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정옥자,김영균,함세창,오세욱,박용원,이홍섭 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Objectives: The aims of this study were to establish the natural courses and the pre- and post-operative complications of ventricular septal defect(VSD) in adult life. Materials & Methods: This study showed clinical results of 26 patients aged 20 years or older undergoing surgical repair of isolated VSD at Seoul Paik hospital during the period from Feb. 1989 to Dec. 2000. The data were analyzed retrospectively as to clinical profiles, data of cardiac catheterization, associated cardiac findings, operative methods, postoperative complications and mortalities. Results: The incidences of perimembranous(PM) VSD and subarterial(SA) VSD were 15 cases and 11 cases respectively. Data of preoperative cardiac catheterization showed mean values of Qp/Qs 2.34±1.12 in PM VSD and 1.26±0.09 in SA VSD. Mean pulmonary arterial pressure of PM VSD(49.9±25.5mmHg) was also higher than that of SA VSD(24.0±3.3). Aortic valve prolapses(AVP) and aortic insufficiencies (AI) were observed in 90.9% and 45.5% among SA VSD patients. As operative methods, patch closures were done mainly. We had good operative results without mortalities. Conclusions: The incidence of SA VSD in adult was relatively high compared to that in childhood. Corrective surgery in adult VSDs showed good operative results, so should be done immediately to prevent further damages to heart.
이소영,김영철,홍창균,김정아,김성환,유진영,노혜일,김훈교,Lee So-Young,Kim Young-Chul,Hong Chang-Kyoun,Kim Jung-A,Kim Sung-Whan,You Jin-Young,Noh He-Il,Kim Hoon-Kyo 대한두경부종양학회 2000 대한두경부 종양학회지 Vol.16 No.2
Small cell carcinoma usually occurs in lung, but extrapulmonary small cell carcinomas can occur in any sites of body. Most sites of extrapulmonary small cell carcinoma reported were esophagus. And small cell carcinomas occurred in head and neck area were reported rarely. Extrapulmonary small cell carcinoma could be diagnosed when there is no evidence of primary lung lesion on chest X-ray, CT scan of chest and bronchoscopy. The authors experienced a case of small cell carcinoma of left submandibular lymph node in 64-year-old male patient. Biopsy specimen showed poorly differentiated carcinoma but immunohistochemical study showed small cell carcinoma. The chest X-ray and CT scan of chest showed no evidence of primary lung lesion. The patient received chemotherapy(etoposide plus cisplatin) and concurrent chemoradiotherapy using weekly taxol which resulted in good clinical remission. He is still alive 8 months after diagnosis without evidence of lung disease. We report our case with a brief review of literatures.