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Child class C의 조기 간세포암 환자와 Child class A의 진행성 간세포암 환자에서의 생존 비교
박의주 ( Eui Ju Park ),장재영 ( Jae Young Jang ),정승원 ( Soung Won Jeong ),추진우 ( Jin Woo Choo ),김진녕 ( Jin Nyoung Kim ),권순하 ( Soon Ha Kwon ),이병무 ( Byoung Moo Lee ),이세환 ( Sae Hwan Lee ),김상균 ( Sang Gyune Kim ),차 대한간암학회 2013 대한간암학회지 Vol.13 No.2
Background/Aims: The prognosis of hepatocellular carcinoma (HCC) is affected by stage as well as liver function. We analyzed the survival outcome of early stage HCC in Child class C patients and advanced HCC in Child class A patients. Methods: Among 453 HCC patients with good performance status Group A included 33 consecutive Child class C patients with early stage (I II) HCC and Group B included 45 consecutive Child class A patients with advanced stage (III IV) HCC. We investigated the clinical characteristics cirrhotic complications and prognostic factors related with survival in each group and compared overall survival between two groups. Results: Age prothrombin time total bilirubin and Model for End-Stage Liver Disease (MELD) scores were significantly higher in Group A. Male sex platelet count albumin sodium (Na) hepatitis B virus alpha fetoprotein (AFP) and portal vein thrombosis were significantly higher in Group B. Complications of cirrhosis such as variceal bleeding ascites and hepatic encephalopathy were increased in Group A (P<0.05). Patients with an elevated AFP (>400 ng/mL) tended to exhibit poor survival as it increased in Group A (P=0.084). MELD scores>15 (Hazard ratio[HR] 17.84 95% confidence interval [CI] 3.70-85.93 P<0.001) stage IV (HR:3.27, 95% CI 1.10-9.75 P=0.033) and absence of HCC treatment (HR: 3.70 95% CI 1.06-12.50, P=0.040) were independent poor prognostic factors in Group B. Median overall survival was 24.6 months (95% CI 10.6-38.4) for Group A and 13.5 months (95% CI 4.6-22.3) for Group B (P=0.278). In the HCC treatment group there were no significant differences of median overall survival between Group A and Group B respectively (27.1 vs. 15.7 months P=0.338). In patients with conservative treatment Group A and Group B had a significantly different median overall survival of 13.6 and 2.5 months respectively (P=0.012). In patients of Group B median overall survival was significantly higher in patients who received treatment of HCC compared to those who did not respectively (15.7 vs. 2.5 months P<0.001). Conclusions: Overall median survival was not different between both groups. However in Child class A patients with advanced stage HCCs the cumulative median survival was higher in patients who received treatment of HCC compared to those who did not. Therefore advanced stage HCC patients with good liver function should be considered for HCC treatments.
“Cat Scratch Colon” in a Patient with Ischemic Colitis
박의주,이준성,이태희,최대한,김의배,전성란,홍수진,김진오 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.2
“Cat scratch colon” is a gross finding characterized by hemorrhagic mucosal scratches on colonoscopy. It is usually associated with a normal colon and is rarely associated with collagenous colitis. In a previous report, cat scratch colon was noted in the cecum and ascending colon, but has also been observed in the distal transverse colon. The patient in this study was also diagnosed with ischemic colitis that may have played a role in the development of cat scratch colon.
박의주 ( Eui Ju Park ),김양기 ( Yang Ki Kim ),복진현 ( Jin Hyun Bok ),이영목 ( Young Mok Lee ),김기업 ( Ki Up Kim ),어수택 ( Soo Taek Uh ),박영길 ( Young Kil Park ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.6
결핵균은 공기를 매개로 전파되고 결핵균에 노출된 시간과 최초의 노출 정도가 전파의 위험을 증가 시키는 중요한 인자로 알려져 있다. 활동성 폐결핵 환자와 함께 생활하는 가족 내에서 감염이 현저히 증가하는데 이는 결핵균에 노출되는 기회 및 시간이 증가하기 때문이다. 하지만 고식적인 접촉자 조사만으로는 흔히 결핵 발생률을 과소평가할 수 있기 때문에 접촉자 조사와 결핵균의 유전형 조사를 병행하는 것이 감염의 위험이 높은 집단을 선별해내고 발생빈도 및 전염경로를 밝히는 데 보다 효과적인 것으로 보고되고 있다. 이에 접촉자 조사와 결핵균의 유전형 조사를 통해 가족 내 결핵균 전파를 증명한 1예를 보고하는 바이다. (Tuberc Respir Dis 2008;65:512-516)