위발성 위장관 악성림프종 환자에서 항암치료의 효과

김찬규,신영록,김현정,배상병,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Purpose: The gastrointestinal (GI) tract is the most common site of extranodal non-Hodgkin's lymphoma (NHL), which is increasing in incidence, but there is no established optimal treatment modality. Thus, this study was investigated the clinicohistologic feature, the therapeutic modalities, and the prognosis for GI-NHL, as well as the factors affecting it. Methods: We retrospectively analyzed 45 patients who had been diagnosed as having GI-NHL and had been followed up from July 1994 to February 2005 at Soonchunhyang University Hospital. The patients were divided into groups according to the site of origin and to various other features, and the survivals of the various groups were compared. The modified Ann Arbor system and WHO classification were adopted for staging and histopathologic classification, respectively. Results: GI-NHL of the stomach, small bowel, ileocecal region, and colon occurred in 28 patients (62.2%), 5 patients (11.1%), 3 patients (6.7%), and 8 patients (17.8%), respectively, In one patient, the entire gastrointestinal tract was diffusely involved. The median age of patients was b5 years (25~78 years), and male-to-female ratio was 1:1.1. Fourteen patients were in stage Ⅰ, 24 in stage Ⅱ, 4 in stage Ⅲ, and 3 in stage Ⅳ. Surgical resection was performed in 19 patients, and combination chemotherapy was performed in 43 patients. Surgical resection only was performed in 4 patients, Chemotherapy only was performed in 26 patients. The expected overall 5 year survival of 45 patients was 39.6%, and there was a significant survival difference between the stages, but between sites of origin (p=0.842). The most important factors influencing the survival was the stage and other factors were not significant. Conclusion: The stomach was the most common site of GI-NHL. Most GI-NHL were localized Stage was the most important prognostic factor. However, Prospective randomized studies are needed to approve the therapeutic modality.

흉선종 제거후에 발생한 재생 불량성 빈혈 : 증례보고

전원선,이상철,김현정,배상병,김찬규,이남수,박노진,이규택,박성규,홍대식,박희숙,원종호 순천향의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.2

Thymoma is associated with myasthenia gravis, Pure red cell aplasia, and autoimmune diseases such as autoimmune hemolytic anemia, aplastic anemia, and hypogammaglobulinemia. It's association with aplastic anemia is rare and aplastic anemia appearing after surgical removal of thymoma is especially rare. The authors hereby report a case of aplastic anemia occuring in a patient who was diagnosed with thymoma and myasthenia gravis and had the tumor surgically removed. The patient was treated with anti-thymocyte globulin, cyclosporin, and prednisolone, and showed partial remission with hematologic improvements after 12 months.

재발 또는 불응성 비호즈킨 림프종 환자에서 CDME 구제항암화학요법 후 고용량 항암화학요법 및 자가말초혈액 조혈모세포이식의 효과

김세형,한강원,배상병,김찬규,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background and objectives : The long-term survival in patients with non-Hodgkin's lymphoma (NHL) after conventional dose chemotherapy is about 35% and the rest of the patients tend to have relapse. So, in relapsed or refractory NHL, we compared the outcome of patients undergoing high-dose chemotherapy with autologous peripheral blood stem cell transplantation(APBSCT) with only salvage chemotherapy of cisplatin, dexamethasone, mitoxantrone, and etoposide(CDME). Materials and methods : From June 1993 to December 1999, 25 patients with relapsed or resistant NHL were treated with CDME regimen as salvage chemotherapy. Twelve patients were received four cycles of CDME chemotherapy, and 13 patients were received high-dose chemotherapy with APBSCT following two cycles of CDME chemotherapy. Results : The median follow-up duration was 12.8 months(range:4-68). The overall response rate was 41.7% (complete response rate 25%, partial response rate 16.7%) in 12 patients with CDME only. Thirteen patients who were treated with high-dose chemotherapy with APBSCT achieved 61.5% complete response rate and 15.4% partial response rate, with an overall response rate of 76.9%. The estimated 3-year progression-free survival rate was significantly higher among patients who received high-dose therapy than patients who received CDME only(41.5% vs 20.0%, p<0.05). And, 3-year overall survival rate was significantly higher among patients who received high-dose therapy(51.3% vs 25.0%, p <0.05). Conclusions : In relapsed or refractory NHL, CDME chemotherapy is an effective salvage chemotherapy and allow peripheral blood stem cell collection. Also, high-dose chemotherapy with APBSCT following CDME is superior to CDME salvage chemotherapy only.

골다공증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

조혈모세포이식환자에서 조혈기능의 회복과 관련된 인자들에 관한 연구

정기주,강명수,권기두,김경하,이상철,김현정,배상병,김찬규,이남수,이규택,원종호,홍대식,박희숙 순천향대학교 의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.1

..

전립선 비대증과 전립선암에 대한 경직장 초음파 소견

이남규,박영호,조성중 순천향대학교 1994 논문집 Vol.17 No.4

Transrectal ultrasonography is one of the most available procedure to evaluate prostatic disease and is far more accurate than conventional ultrasonography. Between March 1986 and May 1992, we performed transrectal ultrasonography about 729 men with prostatitism and 172 patients were pathologically confirmed as 136 cases of benign prostatic hyperplasia, 25 of prostatic cancer and 8 of prostatitis. Analysis included evaluation of symmetricity, capsular continuity, echogenicity of the prostate and status of the seminal vesicle. The sensitivity rate, specificity rate and positive predictive value of the BPH were 75%, 58%, 92.3% respectively and its values of the prostatic cancer 72%, 80%, 32% respectively. We conclude that there are considerable overlap in the sonographic findings of the benign and malignant lesion. Therefore, biopsy should be performed about all suspicious lesion.

황복(Takifugu obscurus)에 대한 중금속, 유기주석화합물 및 다환방향족탄화수소(PAHs)의 급성 독성

이정석,이규태,김동훈,김진형,한경남 한국환경독성학회 2004 환경독성보건학회지 Vol.19 No.2

We exposed juvenile puffer fish, Takifugu obscurus(30 days after hatching) to various aqueous pollutants including 4 kinds of inorganic metals(Ag, Cd, Cu and Hg), 2 organotin compounds(tributyltin [TBT] and triphenyltin [TPhT]) and 5 polycyclic aromatic hydrocarbon(PAH) compounds(chrysene, fluoranthene, naphthalene, phenanthrene and pyrene) to estimate median lethal concentrations(LC50s) of each pollutant after the 96-hour acute exposure. Among the inorganic metals, Hg(52㎍/L; 96-h LC50) was most toxic to test animals and followed by Ag(164㎍/L), Cu(440㎍/L) and Cd(1180㎍/L). Aqueous TBT was more toxic between the two organotins; the 96-h LC50 for TBT(5.1㎍/L) was 3 times lower than that of TPhT(17.3㎍/L). The acute toxicity of PAH compounds was highest for chrysene(1.5㎍/L; 96-h LC50) and decreased in the order of pyrene(65㎍/L)>fluoranthene (158㎍/L)>phenanthrene(432㎍/L)>naphthalene(8690㎍/L). The toxicity of PAH compounds was closely related to their physico-chemical characteristics such as K_(ow) and water solubility, and well explained by simple QSAR relationship. The sensitivity of puffer fish to various inorganic and organic pollutants was generally comparable to various fish species widely used as standard test species in previous studies and further evaluation should be conducted to develop adequate testing procedures for T. obscurus when used in various toxicity tests.

대학생의 노인에 대한 태도에 관한 연구

이영희,권미경,김남선,김혜원,최미경,이규은,홍윤미 關東大學校 醫科大學 醫科學硏究所 2003 關東醫大學術誌 Vol.7 No.1

The purpose of this study is to identify the perception, the future and images, and prejudice toward old people. And to examine difference the group of gerontological education (educated group) with the non-educated group. 189 students in K university were participated in this study. The educated group was composed 101 students who enrolled liberal arts course that learned this title. Data were collected from May to June, 2002. The results are as follows; 1) Many students perceived the elderly that was started 60~64 years. 2) The perception, the future and images, and prejudice of both groups were some positively. 3) Each variables were not significantly difference. But the mean level of the educated group were more higher. 4) The educated group was found significantly related to the perception and prejudice(r=.303, p=.002). The non-educated group was found significantly related to the perception and the future and image(r=.421, p=.000), the perception and prejudice(r=.321, p=.003), the future, image and prejudice(r=.272, p=.012).

HalogenIamp 광조사기와 Plasma xenon arc lamp 광조사기에 의한 광중합 복합레진의 중합률 비교

이영준,정병초,최남기,양규호 大韓小兒齒科學會 2002 大韓小兒齒科學會誌 Vol.29 No.3

본 연구의 목적은 일반 halogen lamp 광조사기와 비교하여 plasma xenon arc lamp 광조사기의 광중합 능력을 평가하기 위한 것이다. 7mm의 내경과 1mm, 2mm, 3mm 두께를 갖는 레진 시편을 aluminum 주형상에서 제작하여 plasma xenon arc lamp 광조사기는 2초, 3초, 6초, halogen lamp 광조사기는 20초, 40초, 60초 동안 광조사한 후 Raman spectroscopy를 이용하여 레진 시편 표면과 후면의 중합률을 측정하였다. 표면 중합률은 광조사 시간이 증가함에 따라 halogen lamp 광조사기와 plasma xenon arc lamp 광조사기 모두에서 유의성있게 증가하였으며 전반적인 중합률은 halogen lamp 광조사기에서 더 높았으나 plasma xenon arc lamp 광조사기와 유의한 차이는 없었다. 광조사 시간이 증가함에 따라 halogen lamp 광조사기의 경우 후면 중합률은 모든 두께에서 점차 증가하였으나 1.2mm 두께에서는 유의한 차이가 없었으며 plas-ma xenon arc lamp 광조사기로 중합한 경우에는 모든 두께에서 조사시간이 증가할수록 중합률은 유의성있게 증가하였다. 이상의 결과로 plasma xenon arc lamp 광조사기의 강한 광도가 광조사 시간의 감소를 완전히 보상하지는 못하는 것으로 판단되므로 plasma xenon arc lamp 광조사기로 광중합 복합레진을 중합할 경우 2mm이내의 적층 충전이 요구되며 또한 제조회사가 제시한 조사 시간보다 추가적인 광조사가 필요할 것으로 판단된다. Recently, new light curing unit utilizing the plasma xenon arc lamp is introduced. This curing unit is operated at relatively high intensity, so shortening the curing time significantly. The aim of this experiment was to esti-mate curing capability of plasma xenon arc lamp curing unit compared to traditional halogen lamp curing unit. Degree of conversion was evaluated by Raman spectroscopy after irradiation of specimens with halogen lamp curing unit(Optilux 150, Demetron, USA) for 20s, 40s, 60s and plasma xenon arc lamp curing unit(flipo, Lokki, France) for 2s, 3s, 6s. The results showed that strong light intensity of plasma xenon arc lamp curing unit did not compensate for short exposure time completely. So, Multi-layered curing within 2mm thickness and addi-tional exposure time is recommanded when light-cured composite resin is polymerized with plasma xenon arc lamp curing unit.

여성 생식계조직의 각종 임신연관 혈장단백의 분포에 관한 면역효소조직화학적 연구

남웅수,이규완,홍성봉 고려대학교 의과대학 1986 고려대 의대 잡지 Vol.23 No.3

Pregnancy associated plasma protein-A(PAPP-A), pregnancy-specific β-1 glycoprotein (SP1) and human placental lactogen(HPL), which are specific protein, have been known to be detectable in the plasma of pregnant women, especially in mid and last trimester by radioimniunoassay. Various researches have been reported on these and the increments of them could be of value as the tumor markers and as the pregnancy related abnormalities. Surgical specimens of normal and pathologic female genital tissues were fixed in formalin and embedded in paraffin in order to detect the exact distribution of PAPP-A, SP1 and HPL in various tissue component of them. The result obtained are as follows: 1. Normal superficial and intermediate squamous epithelial cells, moderate and severe dysplasia, carcinoma in situ and keratinizing squamous cell carcinoma of uterine cervix revealed positive reaction to anti PAPP-A, SP1, and HPL antibodies. 2. Endometrium in both proliferative and secretory phase, endometrial hyperplasia, trophoblastic tumors revealed positive reaction to anti PAPP-A, SP1, and HPL antibody, hut endometrial adenocarcinoma revealed negative reaction to each of them. 3. All of the normal ovarian tissues and various epithelial ovarian tumors revealed negative reaction to PAPP-A, SP1 and HPL antibody, but stromal and germ cell ovarian tumors revealed positive reaction to each of them. 4. Reactions to each PAPP's were in uniformity among the same tissues, that is, once the reaction was positive, the reactions to the other remaining two PAPP's were positive. Similarly negative reactions appeared in the same fashion.