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박인서(In Suh Park),이상인(Sang In Lee),이관식(Kwan Sik Lee),박효진(Hyo Jin Park),신준한(Joon Han Shin),최홍재(Heung Jai Choi),권선옥(Seon Og Kweon),정준표(Jun Pyo jeong) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
Percutaneous endoscopic gastromy (PEG) and percutaneous endoscopic jejunostomy (PEJ) are used commonly for enteral feeding. Rut there were some reports of using PEG as an alternative to naso-gastrointestinal tube for decompression in parients with mechanical obstruction, particularly obstraction with malignancies involving the upper gastrointesrinal tract. Palliation is usually achieved by the placement of a nasogastric or nasointestinal tube. Hower these tubes tend to have some disadvantages which can be overcome with drainage PEG. In our experience, a 65 years old male patiert with pyloric obstruction due to advanced gastric cancer was successfly decompressed by drainage PEG. Thus, we present this case with supporting literatures.
김성규,김상진,이경미,안철민,이기범,김형중,이원영,오제열,황의석,권선옥 대한내과학회 1993 대한내과학회지 Vol.45 No.2
Pulmonary carcinosarcoma is an exceedingly uncommon malignant tumor with less than 100 cases reported to date. Carcinosarcoma of the lung, histologically, consists of intermingling elements of carcinoma (usually squamous cell type) and sarcoma (usually spildle cell type). We experienced a pulmonary carcinosarcoma case of 76-year-old man smoker with hypertrophic osteoarthropathy. The tumor, 12 × 8 × 8 cm sized, was located in the lower lobe of the left lung without endobronchial invasion, Lightmicroscopically, the tumor is composed of an area of tubular structure of adenocarcinoma and spindle cells of sarcoma. In immunohistochemical stain, the tumor consists of tubular structure that reveal positive for cytokeratin and the spindle cells for vimentin. So we report this case of carcinosarcoma of the lung with a literature review.