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위암환자에서 복부 임파절 전이에 대한 초음파검사 및 전산화 단층촬영의 진단적 의의
김석균(Seok Kyun Kim),현인영(In Young Hyun),차중직(Joong Jik Cha),홍원선(Weon Seon Hong),이진오(Jhin Oh Lee),강태웅(Tae Woong Kang),백남선(Nam Sun Paik),김기환(Kie Hwan Kim),진수일(Soo Yil Chin) 대한내과학회 1990 대한내과학회지 Vol.39 No.2
N/A Preoperative findings of abdominal ultrasonography (US) and computed tomography (CT) were compared with the postoperative findings with special emphasis on abdominal lymphnode (LN) metastasis in patients with stomach cancer. The 98 patients' enrolled in this study had no evidence of LN and distant metastasis in preoperative abdominal US or CT and underwent operation from January, 1988 to December, 1988 in the Department of General Surgery III, Korea Cancer Center Hospital. Sixty-two (63%) of the 98 patients were confirmed to have LN metastasis in the postoperative pathologic examination: 62%, in 50 patients without LN metastasis in preoperative US and 65%, in 48 patients without LN metastasis in preoperative CT. The senstivity of US was similar to that of CT in predicting LN metastasis. We analyzed the effects of age, sex, abdominal pain, performance status, Borrmann type and size of the tumor on the predictability of LN metastasis, demonstrating that no significant relation- ship was found between these factors and LN metastasis except for the size of the tumor. In patients with a tumor less than 2 cm in diameter, LN metastasis was found in 25%(N1, N2, 0%); in 2-4 cm, 53% (N1, 47%, N2, 6%); in 4-6 cm, 79%(N1 62%, N2 17%); in 6-8 cm, 92% (N1 84%, N2 8%); in more than 8 cm, 839p (N1 66%, N2 17%). The incidence of early gastric cancer (EGC), diagnosed by postoperative pathologic findings, was significantly higher in small-sized tumors compared to the large-sized tumors (p<0.01): in less than 2 cm, 0%. Staging of stomach cancer was performed according to TNM staging grouping approved by UICC and AJC in 1985. The stage showed a progress with the increase in size of the tumor (p<0.01). In less than 2 cm, stage I, II, III and IV were 68, 7, 25and 0%, respectively. In 2-4 cm, stage I, II, IIIand IV were 26, 18.53and 3%, respectively. In 4-6 cm, stage I, II, IIIand IV were 8, 16, 56and 20%, respectively. In 6-H cm, stage I, II, IIIand IV were 0, 15, 75and 15%, respectively. In more than 8 cm, stage I, II, IIIand IV were 0, 0, 50and 50%, respectively. These results suggest that abdominal LN metastasis can not be predicted by US or CT alone. However, dy the addition of size of the tumor to US or CT findings, the predictability of LY, metastasis can be significantly increased in stomach cancer patients.
분화된 갑상선암 수술후 T1 - 201 및 I - 131 전신신티그라피 소견
강태웅(Tae Woong Kang),임상무(Sang Moo Lim),홍성운(Sung Woon Hong),현인영(In Young Hyun),차중직(Joong Jik Cha),이진오(Jin Oh Lee) 대한핵의학회 1990 핵의학 분자영상 Vol.24 No.1
N/A T1-201 and I-131 scintigraphy were performed to visualize malignant lesions postoperatively in 26 patients with well-differentiated thyroid cancer. Anyone of uptake index and retention index was higher in malignant lesions than that in benign lesions. T1-201 scintigraphy showed uptake ininflammatory tissues. T1-201 concentration was observed in fourteen patients and six of them had malignant lesions, while I-131 concentration was observed in six patients and all had malignant lesions. In sensitivity, combination of T1-201 and I-131 scintigraphy is higher than I-131 or T1-201 scintigraphy only. In postoperative patients with well-differentiated thyroid cancer, it may be useful that T1-201 scintigraphy will be performed simultaneously with I-131 scintigraphy for detecting recurrence.
김은주,유승익,백승운,함기백,홍성란,방수관,안용진,윤세옥,차중직,최규식 대한소화기학회 1992 대한소화기학회지 Vol.24 No.1
Familial adenomatious polyposis (FAP) includes early development of up to thousands of colorectal adenoma and of coloaic adenocarcinoma in all untreated cases. Moreover, a variety of extracolonic manifestation are seen. Several reports have demonstrated a high incidence of gastroduodenal polyps in FAP patient. Fundic gland polypois is found in half of polyposis patient, It is an non-geoplastic condition with hundreds of sessile polyps in the gastric fundus consisting of cystic dilated fundic glands without epithelial dyeplasia, In western countries, gastric adenoma and carcinoma are rare findings in FAP patients. Until present time, only 2 cases in western countries and 8 cases in Japanese series were reported in literature. So it is generally suggested that the development of gastric carcinoma is related not only to racial and environmental factors, but also to a genetic effect, this may be the first case-report in Korea. Here we report the case with familial adenomatous polyposis, presenting with gastric and colonic adenocarcinoma.