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간암 절제술 후 단발 림프절 전이로 재발한 소간세포암종 1예
임주한 ( Joo Han Lim ),이진우 ( Jin Woo Lee ),김은주 ( Eun Joo Kim ),이정일 ( Jung Il Lee ),정석 ( Seok Jeong ),이돈행 ( Don Haeng Lee ),신용운 ( Yong Woon Shin ),김준미 ( Joon Mee Kim ) 대한소화기학회 2006 대한소화기학회지 Vol.50 No.1
Extrahepatic recurrence of hepatocellular carcinoma (HCC) has been considered unsuitable for surgical resection since the disease is considered to be extensive. However, solitary local lymph node recurrence in small HCC is rarely reported with suitable treatment modality being uncertain. We herein, present a case of 60-year-old female patient with small HCC showing late lymph node metastasis after complete resection of primary HCC. A 2 cm-sized hepatic mass was completely resected by segmentectomy (VIII). Eight months later, CT and PET scan revealed a 4.5 cm-sized portocaval lymph node (LN). In addition, whole body PET/CT scan strongly suggested a solitary tumor recurrence. Radical lymphadenectomy was performed. Tumor was confirmed as LN metastasis from HCC by excisional histopathological examination. Adjuvant chemotherapy and radiotherapy were followed. (Korean J Gastroenterol 2007;50:66-69)
지속성 외래 복막 투석 환자에게 발생한 후복막 지방육종
엄욱현 ( Wook Hyun Um ),이승원 ( Seung Won Lee ),박근호 ( Geun Ho Park ),이승우 ( Seoung Woo Lee ),김수한 ( Soo Han Kim ),김은주 ( Eun Joo Kim ),박현주 ( Hyun Joo Park ),송준호 ( Joon Ho Song ),김문재 ( Moon Jae Kim ),김준미 ( Joo 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.1
Liposarcoma accounts for at least 20% of all soft tissue sarcoma in adults and occur anywhere in the body, although about 14% of cases arise from retroperitoneum. Liposarcoma usually presents as a painless, enlarging mass that can slowly grow over many years. We here report a case of retroperitoneal liposarcoma in a 52 years old female patient undergoing continuous ambulatory peritoneal dialysis. Retroperitoneal liposarcoma was incidentally found by computed tomography which was performed due to ventral hernia and confirmed by ultrasonography guided-biopsy. She was treated successfully by wide surgical resection and transferred to hemodialysis.
사례보고 : Alverine citrate에 의해 유발된 급성 간염 1예
한지영 ( Jee Young Han ),이진우 ( Jin Woo Lee ),김준미 ( Joon Mee Kim ),주고운 ( Kowoon Joo ),천웅 ( Ung Chon ),이정일 ( Jung Il Lee ),정석 ( Seok Jeong ),이돈행 ( Don Haeng Lee ),김영수 ( Young Soo Kim ),민경선 ( Kyung Sun Min 대한간학회 2010 Clinical and Molecular Hepatology(대한간학회지) Vol.16 No.1
저자들은 75세 여자 환자에서 국내 처음으로 발생한 alverine citrate에 의한 약인성 간염 1예를 경험하였으며 이를 문헌고찰과 함께 보고하고자 한다. Alverine citrate is one of the most commonly used antispasmodic drugs for patients with irritable bowel syndrome. Alverine-citrate-induced hepatotoxicity is extremely rare, with only a few cases having been reported worldwide. We present a case of a 75-year-old female patient who experienced complicated jaundice and abdominal discomfort after taking alverine citrate. Other causes of hepatitis were ruled out and the results of the liver function test returned to normal after ceasing the drug. This is the first case report in Korea of alverine-citrate-induced hepatotoxicity. (Korean J Hepatol 2010;16:75-78)
황달형 간암 ( Icteric Type Hepatocellular Carcinoma )
이기형(Kee Hyung Lee),문태훈(Tai Hoon Moon),이진우(Jin Woo Lee),이기훈(Ki Hoon Lee),김여주(Yeo Joo Kim),정원재(Won Jai Chung),신용운(Yong Woon shin),김미영(Mi Young Kim),서창해(Chang Hae Suh),김준미(Joon Mee Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
Intra-biliary growth of hepatocellular carcinoma(icteric type or cholestatic type hepatoma) is rare disease. In large series, this type of hepatoma has been reported with the incidence of 1.2 1.5%. Hepatocellular carcinoma can induce obstructive jaundice by intrabile duct tumor growth. This findings in most reported cases and, rarely, is recognized ante mortem. The average survival time of the cases was significantly shorter than that of hepatocellular carci- noma patients without intrabile duct tumor growth. There were rare reports in Korea. We present a case of icteric type of hepatocellular carcinoma with literature review.(Korean J Gastroenterol 1994; 26: 373 377)
이준행 ( Jun Haeng Lee ),김재규 ( Jae G Kim ),정혜경 ( Hye Kyung Jung ),김정훈 ( Jung Hoon Kim ),정우경 ( Woo Kyoung Jeong ),전태주 ( Tae Joo Jeon ),김준미 ( Joon Mee Kim ),김용일 ( Young Il Kim ),류근원 ( Keun Won Ryu ),공성호 ( 대한소화기학회 2014 대한소화기학회지 Vol.63 No.2
Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Department of Medicine, Chung-Ang University College of Medicine, Seoul1, Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul2, Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Seoul3, Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul4, Department of Nuclear Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul5, Department of Pathology, Inha University School of Medicine, Incheon6, Department of Surgery, Ewha Womans University School of Medicine, Seoul7, Center for Gastric Cancer, National Cancer Center, Goyang8, Department of Surgery, Seoul National University Hospital, Seoul9, Department of Surgery, Yonsei University College of Medicine, Seoul10, Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul11, Department of Internal Medicine, Korea University College of Medicine, Seoul12, Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang13, Department of Medical Oncology, Yonsei University College of Medicine, Seoul14, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul15, Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul16, Department of Pathology, Seoul St. Mary`s Hospital, The Catholic University of Korea, Seoul17, Department of Preventive Medicine, Korea University Medical College, Seoul18, Korea Although, gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to that of Western countries. However, there is no Korean multidisciplinary guideline for gastric cancer and thus, a guideline adequate for domestic circumstances is required. Experts from related societies developed 22 recommendation statements for the diagnosis (n=9) and treatment (n=13) based on relevant key questions. Evidence levels based on systematic review of literatures were classified as five levels from A to E, and recommendation grades were classified as either strong or weak. The topics of this guideline cover diagnostic modalities (endoscopy, endoscopic ultrasound, radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, radiotherapy) and pathologic evaluation. External review of the guideline was conducted at the finalization phase. (Korean J Gastroenterol 2014;63:66-81)
전신성 홍반성 낭창 환자에서 발병된 골 Cryptococcosis 1예
채양석,김우주,김준미,신상원,우흥정,강세용,최윤상,임채승,박승철 대한감염학회 1991 감염 Vol.23 No.3
Cryptococcosis is a systemic fungal infection by Crytococcus neoformans. This mycosis most commonly involves central nervous system, but bone involvement may occur as many as 5-10% of the patients. We experienced a case of bone cryptococcosis in a patient with SLE. The patient was a 28-year old woman, who diagnosed as SLE 3 years ago. She had been treated with immune suppressants such as steroid and cyclophosphamide. She noticed painful erythematous swelling on her left forearm and skin of left breast. X-ray findings showed sclerotic changes on her posterior aspect of left proximal ulnar. Pathologic and microbiologic examination revealed characteristic findings compatible with bone cryptococcosis. The patient was treated with bone curettage and systemic amphotericin B. The clincal symptoms and bone lesion were improved significantly without sequellae.
A Case of Papillary Eccrine Adenoma
이성훈,윤성필,김준미,이주형,이성철 대한피부과학회 1997 Annals of Dermatology Vol.9 No.2
Papillary eccrine adenoma is a rare sweat gland tumor with a characteristic histopathological appearance and has a benign clinical course. Five cases were reported in Korea since a report by Song et al. in 1988. We report a case of papillary eccrine adenoma in a 38-year-old male who had a firm, dark brown nodule on the medial surface of the left thigh. Microscopically, the tumor was composed of multiple dilated ducts lined by two or more layers of epithelial cells and the luminal cells showed papillary projections into the lumen in some tubules. Immunoperoxidase staining was positive for CEA, S-100, and EMA. We excised the lesion completely and no evidence of recurrence was observed for 6 months.
이승우,박경우,양해주,김문재,김준미 대한내과학회 1999 대한내과학회지 Vol.56 No.1
Microscopic polyangiitis is a primary systemic vasculitis which involve small arterioles and capillaries. Clinical manifestations show generalized weakness, fever, myalgia, weight loss. oliguria, proteinuria, skin rash, neuromuscular symtoms, and pulmonary, gastrointestinal symtoms. Prednisolone and cyclophosphamide therapy is effectve, more than 80% of patients with microscopic polyangiitis survive for longer than 5years. However, about 50% of patients will have at least one relapse in the 4-5years after initial treatment. There is a very strong correlation between the presence of ANCA(especially p-type) and microscopic polyangiitis. We herein report a case of microscopic polyandiitis with the review of literature. A 65 years-old woman admitted to our hospital due to general weakness, fever, generalized edema, and dyspnea. Laboratory result showed high serum creatinine and CRP, moderate proteinuria, and microscopic hematuria. P-ANCA was 1:1280 positive in indirect immunofluorescence method, and kidney biopsy showed focal segmental necrotizing glomerulonephritis, crescent formation, fibrin clots, PMN and lymphocytes infiltrations in small arterioles and capillries. Immunofluorescence study was negative. Her clinical feature, laboratory findings, and the kidney biopsy result were compatible with microscopic polyangiitis. The patient had been treated with prednisolone and cyclophosphamide. P-ANCA titration was decreased 1:320 at the 19th day of treatment and was negative about 2months later.