http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Invasive Ductal Carcinoma Arising from Ectopic Breast Tissue in Axilla: A Case Report
허동식,오세정 한국유방암학회 2014 Journal of Breast Disease Vol.2 No.1
Primary carcinoma of ectopic breast tissue is rare. We present a 57-year-old female patient with a large erythematous bulging mass in the right axilla. Imaging studies did not reveal any other lesions except for the one detected in the right axilla. Wide excision with axillary lymph node dissection was performed. The pathology report revealed a poorly differentiated carcinoma with no surrounding lymphoid tissue or lymphovascular infiltration or noncancerous breast tissue. We think that in our case the tumor was probably derived from a primary carcinoma of ectopic breast tissue rather than from a metastatic tumor or occult breast cancer. One year later, the patient presented with a local recurrence at the ipsilateral breast. Mastectomy with chemotherapy was performed. After three cycles of chemotherapy, imaging studies revealed distant metastases. This case report and literature review describe the characteristics of ectopic breast cancer in the axilla and reflects on which initial management strategy is appropriate.
허동식,배자성,성기영,김정수,박우찬 대한갑상선-내분비외과학회 2010 The Koreran journal of Endocrine Surgery Vol.10 No.2
Purpose: The diagnosis of Graves' disease can be clinically made by the findings of hyperthyroidism combined with eye signs or a diffusely enlarged goiter. The pathological findings of Graves' disease are hypertrophy and hyperplasia of the thyroid follicles. Surgical treatment for Graves' disease is indicated for patients with a suspicion of cancer, a large goiter, medical failure, patient preference or severe ophthalmopathy. The aim of this study is to determine the diagnostic accuracy of clinically diagnosed Graves' disease on the basis of the postoperative pathologic findings. Methods: We performed a retrospective analysis of the medical records of the patients who were diagnosed as having Graves' disease since Jan 2000 at St. Mary's Hospital, The Catholic University of Korea. To confirm the pathological findings in this study, the patients who underwent surgical treatment were enrolled, and their preoperative diagnostic tests were also reviewed. Results: A total of 57 patients with Graves' disease underwent surgery due to medical failure in 45 (78.9%), ophthalmopathy in 25 (43.8%), huge goiter in 4 (7%), suspicion of cancer in 4 (7%), and others in 4 (7%). Thirty nine (68.4%) patients were female and total thyroidectomies were performed in 52 (91.2%) patients. The pathological reports of the thyroid specimens showed diffuse hyperplasia in 53 (92.9%), nodular hyperplasia in 2 (3.5%), Lymphocytic thyroiditis in 1 (1.8%) and Hashimoto's thyroiditis in 1 (1.8%). The diagnostic accuracy of preoperative antimicrosomal Ab, anti-TSHR Ab and a technetium 99m thyroid scan was 73.8%, 86.0% and 69.7%, respectively. Papillary carcinoma was identified in 6 patients (10.5%). Conclusion: The microscopic findings of 5 patients (7.0%) who were diagnosed clinically as having Graves' disease were not compatible with the criteria for a pathological diagnosis. Surgical treatment and confirmation of the exact pathology should be performed for the appropriate treatment. (Korean J Endocrine Surg 2010;10:88-92)
노인환자에서 경막외마취후 체온및 심혈관계에 미치는 영향
최세진,권성범,허동식,이상묵 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2
We selected at random 29 patients who had recieved operation under the epidural anesthesia. The patients were divided into two groups. Group I (control) were 12 cases below 59 years old. Group II were 17 cases above 60 years old. The changes of heart rates, systolic and diastolic pressure, and body temperature were compared in two groups The results were as follows; 1. The changes in heart rate after epidural anesthesia were not significant between two groups. 2. The changes in systolic and diastolic pressure were significantly decreased in both groups and were not significant difference between two groups. 3. Body temperature was significantly decreased in both groups and showed significant difference between two groups in an hour after epidural anesthesia. 4. Hypotension(systolic pressure < 85 torr) occured in 1 patient in group I and 4 patients in group II.
Mivacurium 투여후 혈청 K^+치의 변동 및 근육통에 관한 연구
최세진,손수창,허동식 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2
Hyperkalemia and muscle pain after succinylcholine induction of general anesthesia are disturbing and rarely fetal complications. Nondepolarising muscle relaxant mivacurium similar to depolarizing muscle relaxant succinylcholine with respect to rapid onset, short action time, and metabolized by plasma cholinesterase. Thus we think what happen after mivacurium induction, potassium, sodium and muscle pain, respectively. 18 patients are randomly choose and sampling before and 5, 10, 15 minutes after mivacurium induction and intubation of general anesthesia and analyzed. And we evaluated muscle pains after mivacurium induction of general anesthesia postoperatively.