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임규성(Kyu Sung Rim),김우중(Woo Joong Kim),이서우(Su Woo Lee),전성국(sung Guk Jun),유성태(Sung Tae Yoo),이재현(Jae Hyeon Lee),이명석(Myung Seok Lee),안혜경(Hae Kyung Ahn) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Squmous cell carcinoma of gall bladder is a rare disease which is characterized by a well-localized growth and a rarity or lack of metastasis. We recently experienced a case of squamous cell carcinoma of liver and duodenum which is thought to be originated from gall bladder. Gastroscopy, abdommal sonography, abdominal computed tomography and peritoneoscopic, liver biopsy finding were ronsistent with a metastatic squmous cell carcinoma of gall blader.
이원진(Won Jin Lee),신호승(Ho Seung Shin),김병주(Byung Joo Kim),박희철(Hee Chul Park),홍기우(Ki Woo Hong),양인석(In Seok Yang),이혜란(Hae Ran Lee),안혜경(Hye Kyung Ahn) 대한소아알레르기호흡기학회 1994 소아알레르기 및 호흡기학회지 Vol.4 No.1
We experienced one case of mucoepidermoid carcinoma on right lower lobar bronchus in a 13 year-old male patient and he was treated by RLL lobectomy. Mucoepidermoid carcinoma is an uncommon tracheobronchial neoplasm, and the incidence is estimated about 2 to 5 per 1,000 primary bronchial neoplasms. In the AFIP(Armed Forces Institute of Pathology) series, the average age of individuals with low-grade tumors was 35 years, and that of persons with high-grade forms was 45 years. Symptoms are related to intraluminal growth including cough, hemoptysis, wheeze, and recurrent pneumonia. When these recurrent symptoms suggest endobronchial obstruction, diagnostic bronchoscopy should be performed. The majority of tumors present as polypoid mass in the lumen of a main or lobar bronchus, The overall 5-year survival is 45%. Bronchoscopic follow-up is recommended and computed tomography of the chest every 1 to 2 years may be of additional diagnostic value. We report this case with the brief review of literatures.
김건,김동순,안혜경,고일향,함의근 대한내과학회 1990 대한내과학회지 Vol.38 No.1
저자들은 원발성 종양의 증상은 전혀 없이 개흉폐 생검으로 미만성 폐혈관 색전증이 확인된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 호흡곤란 및 기침을 주소로 입원한 55세 남자로 흉부 X-선상 양폐에 미만성 간질성 음영의 증가가 관찰되었고 운동후 더 심해지는 저산소혈증 및 폐기능 검사상 경도의 제한성 변화가 나타나, 개흉폐 생검검사를 실시한 결과, 거의 대부분의 폐동맥들이, 내막의 증식 및 혈전에 의해 폐쇄되었고, 혈전내에 선암으로 생각되는 비정형 세포들의 응집이 관찰되었다. It is not uncommon to find tumor emboli in the pulmonary vessels at the autopsy of terminal cancer patients. But very rarely, these patients manifest a clinically significant pulmonary hypertension, and there are only a couple of case reports of pulmonary intravascular carcinomatosis which was diagnosed by biopsy. Recently we experienced a case of diffuse pulmonary intravascular carcinomatosis which was diagnosed by open lung biopsy. The patient was a 55-year-old man who presented with a 3 months history of cough and dyspnea. The findings of chest X-ray and pulmonary function test were compatible with a diffuse interstitial lung disease. There was no evidence of pulmonary hypertension on routine physical examination and ECG. Open lung biopsy revealed diffuse occlusion of vessels by intimal fibrosis with marked endothelial proliferation and malignant cells.