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엽절제술을 시행한 갑상선 유두암 환자에서 완결 갑상선 절제술이 필요한지에 대한 연구
강일구(Il Ku Kang),김광순(Kwangsoon Kim),배자성(Ja Seong Bae),김정수(Jeong Soo Kim) 대한두경부종양학회 2021 대한두경부 종양학회지 Vol.37 No.2
Background/Objectives: Although thyroid lobectomy recently is considered as sufficient for low-risk papillary thyroid carcinoma (PTC), completion thyroidectomy is required due to the insufficiency of the preoperative evaluation. The aim of this study was to investigate recurrence rate and disease free survival depending on the gross extrathyroidal extension (gETE) or the number of metastatic lymph node identified in patients with PTC. Materials & Methods: We assessed 3373 patients with PTC who underwent lobectomy at Seoul St. Mary’s Hospital (Seoul, Korea) between January 2009 and December 2014. Clinicopathological characteristics and long-term surgical outcomes were retrospectively analyzed through complete chart reviews. The mean follow-up duration was 97.1 ± 21.4 months. Results: The rate of recurrence was higher in gETE group (1.8% vs. 6.0%, p=0.004), leading to decreased disease free survival in Kaplan-Meier analysis (log-rank p<0.001). N1 group (n=1389) was analyzed into two groups whether the number of positive nodes is more than 5 or less. For the group of the more metastatic nodes, the recurrence rate higher compared to the other group (3.0% vs. 9.3%, p<0.001). DFS was longer in the group that had lesser metastatic nodes (log-rank p<0.001). However, in terms of N1 group over 1cm (n=492), No statistical difference was observed according to the number of positive lymph nodes (4.5% vs. 9.1%, p=0.092) Conclusion: When it comes to node positive PTC, Despite the number of positive lymph nodes was over 5, follow-up with no further surgery can be an option.
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강일구 국제기독교언어문화연구원 1997 기독교언어문화논집 Vol.1 No.-
Il Ku Kang. 1997. The Origin of Christian Language and Its Historical Meaning. Collected Papers on Chrisitain Language Culture. The purpose of this paper is to analyze the historical process of the origin of Christian theological terms, such as "hypostasis(??)," "perichoresis(??)," and "prosopon(??)." These terms played an important role in the Trinitarian and Christological con-troversies of the fourth and fifth centuries. There was a great deal of fluctuation in the use of these terms among Eastern theologians up until at least the fourth century. This lack of precision quite obviously was one of the difficulties surrounding the discussion of the Trinity and Christology. The purpose of this paper is to clarify this vague expressions as they occur in the Scriptures and discussions of the early Christian Community. (Ho Seo University)
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