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Treating Gynecomastia with Ultrasound-guided Vacuum-assisted Biopsy Device as a Cosmetic Method
류진우 한국유방암학회 2010 Journal of breast cancer Vol.13 No.1
Purpose: Gynecomastia can cause severe emotional phobia for breast cancer in elderly male and physical distress in young men. To select the appropriate cosmetic surgical approach for gynecomastia, I evaluated the usefulness of performing ultrasound-guided vacuum-assisted device excision of it. Methods: Twenty-two cases of gynecomastia in 18 male were treated by vacuum-assisted biopsy device excision from November 2005 to June 2007. Their age range was 14-72 years old (mean, 34). The vacuum-assisted biopsy device excision was performed by 11G needle in 7 cases and 8G needle in 15 cases. I checked the number of extracted tissue pieces, the duration time of the procedure, immediate complications, and breast ultrasound after 3 months. Results: The mean number of extracted tissue pieces was 69, and the average procedure duration was 25 minutes. There were no significant immediate complications such as bleedings and skin necrosis, and there were no clinically serious complications on 3 months follow-up examinations. During operation under local anesthesia, all patients tolerated the procedure. After vacuum-assisted biopsy device procedure, the cosmetic results were good to excellent for all the patients. Conclusion: Vacuum-assisted biopsy device excision was an effective surgical option, especially for small and glandular gynecomastia. I suggest this is a useful alternative procedure to surgery and liposuction, or it could be used effectively as a co-operative procedure with liposuction.
전기비저항과 유도분극을 활용한 TBM 터널 굴착면 전방 복합지반 예측 기법
류진우,박진호,이성원,이인모,김병규,Ryu, Jinwoo,Park, Jinho,Lee, Seong-Won,Lee, In-Mo,Kim, Byung-Kyu 한국터널지하공간학회 2018 한국터널지하공간학회논문집 Vol.20 No.1
본 연구에서는 시공 중 TBM 터널에서 전기비저항과 유도분극(induced polarization, IP) 탐사를 활용하여 굴착면 전방의 복합지반(mixed-ground)을 예측하기 위한 방안을 제시하였다. TBM이 토사를 굴진하며, 굴착면 전방에서 상부 토사지반과 하부 암반으로 이루어진 복합지반을 조우하는 과정과 동시에 전기비저항과 유도분극에 의한 충전성(chargeability)을 측정하며 굴진하는 과정을 실내실험으로 모사하였다. 전기비저항과 충전성의 측정은 4전극을 이용하였으며, 복합지반을 효과적으로 예측하기 위하여 2개의 전극은 굴착면에, 나머지 2개의 전극은 조립된 세그먼트에 설치됨을 가정하였다. 실험 결과, TBM이 토사 굴진 중 토사-암반의 복합지반으로 진입할 경우 전기비저항과 충전성이 모두 증가하였다. 또한, TBM이 굴착면 전방에서 복합지반을 조우할 것임을 예측하기 위하여 굴착면의 전극 2개, 세그먼트의 전극 2개를 활용한 탐사와 동시에 굴착면 4전극 탐사를 수행하면 더욱 효과적인 예측이 가능함을 확인하였다. A method that can predict the mixed-ground condition ahead of a TBM tunnel face during tunnel construction utilizing electrical resistivity and induced polarization (IP) was proposed in this study. Effect of TBM advancement approaching the mixed-ground condition (composed of soil layer overlying rock layer) when currently running through soil zone on the electrical resistivity and IP measuring was assessed with laboratory-scale experiments. The resistivity and IP values were measured using four electrodes, by installing two electrodes on the tunnel face (at the cutterhead), and the other two electrodes on the segment lining. The test results showed that both of the measured resistivity and IP values were kept increasing as the TBM is approaching the soil-rock mixed-ground. Also, to get the more reliable results for predicting the mixed-ground condition, it was recommended that the measurement is made at the tunnel face utilizing 4-electrodes installed at the cutterhead as well as it is made utilizing the 2-electrodes installed at the segment lining along with the 2-electrodes installed on the tunnel face (at the cutterhead) so that two measured results are compared each other.
유방암 환자에서 bcl-2 단백 발현의 예후 인자로서의 의의
류진우,박종권,정민,박동국,김정택,이두선,이찬영,전호진 단국대학교 1998 論文集 Vol.32 No.-
Breast cancer in women pose a problem, and it can be difficult at times to evaluate the possibility of the cancer recurrence in node negative early cancer. The reliable prognostic markers are needed in breast cancer management to help clinicians identify the patient with the high risk of recurrence and arrive at more rational decisions for proper treatment. In order to investigate the prognostic significance of bcl-2, an immunohis-tochemical staining was performed in 35 tissue sections from paraffin blocks of primary breast cancer. Bcl-2 positivity was 43%. No relation could be observed between bcl-2 expression and known prognostic factors(tumor size, lymph node metastasis state, histologic grade, and nuclear grade), There was strong relation between bcl-2 expression and estrogen receptor positivity (ER) (P〈0.05). No relation is found between bcl-2 expression and c - erbB - 2 expression. These results suggest that bcl-2 expression is associated with a favorable prognostic factor(ER) but it is of no value as independent prognostic factor to the clinician in identifying the patients with high risk of recurrence.