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내시경 핵적출술로 제거한 점막하 종양 형태의 위 림프상피양 암종 1예
우학,신성재,김영배,이윤철,차동엽,황재철,이기명,김진홍 대한소화기내시경학회 2010 Clinical Endoscopy Vol.41 No.3
Lymphoepithelioma-like carcinoma (LELC) is a rare cancer and it makes up about 1∼4% of all gastric malignancies. The main histologic feature of LELC is a lymphoid stroma. LELC is rare in that its shape is similar to that of submucosal tumor (SMT). Although SMT can be divided into malignant and benign tumors, using endoscopic ultrasonography (EUS) and EUS-guided fine needle aspiration, there are still many cases that can't be discriminated, and it is especially difficult to obtain specimens due to the small size of SMT. There have been some recent trials to endoscopic remove small SMTs for the purpose of making an exact diagnosis and guiding therapy. We report here a case of gastric LELC that exhibited the features of a submucosal tumor, and this LELC was removed by endoscopic enucleation. We also briefly review the relevant medical literature. 림프상피양 암종(lymphoepithelioma-like carcinoma)은 위암의 약 1∼4%를 차지하는 매우 드문 암으로, 림프구 간질을 특징으로 하며 점막하 종양 형태는 매우 드물다고 알려져 있다. 점막하 종양은 내시경 초음파 및 이를 통한 조직 검사 방법으로 양성과 악성의 감별이 가능하나, 아직도 많은 경우, 특히 크기가 작은 경우에는 조직의 획득이 쉽지 않다. 최근 내시경을 이용한 일괄절제술 등을 통해 정확한 진단 및 치료를 하려는 연구가 시도 되었다. 이에 저자들은 작고 비특이적인 내시경 초음파 소견을 가진 점막하 종양을 진단 및 치료 목적으로 내시경 핵적출술을 시행하였으며, 조직검사에서 위 림프상피양 암종으로 진단된 예를 경험하였기에 보고한다.
우학 ( Hak Woo ),김옥기 ( Ok Ki Kim ),이기훈 ( Gi Hoon Lee ),박정진 ( Jeong Jin Park ),이신석 ( Shin Seok Lee ),박용욱 ( Yong Wook Park ) 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.4
Adult-onset Still`s disease (AOSD) is a rare systemic inflammatory disorder of unknown etiology. Non-steroidal anti-inflammatory drugs (NSAIDs), steroids, disease modifying anti-rheumatic drugs (DMARDs), immunosuppressives and intravenous immunoglobulin (IVIG) have been used to control the disease. It was suggested that several pro-inflammatory cytokines, such as interleukin (IL)-5, IL-8, IL-18, and tumor necrosis factor (TNF)-α, play an important role in its pathogenesis. Recent reports showed the clinical effectiveness of TNF-α blockers (infliximab and etanercept) in refractory AOSD. We report a case successfully treated with etanercept in the early AOSD refractory to the combination therapy of high-dose prednisolone and cyclosporine (CSA).
우학 ( Hak Woo ),신민호 ( Min Ho Shin ),김옥기 ( Ok Ki Kim ),배우균 ( Woo Kyun Bae ),조영욱 ( Young Wook Cho ),이연경 ( Youn Kyoung Lee ),마성권 ( Seong Kwon Ma ),김수완 ( Soo Wan Kim ),김남호 ( Nam Ho Kim ),최기철 ( Ki Chul Choi 대한내과학회 2007 대한내과학회지 Vol.72 No.2
Background: The goal of this study is to define the relationship between the decreased renal function and anemia, and also to determine whether this relationship is different in male and female patients. Methods: We conducted a retrospective study of 289 patients (male:female=157:132) who were followed at the department of internal medicine at Chonnam National University Hospital. General linear models were used to analyze the relationship between the hemoglobin concentration and Modification of Diet in the Renal Disease formula estimated Glomerular Filtration Rate (mL/min/1.73 m2). Results: Among all patients, the mean hemoglobin concentration and hematocrit of the men with a Glomerular Filtration Rate of 50~59 mL/min/1.73 m2 was an absolute change of 0.8 g/dL (p=0.021) and it was 2.6% (p=0.011) lower than those of the patients with a Glomerular Filtration Rate≥90 mL/min/1.73 m2 and continued to decrease further as the Glomerular Filtration Rate decreased, respectively (Hgb.: r=0.635, Hct.: r=0.640, all p<0.001). Among the male patients, the mean hemoglobin concentration and the hematocrit of men with a Glomerular Filtration Rate of 40~49 mL/min/1.73 m2 was an absolute change of 1.7 g/dL (p<0.01) and it was 4.4% (p<0.01) lower than those of the male patients with a Glomerular Filtration Rate≥90 mL/min/1.73 m2 and continued decrease as the Glomerular Filtration Rate decreased, respectively (Hgb.: r=0.698, Hct.: r=0.689, all p<0.001). Among the female patients, the mean hemoglobin concentration with a Glomerular Filtration Rate of 60~69 mL/min/1.73 m2 was an absolute change of 0.9 g/dL (p<0.01) and the mean hematocrit was 2.8% (p<0.01) lower than those of the female patients with a Glomerular Filtration Rate ≥90 mL/min/1.73 m2 and continued to decrease further as the Glomerular Filtration Rate decreased, respectively (Hgb.: r=0.672, Hct.: r=0.687, all p<0.001). Conclusions: A decrease in the hemoglobin concentration was statistically significant in the patients of both genders, along with a moderately decreased Glomerular Filtration Rate (≤60 mL/min/1.73 m2). (Korean J Med 72:191-199, 2007)
황준일,우학,김상호,이우석,황재하,김정철,조덕,박정진,이신석,박용욱 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.4
Necrotizing fasciitis is a life-threatening soft tissue infection involving skin, subcutaneous tissue, and superficial fascia. We report a case of necrotizing fasciitis that developed in a 76- year-old female patient taking low-dose methotrexate and prednisolone for rheumatoid arthritis (RA). A computed tomography scan of the neck during the initial work-up showed soft tissue swelling, loss of fat planes, and mild heterogeneous enhancement in the right lateral neck, suggesting cellulitis. The lesions were associated with skin necrosis and multiple bullae rapidly expanded to the right anterior chest in spite of empirical antibiotic therapy. Surgical debridement was immediately performed, and soft tissue biopsy from the lesions showed the pathologic finding consistent with necrotizing fasciitis. The skin wound defect was reconstructed by a flap operation with split-thickness skin graft. This case shows the development of necrotizing fasciitis in a elderly patient taking methotrexate and low-dose steroid for RA and highlights early recognition and prompt surgical debridement for successful management.
황준일 ( Jun Eul Hwang ),우학 ( Hak Woo ),김상호 ( Sang Ho Kim ),이우석 ( Woo Seok Lee ),황재하 ( Jae Ha Hwang ),김정철 ( Jung Chul Kim ),조덕 ( Duck Cho ),박정진 ( Jeong Jin Park ),이신석 ( Shin Seok Lee ),박용욱 ( Yong Wook Pa 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.2
Necrotizing fasciitis is a life-threatening soft tissue infection involving skin, subcutaneous tissue, and superficial fascia. We report a case of necrotizing fasciitis that developed in a 76-year-old female patient taking low-dose methotrexate and prednisolone for rheumatoid arthritis (RA). A computed tomography scan of the neck during the initial work-up showed soft tissue swelling, loss of fat planes, and mild heterogeneous enhancement in the right lateral neck, suggesting cellulitis. The lesions were associated with skin necrosis and multiple bullae rapidly expanded to the right anterior chest in spite of empirical antibiotic therapy. Surgical debridement was immediately performed, and soft tissue biopsy from the lesions showed the pathologic finding consistent with necrotizing fasciitis. The skin wound defect was reconstructed by a flap operation with split-thickness skin graft. This case shows the development of necrotizing fasciitis in a elderly patient taking methotrexate and low-dose steroid for RA and highlights early recognition and prompt surgical debridement for successful management.
이연경 ( Youn Kyoung Lee ),우학 ( Hak Woo ),조민석 ( Min Seok Cho ),마성권 ( Seong Kwon Ma ),김수완 ( Soo Wan Kim ),김남호 ( Nam Ho Kim ),최기철 ( Ki Chul Choi ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
Actinomycosis is a rare opportunistic infection caused by an anerobic gram positive organism. Actinomyces israelii may be localized to cervicofacial, thoracic and abdominopelvic areas. Pelvic actinomycosis is observed in patients who present with prolonged use of intrauterine devices. Ureteral obstruction and subsequent hydronephrosis are rare complications of pelvic inflammatory disease. We report a case of acute renal failure with bilateral hydronephrosis as complication of pelvic actinomycosis with prolonged use of intrauterine devices in a 42-year-old female patient. (Korean J Med 69:S999-S1002, 2005)
지속성 외래 복막 투석 환자에서 복막 투석액 및 혈청 Cancer Antigen 125 (CA125)농도 변화의 임상적 의의
조영욱 ( Young Wook Cho ),우학 ( Hak Woo ),배우균 ( Woo Kyun Bae ),이윤철 ( Yoon Chul Lee ),이민구 ( Min Goo Lee ),이연경 ( Yun Kyung Lee ),조민석 ( Min Seok Cho ),마성권 ( Seong Kwon Ma ),김수완 ( Soo Wan Kim ),김남호 ( Nam Ho K 대한내과학회 2005 대한내과학회지 Vol.68 No.3