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이화정,지준호,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2
Acinar cell carcinoma is a rare tumor that represents 1~2% of al1 pancreatic cancers. Clinical and radiologic findings are inconclusive in this disease Acinar cell carcinoma is characterized by rapid progression and early metastasis, which lead to its poor prognosis. A 41-year-o1d man was admitted to our hospital for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) showed a splenic mass, which was being invaded by a pancreatic tail mass and which had increased ^(18)F-fluorodeoxyglucose (FDG) uptake Primary radical distal pancreatectomy and splenectomy were performed. Pathologic findings revealed an acinar cell carcinoma of the Pancreas The patient underwent a total gastrectomy three months later because of gastric recurrence Four months later, multiple hepatic metastases were discovered, and the patient underwent a left hepatectomy During treatment with capecitabine, there was no evidence of tumor progression for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma, which did not progress for an extended period while the patient was being treated with capecitabme.
지준호,이화정,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2
Primary retroperitoneal mucinous cystadenocarcinoma is a very rare malignancy, and little is known concerning its Pathogenesis, optimal treatment, and prognosis. A 29-year-o1d pregnant woman (21 weeks) Presented with abdominal discomfort CA 19-9, CA 125, and CEA were normal Abdominal CT scanning revealed a 19x15x13 cm retropentoneal tumor Exploratory laparotomy and tumor excision were performed. Mucinous retropentoneal implants were removed as completely as possible Histologically, the tumor showed focal areas of capsular invasion, but free resection margins The uterus and both ovaries were normal in appearance No adjuvant therapy was pursued. Six months later, Peritoneal and bilateral ovarian metastases were discovered. Hence, we report the details of this case of primary retroperitoneal mucinous Cystadeno-carcinoma and present a review of the literature.
간세포암과 하대정맥 막성폐쇄의 치료 후 호전된 백혈구파괴혈관염 1예
이준엽 ( Jun Yeob Lee1 ),이주원 ( Ju Won Lee1 ),이진욱 ( Jin Wook Lee ),박현준 ( Hyun Joon Park ),장국환 ( Gook Hwan Jang ),김다정 ( Da Jung Kim ),김선민 ( Sun Min Kim ),한병훈 ( Byung Hoon Han ),정규식 ( Gyoo Sik Jung ),김근태 ( 대한류마티스학회 2015 대한류마티스학회지 Vol.22 No.5
저자들은 하지 자색반과 고환 통증으로 내원한 알코올성 간경화증 환자에서 LCV의 원인 감별하는 과정에서 HCC와 하대정맥 막성폐쇄를 진단하고 이에 대한 치료 후 LCV의 호전된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Vasculitis is a heterogeneous group of diseases that destroy blood vessel walls by inflammation. Approximately half of vasculitis cases are idiopathic, but sometimes associated with genetic factors, medicines, chronic infection, autoimmune diseases, and malignancies. Although the mechanism remains unclear, vasculitis secondary to malignancy, also known as paraneoplastic vasculitis, has been reported. It is generally associated with hematologic malignancies rather than solid malignancies and commonly presents as leukocytoclastic vasculitis or polyarteritis nodosa. We experienced a case of leukocytoclastic vasculitis in a patient with hepatocellular carcinoma and membranous obstruction of the inferior vena cava. Here, we report this case with a brief review of literature. (J Rheum Dis 2015;22:322-326)
야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로
조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6
Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.
Le Fort I 골절단술을 이용한 진구성 상악골 골절의 치험 2예
이재휘,박형식,권준호 大韓顎顔面成形外科學會 1989 Maxillofacial Plastic Reconstructive Surgery Vol.11 No.1
This is a report of 2 cases on old maxilla fractures accompanied with sagittal palatal fracture and severe malocclusion. We treated them by using of classic Le Fort 1 osteotomy and modified Le Fort I osteotomy along the old fracture lines satisfactorily. The results obtained from treatment are as follows : 1. Careful examination and correct care on sagittal palatal fracture should be need during initial diagnosis and emergency care of maxilla fracture showed malocclusion. 2. Although early definite treatment of maxilla injuries is difficult due to major organ injuries associated with accident, the positive effort to induce normal occlusion is always necessary as soon as possible. 3. In the cases of malocclusion due to transverse discrepancy of maxillary dentition associated with injury as like as our cases, classic and modified Le Fort I osteotomy and rigid internal fixation were useful to correct occlusion, to ease operation and return normal functions early.
밤나무林 經營의 問題點에 關한 硏究 : 楊平郡을 中心으로 With a focus on Yang -p'yo^ng Gun in Kyonggi
李相植,全俊憲 동국대학교 대학원 1988 大學院硏究論集-東國大學校 大學院 Vol.18 No.-
This study was carried out in order to improve the management of chestnut orchard. This study was carried out through questionaires and replied 40 papers were analysed by the percentage-system. The results of this study are as follows; 1. For the purpose of efficient utilization of forest, forest greening. and enhancement of local farmers income, the chestnut cultivating project started as one of encouraging policies by government was short of the original intention 2. The scale of chestnut cultivating orchards constitute 48.1% of 1.1 to 3 hectares and 27.6% of 1 hectare downward reaching 75% of total surveyed farmers. 3. Chestnut cultivating orchards coming to 60% of total surveyed farmers are likely to reduce the cultivating scale in future, because of price markdown, unbalance of income and outgo, technical failture, labor-power shortage. 4. The difficulties on chestnut cultivating management were in order of the following; labor-power shortage(23.8%), economity(26.0%), disease and pest damage(18.8%), management(16.2%), inferiority of site condition(8.7%), circulating structure(5.0%), technical acquirement(5.0%). 5. Yields of chestnuts differed greatly between the same cultivating scales, once an orchard is established, tending the orchard is the most important factor in cultivation. 6. The measures for the improvement of chestnut cultivating orchards management are schemed supply and price control, domestic consumption enhancement, enlargement of chestnut manufacturing, and it is desirable to give economity by managing effectively to chestnut orchards in farmer, and to improve circulating structure and provide guidance and training to chestnut cultivating farmers in the offices.
이헌영,김병호,정현용,김영건,조준식 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2
Hepatocellular carcinoma(HCC) is the second most common cause of cancer death in Korea. Generally, HCC was unresectable due to the frequently associated cirrhosis and advanced stage of tumor. As a palliative therapy of HCC, transcatheter arterial chemoembolization(TACE) was a proven effective mean of treating inoperable HCC. We have analyzed the effectiveness of TACE in inoperable HCC. TACE was performed in 20 patients from January in 1990 to May in 1993 at Chung Nam National University Hospital with the infusion of mixture of Lipiodol and Adriamycin. We analyzed the survival rates of the TACE group and the control group who received no specific treatment. The results were follows ; 1) The survival rate was significantly higher in TACE group than control group(p<0.01). The survival rate at the end sixth months and one year were 62.8% and 40.0% in TACE group, 26.6% and 0% in control group, respectively. 2) A declining level of AFP(Alph-fetoprotein) was shown in 8 among 10 cases who underwent TACE/and was higher than 500 ng/ml in pre-TACE level(p<0.01) and also tumor size was decreased in 7 among 20 cases who underwent TACE. 3) Side effects were fever(80.0%), and upper abdominal pain(75.0%) in TACE group but improved within 7 days after TACE and impairment of liver function was developed in most patients(TACE group) but improved within 2 weeks after TACE. As a palliative therapy of HCC, TACE is an effective and useful modality in treating and prolonging the survival time of patients with unresectable hepatocellular carcinoma.