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박성오(Sung Oh Park),고혁(Hyuk Ko),김수희(Su Hee Kim),박배근(Bae Keun Park),김승용(Seung Yong Kim),유철희(Chul Hee You),김연석(Youn Suk Kim) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Hepatic epithelioid hemangioendothelioma (HEH) is a rare vascular tumor of the liver. HEH is endothelial origin, and has a intermediate clinical course between benign hemangioma and an angiosarcoma of the liver. It usually appears as multiple hypoechoic nodules on US scan and hypodense on CT scan. Definite diagnosis is made by histopathology of specimens obtained from the tissue biopsy. We present a case of HEH which presented with multiple nodules within the liver on CT scan. The diagnosis was made by laparoscopic liver biopsy. (Korean J Gastroenterol 2001;38:433-435)
김해경,김명환,서동완,윤광희,유병무,민영일,공경엽,이재균,최재원,김연석,명승재,송병철,신은석 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.1
Biliary Papillomatosis is an extremely rare pathologic entity. Only about 40 cases of intrahepatic or diffuse intra- and extrahepatic papillomatosis have been described since the first report in 1959 by Caroli. Although this is a histologically benign lesion, its course is unfavaurable because of its tendency to extend to the entire biliary tract, high recurrence rate following local excision and the probability of progression to malignancy. We described herein a case of biliary papillomatosis associated with diffuse bile duct dilatation. The patient, a 59-year-old male, was admitted to our hospital because of right upper abdominal pain and weight loss. Cholangiogram revealed multiple round filling defects in common hepatic duct with intrahepatic bile duct dilatation. The patient underwent Whipple's operation with right lobectomy. Grossly, multiple small pin-head sized polypoid masses were seen in common bile duct, common hepatic duct and right intrahepatic duct. Microscapically, papillary epithelial hyperplasia with moderate cellular atypia was seen and there was no evidence of stromal invasion. He is healthy with a follow-up for 7 months.
광범위한 심부 혈전증 및 Budd-Chiari 증후군을 동반하여 급성 간 부전으로 사망한 Behcet 씨병 1 예
이수진,정숙향,김연석,최동구,손민수 대한내과학회 1995 대한내과학회지 Vol.49 No.5
Behcet's disease is a systemic disease, which can invlove any part of the body mainly affecting young adult. The pathogenesis of Behcet's disease is not well known. Cardiovascular involvement is rare but may be fatal complications of Behcet's disease. It is manifested by SVC or IVC thrombosis, extensive peripheral venous thrombosis or arterial aneurysm etc. We experienced a fatal case of Behcet's disease with progressive, extensive venous thrombosis which resulted in Budd-Chiari syndrome and acute liver failure. In this case, we didn't find any other usual clinical manifestation of Behcet's disease such as aphthous oral ulcer, skin lesion, or other activity indices, during period of rapidly progressive deep vein thrombosis and development of Budd-Chiari syndrome. Deep vein thrombosis can be a fatal complication of Behcet's disease so that early detection and proper treatment to prevent progressive thrombosis should be emphasized for longterm care of Behqet's disease.