http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이혜진(Hye Jin Lee),맹영희(Young Hee Maeng),정진호(Jin ho Jeong),정유남(You Nam Chung),이창섭(Chang Sub Lee),송병철(Byung Cheol Song) 대한안과학회 2017 대한안과학회지 Vol.58 No.4
목적: 우측 후두엽에 전이된 간세포암에 의해 시야검사에서 동측반맹 소견을 보였기에 이를 보고하고자 한다. 증례요약: 19개월 전 간세포암으로 타 병원에서 간절제술을 받은 기왕력이 있는 51세 여자 환자가 몇 달 전부터 발생한 두통과 시력 저하를 주소로 내원하였다. 나안 시력은 양안 각각 1.0이었고, 험프리자동시야검사에서 좌측 동측반맹을 보였다. 이 외 안과적 소견은 정상이었다. 뇌자기공명영상검사에서 우측 후두엽에 전이가 의심되는 거대한 종양이 있어 개두술과 종양절제술을 시행하였고, 조직검사에서 간세포암이 확진되었다. 결론: 간세포암의 기왕력이 있는 환자가 동측반맹의 시야 이상을 보이는 경우, 매우 드물지만 간세포암의 뇌전이의 가능성도 고려하여야 한다. Purpose: To report brain metastasis of hepatocellular carcinoma presenting as homonymous hemianopia. Case summary: A 51-year-old female with a history of hepatectomy and diagnosis of hepatocellular carcinoma (HCC) 19 months earlier was referred to our neuro-ophthalmology clinic for evaluation due to headache and decreased visual acuity over the past several months. Best visual acuity was 20/20, and the results of all other aspects of our examination were normal except Humphrey automatic perimetry, which showed complete left homonymous hemianopia. Brain magnetic resonance imaging showed a large mass in the right occipital lobe. Craniotomy and removal of tumor were performed. HCC was confirmed by histopathologic examination. Conclusions: Metastasis of hepatocellular carcinoma to the occipital lobe is extremely rare but can present as homonymous hemianopia. Therefore, clinicians should be aware of this when examining a patient with a history of HCC.
제대혈 내 Matrix Metalloproteinase-9 농도와 제대염의 연관성
심순섭 ( Soon Sup Shim ),강혜심 ( Hye Sim Kang ),맹영희 ( Young Hee Maeng ),김영돈 ( Young Don Kim ) 대한주산의학회 2015 Perinatology Vol.26 No.1
Objective: Intrauterine inflammation (IUI) is a leading cause of preterm delivery. Although matrix metalloproteinase8 (MMP8) and intercellular adhesion molecule1 (ICAM1) are known to be related with IUI, it has not been fully elucidated whether MMP9 or ICAM3 is associated with IUI. We performed this study to determine whether the levels of tumor necrosis factoralpha (TNFα), MMP9 and ICAM3 in umbilical cord blood of preterm infants are associated with chorioamnionitis, funisitis or bronchopulmonary dysplasia. Methods: Eightytwo pairs of pregnant women and their preterm newborns <35 weeks gestation were enrolled. Levels of TNFα, MMP9 and ICAM3 in umbilical cord blood were measured using immunoassays and compared with results of histological examination of placenta and clinical data of the study participants. Results: The level of MMP9 in umbilical cord blood was significantly associated with the presence of funisitis (P=0.007). The level of TNFα in umbilical cord blood was significantly associated with the development of bronchopulmonary dysplasia ( P=0.030). However, presence of chorioamnionitis or funisitis was not associated with development of bronchopulmonary dysplasia. With the establishment of receiver operating characteristic (ROC) curve, the best cutoff value for umbilical blood MMP9 was 99.42 pg/mL in identification of funisitis. The area under a constructed ROC curve for prediction of funisitis was 0.847 (standard error, 0.112; 95% confidence interval, 0.7500.917). Conclusion: Measurement of MMP9 concentration in umbilical cord blood may be an alternative way to predict whether a preterm infant has been exposed to IUI. Further study with larger numbers of subjects will be necessary to elucidate the association between the presence of IUI and neonatal adverse outcome.
정승욱 ( Seung Uk Jeong ),송현주 ( Hyun Joo Song ),최은광 ( Eun Kwang Choi ),조유경 ( Yoo Kyung Cho ),김흥업 ( Heung Up Kim ),송병철 ( Byung Cheol Song ),장원영 ( Weon Young Chang ),맹영희 ( Young Hee Maeng ) 대한장연구학회 2010 Intestinal Research Vol.8 No.2
Peutz-Jeghers syndrome (PJS), is a rare autosomal dominant hereditary disorder. Intestinal hamartomatous polyps in association with melanocytic pigmentation of the skin and mucous membranes characterize PJS. Patients with PJS often have complications associated with the polyps, such as intestinal obstruction, intussusception, acute or chronic gastrointestinal bleeding, and the development of various types of cancer. Enteroclysis, small bowel follow-through, and push enteroscopy are generally used to identify the presence and location of small bowel polyps. Wireless capsule endoscopy (CE) has been confirmed as a feasible, safe, and sensitive test for the surveillance of small bowel polyps in patients with PJS and could replace radiographic small bowel surveillance. Here, a case of PJS newly diagnosed by CE is reported. The patient, a 30-year-old man who had developed rectal polyps associated with anal extrusion 7 years previously, had six episodes of hematochezia. (Intest Res 2010;8:181-186)