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신재국(Jae Kook Shin),김학준(Hag Joon Kim),임병도(Byeong Do Lim),정의식(Eu Sik Jung),박창서(Chang Sue Park),조성진(Sung Jin Cho) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Aplasic anemia is an extremely rare disease characterized by hypocellular bone marrow with fatty infiltration and peripheral blood pancytopenia. For over half of patients, no cause can be determined and the causal relation between aplastic anemia and pregnancy is not yet clear. Aplastic anemia in pregnancy is difficult to the obstetrician managing it because the risk of bleeding and infections are high and mortality in aplastic anemia associated with pregnancy is more than 20%. However, with improved treatment modalities and close clinical collaboration of hematologist and obstetrician, aplastic anemia complicated in pregnancy is becoming more frequent with favorable outcome. We experienced a case of aplastic anemia initially detected during pregnancy who was managed with intensive hematological support leading to delivery a healthy infant vaginally. We report this case with a brief review of the literature.
복현정 ( Hyun Jung Bok ),이진하 ( Jin Ha Lee ),신재국 ( Jae Kook Shin ),전승민 ( Soung Min Jeon ),박재준 ( Jae Jun Park ),문창모 ( Chang Mo Moon ),홍성필 ( Sung Pil Hong ),천재희 ( Jae Hee Cheon ),김태일 ( Tae Il Kim ),김원호 ( Wo 대한소화기학회 2013 대한소화기학회지 Vol.62 No.1
목적: 위, 대장암 동반군과 대장암 단독군을 비교하여 위암 동반 대장암의 임상 및 병리적 특성을 알아보고자 하였다. 대상 및 방법: 2000년에서 2009년까지의 대장암 수술 환자 5,288명 중에서, 위, 대장암 동반군 63예와 가장 가까운 수술일을 기준으로 2배수로 선택된 대장암 단독군 126예를 대상으로 임상 및 대장암의 특성을 비교하였고, 위암과 대장암의 진단순서에 따른 환자군 내의 세 군(위암 선행군, 동시성 중복암군, 대장암 선행군) 간에도 그 특성을 비교한 후향적 환자- 대조군 연구이다. 결과: 위, 대장암 동반군은 대장암 단독군에 비해 대장암 진단 연령이 평균 4.3세 높았고, 체질량지수는 낮았으며, 전이성 대장암에서 복막 전이율이 높았다. 두 군 간에 전체 생존율 및 대장암 특이 생존율에 유의한 차이는 없었다. 대장암에 동반된 위암의 병리소견에서 미분화성 위선암의 비율(55.6%)과 인환세포 위암의 비율(30.2%)이 높게 관찰되었다. 결론: 위암 동반 대장암은 연령, 비만도, 전이부위 등에서 대장암 단독군과 임상적 차이를 보였으며, 동반 위암은 인환세포암을 포함한 미분화 위선암의 비율이 높았다. Background/Aims: The purpose of this study was to investigate the clinicopathologic features of double primary cancers of the stomach and colorectum, compared to colorectal cancer alone. Methods: A retrospective analysis was made of 5,288 patients who underwent colorectal cancer surgery between January 2000 and December 2009 at Severance Hospital of Yonsei University. The clinicopathologic features were analyzed between 63 patients of double primary cancers and case-matched 126 patients of colorectal cancer alone. We classified double primary cancers into subgroups as premetachronous, synchronous and postmetachronous gastric cancer to identify differences between the three subgroups also. Results: Double primary cancers group showed 4.3 year-older age, lower BMI, and higher percentage of peritoneal metastasis, compared to colorectal cancer alone group. Overall and colorectal cancer specific survival did not have any significant difference between two groups. In histologic type of gastric cancer, a high percentage of undifferentiated adenocarcinoma (55.6%) and signet ring cell carcinoma (30.2%) were noted. Conclusions: Double primary cancers of the stomach and colorectum had older-age onset, lower BMI and higher metastasis to peritoneum than colorectal cancer alone. Combined gastric cancer consisted of high percentage of undifferentiated and signet ring cell carcinomas. (Korean J Gastroenterol 2013; 62:27-32)