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임치영,양승업 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.1
Purpose: The authors hypothesized that increases in socioeconomic status (SES) have enabled patients to access medical services more frequently, resulting in the increased detection of small thyroid cancers. This retrospective cohort study was designed to analyze the correlation between thyroid cancer incidence and SES using a 10-year sample cohort database. Method: Sample cohort database between January 2004 and December 2013 with 1,000,000 cases for each year was enrolled in this study. Thyroid cancer incidence was analyzed by sex and by age. Public health insurance payment was used to reflect SES. The correlation between SES and thyroid cancer incidence was analyzed, and medical checkups done under government programs based on SES were analyzed. Results: When the results were considered according to SES, the high SES group showed a higher incidence of thyroid cancer than low SES group. Also, participation in government-supported health checkup programs was higher in the high SES group higher in the high SES group compared to low SES group. Conclusion: SES and incidence of thyroid cancer have positive correlation.
임치영,정웅윤,김정연,윤미진,장항석,박정수 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.4
Purpose: The radioiodine ablation therapy is required for patients who underwent a total thyroidectomy. Through a comparative review of a low iodine diet (LID) and a restricted iodine diet (RID), the study aims to suggest guidelines that are suitable for the conditions of Korea. Materials and Methods: The study was conducted with 101 patients. With 24-hour urine samples from the patients after a 2-week restricted diet and after a 4-week restricted diet, the amount of iodine in the urine was estimated. The consumed radioiodine amounts for 2 hours and 24 hours were calculated. Results: This study was conducted with 47 LID patients and 54 RID patients. The amounts of iodine in urine, the 2-week case and 4-week case for each group showed no significant differences. The amounts of iodine in urine between the two groups were both included in the range of the criteria for radioiodine ablation therapy. Also, 2 hours and 24 hours radioiodine consumption measured after 4-week restrictivediet did not show statistical differences between two groups. Conclusion: A 2-week RID can be considered as a type of radioiodine ablation therapy after patientsundergo a total thyroidectomy.
임치영,김종우,김승기,이경포 대한대장항문학회 2004 Annals of Coloproctolgy Vol.20 No.6
An adenocarcinoma of the appendix is a rare tumor, and so far only 130 cases have been reported worldwide. We report one patient with peritoneal seeding of an adenocarcinoma. A 51-year-old man was admitted to our hospital with the impression of intestinal obstruction. He had undergone an appendectomy 5 years ago due to acute appendicitis. At that time, postoperative histopathological analysis had revealed an adenocarcinoid tumor in the appendix. The patient had been told to visit our hospital for follow-up but he hadn't visited. When he finally visited our hospital diagnostic laparoscopy revealed the peritoneal seeding of a recurrent adenocarcinoma. A palliative right hemicolectomy was done to relieve the bowel obstruction. After recovering from operation, the patient was treated with the 5-fluoruracil, leucovorin, and oxaloplatin (FOLFOX). The patient was discharged in improved general condition with a future plan for regular cyclic chemotherapy.
임치영(Chi Young Lim),이잔디(Jan dee Lee),남기현(Kee Hyun Nam),권지은(Ji Eun Kwhan),장항석(Hang Seok Chang),정웅윤(Woong Yoon Chung),박정수(Cheong Soo Park) 대한두경부종양학회 2005 대한두경부 종양학회지 Vol.21 No.2
Skin metastasis from papillary thyroid carcinoma is extremely rare. Due to similar histopathologic features, it is difficult to differentiate skin metastatic papillary thyroid carcinoma and some primary skin neoplasms without a clinical history. However, most of metastatic skin lesions showed a strong reactivity to the antithyroglobulin antibodies unlike primary skin neoplasms. Metastatic skin lesions must be completely removed and radiotherapy can be added. Investigators reported that prognosis of skin metastases from thyroid carcinoma is dismal and the average survival after it's diagnosis was only 19 months because distant metastases were often discovered at diagnosis of skin metastasis or during follow-up period. We report a case of skin metastasis from tall cell variant of papillary thyroid carcinoma. In our case, the anti thyroglobulin antibodies measured from cystic fluid from a skin lesion was more than 2000 IU/ml. Skin metastasis was diagnosed at 20 months after primary surgery for thyroid cancer and brain metastasis at 12 months after diagnosis of skin metastasis. Although skin metastasis is an ominous prognostic indicator in patients with thyroid carcinoma, a radical treatment for skin lesions and early diagnosis of distant metastasis could provide a chance to the patients to improve their survival.