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대장용종의 겸자생겸과 내시경적 절제 후의 병리 조직 소견의 비교
강구흠 ( Gu Hyum Kang ),허규찬 ( Kyu Chan Huh ),김선문 ( Sun Moon Kim ),이태희 ( Tae Hee Lee ),임의혁 ( Euyi Hyeong Im ),최용우 ( Young Woo Choi ),김범경 ( Beom Kyoung Kim ),강영우 ( Young Woo Kang ),강구현 ( Gu Hyun Kang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.3
Background/Aims: Adenomatous polyps of the colon are believed to be precursor of colon cancer. Total polyp resection is indicated when they are identified. However, resection of the polyp is not always attainable at the initial colonoscopy. The aim of this study was to assess the validity of cold biopsy findings as representative of the whole polypectomy specimen, with regard to the histopathological features. Methods: We analyzed 221 patients with colon polyps that were biopsied at their initial colonoscopy and had their adenomas subsequently removed by polypectomy within 2 weeks from the initial procedure. We analyzed the histopathological discrepancies between the cold biopsy and the polypectomy specimens. Results: We analyzed 302 cases from 221 patients. There was 71.2% agreement between the forceps biopsy and the polypectomy. When colon polyps were diagnosed as carcinoma and villous adenomas, the diagnosis was the same in the polypectomy. Discrepancy between in forceps biopsy with polypectomy was found in the tubular adenomas obtained by forceps biopsy. Fifty tubular adenoma samples obtained by forceps biopsy had a deferent diagnosis than did the polypectomy. Fourteen of 50 tubular adenomas were underestimated by the forceps biopsy samples and seven of the 50 tubular adenomas were finally diagnosed as carcinoma from the polypectomy specimens. Seven villous adenomas were diagnosed as carcinoma and had severe dysplasia (n=4) or 1>=(n=1) size. Conclusions: Accurate tissue sampling of colorectal adenomas is crucial for their management. However, forceps biopsy does not accurately reflect the histology of colon polyps. Total resection of colon polyps is needed for an accurate diagnosis. (Korean J Med 74:258-263, 2008)
강구흠 ( Gu Hyum Kang ),문희석 ( Hee Seok Moon ),이엄석 ( Eaum Seok Lee ),김석현 ( Seok Hyun Kim ),성재규 ( Jae Kyu Sung ),이병석 ( Byun Seok Lee ),정현용 ( Hyun Yong Jeong ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.6
Colloid carcinoma of the liver is very rare, and its clinicopathologic features have not been well characterized yet. We describe herein a case of colloid carcinoma of the liver. Imaging revealed a lobulated mass, measuring 12 cm in diameter at the right lobe of the liver with direct invasion of adjacent peripheral intrahepatic bile ducts. Right hemihepatectomy of the liver was performed according to the possibility of the tumor`s malignant behavior. Histopathological examination of the specimen revealed large extracelluar stromal mucin pools containing floating cuboidal to columnar neoplastic cells without ovarian-like stroma. This case seemed to be colloid carcinoma arising in association with intraductal papillary neoplasm of the liver.
페그-인터페론 치료 후 발생한 자가면역성 갑상샘염 1예
강구흠 ( Gu Hyum Kang ),이태희 ( Tae Hee Lee ),임동미 ( Dong Mee Lim ),박근용 ( Keun Yong Park ),곽엄섭 ( Om Sub Kwak ),권미혜 ( Mee Hye Kwon ),강미일 ( Mi Il Kang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.1
페그-인터페론은 만성 C형 간염의 표준 치료로 널리 인정되고 있으며, 기존 인터페론에 의한 갑상샘기능이상은 보고되었으나 페그-인터페론 치료 후 발생한 갑상샘염이 거의 보고되어 있지 않았다. 저자들은 페그-인터페론 치료 후 발생한 갑상샘염 1예를 경험하였기에 보고하는 바이다. Peg-interferon is the main therapeutic agent in patients infected with the hepatitis C virus. It is rather safe, but it is known to induce production of autoantibodies and it can lead to the occurrence of autoimmune disease. Interferon induced thyroiditis is considered a major clinical problem for patients who receive interferon therapy. We recently experienced a 36 year-old woman who developed peg-interferon induced thyroiditis. To the best of our knowledge, this is a rare case report in Korea. We report here on this casea long with a review of the literature. (Korean J Med 74:90-93, 2008)
증례 잉어 담즙 생식 후 병발된 무뇨성 급성신부전과 급성간염 및 횡문근융해증
강구현 ( Gu Hyun Kang ),박건태 ( Geon Tae Park ),송준휘 ( Jun Whee Song ),이지은 ( Ji En Lee ),우재곤 ( Jae Gon Woo ),조성 ( Sung Cho ),김성록 ( Sung Rok Kim ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.3
Gall bladder of a common carp is taken in some areas of Asia as a traditional medicine for improvement of their general health problems like hypertension, poor visual acuity, and impotence. Many cases have been reported on acute hepatitis, acute renal failure, gastrointestinal problems and neurological symptoms following ingestion of raw carp bile juice. We experienced a case of anuric ARF, acute hepatitis, and rhabdomyolysis that developed after indigestion of raw carp bile juice, not yet seen in previous studies. In this case, anuric state of patient was resolved after 4 days with continuous renal replacement therapy. Thus we report this case with review of literature.
강구율(Kang Gu-yul) 대동한문학회 2004 大東漢文學 Vol.20 No.-
1592년 조선조 최대의 비극적 사건 중에 하나라 할 수 있는 壬辰倭亂을 겪고 나서 한 세기도 채 되지 않은 1636년 또다시 丙子胡亂이란 치욕적 戰亂으로 조선의 지식인들은 민족적 자존심에 크나큰 상처를 입었다. 그 중에서도 특히 雩潭 蔡得沂는 굴욕적 강화가 이루어진 뒤에 볼모로 淸나라 瀋陽으로 가는 世子와 大君을 扈從하여 직접 胡地體驗을 하게 된다. 淸나라에서 世子와 大君들과 酬唱한 작품에 反淸意志를 많이는 담지 못했고 귀국하여 곧바로 夭折하는 바람에 작품 속에 胡地體驗을 많이 형상화하지 못했다. 이 점이 雩潭 蔡得沂의 詩世界에 있어서 反淸意志로 表象되는 抵抗意志가 크게 부각되지 못한 이유일 것이다. 이것이 雩潭 詩世界의 불가피한 한계라고 하겠다. 그리고 雩潭의 詩世界에는 歸鄕意識과 閒情自樂을 구가하는 측면도 동시에 자리잡고 있다고 하겠다. 본 논문에서 논급하는 雩潭 蔡得沂의 詩世界는 크게 세 부분으로 구성되어 있다. 첫째는 가장 두드러진 특징을 보이는 反淸意志의 詩世界라고 할 수 있다. 볼모로 잡혀가는 世子와 大君을 扈從하여 오랑캐의 땅인 瀋陽으로 가서 갖은 고초를 체험한 雩潭에게 尊王攘夷라는 反淸意志는 단순한 名分 이상의 의미를 지닌다고 하겠다. 그것은 바로 국내에 남아서 空虛하게 외치는 명분상의 反淸親明이 아니라 역사의 현장에서 몸소 體得한 결과로서의 가치관인 것이다. 둘째는 歸鄕意識의 詩世界라고 할 수 있다. 자연을 애호하는 雩潭의 입장에서 京師는 오래 머물러 있을 곳이 못된다. 京師는 雩潭으로 하여금 마음의 불안과 갈등을 고조시키고 歸鄕의 의지를 그만큼 강렬하게 작용토록 한다. 마지막으로 閒情自樂의 詩世界를 들 수 있다. 雩潭은 자신을 天性的으로 자연을 좋아하는 江湖士로 인식하고 있다. 또한 雩潭은 여러 가지 곡절 끝에 淸에서 돌아와 歸鄕을 하였고 그래서 자연 속에서 閒情自樂을 누릴 가능한 조건은 모두 갖추었다. 따라서 雩潭은 자연을 좋아하는 천성과 인식, 구비된 객관적 조건 속에서 자연물과 일체를 이루며 悠悠自適하는 한가로운 정서를 작품 속에 자연스럽게 표출하고 있다. This paper is the study of Udam Chaedeukgi's(雩潭 蔡得沂) poetic world. Udam(雩潭) himself experienced the Manchu(滿洲) war of 1636. He went to the Ching(淸) dynasty with the crown prince(世子) and a royal prince(大君) as one of war hostages. Finally he returned to his native country. He wrote the poem to describe the opposition to Ching(淸) dynasty, and the will of returning to his native town, and self-complacent free emotion in the natural world. This study is consisted of three parts. The first part is about his will of opposition to Ching(淸) dynasty. Ching(淸) dynasty drove Udam(雩潭) to the hopeless situation. but he finally overcame many difficult conditions, and incorporated into his poem the will of opposition to Ching(淸) dynasty. The second part is about the will of returning to his native town. He recognized his native town as a resting place of his wounded body and soul. He wrote the poem to describe his hope and expectation for the rest in peace. The last part is about self-complacent free emotion in the natural world. Udam(雩潭) was innately fond of nature, and recognized himself as a nature's scholar. He wrote the poem to describe the self-complacent free emotion in the natural world.