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크기 1.5 cm 이하의 작은 갑상선 유두암의 예후를 고려한 조직학적 고찰
신선혜 ( Sun Hye Shin ),나민아 ( Min Ah Na ),강양호 ( Yang Ho Kang ),손석만 ( Seok Man Son ),김인주 ( In Ju Kim ),김용기 ( Yong Ki Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.1
목적: 예후와 연관되어 있는 갑상선 유두암의 병리조직학적 특징을 종양의 크기 1.5 cm을 기준으로 두 군으로 나누어 비교하여 보고 크기가 1.5 cm 이하의 작은 갑상선 유두암의 치료적 방향을 제시하기 위해서 본 연구를 시행하였다. 방법: 1996년 1월부터 2000년 12월까지 부산대학병원에서 갑상선 유두암으로 진단받고 수술을 시행 받은 178명의 환자를 대상으로 하였다. 모든 환자의 병력 기록지를 조사하여 후향적으로 분석하였다. 모든 병리조직학적 검체는 수술을 통해 얻어졌고 병리학자에 의해 기술되었다. 예후와 연관하여 중점적으로 조사한 병리 조직학적 특징은 진단 당시의 림프절 전이, 다발성, 갑상선외 침범, 양 엽의 침범이었다. 결과: 갑상선 유두암으로 수술한 환자는 총 178명으로 이 중 여자는 150명으로 84.3%이었으며 1.5 cm 이하의 작은 갑상선 유두암은 총 48명(27%)이었다. 병리조직학적 특징을 1.5 cm 이하의 종양군과 1.5 cm 보다 큰 종양군으로 나누어 비교하였을 때 림프절 전이는 두 군 사이에 통계학적으로 유의한 차이를 보였지만(p=0.043) 다발성, 갑상선외 침범, 양 엽의 침범은 통계학적으로 유의한 차이를 보이지 않았다. 결론: 1.5 cm 이하의 작은 갑상선 유두암도 진단 당시 1/3에서 림프절 전이를 보이며 1.5 cm 보다 큰 갑상선 유두암과 비교하여 유사한 정도로 다발성, 양 엽의 침범, 갑상선외 침범이 발견되므로 일반적인 갑상선 유두암의 표준치료가 바람직하다고 생각된다. Background: A number of studies have shown that papillary microcarcinomas have a more favorable prognosis than do the larger tumors. However, some microcarcinomas may have a negative outcome. So, we investigated the histological features of small (≤1.5 cm) papillary thyroid carcinomas, and we compared them with the larger (>1.5 cm) tumors. Methods: Between January, 1996 and December, 2000, 178 patients were diagnosed and operated on for their differentiated papillary thyroid carcinoma at Pusan National University Hospital. We reviewed the charts and pathologic records of these patients and we analyzed them retrospectively. According to the tumor size 1.5cm, we divided the tumors into two groups and then compared the histological features. Results: Small papillary thyroid carcinomas have a favorable outcome in most cases. However, small papillary thyroid carcinomas present with signs of aggressiveness at presentation, including lymph node metastases (33.3%), multifocality (12.5%), bilateral involvement (12.5%) and extrathyroidal extension (16.7%). Compared with larger tumors, the frequency of theses signs was similar, except for lymph node metastases, in the small papillary thyroid carcinomas. Conclusions: Approximately one third of the small papillary thyroid cancer 1.5 cm and less in size had neck lymph node metastases at presentation and the signs of aggressiveness were similarly present as compared with the larger tumors. We suggested that the standard treatment is desirable as a therapeutic strategy of small papillary thyroid carcinoma.(Korean J Med 73:44-49, 2007)
최재훈 ( Jae Hoon Choi ),나민아 ( Min Ah Na ),이정현 ( Jung Hyun Lee ),이태근 ( Tae Kun Lee ),전국진 ( Kook Jin Chun ),김성일 ( Sung Il Kim ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.3
Takayasu`s arteritis is a chronic large-vessel vasculitis affecting young women more frequently than young men. The patients frequently have signs and symptoms of peripheral vascular insufficiency caused by arterial luminal obliteration or narrowing. Coronary artery involvement occurs in only 9∼27% of patients. Most of the coronary artery lesions are predominantly involved unilaterally. We describe a presentation of Takayasu`s arteritis in a young woman with involvement of the bilateral ostial coronary arteries.
영화관에서 판매되는 스낵 및 음료에 대한 충북지역 일부 대학생의 인식
곽초이(Cho ee Kwag),김지혜(Ji hye Kim),나민아(Min a Na),이계초(Qi chao Li),주지형(Ji hyeung Ju) 충북대학교 생활과학연구소 2016 생활과학연구논총 Vol.20 No.1
The present study aimed to investigate perception on snacks and drinks sold in movie theaters among college students in Chungbuk area. The subjects were a total of 231 students including 92 males and 139 females. Both snack and drink consumption sores of male students were higher than those of female students, indicating that male students consumed snacks and drinks sold in movie theater more frequently than female students. The subjects tended to perceive that the amount of snacks and drinks sold in movie theater was not sufficient although they perceived that the calories, sodium, and sugar content were high, and such tendency was more pronounced in male students. The need of female students for nutrition labeling of snacks and drinks sold in movie theater was greater than that of male students. The subjects considered that the sodium content of foods did not affect them to choose foods much. Most of the subjects were not aware of sodium reduction campaign conducted by Ministry of Food and Drug Safety, but the awareness rate of the subjects that had an experience of receiving food and nutrition-related education was higher than that of the subjects that did not have such experience. The present study suggests that effective education courses or programs are needed for college students to improve their understanding on high calory- and sodium-containing foods and the usefulness of nutritional labeling.
성인 Henoch-Schonlein 자반증의 임상적, 병리학적 고찰
권은회 ( Kwon Eun Hoe ),김성진 ( Kim Seong Jin ),나민아 ( Na Min A ),정유석 ( Jeong Yu Seog ),이동원 ( Lee Dong Won ),이수봉 ( Lee Su Bong ),곽임수 ( Gwag Im Su ) 대한내과학회 2003 대한내과학회지 Vol.65 No.3
Background : Henoch-Shonlein purpura is a systemic disease and has characteristic features of purpuric skin rash, abdominal pain, arthralgia and abnormal urinary findings and characterized by immunoglobulin A deposits in the involved organ. Renal involvem
원발성 폐암 환자의 혈청에서 DAP kinase 유전자의 Methylation 양상
이준희 ( Lee Jun Hui ),이정욱 ( Lee Jeong Ug ),정경식 ( Jeong Gyeong Sig ),김기욱 ( Kim Gi Ug ),이태근 ( Lee Tae Geun ),이경우 ( Lee Gyeong U ),나민아 ( Na Min A ),전두수 ( Jeon Du Su ),최영민 ( Choe Yeong Min ),김윤성 ( Kim Yun S 대한결핵 및 호흡기학회 2003 Tuberculosis and Respiratory Diseases Vol.55 No.4
VIP를 분비하며 신경절신경종의 분화를 가지는 갈색 세포종 1예
나민아,김상수,김동욱,최재훈,이태근,공옥녀,안준협,김지연,성한동,정철호,손석만,김인주,김용기 대한내분비학회 2003 Endocrinology and metabolism Vol.18 No.2
갈색 세포종은 신경내분비종양의 하나로 VIP를 포함한 다양한 신경내분비 펩타이드를 분비할 수 있다. 저자들은 만성 설사와 체중 감소를 주소로 내원한 환자에서 좌측 부신에 VIP를 생성하는 갈색 세포종을 진단하여 성공적으로 제거한 후 증상이 모두 호전된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Vasoactive intestinal peptide (VIP) is a 28-amino acid peptide, which may cause secretory diarrhea by stimulating the production of adenylate cyclase. Neuroendocrine tumors, secreting vasoactive intestinal peptide (VIP), are almost always of a pancreatic in origin. However, a pheochromocytoma may produce several neuropeptides, containing VIP, as they are considered to be neuroendocrine tumors. A 57-year-old woman, who presented with chronic watery diarrhea, hypokalemia, weight loss and a left adrenal mass, is described. Histologically, the tumor was diagnosed as a pheoch-romocytoma, with ganglioneuronal differentiation, and was histochemically confirmed to produce a vasoactive intestinal polypeptide. A left adrenal VIP-producing pheochromocytoma was successfully resected. After surgery, her diarrhea subsided and the electrolytes, affected neuroendocrine hormone levels, blood pressure and blood sugar level were normalized (J Kor SOC Endocrinol 18:227-231, 2003).