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윤경현 ( Kyung Hyun Yun ),송성헌 ( Sung Heon Song ),김충현 ( Chung Hyoun Kim ),황찬희 ( Chan Hee Hwang ),이준호 ( Jun Ho Lee ),최재형 ( Je Hyoung Choi ),김선영 ( Sun Young Kim ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.2
Small cell lung carcinoma (SCLC) is a cancer that shows aggressive behavior, early spread to distant sites, and frequent association with distinct paraneoplastic syndromes. Spontaneous remission of cancer, particularly of SCLC, is a rare biological event. Cases involving spontaneous regression of SCLC were reported, and were associated with paraneoplastic syndromes of the nervous system. This article reports on a 78-yearold man with SCLC in remission, with neurological symptoms. The patient visited the hospital because of generalized weakness, and imaging studies revealed a mass in the lower lobe of the left lung, pathological evaluation showed SCLC. The patient refused oncologic treatment and was treated only with conservative care. In follow-up study the diameter of the mass had decreased from initial 32 mm, 9 months after admission to 20 mm, 17 months after admission to 13 mm. The patient kept complaining of generalized weakness, dizziness, and paresthesia of limbs. We assumed that, in this case, the spontaneous remission of lung cancer was related to the immunologic response directed against the tumor, which is believed to be an important factor in the pathogenesis of paraneoplastic neurologic syndromes.
증례 : 신장 ; 감염성 장염에 합병된 신정맥 혈전증 1예
최재혁 ( Jae Hyuc Choi ),천종운 ( Jong Woon Cheon ),강기훈 ( Kee Hoon Kang ),김승현 ( Seung Hyun Kim ),김충현 ( Chung Hyoun Kim ),윤경현 ( Kyung Hyun Yun ),서금수 ( Kum Soo Seo ) 대한내과학회 2014 대한내과학회지 Vol.87 No.6
신정맥 혈전증은 신증후군에 이차적으로 발생하는 경우가 가장 흔하다. 감염과 관련한 신정맥 혈전증의 증례는 신우신염 및 신농양에 의한 것이 간혹 보고되었다. 71세의 여자가 복통, 구토 및 수양성 설사, 발열을 주소로 내원하였다. 복부 CT에서 전반적인 소장벽의 비후와 함께 좌측 신정맥 혈전증이 발견되었다. 금식 및 항생제 치료로 감염성 장염은 금방 호전되었고 함께 발견된 신정맥 혈전증에 대하여 항응고치료를 시작하였다. 3개월 뒤 시행한 복부 CT에서 신정맥 혈전은 많이 감소되었으나 국소적으로 약간 남아 있었다. 항응고요법을 4개월 더 시행한 후 촬영한 복부 CT에서 잔여혈전은 큰 변화가 없었다. 그 후 와파린을 clopidogrel로 교체 하였고 8개월 뒤 시행한 추적 복부 CT에서 신정맥 혈전은 더 이상 보이지 않았다. Renal venous thrombosis occurs, for the most part, as secondary to nephrotic syndrome. In relation to infection, cases complicated with acute pyelonephritis and renal abscess have been reported. A 71-year-old woman was admitted due to vomiting, abdominal pain, watery diarrhea, and fever. Abdominal computed tomography (CT) revealed diffuse thickening of the small intestinal wall and left renal venous thrombosis. The enteritis rapidly resolved with conservative treatment including fasting and antibiotic therapy, anticoagulation therapy was started. After 3 months, the renal vein thrombosis had much improved, but a tiny remnant thrombus was seen on follow-up abdominal CT. After 4 months of additional anticoagulation therapy, the remnant thrombus remained unchanged, at which point warfarin was switched to clopidogrel, an antiplatelet agent, and after 8 months the remnant thrombus was no longer visible on abdominal CT. (Korean J Med 2014,87:743-746)
윤경현,서태연,민용식,오삼권 호서대학교 반도체제조장비국산화연구센터 2001 반도체장비학술심포지움 Vol.2001 No.-
본 연구는 골프 수행 능력(핸디캡)을 향상시키기 위한 도구 개발로서, 자신의 스코어를 통계적인 측면에서 관리를 보다 과학적으로 하고자 하는데 도움을 주는 소프트웨어를 개발하는데 그 주된 목적이 있다.