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증례 : 내분비-대사 ; 초기 절제술 16년 후 다발성 원격 전이된 악성 부신경절종 1예
문을선 ( Eul Sun Moon ),민혜숙 ( Hye Sook Min ),정창호 ( Chang Ho Jung ),최종현 ( Jong Hyun Choi ),김준석 ( Jun Suk Kim ),류혜진 ( Hye Jin Yoo ),최상룡 ( Sang Yong Choi ) 대한내과학회 2014 대한내과학회지 Vol.87 No.4
Paragangliomas are rare tumors that arise from the extra-adrenal chromaffin cells, and malignancy is defined by the presence of metastases to sites that normally lack chroma.n tissue. The main therapeutic targets are tumor reduction and control of excessive catecholamine secretion. Currently, the adjuvant therapy to surgery is radiotherapy treatment using high-dose MIBG; chemotherapy is currently evolving. We report herein a case of malignant paraganglioma with lung and spine metastasis that occurred 16 years after primary tumor excision and was treated with high dose MIBG radiotherapy and chemotherapy. (Korean J Med 2014;87:484-490)
Pseudomyxoma Peritonei: A Rare Cause of Oliguric Acute Kidney Injury
민혜숙,표정희,문을선,최종현,강영선,이미진,차진주,차대룡 전남대학교 의과학연구소 2013 전남의대학술지 Vol.49 No.2
Pseudomyxoma peritonei is a rare clinical condition that causes the accumulation of mucinous ascites, which gradually results in the compression of intra-abdominal organs. Most published reports of pseudomyxoma peritonei concern the mass effect of the resulting ascites, which presents as abdominal pain or intestinal ileus in severe cases. However, few reports of renal complications of the disease have been published. Here, we present a case of oliguric acute kidney injury caused by external compression by pseudomyxoma peritonei. After decompression with external drainage, the patient’s renal function rapidly improved.
정창호,현종진,구대회,문을선,김재선,이홍식,김창덕 대한소화기내시경학회 2014 Clinical Endoscopy Vol.47 No.3
Acute duodenal ischemia and periampullary intramural hematoma are rare complications after endoscopic retrograde cholangiopancreatography(ERCP). A 77-year-old man with splenomegaly complained of abdominal pain caused by common bile duct (CBD) stone. After successful removal of the CBD stone without immediate complications, the patient developed intramural hematoma around theampulla of Vater along with diffuse duodenal edema. The findings were compatible with acute intestinal ischemia, and further evaluationrevealed that he had underlying primary myelofibrosis. Myeloproliferative diseases are known to be significantly associated with anincreased risk of thrombohemorrhagic complications. Therefore, particular attention should be given to this group of patients when ahigh-risk procedure such as ERCP is performed.
심재겸,최종현,오지연,조재영,문을선,민혜숙,이병현,박민선,허규영,이승용,심재정,강경호,민경훈 대한결핵및호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.76 No.3
Although endobronchial hamartoma is a rare benign tumor, most patients with endobronchial hamartoma have respiratory symptoms such as obstructive pneumonia, hemoptysis, cough, or dyspnea due to bronchial obstruction. It can cause irreversible post-obstructive pulmonary destruction, thus early diagnosis and treatment is very important. Recently, there have been cases of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and electrocautery procedures for bronchoscopic treatment of malignant or benign central airway obstruction with comparable therapeutic efficacy and few complications. Bronchoscopic cryotherapy is a newly developed technique for management of central airway obstruction. Moreover, it provides diagnostic methods with improving diagnostic yield and safety. We report two cases of endobronchial hamartoma, each diagnosed and definitively treated with bronchoscopic techniques. Endobronchial biopsy and removal was successfully performed by cryotherapy via flexible bronchoscopy without notable complications. Follow-up bronchoscopic examinations excluded residual or recurrent disease.