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식도에 동시 발생한 편평상피암과 평활근종 -수술 치험 1례 보고-
손호성,이성호,김광택,Son, Ho-Seong,Lee, Seong-Ho,Kim, Gwang-Taek 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.10
The coincidental occurrence of squamous cell carcinoma and leiomyoma in the esophagus is rare. A 56 year-old male referred to chest surgery department to evaluate the mediastinal mass which had found on a health examination. The diagnosis was confirmed esophagoscopy and surgery. We report a case of synchronous squamous cell carcinoma and leiomyoma in esophagus and reviewed references to the literature.
기관절개 후 발생한 성문하 협착이 동반된 기관식도루 -수술 치험 1례-
손호성,김연수,Son, Ho-Seong,Kim, Yeon-Su 대한흉부심장혈관외과학회 1997 Journal of Chest Surgery (J Chest Surg) Vol.30 No.4
기관삽관 및 인공호흡으로 발생하는 후천성 기관식도루는 드물고, 치료하기 힘든 질환이다. 57세 여자 환자로 교통사고후 장기간의 기관상관 및 기관절개 관 상관을 하고있던 환자로, 지속적인 흉인 있어 시행한 식도조영술과 기관지 내시경 검사에서 성문하 협착이 동반된 기관식도루로 진단되 었 다. 수술은 기관식도루 절제 후 4-0 vicryl로 두층으로 식도를 봉합하였으며, 4-0 PDS로 기관을 봉합였 고, 기관과 식도사이 에 흉골설골근(sternohyoid muscle)을 거치 시켜 재발을 방지하였다. T-자관을 기존 의 기 관절개술 부위 에 거치 하여 좁아진 부위가 내경을 유지할 수 있도록 할 뿐아니라 기 관내 분비물 흡 인제거를 용이하게 하였다. 환자는 술후 14일째 T-자관 제거하였으며 이후 좋은 경과를 보이고 있다. Acquired tracheoesophageal fistula is a rare but serious condition which is usually a result of prolonged intubation or tracheostomy statc, and is difficult to treat. A fifty-seven year old woman who was in a state of prolonged intubation and tracheostomy following a traf%c accident, presented with recurrent aspirati n. A tracheoesophageal fistula was demonstrated ) cm above the carina by csophagogram. We confirmed a subglottic web and tracheoesophageal fistula by bronchoscopic examination. Fistulectomy was performed with collor incision and partial sternotomy. The esophagus was repaired by two-layer interrupted suture using 4-0 Vicr)1, and the trachea was repaired by single layer suture using a 4-0 PDS. The sternohyoid muscle was interposed between the trachea and the esophagus. A T-tube was inserted through the previous tracheostomy site for easy tracheal suction and maintenance of the tun:on. The T-tube was removed on the 14th postoperative day, and the patient recovered well without any complications.
손호성 ( Ho-seong Son ),유헌창 ( Heonchang Yu ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.2
IT 콘텐츠 소비 주체 유입 규모는 지속적으로 증가할 뿐만 아니라, 다루는 데이터의 크기가 커지고, 트래픽 또한 기하급수적으로 늘어난다. 비즈니스 분류도 세분화되고 콘텐츠가 소비되는 속도 도 점점 가속화되고 있다. 현대의 애플리케이션은 레거시나 신규를 가릴 것 없이 지속적으로 사용자의 기호에 맞는 새로운 서비스를 제공하기 위해서 매우 기민한 개발 프로세스를 가질 필요가 있다. 따라서 이 같은 문제를 해결하기 위해 본 논문에서는 개발자들이 자주 쓰는 필수적이고 반복적인 기능과 개념들을 한데 모아 구축한 인프라 스트럭처와 이를 기반으로 서비스 규모를 최소화하고 관계를 통해 확장하는 아키텍처를 제안하였다. 제안하는 아키텍처는 비즈니스를 쉽고 빠르게 최소 단위 애플리케이션으로 구현하도록 지원함으로 인해, 개발에 소요되는 비용을 줄일 수 있다.
손호성,장성훈,정연순,정한호,송수근,박무인,박선자,구자영 고신대학교 의학부 1999 高神大學校 醫學部 論文集 Vol.14 No.1-2
Background Ulcerative colitis is a chronic inflammatory disease of colon, which is common in western countries but relatively rare in Korea. As the colonoscopic examination becomes popular, early detection rate is increasing in oriental countries, but its precise clinical aspects are still obscure in Korea due to its rarity. The purpose of this study is to review the clinical features and trends of newly diagnosed cases in Korea. Methods We studied 54 patients of ulcerative colitis, who were diagnosed by clinical findings, laboratory examinations, barium enema, sigmoidoscopic and colonoscopic examinations at Kosin Medical Center from January 1987 to December 1997. Results The most prevalent age was 4th decade, male to female ratio was 1 : 1.57 and the duration of symptoms was less than 1 year in 63% of the cases, and the recent increase in the incidence of total cases and cases of proctitis was evident. The most common clinical manifestation was bloody diarrhea, while anemia (37.3%) was the most common labo atory abnormality, and the most common complication was abnormal liver function (11.1%). Among the diseases misdiagnosed as ulcerative colitis, imtable bowel syndrome and internal hemorrhoid were common. The most common sigmoidoscopic finding was mucosal friability and the most common histopathologic change was non-specific inflammation (92.3%), while crypt abscess was present in 27.8% of cases. In 29 cases (53.7%), disease severity was of mild degree, while severe course was observed in 2 cases. We found positive correlation between the severity of disease and the extent of colitis (p<0.05), and marginal relationship between the seventy of disease and endoscopic grading (p=0.062), but there was no correlation between the severity of disease and the duration of disease(p=0.146). Of all cases, 35 cases (70%) showed longterm improvement to medical therapy, but 11 (22%) had recurrence. Operations were performed in 9 cases and its indications were confirming diagnosis in 3 cases, intractibility in 4 cases, severe dysplasia by histology in 1 case and accompanying adenomatous polyposis in 1 case. Conclusions For the accurate and early diagnosis of ulcerative colitis, routine use of sigmoidoscopy in suspected cases is mandatory, especially to exclude hemorrhoid, cancer or irritable bowel syndrome. As the incidence of ulcerative colitis is apparently increasing in this study, more extensive, systematic, nationwide study for ulcerative colitis may be needed for the better description and management of this disease in korea.
Von Recklinghausen's Disease환자에서 소장에 발생한 GIST 1예
김성만,장성훈,정연순,손호성,정한호,박무인,박선자,구자영,백승언 고신대학교 의학부 2000 高神大學校 醫學部 論文集 Vol.15 No.1
Neurofibromatosis (von Recklinghausen's disease) is a neuroectodermal disorder characterized by autosomal dominant inheritance, cafe-au-lait spots, neurogenic tumors of the skin and internal organs and systemic abnormalities. Despite typical cutaneous findings, the involvement of gastrointestinal tract is not common. We experienced a case of GIST in Von Recklinghausen's disease. The patient was a 40 years old female who had suffered from chronic iron deficiency anemia and intermittent melena due to GIST of ileum, which was diagnosed by enteroclysis, and treated by segmental resection of ileum with end to anastomosis.
다발성 폐경색, 상대정맥 증후군 및 종격동 임파선 종대를 동반한 베체트 증후군 1예
장성훈,손호성,정연순,김진구,오세진,박무인,박선자,구자영 고신대학교 의학부 1999 高神大學校 醫學部 論文集 Vol.14 No.1-2
Behcet's syndrome is a multisystemic disease involving mucocutaneous, cardiovascular, central nervous system, renal, articular, gastrointestinal, skin, pulmonary and lymphatic system. Intrathoracic manifestations of Behcet' s syndrome are thromboembolism of vena cava, arterial aneurysm, vasculitis, pulmonary infarct, pulmonary hemorrhage, pleural effusion, and rarely mediastinal or hilar lymphadenopathy. We report a case of Behcet's syndrome manifested as pulmonary infarct, superior vena cava syndrome, and mediastinal lymphadenopathy.
위암환자의 진단 및 병기 결정에 있어서 혈청 CA72-4의 유용성
송수근,김현주,손호성,정연순,장성훈,정한호,권기범,박무인,박선자,구자영 고신대학교 의학부 2000 高神大學校 醫學部 論文集 Vol.15 No.1
Background/Objective Various methods including upper GI series, endoscopy, ultrasound, CAT scan are used with serum tumor markers, especially CEA and CA19-9, for the diagnosis and evaluation of gastric carcinoma. In this study the clinical utility of serum CA72-4 of 300 gastric carcinoma patients for the diagnosis and management of gastric carcinoma was evaluated. Methods Serum level of CA72-4 was measured using <Centa> Core CA72-4 RIA Kit(Packerd, USA). The cutoff level of serum CA72-4 was 4U/㎖. The serum levels were correlated with the stage, the location of lesions, the gross type, the depth of invasion, the nodal and distant metastasis. Results 1) Overall positivity of CA72-4 was 32.0%(96 cases). 2) There was no difference in the positivity of serum CA72-4 according to locations and gross types of carcinoma, but significant(p<0.05) difference in the positivity of serum CA72-4 was noted between cases of early gastric carcinoma(12.3%) and advanced gastric carcinoma (37.4%). 3) The positivity of serum CA72-4 of stage Ⅲ and Ⅳ(49.5%) was significantly(p<0.05) higher than those of stage Ⅰa(12.1%) and Ⅱ(16.0%). Furthermore, 87.5% of the cases of positive serum CA72-4 belonged to stage Ⅲ or Ⅳ. 4) The positivity of serum CA72-4 were 12.3%, 14.3%, 34.7% and 52.6% for T1, T2, T3 and T4, respectively, showing relatively good correlation between CA72-4 positivity and depth of invasion. And 86.5% of the cases of positive serum CA72-4 belonged to T3 or T4 group. 5) The positivity of serum CA72-4 of N1 and N2 groups(35.1% and 41.7%, respectively) was significantly(p<0.05) higher than those of N0 group(12.2%) and 89.6% of the cases of positive serum CA72-4 belonged to node positive cases. 6) In the cases of metastasis present, CA72-4 positivity was 47.4%, which was significantly(p<0.05) higher than that of metastasis-negative cases(28.4%). Among sites of metastasis, there was no difference in the positivity of CA72-4. Conclusions Serum CA72-4 was not useful as a screening test in the diagnosis of gastric carcinoma, but may be useful in differentiating between early and advanced cases, in determining stage of the disease, depth of invasion, serosal invasion, and especially in detecting nodal metastasis, and also useful when used with imaging modalities of diagnosis.