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이성준,최호철,류동수,박철희,김거환 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3
Ureteral triplication is an extremely rare congenital anomaly of the urinary tract, which was first described in 1870 by Wrany. A review of the literature revealed only 92 cases published to date 1992. Herein we report a case of ureteral triplication, type Ⅲ in 54 years old woman. She was admitted to the hospital because of incidentally detected left hydroureteronephrosis on transabdominal ultrasonogram which was performed due to vague epigastric discomfort for 2 years. After radiologic study, under the impression of left incomplete duplicating system with nonfunctioning obstructive megaureter, left nephroureterectomy was performed.
이성준,김천일,김거환 啓明大學校 醫科大學 1994 계명의대학술지 Vol.13 No.4
We reviewed 111 patients with prostatic cancer during a 20 year period from October 1973 to July 1993, retrospectively. The patients age ranged from 55 to 86 years with a mean of 70.6 years. The major presenting symptom were urinary retention(45.9%), prostatism(37.9%),gross hematuria, and bone pain. On digital rectal examination, 20 patients had a hard nodule on the prostate, and 2 patients had multipe nodules. There were stage A in 23 cases, stage B in 15, stage C in 8, and stage D in 65. Among 65 cases of stage D, stage Do and stage D2 were 30 and 31, respectively. Hydronephrotic changes were found on I. V. P. in 13 patients. The site of metastasis in stage D2 patients(31 cases) were bone 29, lung in 2 cases. The combined Gleason score were 2-4(well differentiated) in 15 cases, 5-7(moderately differentiated) in 51 cases, and 8-10(poorly differentiated) in 45 cases. For the treatment of 111 patients, conservative treatment(TUR-P) was performed in 33 patients, radiation therapy in 8 patients, endocrine therapy (orchiectomy or DES) in 70 patients. Fifty nine cases were followed for mean 52.3 months. Five year survival, there was 92% for low combined Gleason(2-4), 78% for intermediated group(5-7), and 45% for high grade(8-10). Six cases with clinical stage A, B were proved to be alive for 10 years. Of the 13 cases with clinical stage D1, D2 11 cases died and their mean survival was 23 months.
김거환,김광세,하달봉 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3
Ganglioneuroblastoma is a rare malignant tumor that derived from the sympathetic nerve system in children and described as having a transitional nature between ganglioma and undifferentiated neuroblastoma. Prognosis depends on histological predominance of tissuses and also relates to stage of the disease. We present a case of ganglioneuroblastoma which was confirmed at sugery. Clinical and histopathological characteristics of the disease are discussed.