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말초성 신경아세포종 : 두개골 발생 증례 보고 Involving Skull
박양화,권익승,류연석,신미경,최문배,홍승관,문명선 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.4
The peripheral neuroblastomas are malignant neoplasms that originate from the adrenal gland and sympathetic nervous tissues. They usually occur in childhood. They exhibit such malignant features that they metastasize early to lung, liver, bone, rarely skull and other structures. The patients with peripheral neuroblastoma have short duration of symptom and short survival period. They reveal the characteristic light microscopic features that resemble other small cell carcinomas. The establishment of final diagnosis of peripheral neuroblastoma needs various special stainings for small cell carcinomas, and the electron microscopic findings are the most reliable. The authers recently experienced a case of peripheral neuroblastoma in a 26-year old man which involved right frontoparietal skull vault. The only chief complaint was a local non-tender mass at right frontoparietal scalp. Neither headache nor any neurological deficits was detected. Simple skull X-ary revealed a punched out rediolucency at right frontoparietal bone and brain CT showed a superficial elliptical high density mass that enhanced strongly. The mass was totally removed by wide craniectomy. The tumor invaded and penetrated the dura but the arachnoid membrane. at the tumor bed was not invaded by the tumor. The tumor was confirmed as peripheral neuroblastoma by various special stainings for small cell carcinomas. Following surgical resection of the mass, post-operative radiotherpy was offered(4800 rads for about 5 weeks). The patient aggrevated progressively and showed numerous metastases to such bones as lumbar vertebrae, pelvis and humerus to became paraplegic. 8 months after the operation, the patient died.
박상진,박기호,박인서,한광협,박찬일,천상배,한승경,전재윤,박영년 대한내과학회 1994 대한내과학회지 Vol.46 No.3
A 51-year-old women, suffering from an onycomycosis of the toe nails, was treated with itraconazole, 100 mg daily. Fourteen weeks later, she complained of jaundice, nausea, and epigastric discomfort. Itraconazole treatment was stopped immediately. She did not use other drugs. There was no history of alcohol abuse, hepatitis or transfusion. The laboratory investigations revealed marked elevation of serum bilirubin, aspartate aminotransferase and alanine aminotransferase, Histologic findings of liver disclosed acute hepatic necrosis. There was no clinical or serologic evidence of viral hepatitis. One month later, the laboratory data become almost normal. It is suggested that itraconazole therapy was a causal factor in this case of drug induced hepatitis.
Yeun, Go Heum,Lee, Seung Hwan,Lim, Yong Bae,Lee, Hye Sook,Won, Moo-Ho,Lee, Bong Ho,Park, Jeong Ho Korean Chemical Society 2013 Bulletin of the Korean Chemical Society Vol.34 No.4
In the previous paper (Bull. Korean Chem. Soc., 2011, 32, 2997), the hybrid molecules between ${\alpha}$-lipoic acid (ALA) and polyphenols (PPs) connected with neutral 2-(2-aminoethoxy)ethanol linker (linker-1) showed new biological activity such as butyrylcholinesterase (BuChE) inhibition. In order to increase the binding affinity of the hybrid compounds to cholinesterase (ChE), the neutral 2-(2-aminoethoxy)ethanol (linker 1) was switched to the cationic 2-(piperazin-1-yl)ethanol linker (linker 2). The $IC_{50}$ values of the linker-2 hybrid molecules for BuChE inhibition were lower than those of linker-1 hybrid molecules (except 9-2) and they also had the same great selectivity for BuChE over AChE (> 800 fold) as linker-1 hybrid molecules. ALA-acetyl caffeic acid (10-2, ALA-AcCA) was shown as an effective inhibitor of BuChE ($IC_{50}=0.44{\pm}0.24{\mu}M$). A kinetic study using 7-2 showed that it is the same mixed type inhibition as 7-1. Its inhibition constant (Ki) to BuChE is $4.3{\pm}0.09{\mu}M$.
Bae, Bong Kyung,Kang, Min Kyu,Kim, Jae-Chul,Kim, Mi Young,Choi, Gyu-Seog,Kim, Jong Gwang,Kang, Byung Woog,Kim, Hye Jin,Park, Soo Yeun The Korean Society for Radiation Oncology 2017 Radiation Oncology Journal Vol.35 No.3
Purpose: To evaluate the feasibility of simultaneous integrated boost intensity-modulated radiotherapy (SIB-IMRT) for preoperative concurrent chemoradiotherapy (PCRT) in locally advanced rectal cancer (LARC), by comparing with 3-dimensional conformal radiotherapy (3D-CRT). Materials and Methods: Patients who were treated with PCRT for LARC from 2015 January to 2016 December were retrospectively enrolled. Total doses of 45 Gy to 50.4 Gy with 3D-CRT or SIB-IMRT were administered concomitantly with 5-fluorouracil plus leucovorin or capecitabine. Surgery was performed 8 weeks after PCRT. Between PCRT and surgery, one cycle of additional chemotherapy was administered. Pathologic tumor responses were compared between SIB-IMRT and 3D-CRT groups. Acute gastrointestinal, genitourinary, hematologic, and skin toxicities were compared between the two groups based on the RTOG toxicity criteria. Results: SIB-IMRT was used in 53 patients, and 3D-CRT in 41 patients. After PCRT, no significant differences were noted in tumor responses, pathologic complete response (9% vs. 7%; p = 1.000), pathologic tumor regression Grade 3 or higher (85% vs. 71%; p = 0.096), and R0 resection (87% vs. 85%; p = 0.843). Grade 2 genitourinary toxicities were significantly lesser in the SIB-IMRT group (8% vs. 24%; p = 0.023), but gastrointestinal toxicities were not different across the two groups. Conclusion: SIB-IMRT showed lower GU toxicity and similar tumor responses when compared with 3D-CRT in PCRT for LARC.
화농성 간농양 환자에서 내시경적 역행성 담도 조영술의 유용성에 관한 연구
박종서,박홍배,유성식,강명원,여향순,강성진,우용안,임연근,홍건영 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.2
Background/Aims : This study was undertaken to evaluate the usefulness of ERCP in patients with pyogenic liver abscess. Methods: An endoscopic retrograde cholangiographic study of 70 consecutive cases of pyogenic liver abscess was conducted during the period from January, 1993 to December, 1997. Among 70 cases of pyogenic liver abscess, the male to female ratio was 1.69:1, and the peak incidence was in the sixth decade. Results : The common associated diseases were liver cirrhosis (11.4%), diabetes mellitus (8.5%), and malignancy (5.7%). The most common origins of the abscess in decreasing order of frequency were, transbiliary infection (51%), hematogenous spread, and trauma-associated causes. The ascending infection through the biliary tract as the etiology of liver abscess, has been common since the 1970's. The positive rate of abdominal US, CT, and ERCP in the diagnosis of the etiology of the liver abscess was 68, 82, 84% respectively. The treatments of the pyogenic liver abscess were, surgical drainage i 15 cases (21%) and percutaneous drainage in 51 cases (73%). Among 70 patients treated for pyogenic liver abscess, 12 patients had CBD stones and 11 patients were cured by EST. Conclusions : The most common origin of liver abscess is ascending infection through the biliary tract and ERCP may be a effective tool in the assessment and management of the etiology of pyogenic liver abscess.
Bae, Woo-Jin,Jo, Won-Ho,Park, Yeun-Hum The Polymer Society of Korea 2002 Macromolecular Research Vol.10 No.3
Transesterification between poly(trimethylene terephthalate) (PTT) and bisphenol-A-polycarbonate (PC) is studied by differential scanning calorimetry (DSC) and nuclear magnetic resonance (NMR) spectroscopy. When the blend of PTT/PC is annealed at higher temperatures, the samples do not show any melting peak at an initial stage, indicating the samples completely lose their crystallinity due to the formation of random copolymers. However, when the random copolymer is annealed at temperatures lower than the melting temperature of PTT, a melting peak is observed, indicating that the random copolymers are sequentially reordered. The melting point and the heat of fusion of crystals formed from the crystallization-induced sequential reordering depend upon the annealing temperature and time. The average sequence length determined from NMR is increased as the blocks are regenerated.