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Tae Sik Jung,Hee Kyung Kim,Hyun Won Shin,Jung Hwa Jung,Hye Won Jang,Sun Wook Kim,Man Ki Chung,Jung Han Kim,Jee Soo Kim,Young-Ik Son,정태식 대한갑상선학회 2011 International Journal of Thyroidology Vol.4 No.1
Background and Objectives: Papillary thyroid microcarcinoma (PTMC) was regarded as early-stage carcinoma,but its aggressiveness has been frequently reported. We performed this study to compare the clinicopathologic characteristics of PTMC with those of papillary thyroid carcinoma (PTC) >1 cm. We evaluated the association of clinicopathologic parameters of PTMC with tumor size divided by each millimeter. Materials and Methods:We retrospectively analyzed the medical records of 1,139 patients with PTMC and 1,296 patients with PTC >1cm who underwent thyroidectomy from 1995 to 2004 at Samsung Medical Center. The aggressive variants of PTC were excluded in the subjects. Results: Multifocality, extrathyroidal invasion (ETI), lymph node invasion (LNI),and distant metastasis (DM) were significantly less frequent in PTMC than PTC >1 cm (p<0.001). Recurrence and disease-specific mortality rates for PTMC were also significantly lower than those of PTC >1 cm (recurrence 2.9% vs. 8.1%, p<0.001; mortality 0.5 % vs. 1.5%, p<0.05). Tumor size was correlated with the rates of multifocality,ETI, LNI, and DM in all PTC (p<0.01). All patients with DM had the tumor size 0.6 cm in diameter or more. Among PTMC, the rates of LNI, multifocality, and N1b significantly increased when tumor size exceeded 0.3 cm, 0.4cm, and 0.6 cm, respectively (p<0.05). Conclusion: Recurrence and mortality rates of PTMC were extremely low, although local invasion was detected on the level of subcentimeter. Tumor size was well correlated with the aggressiveness of PTC. We suggest that tumor size is still a useful prognostic factor for the therapeutic plan of PTC.
원저 및 증례 : 조기에 발견된 횡문근융해를 동반한 전격성 제1형 당뇨병 1예
백종하 ( Jong Ha Baek ),이경주 ( Kyeong Ju Lee ),함종렬 ( Jong Ryeal Hahm ),정정화 ( Jung Hwa Jung ),김수경 ( Soo Kyoung Kim ),정순일 ( Soon Il Chung ),정태식 ( Tae Sik Jung ) 대한당뇨병학회 2010 임상당뇨병 Vol.11 No.1
Fulminant type 1 diabetes is characterized by an abrupt onset, severe diabetic ketoacidosis at diagnosis and a relatively low HbA1c. Rhabdomyolysis is not uncommonly combined with diabetic ketoacidosis or hyperglycemic hyperosmolar coma. Rhabdomyolysis increases the development of acute renal failure and mortality of the patients with hyperglycemic diabetic emergency. A 34-year-old man presented with 2-days duration of oliguria, vomiting and lethargy. Formerly, he developed polyuria and flu-like symptoms such as generalized myalgia and headache for 7 days. Initial investigation showed metabolic acidosis (arterial pH 7.093, bicarbonate 5.1 mmol/L), severe hyperglycemia (glucose 1,576 mg/dL), a relatively low HbA1c (7.1%) and acute renal failure (blood urea nitrogen 77 mg/dL and creatinine 4.4 mg/dL). Both serum and 24-hour urine C-peptide levels were checked at very low range and islet autoantibody tests were all negative. Serum creatinine kinase was elevated to 2,397 U/L and urine myoglobin test was positive. The patient recovered from acute renal failure and rhabdomyolysis after fluid and insulin therapy. He discharged on admission 17th days and controlled diabetes by self injection of basal and bolus insulin. (Korean Clinical Diabetes J 11:79-85, 2010)
정태식,함종렬,이강완,정정화,김수희,하종,조활석,정순일 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2
Dear Author, You have used abbreviations that will need to be defined in the main paper, i.e. PIT1, PROP1 and MRI. This is just for your advice. Pituitary agenesis is an uncommon cause of panhypopituitarism. It has been proposed that breech delivery, or birth trauma, is a major factor causing pituitary agenesis. Recent studies have suggested that genetic defects in the PIT1 or PROP1 gene might be involved in the pathogenesis of pituitary agenesis. In this case we report on the diagnosis of a 33-years old female patient with- growth retardation and sexual infantilism. We diagnosed anterior pituitary hormones deficiencies, with the exception of adrenocorticotropic hormone, by a combined pituitary stimulation test. We observed pituitary agenesis using sella MRI. Involvement of the PIT1 or PROP1 genes in this case remains to be determined. Here we report a case of pituitary agenesis found in an adult woman together with a brief review about this disease entity
저인산혈염증과 심부전증으로 발현한 당뇨병성 케톤산증 환자 1예
이대환,정태식,김훈구,이경원,정효영,이강완,강석진,함종렬,최동주,정순일 대한당뇨병학회 2001 임상당뇨병 Vol.2 No.2
당뇨병성케톤산증의 치료중에 저칼륨혈증은 흔하지만 심한 저인산염혈증은 매우 드문 것으로 되어 있다. 이전 보고에서 0.32mmol/L 이하의 심한 저인산염혈증은 심근수축력을 감소시켜 울혈성 심부전을 일으키는 것으로 되어 있다. 평소 기저 심장질환이 없었던 34세 여자 환자가 당뇨병성케톤산혈증으로 내원하여 치료 경과도중 폐부종이 발생하였다. 당시 심초음파상 심근수축력의 감소와 혈중 인의 수치가 0.13mmol/L로 심한 저인산염혈증을 보였다. 인 보충 후에 심근수축력이 회복되었으며 심부전을 일으킬만한 다른 원인은 배제하였다. 이에 당뇨병성케톤산증의 치료 경과중 생긴 저인산염혈증에 의한 심부전을 경험하였기에 보고하는 바이다. Hypokalemia is comment observed during the treatment of diabetic ketoacidosis, but hypophosphatemia is relatively rare. Severe hypophosphatemia (0.32 mmol/L or below) might cause congestive heart failure due to decrease of myocardial contractility. In this reprt we observed that thirty four-year-old female had a pulmonary edema during the treatment of diabetic ketoacidosis. She had no cardiac problem before. We noted the decrease of cardiac wall motion and contractility in echocardiography and severe hypophophatemia(0.13 mmol/L). The myocardiac dysfunction of patient has been dramatically improved after the administration of phosphate via intravenous route. Here we report a case of hypophosphatemia developed during the treatment of diabetic ketoacidosis and heart failure related to hypophosphatemia.
김호수,정태식,정정화,김수경,이상민,정순일,함종렬 영남대학교 의과대학 2011 Yeungnam University Journal of Medicine Vol.28 No.2
The occurrence of a mixed tumor containing papillary thyroid carcinoma (PTC) and primary squamous-cell carcinoma (SCC) is rare because there is no squamous epithelium in the thyroid gland. Reported herein is a 30-year-old female with mixed PTC and primary SCC of the thyroid presented as thyroid incidentaloma. Fine-needle aspiration biopsy of the thyroid nodule revealed the presence of malignant thyroid cells. The histopathological examination following total thyroidectomy yielded two mixed, morphologically distinct histotypes that included PTC and SCC. After total thyroidectomy, the patient underwent radioactive iodine therapy. No recurrence or metastasis occurred during the 20-month follow-up period after the operation.