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- 저자 : 정기연 ( Kee Yun Chung ) (검색결과 2 건)
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전완부의 점액섬유육종과 직장의 선암이 동반된 동시성 다발성 원발성 종양
정기연,전영수,한정수,최일헌,Chung, Kee-Yun,Chun, Young-Soo,Han, Chung-Soo,Choi, Il-Hoen 대한근골격종양학회 2008 대한골관절종양학회지 Vol.14 No.2
Multiple primary malignant neoplasm of the combination of the musculoskeletal system and the gastrointestinal system were very rare. A case of synchronous double primary malignant neoplasm consisted of myxofibrosarcoma of forearm and adenocarcinoma of rectum in a 52 year-old man was found. The patient had pain and swelling on forearm for 1 year. Histologically, the lesion on forearm showed myxofibrosarcoma. In systemic evaluation, the adenocarcinoma of rectum was found by the sigmoidoscopy, and metastasis on lung and intracardiac mass were found by the CT scan. We performed surgical excision and pre and postoperative chemotherapy after pathologic confirmation. He died of pulmonary thromboembolism after postoperative 2 months. We report this case of exceedingly rare combination of the musculoskeletal system and the gastrointestinal system. 근골격계와 소화기계에 동반된 다발성 원발성 종양은 매우 드물다. 52세 남자 환자에서 전완부의 점액섬유육종과 직장의 선암이 동반된 동시성 이중성 원발성종양이 발견되었다. 환자는 1년전부터 발생한 전완부의 통증 및 부종을 주소로 내원하였다. 전완부의 병변은 조직학적으로 점액섬유육종으로 확진되었다. 전신적 검사상 결장경 검사에서 직장의 선암이 발견되었으며 CT 검사상 폐로의 전이와 심장내 종양이 발견되었다. 병리학적 확정진단 후에 전완부의 수술적 절제술과 술 전,후 항암화학요법을 시행하였으며, 환자는 술 후 2달 후에 종양 색전에 의한 폐동맥혈전색전증으로 사망하였다. 저자들은 매우 드문 근골격계와 소화기계에 동반된 다발성 원발성 종양 1례를 경험하였기에 이를 문헌고찰과 함께 보고하고자 한다.
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내반 변형의 정도에 따른 슬관절 전치환술 후 하지 정렬
배대경 ( Dae Kyung Bae ),송상준 ( Sang Jun Song ),윤경호 ( Kyoung Ho Yoon ),정기연 ( Kee Yun Chung ) 대한슬관절학회 2008 대한슬관절학회지 Vol.20 No.2
Purpose: We wanted to evaluate the clinical and radiographic results of total knee arthroplasty according to the preoperative varus deformity. Materials and Methods: From September 2003 to October 2005, we performed 53 total knee arthroplasties in 38 patients who had varus deformity of more than 10 degrees of the femorotibial angle. The minimum follow-up period was 2 years. According to the severity of the varus deformity, the patients were classified to three groups: patients with a varus deformity 10 to 15° (group I, 38 cases), patients with a varus deformity 15 to 20° (group II, 7 cases) and patients with a varus deformity more than 20° (group III, 8 cases). Results: The mean preoperative HSS scores were 61.0, 57.6 and 55.6 in groups I, II and III, respectively. The mean HSS scores of the each group were 97.5, 96.1 and 96.8, respectively, at the last follow-up (p=0.728). The mean preoperative range of motion of the each group was 118.7°, 121.3° and 102.5°, respectively, and the ROM was 131.8°, 130.0° and 128.3°, respectively, at the last follow-up (p=0.932). The mean preoperative femorotibial angle of the each group was -12.1°, -16.6° and -23.8°, respectively, and 4.8°, 3.0° and 2.1°, respectively, at the last follow-up (p=0.021). Conclusion: Correction of deformity and restoration of the limb alignment provides satisfactory clinical and radiographic results for patient with varus deformity. The postoperative alignment of the residual varus deformity tended to be within the permissible range.
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