http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증예(症例) : Imatinib mesylate 복용 중 과립구육종으로 재발한 만성골수성백혈병 1예
강선미 ( Seon Mi Kang ),송은기 ( Eun Ki Song ),이나리 ( Na Ri Lee ),곽재용 ( Jae Yong Gwak ),임창열 ( Chang Yeoul Lim ),황정환 ( Jeong Hwan Whang ),이석 ( Seok Lee ) 전북대학교 의과학연구소 2006 全北醫大論文集 Vol.30 No.2
만성골수성백혈병은 필라델피아 염색체를 특징으로 하는 질환으로 선택적 억제제인 imatinib 치료로 만성기 때 혈액학적, 세포유전학적 관해를 얻을 수 있다. 저자들은 혈액학적, 세포유전학적 관해가 유지되는 동안에 과립구육종의 형태로 재발되는 특이한 경우를 경험하였고, imatinib 저항성 클론에 의한 것으로 생각하고 치료를 시행한 만성골수성백혈병 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Isolated extramedullary relapse of chronic myelogenous leukemia (CML) after achieving complete remission with imatinib mesylate treatment is rare. Here we report a woman who developed a granulocytic sarcoma of the uterine adnexa after achieving complete remission with imatinib treatment. She diagnosed as chronic phase of CML at first and treated with imatinib as first line therapy. After 3 months of medication, complete hematologic and cytogenetic response were achieved, but relapsed with an isolated granulocytic sarcoma without hematologic relapse at 9 months. After increase of imtinib dosage to overcome resistance, partial response was obtained for 5 months. But bone marrow relapse was found as a blastic crisis and further treatment was impossible. Granulocytic sarcoma should be considered in the differential diagnosis for a mass lesions presenting during imatinib treatment in CML, if there is no evidence of medullary disease.
이양덕(Yang Deok Lee),송은기(Eun Kee Song),최정기(Jeong Ki Choi),이승옥(Seung Ok Lee),이수택(Soo Teik Lee),안득수(Deuk Soo Ahn) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract, it is often difficult to diagnose. It may remain completely asymptomatic, or it may mimic disorders such as Crohn’s disease, appendicitis, and peptic ulcer disease. Approximately 50 percent of all Meckel’s diverticula contain ectopic tissue, which consists of gastric tissue in 60 to 85 percent of the cases and pancreatic tissue in 5 to 16 percent. Meckel’s diverticulum should be considered in diagnosing patients with unexplained abdominal pain, nausea and vomiting, or intestinal bleeding. Major complications include bleeding, obstruction, intussusception, diverticulitis, and perforation. It can be treated by surgical resection. Here, we report a case of chronic intussusception induced by Meckel’s diverticulum in adult which we recently experienced. (Korean J Gastroenterol 2001;38:132-135)
증예(症例) : 심장을 침범하고 염색체 이상을 동반한 원발성 과호산구 증후군 1예
권혁진 ( Hyeok Jin Kwon ),이호경 ( Ho Kyung Lee ),송은기 ( Eun Ki Song ),이승룡 ( Seung Ryong Lee ),김원호 ( Won Ho Kim ),채제건 ( Jei Keon Chae ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2002 全北醫大論文集 Vol.26 No.2
The idiopathic hypereosinophilic syndrome(HES) is defined by the sustained eosinophilia without the apparent etiologies and with any organ involvement. Congestive heart failure resulting from cardiac involvement is a major cause of morbidity and mortality. A 21-year-old female patient had visited with hoarseness and exertional dyspnea. Fine crackles and holosystolic cardiac murmur were heard. Mild cardiomegaly in chest x-ray and hepato- and splenomegaly in computed tomography were observed. Severe mitral and tricuspid regurgitation accompanied with pulmonary hypertension was observed in echocardiographic examination. Limitation of mobility of the posterior mitral leaflet and tricuspid valve and thickening of endocardium may be caused by the eosinophilic infiltration. Cardiac involvement was confirmed by endomyocardial biopsy. The bone marrow biopsy was reported as a chromosomal abnormality of karyotype(46,XX,del(5)(p15)), which is exclusively seen in idiopathic HES. Therefore, we report a case of HES with chromosomal abnormality and cardiac involvement.
김태용(Tae Yong Kim),조요한(Yo Han Joh),김진수(Jin Su Kim),홍용상(Yong Sang Hong),이근욱(Keun Wook Lee),윤탁(Tak Yun),송은기(Eun Ki Song),나임일(Im Il Na),신현춘(Hyun Chun Shin),김동완(Dong Wan Kim),이재서(Chae Seo RLee),성명훈(Myung W 대한두경부종양학회 2004 대한두경부 종양학회지 Vol.20 No.2
Background: About 3% of all cancer patients suffer from cancer of unknown primary origin. Generally, carcinoma of unknown primary (CUP) carries a grave prognosis, but primary tumor presented to the neck is exception to this. The aims of study are to determine the role of chemotherapy and to find the prognostic factors in unknown primary tumor presented to the neck. Method and Material: Eighty-four patients were diagnosed with unknown primary tumor presented to the neck between January 1996 and June 2002. Among 84 patients, 43 patients (52%) received chemotherapy, radiation or surgery were performed in 20 patients (23%), 21 patients (25%) had no treatment. Results: The response rates to chemotherapy were 87.5% in CUP only localized to the neck and 44.0% in CUP systemically involved (p=0.012). A median follow-up duration was 6.4 years and overall median survival time was 9 months. The median overall survival time of patients treated with chemotherapy were 17 months and that of patients who received surgery or radiation were 20 months (p=0.3548). The important prognostic factors were performance status and the number of involved organ. Conclusion: The prognosis of patients with CUP presented to the neck is more favorable than that of patients with CUP of other localization. The effectiveness of chemotherapy for CUP only localized to the neck was similar to that of surgery or radiation. The important prognostic factors were performance status and the number of involved organ.