarcoidosis. One year later, nodular sarcoidosis recurred in her arms and legs. After 2 months of steroid medication, the nodules disappeared. The patient has been followed for 2 years and no evidence of recurrence has been observed. (Korean J Med 2011;80:247-249)
소세포폐암에서 항암화학요법 중 발생한 치명적 종양용해증후군
국은희 ( Eun Hee Kook ),김민수 ( Min Soo Kim ),안세한 ( Se Han Ahn ),전세용 ( Se Young Jeon ),윤정호 ( Jung Ho Yoon ),한민성 ( Min Sung Han ),김철현 ( Cheol Hyeon Kim ),이재철 ( Jae Cheol Lee ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.3
Tumor lysis syndrome is a life-threatening complication of anti-cancer therapy that typically occurs in patients with large, rapidly growing and treatment-sensitive tumors such as high-grade lymphomas and acute leukemias. However, its incidence in solid tumors has been known to be very low. Tumor lysis syndrome in solid tumors has a high mortality rate owing to the lack of prophylactic therapy to prevent this complication. We report a case of fatal tumor lysis syndrome developed during chemotherapy in extensive-stage small cell lung cancer, along with a brief review of the relevant literature considering the rarity of this manifestation in solid tumor. (Tuberc Respir Dis 2008;64:215-218)
증례 : 호흡기 ; 심전도상 허혈성 심질환 소견을 보인 폐암의 심장 전이 1예
전세용 ( Se Yong Jeon ),김민수 ( Min Soo Kim ),안세한 ( Se Han Ahn ),국은희 ( Eun Hee Kook ),윤정호 ( Jung Ho Yoon ),한민성 ( Min Sung Han ),이재철 ( Jae Cheol Lee ) 대한내과학회 2009 대한내과학회지 Vol.77 No.2
폐암의 심장 전이는 비특이적인 증상과 징후로 의심하지 않으면 임상적으로 발견하기가 쉽지 않다. 허혈성 심질환 때 생기는 심전도와 유사한 변화를 보이는 경우가 많고 실제 관상동맥에 문제가 동반되는 일도 있기 때문에 주의를 요한다. 폐암의 심근 전이로 인한 심전도 변화를 보인 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Metastatic tumors to the myocardium proper are uncommon and difficult to diagnose because they have nonspecific signs and symptoms. Electrocardiogram (ECG) changes mimicking ischemic heart disease often develop when non-conducting tumor tissue replaces cardiac muscle. Hence, a high level of suspicion is required to differentiate ECG changes caused by myocardial metastasis from those caused by coronary heart disease in cancer patients. We describe a case of primary lung cancer with myocardial metastasis that showed diffuse ST segment elevation and T wave inversion on the ECG, with a relevant literature review. (Korean J 77:232-235, 2009)