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성문에서 발생한 재발성 흉선상 방추상 상피세포 종양(Spindle Epithelial Tumor with Thymus-Like Differentiation, SETTLE) 1예
박우리,최나연,정만기,Park, Woori,Choi, Nayeon,Chung, Man Ki 대한후두음성언어의학회 2015 대한후두음성언어의학회지 Vol.26 No.2
Spindle epithelial tumor with thymus-like differentiation (SETTLE) is an extremely rare type of thyroid tumor, with spares reports on its clinical course. SETTLE is derived from branchial pouch or thymic remnants, and classified as a low grade, malignant neoplasm due to its indolent growth and tendency to develop delayed metastasis. Therefore, stringent initial workups and long-term follow-up are required to prevent misdiagnosis. We present a case of recurrent spindle epithelial tumor with thymus-like differentiation (SETTLE) in the glottis of 57 year-old male patient, who had a history of surgical excision for the SETTLE from the thyroid gland 5 years ago. Transoral CO2 laser surgery was performed to remove the glottic tumor and there was no evidence of local recurrence at 11 months postoperatively.
지역사회 중독관리서비스 현황 : 중독관리통합지원센터를 중심으로
전교연(KyoYeon Jun),이루리(Luri Lee),박우리(Woori Park),황우석(Wooseok Hwang),이용주(YongJoo Rhee),오홍석(Hong Seok Oh),김용진(Yong Jin Kim),이해국(Hae Kook Lee),노성원(Sungwon Roh) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.2
Objectives : The number of patients withsubstanceuse disorders, gambling disorder, and Internet gaming disorder is estimated atabout 5 million. However, only 1-8 percent of them receive treatment. This study identified the current situation of the Community Addiction Management Centers (CAMC) in Korea, and suggested a way to improve addiction management. Methods : The research investigated the current status of CAMC and individual tasks. It reviewed the addiction management system of the Substance Abuse and Mental Health Administration (SAMHSA) in the United States. Results : The subjects consisted of 255 employees. In most centers, more than 95 % of registered subjects were patients with alcohol use disorder, whereas patients with drug use disorders were 16.9% in Gwangju/Jeonnam. Patientswith gambling disorder were 10.9% in Jeonbuk, and 12.7% in Jeju. Large-scale centers with 8 or higher full time equivalent deal with addictions other than alcohol and have higher work efficiency. Conclusion : In order to improve the standard of addictionmanagement, a large-scale center is advantageous, and each center should set its task goal considering the size and regional characteristics of the center. It is necessary to establish a systematic liaison with local agencies and secure funds for preventing the breakaway of experienced workforce.