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갑상선의 Poorly Differentiated (Insular) Carcinoma
남석진,이상달,박해린,오영륜,양정현 대한갑상선-내분비외과학회 2001 The Koreran journal of Endocrine Surgery Vol.1 No.1
Purpose: Insular carcinoma is a rare subtype of thyroid cancer which was first described by Carcangiu in 1984. Its aggressiveness is intermediate between well differentiated and anaplastic thyroid carcinoma. But its origin, clinical features and prognosis are not yet clearly understood. We wanted to evaluate the clinical features, histologic characteristics and prognosis of insular thyroid carcinoma. Methods: We studied 4 cases of insular thyroid carcinoma treated in Samsung Medical Center from March 1996 to April 1998. Age, sex, clinical features, treatment, pathology and follow up findings were reviewed, retrospectively. Results: All patients were female and the mean age was 44 years. Three of all patients complained of anterior neck mass and one patient complained of low back pain and paresthesia of the right thigh. Two patients had metastatic bone lesions at the time of diagnosis. Preoperative fine needle aspiration cytology diagnosed follicular neoplasm in 2 cases and papillary carcinoma in 1. We performed total or completion total thyroidectomy and radioactive iodine therapy in 3 cases and radioactive iodine therapy alone in one. Extrathyroidal invasion, vascular invasion and multicentricity were noted in two cases. All four patients showed recurrence or distant metastasis in follow up over a period of 10 to 31 months and 2 of them died of distant metastasis during this follow up period. Conclusion: Insular carcinoma is a special type of thyroid carcinoma with aggressive clinical course. Recurrence and extrathyroidal involvements are common and the prognosis is poorer than other well differentiated thyroid carcinomas. (Korean J Endocrine Surg 2001;1:108-112)
선천성 횡격막 탈장증 교정 후 발견된 활주형 탈장 1예
남석진,김현학,이석구,Nam, Seck-Jin,Kim, Hyun-Hahk,Lee, Suk-Koo 대한소아외과학회 1996 소아외과 Vol.2 No.2
This is a case report of a sliding hiatal hernia with severe gastroesophageal reflux(GER) after repair of congenital diaphragmatic hernia(CDH). It was not possible to determine whether the hiatal hernia is a de novo lesion which was missed at the original operation or a consequence of overzealous repair of the Bochdalek defect at the expense of weakening of the diaphragmatic crura. This case demonstrates that a sliding hiatal hernia can be a cause of severe gastroesophageal reflux that should be managed surgically.
남석진 대한의사협회 2009 대한의사협회지 Vol.52 No.10
Breast cancer is most common cancer in women in Korea from 2002. Early diagnosis is important to the treatment and the survival of patients. Clinical examination, imaging study, and pathologic examination are essential for diagnosis of breast cancer. Mammography and clinical breast examination have been widely used for screening. However, additional examination like ultrasonography is usually needed due to low sensitivity of mammography to the dense breast as found in many Korean women. The role of ultrasonography and MRI as a screening tool is controversial. Definite diagnosis of breast cancer is confirmed by pathologic review of breast tissue. A palpable lesion can be excised surgically or biopsied with fine-needle aspiration or core needle biopsy. Nonpalpable lesions can be excised surgically with needle localization or biopsied with core needle biopsy or vaccum assisted biopsy under radiologic guidance. For early detection and precise diagnosis of breast cancer, clinical history, physical examination, radiologic imaging and pathologic review should be balanced. The recommendations of screening and diagnostic tools for breast cancer are discussed in this article.
남석진(Nam Seok Jin),정남용(Chung Nam Yong) 한국실과교육학회 2001 한국실과교육학회지 Vol.14 No.1
The purpose of this study was reconstructing Practical Arts Education Philosophy by contemplating Dosan’s educational thoughts which were built based on Yu-Hak(confucianism) and Sil-Hak. Dosan’s core thoughts of Mu-Sil and Yeok-Haeng were studied to search meanings and significance. The literature review was the main method of this study. The main findings of this study can be summarized as follows. 1. Dosan’s Educational Thoughts can be summarized as ‘Sung-Sil’, ‘Mu-Sil’, and ‘Yeok-Haeng’. ‘Sung-Sil’ is the thought of truthfulness and fulfillment. ‘Mu-Sil’ and ‘Yeok-Haeng’ were inherited ‘Kyung’ and ‘Sung’ of Yu-Hak and an idea of Sil-Hak. Dosan’s thoughts of Mu-Sil Yeok-Haeng, Jeong-Eu-Don-Su contain an idea of a work experience education. Those thoughts intend not only acquisition of skills but also cooperative work experience. Dosan’s educational thought is an idea of Ji-Haeng-Hap-Il. It persue life, work experience, educational association(or harmony) through Practical Arts Education. 2. Dosan emphasized Sa-Dae-Jeong-Sin (four main thoughts) and Sam-Dae-Yook (three main educational thought) for cultivating wholesome one’s whole personality. It means human-centered education for the whole people. His knowledge was life-centered and knowledge through cooperative work experience. Therefore, Dosan’s thought of wholesome one’s whole personality, which also called ‘the man of Sung-Sil’, aimed to cultivate the working human (people who is learning by doing). His work-centered and daily life-centered, and practical educational philosophy presents directions of Practical Arts Education in present day. 3. Korean Practical Arts Education’s identity can be found in many korean traditional thoughts of; 1. ‘Su-Gi-Chi-In’ which is the fundamental thought of Yu-Hak, 2. ‘Sil’ which is based on ‘Kyung’ mainly developed by Lee Hwang and ‘Sung’ mainly developed by Lee Lee, 3. ‘Sil’ in spirit centered life and industry of Sil-Hak, and 4. the thought of enlightment and ‘Sil’ in Dosan’s Mu-Sil Yeok-Haeng. Therefore, the identity of the practical arts education was developed based on Korean traditional philosophy. Furthermore, the philosophical basis of practical education is based on ‘Mu-Sil Yeok-Haeng’ which is also regarded as work experience based education. 4. Sil-Hak in the era of enlightenment is knowledge and skills connected with agriculture, commerce, manufacturing industry. Namely it is beneficial knowledge to daily life. Therefore, systematic practical art education was developed based on the philosophy of Sil-Hak in the era of Enlightenment. The name of ‘Sil-Kwa’ (Practical Arts Subject) was named in an educational position of pursuing Mu-Sil Yeok-Haeng, the fundamental idea of Sil-Hak and enlightenment.