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김상희 ( Sang Hee Kim ),김미성 ( Mi Sung Kim ),안현택 ( Hyun Taek Ahn ) 대한내과학회 2006 대한내과학회지 Vol.71 No.1
Background: Hepatocellular carcinoma is frequently accompanied by portal vein thrombosis. In the setting of cirrhosis, refractory ascites, variceal bleeding and hepatic encephalopathy leads to dramatic course. Portal vein thrombosis is a negative prognostic factor for therapy. We conducted this retrospective study to evaluate the relationship between hepatocellular carcinoma and portal vein thrombosis. We also studied the predictable factor of portal vein thrombosis by biochemical tests. Methods: A total of 153 hepatocellular carcinoma were examined. We investigated the relationship between hepatocelluar carcinoma and the presence of portal vein thrombosis by CT scan. Correlations between the existence of portal vein thrombosis and the result of biochemical tests were examined. Results: Portal vein thrombosis was found 60 patients (39%). The presence of portal vein thrombosis was not associated with size or number of tumor. Significant differences were seen in total bilirubin, AST, alkaline phosphatase, prothrombin time and AFP. Conclusions: Our result suggest that hepatocellular carcinoma can accompany portal vein thrombosis in spite of small size and uninodule. So we should be alert to find portal vein thrombosis in early stage of tumor. In such an event, it would be beneficial to additional information concerning the probability of portal vein thrombosis from elevated total bilirubin, AST and alkaline phosphatase.(Korean J Med 71:52-57, 2006)
정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),안현택(Hyun Taek Ahn),주영만(Young Man Joo),김명석(Myung Sook Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
In 1960 Matein first described an unusual type of smooth muscle tumor of the stomach and 1962 Stout found the each tumor microscopically consisted of round or polygonal cells frequently containing of perinuclear vacuole or clear zone instead of the usual spindle cells as seen in the common leiomyoma and addressed this intramural tumor as a leiomyoblastoma. Since Stout reported a series of 69 cases, many clinical studies on this tumor have been published. In Korea Oh et al first reported a case of leiomyoblastoma of stomach in 1973 and thereafter two cases have been reported to date. 43-year-old housewife was admitted to this hospital because of dull pain on epigastrium and left upper abdomen with duration of two days last october 1985. Her condition was suspected as mesenteric cyst probably arising between stomach and pancreas. Whereas, surgery of the mass proved as epitheloid leiomyoma of stomach. As leiomyoblastoma has different clinical behavior and prognosis from leiomyosarcoma, special attention should be paid to this relatively rare tumor.
강명진 ( Myung Jin Kang ),남궁경영 ( Kyung Young Namgung ),김미성 ( Mi Sung Kim ),고병성 ( Byung Sung Ko ),한창순 ( Chang Soon Han ),안현택 ( Hyun Taek Ahn ),신향미 ( Hyang Mi Shin ) 대한소화기학회 2004 대한소화기학회지 Vol.43 No.5
Kaposi`s sarcoma is a rare and slowly progressive disease that primarily affects the skin but has an associated visceral involvement. It can occur in the HIV-positive patients or patients treated with immunosuppressants. However, it is extremely rare in the patients receiving the treatment for inflammatory bowel disease. We used corticosteroid for the treatment of ulcerative colitis in 60-year-old woman. Then, Kaposis`s sarcoma occured in the skin and colon of the patient. Since she was HIV-negative, we believed that it was developed from the condition of corticosteroid-induced immunosuppression. We present a case of skin and colonic Kaposi`s sarcoma in a HIV-negative woman following treatment with corticosteroid for ulcerative colitis. (Korean J Gastroenterol 2004;43:316-319)
김현수,서영호,김남진,주영은,이완식,정상우,김세종,유종선,안현택,서강석 대한간학회 1998 Clinical and Molecular Hepatology(대한간학회지) Vol.4 No.4
Distinction of hepatocellular carcinoma from benign entities such as focal nodular hyperplasia is important because failure of prompt diagnosis could result in a missed opportunity for curative resection. The differential deagnosis, especially among focal nodular hyperplasia and adenoma and even hepatocellualr carcinoma, may ve difficult; and when using inly a single imaging method, the diagnosis is often equivocal. Therefore, a combination of imaging modalities is preferred. For focal nodular hyperplasia, the combination of computerized tomography (CT), magnetic resonance imaging (MRI), and radionuclide scintigraphy showed a high sensitivity and specificity. But , histologic examination is required for the differential diagnos is of hepatic mass . We report a case of hepat ocellular carcinoma without clinical evidence of malignancy or serum elevat ion of tumor marker , that mimicked the CT , MRI, and radionuclide scint igraphic appearance of focal nodular hyperplasia. (Korean J Hepatol 1998;4:393 398)
결핵성 임파선염을 동반하고 상하부 장관을 광범위하게 침범한 장결핵 1예
김종순,최성규,김현수,김세종,유종선,서강석,안현택,윤종만,구철,오원태 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.3
The prevalence of intestinal tuberculosis has been markedly decreased with the development of anti-tuberculous chemotherapy, preventive medicine, vaccinations, early detection and treatment of pulmonary tuberculosis, and improved eeonomic conditions. Nowadays, intestinal tuberculosis is a disease that should be differentiated from the inflammatory bowel diseases such as Crohn's disease and ulcerative colitis, Behcet's disease, and colon cancer and amebic colitis. This disease also has a new clinical significance in that it has an increased infection rate and unfavorable outcomes in patients infected by HIV or in those who undergo organ transplantation or receive immunosuppressive agents. Tuberculosis of the duodenum was a rare disease and was not reported in the last decade. Moreover Intestinal tuberculosis extensively involving the small bowel including the duodenum and colon was very rarely reported in the various relateid literature. Recently we experienced a case of advanced intestinal tuberculosis involving the duodenum, jejunum, ileum, and colon accompanied by tuberculous cervical and abdominal lymphadenopathies, in a 49-year-old woman who manifested profound general weakness, diarrhea, and marked weight loss. She was diagnosed pathologically by upper gastrointestinal endoscopy, colonoscopy, and fine needle aspiration cytology as well as by roentgenologic examination. The patient was given antituberculous medication which resulted in dramatic clinical improvement. In this report, we present this case with review of the related literature.
남궁경영,강명진,임홍목,김미성,고병성,안현택,이종률,김종옥 대한간학회 2004 Clinical and Molecular Hepatology(대한간학회지) Vol.10 No.2
Metastasis of hepatocellular carcinoma occurs at a relatively late stage of the disease. Hematogenous and lymphatic metastases are the most common routes for dissemination of tumor cells. Hepatocellular carcinoma also extends into the adjacent portal vein and bile ducts. Since there is no peritoneum between the body of the gallbladder and the liver fossa, gallbladder cancer can easily cross the boundary. Gallbladder invasion of hepatocellular carcinoma, however, is quite rare. We report a case of hepatocellular-cholangiocarcinoma in a non-cirrhotic liver that invaded the gallbladder mimicking the gallbladder carcinoma complicated by cholecystitis and liver abscess. (Korean J Hepatol 2004;10:148-153)