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- 저자 : 장인석(In Seock Jang) (검색결과 2 건)
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장인석 ( In Seok Jang ),박준범 ( Jun Beom Park ),홍석호 ( Seock Ho Hong ),김정훈 ( Jeong Hoon Kim ),김창진 ( Chang Jin Kim ),이정교 ( Jung Kyo Lee ) 대한뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.2
Objective￡ºMalignant meningioma constitutes a rare subset of meningiomas and it is difficult to manage them. There has been continuing debate on the subject of malignant meningioma, but few studies of large series have been reported. We studied the local control and survival rates of patients with this aggressive meningioma. Method￡ºPathologically proven 28 malignant meningioma patients were retrospectively reviewed. Surgical specimens were re-examined blindly by neuropathologist without any patient information, and the diagnosis of malignant meningiomas was based on the 2000 World Health Organization classification of tumors of the nervous system. Extent of surgical resection was determined according to Simpson`s classification by reviewing the chart and postoperative scan if possible. Various factors concerning outcome were analyzed. Results￡ºTen(35.7%) had local recurrence during the follow-up, of which 7(35.0%) of 20 complete excisions and 3 (37.5%) of 8 incomplete excisions. The overall 3-, 5-, and 10-year local control rates were 67.0%, 62.3%, and 54.5%, respectively. Eight(28.6%) died during follow-up period. The overall 3-, 5-, and 10-year survival rates were 77.0%, 72.8%, and 63.7%, respectively. The extent of surgical excision was one of the important significant prognostic factors not for local control but for survival(p=0.3020 and 0.0314, respectively). Extracranial metastasis was not seen in our cases. Conclusion￡ºComplete surgical excision was the most important factor in improving survival. We consider that the administration of adjuvant radiotherapy following initial resection is crucial to long-term control. Careful long-term follow-up is mandatory because malignant meningioma shows a broad range of aggressiveness and natural history.
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거대 자궁선근증으로 인한 급성 하지 심부 정맥혈전증의 수술적 치료 1 예
장인석(In Seock Jang),김종현(Jong Hyeon Kim),임태건(Tai Gun Im),안경호(Kyoung Ho Ahn),이정헌(Jeoung Heon Lee),이유성(You Sung Lee),김관식(Kwan Sik Kim),오병찬(Byeong Chan Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
N/A Uterine adenomyosis is a common benign pelvic tumor in women. One of the complications that may be infrequently associated with the huge pelvic mass is venous stasis of the lower extremities and may develop thrombophlebitis secondary to pelvic compression. Intravascular thrombosis in the deep vein of the legs is a serious illness that sometimes cause death due to acute pulmonary thromboembolism. Deep vein thrombosis (DVT) has been reported to be closely related to pregnancy, surgical procedure, long term bedrest, obesity, and oral contraceptives. However, there is few report about deep vein thrombosis caused by huge uterine adenomyosis. We report a case of deep vein thrombosis caused by huge adenomyosis was treated by hysterectomy, thrombectomy, and thrombolysis with a brief review of the literature.
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