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추은호 ( Eun Ho Chu ),김태석 ( Tae Suk Kim ),신은중 ( Eun Jung Shin ),엄기성 ( Ki Seong Eom ),김희제 ( Hee Je Kim ),민우성 ( Woo Sung Min ),김춘추 ( Chun Choo Kim ) 대한내과학회 2008 대한내과학회지 Vol.75 No.2
녹색종은 미성숙 골수구로 이루어진 침윤성의 골수 외고형 종양이며 급성 골수성 백혈병 환자의 임상경과 중 소수에서 동반되어 나타날 수 있다. 급성 골수성 백혈병에서 녹색종이 동반될 경우 좋지 않은 예후를 보이지만 아직까지 적절한 치료 원칙이 정립되지 않은 상태이다. 저자들은 녹색종이 동반된 급성 골수성 백혈병 환자에서 관해 후 조혈모세포 이식을 시행한 4예를 경험하여 문헌고찰과 함께 보고하는 바이다. Chloroma is an invasive extramedullary tumor composed of immature myeloid cells, which complicates the clinical course in a minority of patients with acute myeloid leukemia (AML). The presence of myeloid sarcoma is known to be a poor prognostic indicator in patients with AML. However, the optimal treatment of AML with concurrent chloroma has not been determined. We report four patients with AML accompanied by concurrent chloroma from the time of initial diagnosis. All of the patients underwent hematopoietic stem cell transplantation after complete remission. We also present a review of the literature. (Korean J Med 75:230-236, 2008)
신은중 ( Eun Jung Shin ),추은호 ( Eun Ho Chu ),고선희 ( Sun Hee Ko ),정승민 ( Seung Min Jeong ),김수현 ( Su Hyun Kim ),윤혜은 ( Hye Eun Yoon ),김용균 ( Yong Kyun Kim ),최영진 ( Yeong Jin Choi ),양철우 ( Chul Woo Yang ),김용수 ( Yo 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
Replacement lipomatosis in grafted kidney is a rare complication, and it consists of abnormal fatty proliferation. We report a patient with replacement kidney lipomatosis in grafted kidney. Abdominal CT was performed for evaluation of vague abdominal pain, and 3.9 cm sized mass was incidentally detected in the grafted kidney. Presumptive diagnosis of mass was lymphoma or other tumorous conditions. Graft was removed surgically, and it was confirmed as lipomatosis. Renal lipomatosis is rare but it should be included as a differential diagnosis of mass in transplanted kidney.
신이식환자에서 요관요관문합술을 이용한 방광요관역류의 성공적 치료
박민경 ( Min Kyoung Park ),추은호 ( Eun Ho Chu ),안서희 ( Soe Hee Ann ),최범순 ( Bum Soon Choi ),양철우 ( Chul Woo Yang ),김용수 ( Yong Soo Kim ),방병기 ( Byung Kee Bang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.5
반복되는 요로감염 또는 급성 신우신염이 동반된 방광요관역류는 장기적으로 이식신 기능에 악영향을 미칠 가능성이 높기 때문에 이에 대한 수술적 교정이 필요하며, 저자들은 기존치료법에 반응하지 않았던 방광요관역류를 요관요관문합술(Ureteroureterostomy)로 성공적으로 치료한 재발성 요로감염 2예를 경험하였기에 이에 문헌고찰과 함께 보고하는 바이다. Recurrent urinary tract infection due to vesicoureteral reflux is one of the important medical complications in renal transplant recipients. Injection of macroplastique is recommended to reduce the vesicoureteral reflux, but it can result in poor responses. Ureteroureterostomy is an invasive method, but it is advisable in patients with higher grades of vesicoureteral reflux that do not respond to medical or macroplastique injection. We here report on two cases of successful treatment of vesicoureteral reflux by ureteroureterostomy. These patients experienced repeated episodes of acute pyelonephritis in spite of long-term antibiotic treatment and repeated macroplastique injection. No more urinary tract infection was observed after ureteroureterostomy. We recommend ureteroureterostomy in renal transplant recipients who suffer with repeated acute pyelonephritis due to vesicoureteral refulx.(Korean J Med 74:556-560, 2008)