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이현국,이규언,김윤호,정재민,양한광,정준기,이건욱,최국진,Lee Hyeon Kook,Lee Kyu Eun,Kim Yoon Ho,Jeong Jae Min,Yang Han-Kwang,Chung June Key,Lee Kuhn Uk,Choe Kuk Jin 대한위암학회 2001 대한위암학회지 Vol.1 No.3
Purpose: For curative resection of recurrent gastric cancer, it is imperative that there be no unrecognized foci of tumoral disease outside the operation field. PET (positron emission tomography) with FDG (18 fluoro-2 deoxy-D-glucose) is a whole-body imaging technique that exploits the increased rate of glycolysis in tumor cells to detect disease. The authors evaluated the usefulness of FDG-PET in assessing resectability of recurrent gastric cancer. Materials and Methods: Seven patients with recurrent gastric cancer were studied with FDG-PET from December 1998 to October 2000. All FDG-PET images were interpreted in conjunction with conventional diagnostic methods. All imaging results were correlated with the pathological diagnosis and clinical outcome. Results: A final diagnosis of recurrence was obtained at 14 sites in all 7 patients by histology or clinical follow up. Locoregional recurrence, including distant metastasis, developed in 6 of 7 patients and distant recurrence in only one. FDG-PET detected all recurrent sites (5 locoregional and 5 distant) in 5 patients without peritoneal recurrence, but did not detect peritoneal seeding in 2 patients with peritoneal recurrence. The accuracy of FDG-PET in estimating resectability was $71.4\%$ (5/7), and that of CT and PET together was $85.7\%$ (6/7). A curative resection could be performed in three of the recurrent patients (2 locoregional and 1 distant recurrence). Conclusion: Our results suggest that FDG-PET may be useful for detecting locoregional and distant recurrence of gastric cancer and for selecting appropriate treatment. However, considering that FDG-PET was limited in detecting peritoneal seeding and determining the exact anatomical extension of tumor, it should be used in conjunction with other anatomical images.
간장 ( 肝臟 ) · 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 급성 췌장염에 합병된 허혈성 공장 협착증
최규완(Kyoo Wan Choi),김용일(Yong Il Kim),최국진(Kook Jin Choe) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A A case of ischemic jejunal stenosis following acute pancreatitis with extensive mesenteric panniculitis in a 30 year-old man is presented. The patient developed a mechanical obstruction sign at the small bowel level 6 weeks after the first onset of acute pancreatitis. The resected jejunum disclosed a short segment of luminal stenosis and circumferential mucosal ulceration with extensive mesenteric panniculitis along the affected portion of mesenteric border. Multiple thrombotic occlusions of varying stages in the venous branches were found in the involved jejunal wall and mesenteric root. The above findings suggest that thrombotic occlusions of venous branches by compromise of vascular blood flow secondary to mechanical compression of enzymatic panniculits along the mesenteric border is one of the contributing factors for the development of ischemic bowel disease in acute pancreatitis.