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고립성 폐결절의 감별진단에서 결핵균에 대한 Nested PCR 의 유용성
심재정(Jae Jeong Shim),이소라(So Ra Lee),이상엽(Sang Youb Lee),이상화(Sang Hwa Lee),서정경(Jung Kyung Suh),정희진(Hee Jin Cheong),조재연(Jae Yun Cho),김우주(Woo Joo Kim),강은영(Eun Young Kang),인광호(Kwang Ho In),유세화(Se Hwa Yoo),강 대한내과학회 1997 대한내과학회지 Vol.52 No.6
Objectives: The evaluation and management of a patient with solitary pulmonary nodule(SPN) are guided by principles that were derived from earlier surgical studies. SPN has a relatively good prognosis even if it is a malignant lesion. In Korea, where there is a high incidence of pulmonary tuberculosis, approximately 40% to 70% of clinically encountered solitary pulmonary nodules are tuberculous lesions. SPNs can be diagnosed by clinical findings and chest imaging techniques, but confirmed only by pathologic or cytologic studies. Transthoracic needle aspiration biopsy(TNAB) or cytology will be diagnostic in 80% to 95% of malignant nodules, but will identify the benign nature in 50% to 90% of benign nodules; such results imply lower accuracy of TNBA or cytology in diagnosing benign nodules. Differential diagnosis of SPNs can be difficult in tuberculosis endemic areas, such as in Korea, Nested polymerase chain reaction(PCB) is the widely used method to test very small amount of pathogene and to detect M, tuberculosis in fine needle aspirates. Methods: 33 patients with SPN found on chest radiographs were evaluated by chest CT, mycobacteriologic and cytologic studies from sputum, bronchial washing fluids, and transthoracic fine needle aspirates, 17 cases were malignant SPNs(51.5%), consisting af 14 primary lung cancers and 3 metastatic SPNs, 18 cases were benign SPNs(48.5%), consisting of 8 tuberculous, 4 localized pneumonia, 1 pulmonary sequestration, and 3 radiologically suspected tuberculous lesions without response to anti-TB drugs. Nested PCR for detecting M. tuberculosis using TB-1, TB-2, TB-28, and TB-29C was carried out on fine needle aspirates from 33 patients with SPN. Results: Among the pathologically proven 17 malignant SFNs, 15(88.5%) cases were detected as cancer on chest CT. 15(88.5%) cases were confirmed by transthoracic needle aspiration cytology, among which 3(17.7%) cases showed positive on sputum cytology, and other 3(17.7%) cases yielded positive on bronchial washing cytology as well. Two cases of malignant nodules were confirmed by open resection. In 8 tuberculous SPNs, Neither AFB stain of sputum, bronchial washings, nor transthoracic needle aspirates showed positive. However, mycobacterium was cultured in 1 (9.l%) case from sputum, in 3 (27.3%) cases from bronchial washing fluids, and in 2 (18.2%) cases from transthoracic needle aspirates. Thus, five cases were confirmed bacteriologically; one case had positive culture results on both bronchial washing and transthoracic needle aspirates. Three out of 8 tuberculous cases were radiologically suspected and showed response to anti-TB drugs, but were not bacteriologically confirmed. Chest CT could detect 72.7% of tuberculous nodules. Aspirates from malignancy, pneumonia, and sequestration were negative on nested PCR for tuberculosis, One of the 3 radiologically suspected tuberculous nadules with- out response to anti-TB drugs yielded positive results on nested PCR for M, tuberculosis. In contrast, 7 out of 8(87.5%) aspirates from proven tuberculous nodules showed positive results on nested PCR for M. tuberculous, which included 4 bacteriologically proven tuberculous nodules and 3 radiologically suspected tuberculous nodules with response to anti-TB drugs. Conclusion: Nested PCR could be used to detect M. tuberculosis in fine needle aspirates from tuberculous SPN with good sensitivity (87.5%) and specificity(96.0%). Therefore, nested PCR for detecting M. tuberculosis in fine needle aspirates may be useful in the differential diagnosis of solitary pulmonary nodules.
만성 기침 환자에서 기관지와 흉곽외 기도의 Methacholine 유발검사의 의의
심재정 ( Jae Jeong Shim ),김제형 ( Je Hyeong Kim ),이승룡 ( Sung Yong Lee ),권영환 ( Young Hwan Kwan ),이소라 ( So Ra Lee ),이상엽 ( Sang Yeub Lee ),이상화,서정경 ( Jung Kyung Suh ),조재연 ( Jae Youn Cho ),인광호 ( Kwang Ho In ),유 대한결핵 및 호흡기학회 1997 Tuberculosis and Respiratory Diseases Vol.44 No.4
백서의 기도 신경성 염증에서 산화질소 합성효소(Nitric Oxide Synthase)의 역할과 분포
심재정 ( Jae Jeong Shim ),이상엽 ( Sang Yub Lee ),이상화 ( Sang Hwa Lee ),서정경 ( Jung Kyung Suh ),김철환 ( Chul Hwan Kim ),조재연 ( Jae Youn Cho ),인광호 ( Kwang Ho In ),유세화 ( Seo Hwa Yoo ),강경호 ( Kyung Ho Kang ) 대한결핵 및 호흡기학회 1996 Tuberculosis and Respiratory Diseases Vol.43 No.3
외부 방사선 치료 조사후 재발한 기관지내 악성종양에서 고선량율 근접조사치료(High Dose Rate Brachytherapy)의 효과
조재연 ( Jae Youn Cho ),인광호 ( Kwang Ho In ),서정경 ( Jung Kyung Suh ),강세용 ( Sea Yong Kang ),심재정 ( Jae Jeong Shim ),강경호 ( Kyung Ho Kang ),김광택 ( Kwang Taek Kim ),김철용 ( Cheol Yong Kim ),유세화 ( Se Hwa Yoo ) 대한결핵 및 호흡기학회 1998 Tuberculosis and Respiratory Diseases Vol.45 No.1
담도 : 간내담석증 및 간내담관암에서 Epidermal Growth Factor Receptor, ErbB2, Matrix Metalloproteinase-9 발현
김효정 ( Hyo Jung Kim ),김재선 ( Jae Seon Kim ),강창돈 ( Chang Don Kang ),이성준 ( Sung Joon Lee ),김진용 ( Jin Yong Kim ),연종은 ( Jong Eun Yeon ),박종재 ( Jong Jae Park ),심재정 ( Jae Jeong Shim ),변관수 ( Kwan Soo Byun ),박영태 대한소화기학회 2005 대한소화기학회지 Vol.45 No.1
목적: 간내담석증은 동양에서 비교적 흔한 질환으로, 점액을 분비하는 담도주위선이 증식된 조직학적 특징을 가지고 있으며, 약 5-10%에서 담관암이 동반된다. ErbB2를 포함한 EGFR family는 담관암의 발암 과정에 관여할 수 있으며, MMP도 담관암에서 발현이 증가된다. 하지만 간내담석증에서의 EGFR, erbB2, MMP-9에 대한 연구는 잘 알려져 있지않다. 이번 연구는 담관암의 발생 또는 진행에 관여한다고 알려진 EGFR, erbB2, MM Background/Aims: Hepatolithiasis is a common disease in East Asia and presents as a histological feature of proliferative glands containing mucin. 5-10% of hepatolithiasis is known to be associated with cholangiocarcinoma. Recent studies reported that epi
18 간내담석증과 간내담관암에서의 Epidermal Growth Factor Receptor와 Matrix metalloproteinase-9 발현 양상
김효정 ( Hyo Jung Kim ),최창원 ( Chang Won Choi ),김경오 ( Kyoung Oh Kim ),연종은 ( Jong Eun Yeon ),박종재 ( Jong Jae Park ),심재정 ( Jae Jeong Shim ),김재선 ( Jae Seon Kim ),변관수 ( Kwan Soo Byun ),박영태 ( Young Tae Bak ),이창 대한소화기학회 2002 대한소화기학회 추계학술대회 Vol.2002 No.-