http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Park, Michael Yong,Jung, Seung Eun,Cho, Se Hyun,Piao, Xiang-Hao,Hahn, Seong Tai,Han, Joon-Yeol,Woo, In Sook Taylor Francis 2009 International journal of hyperthermia Vol.25 No.3
<P>PURPOSE: To determine the efficacy and safety from our preliminary results of using high intensity focused ultrasound (HIFU) to treat liver metastasis from colon and stomach cancer. MATERIALS AND METHODS: Ten patients with liver metastasis from colon cancer and three from stomach cancer underwent HIFU under general anesthesia. HIFU was performed using an extracorporeal, ultrasound-guided focused system. Complications during the study, extent of coagulative necrosis at two-week follow up, and evidence of tumor on further follow up were analyzed. Patients were divided into four categories: (I) complete ablation with no evidence of recurrence on follow up; (II) apparent complete ablation of target mass with new foci of disease in the target organ or distant malignancy and no local tumor progression; (III) local tumor progression after apparent complete ablation; (IV) partial ablation. RESULTS: Mean follow-up period was 22 weeks in the colon cancer group and 58 weeks in the stomach cancer group. The sum of total lesion size was between 1.8 cm and 21.4 cm (mean: 8.4 cm +/- 6.7 cm) for the colon cancer group and between 1.7 and 16.3 cm (mean: 8.8 cm +/- 7.3 cm) for the stomach cancer group. In the colon cancer group, one patient was categorized as category I, one as category II, three as category III, and the remaining five as category IV. The stomach cancer group showed two patients as category I, and one as category II. CONCLUSION: For treating liver metastasis from colon and stomach cancer HIFU seems safe but its efficacy is questionable. Further research is warranted.</P>
Teratoma with Malignant Transformation in the Anterior Mediastinum: A Case Report
Jung Im Jung,Seog Hee Park,Jae Gil Park,Sun Hee Lee,Kyo Young Lee,Seong Tai Hahn The Korean Society of Radiology 2000 Korean Journal of Radiology Vol.1 No.3
Malignant transformation of teratoma in the anterior mediastinum is rare; the mass usually has a long history and is seen in older patients. We report a case of teratoma with malignant transformation in the anterior mediastinum, complicated by rupture. CT revealed a lobulated, inhomogeneous cystic mass with a fat component and wall calcifications. The lateral wall was disrupted and consolidation in the adjacent left upper lobe was noted, suggesting rupture. A heterogeneously enhanced solid portion, obliterating the fat plane between the mass and the great vessels was present in the medial aspect of the mass, and pathologic examination demonstrated the presence of adenocarcinoma.
정규원,선희식,최황(Hwang Choi),김병욱(Byung Wook Kim),문성배(Sung Bae Moon),김보경(Bo Kyoung Kim),한준열(Joon Yeol Han),최명규(Myung Gyu Choi),김재광(Jae Kwang Kim),한성태(Seong Tai Hahn),이재문 대한내과학회 1999 대한내과학회지 Vol.56 No.2
Arterioportal (AP) shunt is related to hepatocellular carcinoma (HCC) with variable frequency but its clinical significance is not well known. We retrospectively studied the prevalence and clinical significance including mortality of the AP shunt combined with HCC. Methods : The clinical data and radiologic features of HCC patients who were performed hepatic angiography from 1992 to 1997 at St. Mary's Hospital in Korea were reviewed. The data of HCC patients with AP shunt were compared with that of randomized samples of HCC patients without AP shunt. Results : The prevalence of AP shunt in HCC was 7.3%(45/616 HCC patients). There was no significant difference in clinical symptoms and signs such as ascites, encephalopathy, or variceal bleeding and laboratory findings between the HCC patients with AP shunt and those without. The AP shunt was more common in diffuse, poorly demarcated, large HCC. Especially, portal vein thrombosis (PVT) was one of the most common causes of AP shunt. Cumulative survival rate of the HCC patients with AP shunt was lower than that of those without. But only the size of HCC was significantly related with poor prognosis. Conclusion : AP shunt occurred in some HCC which was large in size or combined with PVT. AP shunt did not increase the severity of symptoms and signs, but decreased the survival because of its relation to tumor size.
감암 환자에서 경피극초단파응고술 후 발생한 피부담관간 누공 1 예
이동건,이인석,김재광,최황,한준열,선희식,김동빈,문성배,임동준,한성태 대한소화기학회 1999 대한소화기학회지 Vol.34 No.3
Small hepatocellular carcinoma (HCC) can be treated by surgery, transarterial chemoembolization (TACE), percutaneous ethanol injection (PEI) and percutaneous microwave coagulation therapy (PMCT). However, surgical resection is not a viable option for all patients due to poor liver function. Furthermore, TACE is sometimes ineffective because of inadequate angiogenesis in small HCC. PEI does not always bring complete necrosis of the tumor because of inhomogeneous distribution within the tumor. PMCT heats tissue by molecular vibration of water in tissue, and induces thermal coagulation. Regardless of the presence of a capsule, PMCT is the most reliable method in inducing tissue coagulation. Slight pain, mild fever, transient elevation of liver enzyme, subcutaneous hematoma, ascites, pleural effusion and tumor seeding can be developed after PMCT. We report a case of cutaneobiliary fistula complicated after PMCT with a review of literatures.