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심상인(Sang In Shim),김승남(Seung Nam Kim),이재학(Jai Hak Lee),주상용(Sang Yong Choo),이종서(Jong Seo Lee),이준(June Lee) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A The leiomyoblastoma of the stomach is an unusual smooth muscle tumor, which was first described by Martin and others in 1960. The gastric leiomyoblastoma is similar to the smooth muscle tumor of leiomyosarcoma in gross and composed of round or polygonal cells instead of spindle cells microscopically. Most of these tumors are benign but some tumors behave in malignant manner. The leiomyoblastoma has better prognosis than other smooth muscle tumors. Recently we experenced a case of leiomyoblastoma of the stomach and report with brief review of literatures.
김승남(Seung Nam Kim),주상용(Sang Yong Choo),이종서(Jong Seo Lee),오세정(Se Jeong Oh),김응국(Eung Kook Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A This study was based on 5 patients with hepatic cavernous hemangioma who had been admitted and treated at Dept. of Surgery, St. Mary's Hospital of Catholic University Medical College, over a period 3 years from 1986 to 1988. The results were as follows: 1) Male was affected more than female (4 cases), and the patients ranged in age from 35 years to 58 years. 2) The common symptom and sign were fatigue, abdominal pain, and fever, among them fatigue was most frequent (4 cases). 3) The hepatic artery angiogaphy, CT, ultrasonography, liver scan and laparoscope were used for diagnosis, among them hepatic artery angiogrphy and CT were most frequent (5 cases). 4) The tumor was located in Rt. Lobe of liver, 3 cases; Lt. Lobe, 2 cases. Of which size were ranged from 2 cm to 5 cm. 5) The operation was performed with Lt. Lat. Segmentectomy, 2cases; partial resection, 2 cases; Rt. Lobectomy of liver, 1 case. 6) The blood loss during operation was transfused in 4 cases which averaged 1260 ml. 7) Postoperative complications occurred in 2 cases. Which were atelectasis and wound abscess.
간장 ( 肝腸 ) 및 담도 ( 膽道 ) : 원발성간암의 임상적 고찰
김승남(Seung Nam Kim),주상용(Sang Yong Choo),이종서(Jong Seo Lee),이종화(Jong Wha Lee),김응국(Eung Kook Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Primary hepatoma have been relatively common due to developed diagnostic maneuver. This tumor is quite prevalent in Asia, Africa and cirrhosis is an etiologic factor as concomittant disease. Recently large number of surgeon reported excellent surgical result. This report is clinical review of 50 patients who were diagnosed as a primary hepatoma at the Department of Surgery, Catholic University Medical College from March, 1978 to December, 1989. The following results were obtained: 1) The male to female ratio was 5.2:1. The age distribution indicated a prominent incidence between 4th. and 5th. decade. 2) Symptom and signs on admission were right upper quadrant abdominal pain (72%), malaise (20%), indigestion (12%), fever (12%). The liver cirrhosis was associated in 23 cases (46%). 3) The most common anatomical location of tumor was right lobe in 32 cases (64%) and the size of tumor was most common in 5~10 cm (24 case, 48%). 4) Histopathological examination revealed hepatocellular carcinoma (45 cases, 90%), cholangiocarcinoma (2 cases) and hepatoblastoma (2 cases). 5) Hepatic resection was performed in 30 cases (60%) and others were hepatic artery ligation in 14 cases (28%) and exploration and biopsy in 6 cases (12%). 6) Postoperastive complications were noted in 12 cases (24%), among which pleural effusion was most common (12 cases) and the other complications were postoperative bleeding (5 cases), hepatic coma (4 cases). 7) Overall hospital mortality was 24% and the cause of death were hepatic failure (6 cases), hepatorenal syndrome (3 cases), GI bleeding postoperative bleeding and D.I.C.