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증례 : Kimura 병 경과관찰 중 발생한 NK/T 세포 림프종 1예
양기영 ( Ki Young Yang ),고성준 ( Seong Joon Koh ),김철우 ( Chul Woo Kim ),김인호 ( In Ho Kim ),윤성수 ( Sung Soo Yoon ),박선양 ( Seon Yang Park ),김병국 ( Byoung Kook Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.6
본 증례는 Kimura 병으로 진단받은 후 경과관찰 중폐에 악성 림프종이 발생하였으며, 두 질환의 조직 모두에서 Epstein-Barr virus가 발견되었던 예로 이를 통해 두 질환 사이의 발병 기전의 연관 가능성을 시사하는 증례로서 국내외에 유사보고가 없는 것으로 생각되어 보고하는 바이다. Kimura`s disease is a rare chronic inflammatory disease of the lymphoid organs and this presents as painless nodules in the head and neck area. It occurs endemically in the Far East Asia and sporadically in the West. Its exact etiology is unknown and it has no potential to transform into malignant disease. However, it is often confused with malignant disease such as malignant lymphoma. We report a case of NK/T cell lymphoma patient who had Kimura`s disease in the right thigh 3 years ago. She then suffered from sudden dyspnea. Radiological studies revealed multiple small nodules scattered in both lung fields. NK/T cell lymphoma was diagnosed by open lung biopsy. In addition, Epstein-Barr virus (EBV) was detected in the previous site of Kimura`s disease and lung nodule by molecular pathologic examination. To the best of our knowledge, this is the first case of NK/T cell lymphoma complicating Kimura`s disease with coexisting chronic EBV infection.(Korean J Med 73:656-660, 2007)
증례 : 소화기 ; 담도암과 감별이 어려웠던 국소형 자가면역성 췌장염
장영주 ( Young Joo Jang ),양기영 ( Ki Young Yang ),김상범 ( Sang Bum Kim ),박선후 ( Sun Hoo Park ),안영 ( Young Ahn ),양재현 ( Jae Hyun Yang ),이종환 ( Jong Hwan Lee ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
자가면역 췌장염은 전형적으로 췌장의 미만성 종대, 전반적인 주췌관의 협착 등의 소견을 보이며 담관의 협착 등의 소견을 보이지만 최근 들어 다양한 양상의 비전형적인 자가면역 췌장염의 보고가 늘고 있다. 자가면역 췌장염의 원위부 총담관의 침범은 흔히 관찰되며 가끔 담관암으로 오인되기도 하며 수술 후 진단되기도 한다. 저자들은 자가면역 췌장염의 국소적인 담관침범으로 담도암과의 감별이 어려웠던 증례를 경험하여 문헌고찰과 함께 보고한다. Autoimmune pancreatitis (AIP) is a rare pancreatic disorder of autoimmune etiology. It has characteristic clinical features, such as pancreatic parenchymal swelling and irregular narrowing of the main pancreatic duct due to plasma cell infiltration. It occurs mostly in Far East Asia. Although it generally involves whole pancreatic parenchyma, some cases demonstrate focal involvement of the pancreas or adjacent organs, which are often mistaken for cancer. We report a case of AIP that was confused with cholangiocarcinoma of the distal common bile duct (CBD). The patient experienced sudden development of jaundice with vague abdominal discomfort. Abdominal computed tomography revealed a well-enhanced lesion, and positron emission tomography showed high standard uptake value at the distal CBD, indicating malignant disease. However, pathological examination by surgical excision indicated focal-type AIP. This is believed to be the first case of focal-type AIP mimicking cholangiocarcinoma. (Korean J Med 2011;80:S121-S125)
원저 : 추나요법을 시행한 특발성 척추측만증 환자 30 례에 관한 임상적 고찰
신영일(Young Il Shin),이병렬(Byung Ryul Lee),홍권의(Kwon Eui Hong),양기영(Ki Young Yang),이현(Hyun Lee) 대한침구학회 2001 대한침구의학회지 Vol.18 No.6
Objective : The purpose of this study was to inspect the effect of Massotherapy on idiopathic scoliosis patients, utilizing Cobb`s angle to determine the degree of curvature progression in the thoracic and lumbar regions. Methods : To obtain this result, we examinated 30 case of parents who visit Dept. of Acupuncture and Moxibustion Oriental Medical Hospital. Taejon University. with idiopathic scoliosis. We observe their age, sex, symptoms and Cobb`s angle. Results : As a result of this examination, we detected the fact that it`s difficult to treat isiopathic scoliosis fundamentally. But, Their symptoms are improved. So it is necessary to treat scoliosis actively with massotherapy . Conclusion : We want to be put this knowledge to practical use on treating Scoliosis and think the study like this must be go on continuously.
담경(膽經)의 두경부(頭頸部) 혈위(穴位) 변천(變遷)에 대한 문헌적(文獻的) 고찰(考察)
안영상 ( Young Sang An ),양기영 ( Ki Young Yang ),이병렬 ( Byung Ryul Lee ),임윤경 ( Yun Kyoun Yim ) 대한경락경혈학회 2008 Korean Journal of Acupuncture Vol.25 No.4
Objectives and Methods: The present study was to investigate the change of acupuncture point Location of gallbladder meridian in head by way of reviewing classical Literatures. Result and Conclusions: 1. The Locations of acupuncture points closed-by anatomical marks such as GB1, GB2, GB3, GB11, GB12, GB19, GB20 are clear and accurate. 2. The expression of acupuncture points` Locations of GB4, GB5, GB6, GB8 and GB10 are obscure in classical Literature, but their Locations became clear and objective in recent Literatures. 3. The Locations of GB9 and GB13 are open to dispute but WHO standard acupuncture point seems to be resonable. 4. In classical Literature, the Length from the midpoint of the anterior hairline to the midpoint of the posterior hairline is 12 B-cun, and the Length from the midpoint of the anterior hairline to the GB19 is 5 cun, 5.5 cun or 6.5 cun. We presume that the Length from GB15 to GB19 might have been measured by F-cun.
백대현 ( Dae Hyun Back ),양기영 ( Ki Young Yang ),이예림 ( Ye Rim Lee ),조수연 ( Su Yeon Cho ),임경아 ( Kyung Ah Lim ),변준수 ( Jun Su Byun ),박선후 ( Sun Hoo Park ) 대한내과학회 2012 대한내과학회지 Vol.83 No.6
Cholangiocarcinoma is a malignant disease originating from the epithelium of the biliary tract, and its prognosis is dismal due to distant metastasis in its early stages. The most common metastatic sites are the intra-abdominal organs, lymph nodes, and lungs. A patient was diagnosed with intrahepatic cholangiocarcinoma and underwent surgical resection. During the follow-up period, metastases were detected at the remnant liver and both lung fields. Eleven months after resection, the patient complained of severe headache. An approximately 5-cm cystic mass was found at the left occipital lobe of the cerebrum, and metastatic malignant cells were present on cerebrospinal fluid cytology. The patient underwent whole-brain radiotherapy. We herein report a rare case of cholangiocarcinoma with cystic brain metastasis together with a review of the relevant literature. (Korean J Med 2012;83:771-774)
경혈의 체표위치와 근육의 기능에 근거한 하지부 근육의 경락 배속
박병문 ( Byong Mun Park ),양기영 ( Ki Young Yang ),이병렬 ( Byung Ryul Lee ),임윤경 ( Yun Kyoung Yim ) 대한경락경혈학회 2008 Korean Journal of Acupuncture Vol.25 No.4
Objectives: This study was carried out to investigate the correlation of meridian system in oriental medicine and muscular system in western medicine. Methods: Muscles were assigned to meridians by their main functions and the acupoints on them. New mutual relationships between meridians in Lower Limb were studied based on the muscular function. Results: In gluteal & femoral region, iliopsoas & quadratus femoris are assigned to spleen & stomach meridians, gluteus maximus & hamstrings to urinary bladder & kidney meridians, adductor muscle groups to Liver meridian, gluteus medius & minimus & iliotibial tract to gall bladder meridian. In crural region, anterior crural muscles are assigned to stomach meridian, Lateral crural muscles to gall bladder meridian, suferficial posterior crural muscles to urinary bladder (& kidney) meridian, deep posterior crural muscles to Liver, spleen, kidney meridians. In Lower Limb, urinary bladder meridian and stomach meridian Lead the muscular functions and correspond to each other, while spleen meridian assists stomach meridian, and kidney meridian assists urinary bladder meridian. Conclusions: Muscles may be assigned to meridians by their functions and the acupoints on them. From the view of muscular function, Yang meridians Lead Yin meridians in Lower Limb.