Cholangiocarcinoma Arising from Remnant Choledochal Cyst 증례 Todani 1 (Fig. 1), (Roux-en-Y choledochojejunostomy). 1., 118/88 mmhg, 75 /

Size: px
Start display at page:

Download "Cholangiocarcinoma Arising from Remnant Choledochal Cyst 증례 Todani 1 (Fig. 1), (Roux-en-Y choledochojejunostomy). 1., 118/88 mmhg, 75 /"

Transcription

1 Case Report The Korean Journal of Pancreas and Biliary Tract 2017;22: pissn eissn 선천성담관낭종수술후잔류낭종에서 15 년만에발생한담관암 울산대학교의과대학서울아산병원 1 내과, 2 병리과, 3 소화기내과 이형경 1 이경민 1 김진영 1 이정선 1 안소연 2 홍승모 2 이현우 3 김명환 3 Development of Cholangiocarcinoma Arising from Remnant Intrapancreatic Cyst 15 Years after Choledochal Cyst Excision Hyeung Kyeung Lee 1, Kyoung Min Lee 1, Jinyoung Kim 1, Jungsun Lee 1, Soyeon An 2, Seung-Mo Hong 2, Hyun Woo Lee 3, Myung-Hwan Kim 3 Department of 1 Internal Medicine and 2 Pathology, 3 Division of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Among complications of choledochal cysts, malignant transformation is most concerning and management of choledochal cyst now includes complete cyst excision, whenever possible. In cases of choledochal cyst associated with pancreaticobiliary maljunction like our case, cholecystectomy along with the resection of dilatated bile duct and the biliary diversion are generally performed. However, incomplete cyst excision can result in malignant transformation within the remnant cyst. We present the case of cholangiocarcinoma arising from remnant intrapancreatic cyst 15 years after choledochal cyst excision in a patient with Todani type 1 choledochal cyst associated with pancreaticobiliary maljunction. We learn from the case that a careful long-term follow-up is needed in patients with choledochal cysts if residual cyst is remained after excision. Keywords: Choledochal cyst, Cholangiocarcinoma, Pancreatic cyst Received Mar. 2, 2017 Revised Apr. 6, 2017 Accepted Apr. 7, 2017 Corresponding author : Myung-Hwan Kim Division of Gastroenterology, Asan Medical Center, Ulsan University College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel Fax ; mhkim@amc.seoul.kr This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright 2017 by The Korean Journal of Pancreas and Biliary Tract 서론,.,. Todani 5 ( 1, ; 2, ; 3, ; 4A, ; 4B, ; 5, ), 1 4A. 1,,,. 1,,, Copyright 2017 by Korean Pancreatobiliary Association 147

2 Cholangiocarcinoma Arising from Remnant Choledochal Cyst 증례 Todani 1 (Fig. 1), (Roux-en-Y choledochojejunostomy). 1., 118/88 mmhg, 75 /, 16 /, 36.5.,. 5,200/mm 3, 15.5 g/dl, 285,000/mm 3, 21 IU/L, 21 IU/L, 95 IU/L, 0.6 mg/dl, carcinoembryonic antigen (CEA) 0.30 ng/ml, CA U/mL. 3, 5 mm 7 mm (Fig. 2)., 10. standardized uptake value 2.8., A B Fig. 1. MRCP findings. (A) MRCP shows Todani type 1 choledochal cyst (a gallbladder collapses). (B) The arrow indicates the junction site of main pancreatic duct & common bile duct. The common bile duct seems to join main pancreatic duct at a right angle, sugesting the presence of pancreaticobiliary maljunction. MRCP, magnetic resonance cholangiopancreatography. A B C Fig. 2. Radiological findings of contrast-enhanced CT scan. (A) Before surgery, CT shows cystic dilatation of common bile duct without a mass or stone. (B) Remnant intrapancreatic cyst is noted after 2 months of surgery. (C) Solid portion (arrow) is seen within the remnant intrapancreatic cyst after 15 years of surgery. CT, computed tomography

3 Hyeung Kyeung Lee, et al. 로 보이는 검체에서는 췌장두부의 덜 절제되어 남아있는 담 에 의한 만성 염증을 기반으로 해서 과형성-이형성-암 과정 관 낭종 표면에서 융기성 병변이 확인되었고(Fig. 3), 최종 병 (hyperplasia-dysplasia-carcinoma sequence)을 밟는 것으로 이 리조직 검사에서 선편평세포암종으로 확진되었다(Fig. 4). 해되고 있다. 이는 통상의 담도암이 선종-선암 경과를 밟거나 American joint committee on cancer 7판의 병리학적 병기는 새로이(de novo) 발암하는 것과는 차이가 있다.4 IIB (T3N1M0)였고, 림프절 12개 중 1개에 전이가 확인되었고, 일반적으로 담관 낭종 환자에서 췌담관합류이상이 동반된 절제면에서 암세포는 발견되지 않았다. 림프혈관강 침윤이 있 경우가 동반되지 않은 경우보다 담도계 암의 발생률이 유의하 어 외래에서 항암화학 방사선 치료 concurrent chemoradiation 게 높다.5 일본의 전국조사 통계에 따르면, 담관 낭종과 췌담 therapy를 시행하기로 하고, 안정적인 상태로 퇴원하였다. 관합류이상이 같이 동반된 경우는 담도계 암 발생 환자의 약 2/3이 담낭에, 약 1/3이 담도에 암이 발생하였다. 반면에 담관 고 찰 낭종이 동반되지 않은 췌담관합류이상에서는 담도계 암 발생 환자의 약 90%가 담낭에서 암이 발생하였다.6 따라서 임상에 담관 낭종은 담도암의 전구병변이며, 나이가 증가함에 따라 서는 췌담관합류이상 및 담관 낭종이 동시에 있는 환자에서 담도계 암의 발생률이 증가하므로, 담관 낭종은 증상의 유무 담도계 암의 발생을 막기 위해 예방적으로 담낭 절제술과 간 와 진단 당시의 나이에 관계없이 진단되는 대로 수술이 가능 외 담관 낭종 절제술을 시행하고, 담도상피세포가 췌액에 노 1 출되는 것을 가능한 줄여주기 위해 수술적 우회술(예를 들면, 하다면 완전 절제하는 것이 치료 원칙이다. 담관 낭종 환자에서 췌담관합류이상은 약 70%에서 확인되 간관공장문합술)을 추가로 시행한다.6 반면에 담관 낭종을 동 며,3 또한 췌담관합류이상은 담관 낭종의 발생기전 중 하나로 반하지 않은 췌담관합류이상 환자에서는 담관 절제술 없이 담 생각된다. 본 증례와 같이 췌담관합류이상이 동반된 담관 낭 낭 절제술만을 예방적으로 시행하는 것이 일반적이다.4 종 환자에서의 담도계 암 발생기전은 췌액의 담도계로의 역류 문헌에 따르면 담관 낭종 수술 후 일부 남아있는 췌장내 담 관 낭종으로 다시 수술을 받은 41명의 환자들을 추적해 본 결 과 6명의 환자(15%)에서 담관암이 발생하였고, 이들은 모두 남은 췌장내 담관 낭종에서 암이 발생하였다. 따라서 담관 낭 종 절제시 췌장내 담관 낭종 부분도 완전 절제하는 것이 중요 하다.7 담관 낭종이 췌장내 담관 부위까지 확장된 경우에는 완 전 절제를 위해 정상적인 주췌관과 합류하는 부위 바로 직상 방까지 췌장내 총담관 낭종을 절제하는 것이 원칙이다. 담관 낭종이 방추 모양으로 확대되어 있어 주췌관이 잘 보이지 않 아 주췌관을 손상시킬 위험이 크기 때문에 췌담관합류이상의 유무를 정확히 알고, 절제 전에 담관조영술, 담관내시경, 금속 Fig. 3. Bivalve image of the surgical specimen shows choledochal cyst. The cystic wall demonstrates irregular nodularity (arrowheads) and choledocholithiasis (arrow). A B 클립을 사용해 절제 부위를 정해놓는 것이 안전하다. 악성화 되지 않은 Todani 제1형 담관 낭종 환자에서 췌십이지장절제 Fig. 4. (A) Representative images of well-differentiated cholangiocarcinoma component. Cancer cells make variable sized well-formed glandular architecture, which infiltrate into bile duct wall (H&E, 40). (B) Squamous cell carcinoma component is located in advanced tumor edge. Sheets of tumor cells with abundant eosinophilic cytoplasm with pleomorphic nuclei (H&E, 200). 149

4 Cholangiocarcinoma Arising from Remnant Choledochal Cyst Table 1. Reported cholangiocarcinoma cases developed within intrapancreatic remnant cyst after surgical excision of the choledochal cyst Age/sex Todani type Surgery for cyst Follow-up* (year) Cancer surgery Case # /F I Ex, Hj 4 PD Case # /F I Ex, Hj 6 Bypass Case # /F IV-a Ex, Hj 13 PD Case # /M - Ex 10 - Case # /F IV-a Ex, Hj 12 PD Case # /F I Ex, Hj 17 TP Case # /M - Ex 17 - Case # /F - Ex, Hj 17 PPPD Case # /F IV-a Ex, Hj 17 TP Case # /M I Ex, Hj 8 PD Case # /F I Ex, Hj 13 TP Case # /M I Ex, Hj 16 PD Case # /F I Ex, Hj 8 TP Case # /M IV-a Ex, Hj 23 PD Case # /F I Ex, Hj 13 PPPD Case # /F IV-a Ex, Hj 14 PD Case # /M I Ex, Hj 26 PPPD Case # /F I Ex, Hj 6 PPPD Case # /F I Ex, Hj 16 PPPD Case # /F I Ex, Hj 32 - Case # /F I Ex, Hj 23 PPPD F, female; Ex, excision of the cyst; Hj, hepaticojejunostomy; PD, pancreatoduodenectomy; M, male; -, not described; TP, total pancreatectomy; PPPD, pylorus-preserving pancreaticoduodenectomy. *Follow-up (year), time interval between cyst excision and cancer detection %, Todani 4A,., Todani 1, 5 Todani 4A, 3, 13.6 (4-26) , (CEA, CA19-9) ( 6, 4, 3 ),

5 Hyeung Kyeung Lee, et al %, , (Table 1).. (computed tomography) (magnetic resonance cholangiopancreatography). 15,. 요약,.,,, 국문색인 : 담관낭종, 담관암, 췌장낭종 Conflicts of Interest The authors have no conflicts to disclose. REFERENCES 1. Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adults: a multicenter survey in South Korea. Arch Surg 2011;146: She WH, Chung HY, Lan LC, Wong KK, Saing H, Tam PK. Management of choledochal cyst: 30 years of experience and results in a single center. J Pediatr Surg 2009;44: Liu YB, Wang JW, Devkota KR, et al. Congenital choledochal cysts in adults: twenty-five-year experience. Chin Med J (Engl) 2007;120: Kamisawa T, Ando H, Suyama M, et al. Japanese clinical practice guidelines for pancreaticobiliary maljunction. J Gastroenterol 2012;47: Ragot E, Mabrut JY, Ouaïssi M, et al. Pancreaticobiliary maljunctions in European patients with bile duct cysts: results of the multicenter study of the French Surgical Association (AFC). World J Surg 2017;41: Morine Y, Shimada M, Takamatsu H, et al. Clinical features of pancreaticobiliary maljunction: update analysis of 2nd Japan-nationwide survey. J Hepatobiliary Pancreat Sci 2013;20: Xia HT, Yang T, Liang B, Zeng JP, Dong JH. Treatment and outcomes of adults with remnant intrapancreatic choledochal cysts. Surgery 2016;159: Mabrut JY, Bozio G, Hubert C, Gigot JF. Management of congenital bile duct cysts. Dig Surg 2010;27: Kobayashi S, Asano T, Yamasaki M, Kenmochi T, Nakagohri T, Ochiai T. Risk of bile duct carcinogenesis after excision of extrahepatic bile ducts in pancreaticobiliary maljunction. Surgery 1999;126: Watanabe Y, Toki A, Todani T. Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg 1999;6: Ono S, Fumino S, Shimadera S, Iwai N. Long-term outcomes after hepaticojejunostomy for choledochal cyst: a 10- to 27-year follow-up. J Pediatr Surg 2010;45: Kim JW, Moon SH, Park DH, et al. Course of choledochal cysts according to the type of treatment. Scand J Gastroenterol 2010;45: Mizuguchi Y, Nakamura Y, Uchida E. Subsequent biliary cancer originating from remnant intrapancreatic bile ducts after cyst excision: a literature review. Surg Today 2017;47: Ishikawa K, Ogasawar S, Chiba T, et al. Cholangiocarcinoma derived from remnant intrapancreatic bile duct arising 32 years after congenital choledochal cyst excision: a case report. Case Rep Oncol 2015;8: Shimada T, Sakata J, Ando T, et al. Surgical resection for carcinoma arising from the remnant intrapancreatic bile duct after excision of a congenital choledochal cyst - a case report. Gan To Kagaku Ryoho 2016;43:

Kjhps016( ).hwp

Kjhps016( ).hwp Surgical Extent and Types in Pancreatic Cancer Song Cheol Kim, M.D. Department of Surgery, Ulsan University College of Medicine & Asan Medical Center, Seoul, Korea Pancreatic cancer continues to pose a

More information

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

(49-54)Kjhps004.hwp

(49-54)Kjhps004.hwp Biliary Cystadenoma and Cystadenocarcinoma of the Liver Jae Hoon Lee, M.D., Dong Ho Choi, M.D. 1, Kyeong Geun Lee, M.D., Hwon Kyum Park M.D. and Kwang Soo Lee, M.D. Department of Surgery, College of Medicine,

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

김범수

김범수 Gastrointestinal stromal tumors (GISTs) are rare tumers of the alimentary tract, and these tumors arise from primitive mesenchymal cells. Duodenal GISTs comprise 4-5% of all GISTs. In this article, we

More information

Hyo Sun Kim, et al. 증례 /100 mmhg, 82 /, 20 /, 36.0 C, (Murphy s sign). 4,890/mm 3, 12.8 g/dl, 378,000/mm 3, 7.08 mg/dl, 5.54 mg/dl, AST 5

Hyo Sun Kim, et al. 증례 /100 mmhg, 82 /, 20 /, 36.0 C, (Murphy s sign). 4,890/mm 3, 12.8 g/dl, 378,000/mm 3, 7.08 mg/dl, 5.54 mg/dl, AST 5 Case Report The Korean Journal of Pancreas and Biliary Tract 2016;21:96-100 http://dx.doi.org/10.15279/kpba.2016.21.2.96 pissn 1976-3573 eissn 2288-0941 중심부석회화를동반한간내담관암 1 예 1 한림대학교의과대학춘천성심병원내과, 2 울산대학교의과대학서울아산병원내과

More information

( )Jkstro011.hwp

( )Jkstro011.hwp 비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy

More information

내시경 conference

내시경 conference 부울경소화기내시경학회 6월집담회 고신대학교복음병원소화기내과전임의서광일 F/63 CASE C.C) epigastric pain for 2 wks P. I) 2014.04.16 EGD at LMC adm via OPD for further evaluation. P. Hx) CASE HTN/DM/Hepatitis/Tbc (+/+/-/-) S. Hx) N-S ROS)

More information

Jkbcs016(92-97).hwp

Jkbcs016(92-97).hwp Expression of bcl-2 and Apoptosis and Its Relationship to Clinicopathological Prognostic Factors in Breast Cancer - A Study with Long Term Follow-up correlated with the survival rate.(journal of Korean

More information

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR 6 3 2000 ; 387-392 (3) Dysplastic Nodule Young Nyun Park, M.D., Chanil Park, M.D. Department of Pathology, Yonsei University College of Medicine BRIEF HISTORY 56. AST/ALT 72/73 IU/L, total bilirubin 0.7

More information

Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20: pissn eissn 2288-

Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20: pissn eissn 2288- Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20:140-145 http://dx.doi.org/10.15279/kpba.2015.20.3.140 pissn 1976-3573 eissn 2288-0941 총담관 - 십이지장문합부위를통한직접경구담관내시경하담관내고주파열치료를시행한악성담관폐쇄

More information

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770>

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770> J of Korean Tunn Undergr Sp Assoc 15(5)497-504(2013) eissn: 2287-4747 http://dx.doi.org/10.9711/ktaj.2013.15.5.497 pissn: 2233-8292 도로터널의 갱구부 경관설계가 터널 내부조명에 미치는 영향에 관한 연구 이미애 1 ㆍ이동희 2 * 1 아이라이트 대표이사 2

More information

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770>

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770> Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 2 : 258~264 Feb. 2015 ID3 알고리즘 기반의 귀납적 추론을 활용한 모바일 OS의 성공과 실패에 대한

More information

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285 13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914

More information

ePapyrus PDF Document

ePapyrus PDF Document 186 소아외과 : 제 11 권제 2 호 2005 년 Vol. 11, No, 2, December 2005 내배액술을시행한담관낭종에서발생한악성변성및간전이 - 1 예보고 - 경북대학교의과대학외과학교실 지문종 윤혁진 강신용 박진영 서 론 증 례 담관낭종에서암이발생하는경우는상당히드물지만절제해내지않은담관낭종의경우에주로 10대이후에 20-30 % 에서담관암이발생한다고한다

More information

( )Jksc057.hwp

( )Jksc057.hwp 직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI:   : Researc Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.251-273 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.251 : 1997 2005 Research Trend Analysis on the Korean Alternative Education

More information

<C1A63436C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770>

<C1A63436C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770> E-I. 개원가에서흔히보는담도췌장질환의해결 Room E 고려대학교의과대학구로병원소화기내과학교실 Bile Duct Dilatation (IHD and EHD) Jae Seon Kim Department of Internal Medicine, Guro Hospital, Korea University College of Medicine, Seoul, Korea 서론

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II)

전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) 전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) 전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) - i - - ii - - iii - - iv - - v - - vi - - vii - - viii - - ix - -

More information

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

Kaes017.hwp

Kaes017.hwp 갑상선의 Poorly Differentiated (Insular) Carcinoma Insular Carcinoma: An Aggressive Subtype of Differentiated Thyroid Neoplasms Seok-Jin Nam, M.D., Sang-Dal Lee, M.D., Hal-lin Park, M.D., Young-Ryun Oh, M.D.

More information

<313120C1F5B7CA B7F9B4EBB0EF2DB0ADB4EBC8AF D E687770>

<313120C1F5B7CA B7F9B4EBB0EF2DB0ADB4EBC8AF D E687770> 대한내과학회지 : 제 86 권제 6 호 2014 http://dx.doi.org/10.3904/kjm.2014.86.6.728 고이형성증이동반된총담관류 1 예 부산대학교의과대학양산부산대학교병원내과 류대곤 김은정 안은영 송병준 강대환 A Case of Choledochocele with High-Grade Dysplasia Dae Gon Ryu, Eun Jung

More information

A Case of Diffuse Large B-cell Lymphoma of the Gallbladder B. Lugano classification Involvement of a single lymph node region or of a single extranoda

A Case of Diffuse Large B-cell Lymphoma of the Gallbladder B. Lugano classification Involvement of a single lymph node region or of a single extranoda Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20:151-155 http://dx.doi.org/10.15279/kpba.2015.20.3.151 pissn 1976-3573 eissn 2288-0941 담낭에단독으로재발한광범위큰 B 세포림프종 1 예 전주예수병원내과 신홍식ㆍ김상선ㆍ김병관ㆍ조아영ㆍ이성희ㆍ조미영ㆍ조진웅ㆍ김지웅

More information

139~144 ¿À°ø¾àħ

139~144 ¿À°ø¾àħ 2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,

More information

l l l l l l l l l Lee, Geon Kook None This project was designed to establish the Tumor Bank of National Cancer Center in 2000. From the first tumor sample in 2000, the total of tumor and tumor-related

More information

<C1A63438C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770>

<C1A63438C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770> B-III. 췌담도암과관련된선행질환다루기 Room B 황은정 동석호 경희대학교의과대학내과학교실 Congenital Pancreatobiliary Anomaly Associated with Pancreatobiliary Malignancy Eun Jung Hwang, Seok Ho Dong Division of Gastroenterology and Hepatology,

More information

Dae Won Park, et al.. 1,2 POC (electrohydraulic lithotripsy, EHL) 1. 증례 , 64, 18, 140/80 mmhg... 4,400/mm³, 10.8 g/dl, 232,000/mm³. 131

Dae Won Park, et al.. 1,2 POC (electrohydraulic lithotripsy, EHL) 1. 증례 , 64, 18, 140/80 mmhg... 4,400/mm³, 10.8 g/dl, 232,000/mm³. 131 Case Report The Korean Journal of Pancreas and Biliary Tract 2015;20:146-150 http://dx.doi.org/10.15279/kpba.2015.20.3.146 pissn 1976-3573 eissn 2288-0941 경구담도내시경후발생한간내담도천공의증 1 예 광주기독병원소화기내과 박대원 박상욱 김두진

More information

1..

1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:275~289 Received: 2016/12/02, Accepted: 2016/12/22 Revised: 2016/12/20, Published: 2016/12/30 [ABSTRACT] SNS is used in various fields. Although

More information

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae

More information

untitled

untitled 대한내과학회지 : 제 70 권부록 2 호 2006 악성변화가동반된총담관류 1 예 울산대학교의과대학서울아산병원내과학교실, 병리학교실 2 이창훈 서동완 문규 이상수 이성구 김명환 노재윤 2 =Abstract= A case of choledochocele with malignant change Chang Hun Lee, M.D., Dong Wan Seo, M.D.,

More information

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소 1 의사학 제24권 제1호(통권 제49호) 2015년 4월 Korean J Med Hist 24 ː1-34 Apr 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.1 pissn 1225-505X, eissn 2093-5609 간호부 이정숙의 독립운동 김숙영* 1. 서론 2. 본론 1) 출생에서 정신여학교 수학시절까지

More information

- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

<30352EB0A3BAB4B8AE2E687770>

<30352EB0A3BAB4B8AE2E687770> The Korean Journal of Hepatology 2007 ; 13 : 571-575 DOI: 10.3350/kjhep.2007.13.4.571 이번 호의 간 병리(32) 혼합 간세포-담관세포암종 순천향대학교병원 병리과 진윤미 진소영 Combined Hepatocellular-cholangiocarcinoma Yoon-Mi Jeen, M.D. and

More information

연하곤란

연하곤란 2015.03.04 부울경소화기내시경지회 Intramucosal gastric cancer: The rate of lymph node metastasis in signet ring cell carcinoma was as low as that in welldifferentiated adenocarcinoma 인제대부산백병원 소화기내과 지삼룡 Signet ring

More information

Minimally invasive parathyroidectomy

Minimally invasive parathyroidectomy 2013. 2. 2 대한간암연구학회 7차 심포지움 및 학술대회 Indication and Clinical Outcomes of Metachronous HCC Metastasectomy Shin Hwang Division of Liver Transplantation and Hepatobiliary Surgery, Department of Surgery, Asan

More information

Case Report The Korean Journal of Pancreas and Biliary Tract 2014;19(1):42-46 pissn eissn 개복담낭절제술후오랜기간후에발생한혈액담즙증 1 예 가톨릭대학교의과대학내과학

Case Report The Korean Journal of Pancreas and Biliary Tract 2014;19(1):42-46 pissn eissn 개복담낭절제술후오랜기간후에발생한혈액담즙증 1 예 가톨릭대학교의과대학내과학 Case Report The Korean Journal of Pancreas and Biliary Tract 2014;19(1):42-46 pissn 1976-3573 eissn 2288-0941 개복담낭절제술후오랜기간후에발생한혈액담즙증 1 예 가톨릭대학교의과대학내과학교실 1, 청주성모병원내과 2, 영상의학과 3, 충북대학교의과대학내과학교실 4 정지선 1,2

More information

레이아웃 1

레이아웃 1 대한위장관기질종양연구회 01 GIST 06 02 11 03 Imatinib 14 04 05 06 07 Sunitinib 32 40 44 48 GIST 6 01 7 GIST Guide book GIST 8 01 9 GIST Guide book GIST (CT) MRI FDG-PET 10 02 11 GIST Guide book 12 02 (Imatinib)

More information

Jkbcs042.hwp

Jkbcs042.hwp Invasive Ductal Carcinoma Arising from Axillary Accessory Breast Tae Wan Kim, Sang Wook Kang, Ji Young Park 2, Seung Sang Ko 1, Min Hee Hur 1, Hae Kyung Lee 1, Sung Soo Kang 1, and Jee Hyun Lee 1 Department

More information

<30372EC0CCC0AFC1F82E687770>

<30372EC0CCC0AFC1F82E687770> 산전 초음파상 진단된 단독 대조확장증의 출생 후 예후 울산대학교 의과대학 서울아산병원 산부인과학교실 이유진 원혜성 박상민 조현진 정 의 김선권 심재윤 이필량 김 암 Yu-Jin Lee, M.D., Hye-Sung Won, M.D., Sang-Min Park, M.D., Hyun-Jin Cho, M.D., Eui Jung, M.D., Sun-Kwon Kim,

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina

More information

권유진

권유진 Malignant Peripheral Nerve Sheath Tumor of the Pancreas: A Case Report Malignant peripheral nerve sheath tumor (MPNST) is rare, soft tissue, spindle cell sarcoma of an ectomesenchymal origin. MPNSTs frequently

More information

Sok Kyun Hong, et al : A case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms :, 57 : : kg. :, 1998 l. :. :, 110/70 mmh

Sok Kyun Hong, et al : A case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms :, 57 : : kg. :, 1998 l. :. :, 110/70 mmh : 59 2 2000 Carcinoid 1, *, * = A bs tra c t= A cas e of carcinoid tumor of ampulla of v ater pres enting as as thmatic s y mptoms Sok Kyun Hong, M.D., Im Hw an Roe, M.D., Myung In Lee, M.D., Sang Hyun

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

Study on the Improvement of Management System through Analysis of golf semi- market: Focus on Physical Education Facility Act Ji-Myung Jung 1, Ju-Ho Park 2 *, & Youngdae Lee 3 1 Korea Institute of Sport

More information

120304강신용

120304강신용 Clinical Features and Prognostic Factors Influencing Long-term Survival in pt2 Gallbladder Carcinoma Patients Purpose: The prognosis of gallbladder carcinoma is unfavorable, and the depth of invasion,

More information

09김정식.PDF

09김정식.PDF 00-09 2000. 12 ,,,,.,.,.,,,,,,.,,..... . 1 1 7 2 9 1. 9 2. 13 3. 14 3 16 1. 16 2. 21 3. 39 4 43 1. 43 2. 52 3. 56 4. 66 5. 74 5 78 1. 78 2. 80 3. 86 6 88 90 Ex e cu t iv e Su m m a r y 92 < 3-1> 22 < 3-2>

More information

( )Kju269.hwp

( )Kju269.hwp 만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University

More information

07_Àü¼ºÅÂ_0922

07_Àü¼ºÅÂ_0922 176 177 1) 178 2) 3) 179 4) 180 5) 6) 7) 8) 9) 10) 181 11) 12) 182 13) 14) 15) 183 16) 184 185 186 17) 18) 19) 20) 21) 187 22) 23) 24) 25) 188 26) 27) 189 28) 29) 30)31) 32) 190 33) 34) 35) 36) 191 37)

More information

09권오설_ok.hwp

09권오설_ok.hwp (JBE Vol. 19, No. 5, September 2014) (Regular Paper) 19 5, 2014 9 (JBE Vol. 19, No. 5, September 2014) http://dx.doi.org/10.5909/jbe.2014.19.5.656 ISSN 2287-9137 (Online) ISSN 1226-7953 (Print) a) Reduction

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

untitled

untitled Gallbladder, Perihilar Bile Ducts & Distal Bile Duct 연세대학교의과대학세브란스병원외과학교실 김경식 서론암의병기결정은 1977년 1판 AJCC cancer staging 이나온이래 6 8년의주기로개정작업이시행되어왔다. 2002년개정된 6판은간문부암에대한병기가세분되어있지않았고담낭암및담도암에있어서림프절침범유무에만구분하였으나

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

순천향의대논문집 : 제 14 권 1 호 2008 J. Soonchunhyang Med. Coll. 14(1), p , 200 총담관낭종과동반된췌담관이상합류의영상학적소견순천향대학교부천병원영상의학과, 소화기내과 2 이아름, 이혜경, 박성진, 이범하, 문종호 2,

순천향의대논문집 : 제 14 권 1 호 2008 J. Soonchunhyang Med. Coll. 14(1), p , 200 총담관낭종과동반된췌담관이상합류의영상학적소견순천향대학교부천병원영상의학과, 소화기내과 2 이아름, 이혜경, 박성진, 이범하, 문종호 2, 순천향의대논문집 : 제 14 권 1 호 2008 J. Soonchunhyang Med. Coll. 14(1), p401-413, 200 총담관낭종과동반된췌담관이상합류의영상학적소견순천향대학교부천병원영상의학과, 소화기내과 2 이아름, 이혜경, 박성진, 이범하, 문종호 2, 홍현숙, 김대호 Radiological findings of choledochal cyst

More information

( )Kjhps043.hwp

( )Kjhps043.hwp Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,

More information

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원 지원연구분야 ( 코드 ) LC0202 과제번호 1110550 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 1 2 3 소속위암연구과직위책임연구원 성명류근원전공외과 세부과제명 세부과제책임자 성명 소속 ( 직위 ) 전공 총연구기간 2011

More information

untitled

untitled J Korean Surg Soc 2010;79:415-419 DOI: 10.4174/jkss.2010.79.5.415 증 례 간내담관에유두상점액종양을동반한원발성미분화담낭암 을지대학교의과대학을지병원외과학교실, 1 병리학교실, 2 소화기내과학교실 김동희ㆍ김은경 1 ㆍ손병관 2 Synchronous Undifferentiated Carcinoma of Gallbladder

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:237~251 Received: 2016/11/20, Accepted: 2016/12/24 Revised: 2016/12/21, Published: 2016/12/30 [ABSTRACT] Recently, there is an increasing

More information

Trd022.hwp

Trd022.hwp 김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,

More information

YI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w

YI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w 497 의사학 제24권 제2호(통권 제50호) 2015년 8월 Korean J Med Hist 24 ː497-532 Aug 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.497 pissn 1225-505X, eissn 2093-5609 역시만필( 歷 試 漫 筆 ) 의 사례로 재구성한 조선후기 여성의 삶과 질병

More information

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract

More information

433대지05박창용

433대지05박창용 Recent Changes in Summer Precipitation Characteristics over South Korea Changyong Park* JaYeon Moon** Eun-Jeong Cha*** Won-Tae Yun**** Youngeun Choi***** 1958 2007 6 9 6 9 10 10 10 10 10 Abstract This

More information

03-서연옥.hwp

03-서연옥.hwp 농업생명과학연구 49(4) pp.31-37 Journal of Agriculture & Life Science 49(4) pp.31-37 Print ISSN 1598-5504 Online ISSN 2383-8272 http://dx.doi.org/10.14397/jals.2015.49.4.31 국가산림자원조사 자료를 적용한 충남지역 사유림경영율 추정 서연옥

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

6.Kaes013( ).hwp

6.Kaes013( ).hwp 갑상선결핵 - 증례보고및문헌고찰 Tuberculosis of the Thyroid Gland - Report of Two Cases and Review of the Literatures Se Yeom Park, M.D., Jong Geun Lee, M.D., Bong Ok Yoo, M.D., Oh Kyoung Kwon, M.D. and Myoung Jin Joo,

More information

Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp DOI: * Suggestions of Ways

Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp DOI:   * Suggestions of Ways Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp.65-89 DOI: http://dx.doi.org/10.21024/pnuedi.29.1.201903.65 * Suggestions of Ways to Improve Teaching Practicum Based on the Experiences

More information

03-ÀÌÁ¦Çö

03-ÀÌÁ¦Çö 25 3 (2004 9 ) J Korean Oriental Med 2004;25(3):20-31 1), 2), 3) 1) 2) 3) Grope for a Summary Program about Intellectual Property Protection of Traditional Knowledge (TK)etc. Discussed in WIPO Hwan-Soo

More information

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타 RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 20-40대 여성의 외모만족도가 미용관리태도에 미치는 영향 홍수남 1, 김효숙 2 * 1 건국대학교 뷰티사이언스디자인학과, 2 건국대학교 의상디자인과 Effects of Extrinsic Body Satisfaction on Beauty Management Behavior of

More information

Sung Min Kong, et al.. 증례 60 장경 3.0 cm (computed tomography, CT). 6,. 120/80 mmhg, 36.4, 74 /, 20 /.,.,,,,.,,. 5,000/mm 3, 14.2 g/dl, 182,000/mm 3 C-

Sung Min Kong, et al.. 증례 60 장경 3.0 cm (computed tomography, CT). 6,. 120/80 mmhg, 36.4, 74 /, 20 /.,.,,,,.,,. 5,000/mm 3, 14.2 g/dl, 182,000/mm 3 C- Case Report The Korean Journal of Pancreas and Biliary Tract 2016;21:174-179 http://dx.doi.org/10.15279/kpba.2016.21.3.174 pissn 1976-3573 eissn 2288-0941 간농양과감별이어려웠던간내육종양담관암 1 예 성균관대학교의과대학삼성창원병원내과 공성민

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 5 : 1031~1039 May. 2015 정보보호 산업의 경제적 파급효과 및 기여도 분석 김방룡 1 홍재표 2* Economic

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Analysis of

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Analysis of Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp.99-117 DOI: http://dx.doi.org/10.21024/pnuedi.28.1.201803.99 2015 * A Analysis of the Characters and Issues about the 2015 Revised Social

More information

박소연.hwp

박소연.hwp 대한내과학회지 : 제 80 권부록 2 호 2011 간문부담관에서발생한대세포신경내분비종양 1 예 서울대학교의과대학 1 서울대학교병원내과, 분당서울대학교병원 2 내과, 3 외과, 4 병리과 박소연 1 이상협 2 김지연 1 박주희 1 윤혁 1 윤유석 3 김혜령 4 A Case of Large Cell Neuroendocrine Carcinoma in the Hilar

More information

Abstract Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Pro t e c t i o n Jung-Im Yoo, Jung-Wan Koo 1 ) Angio Unit, Team of Radiology,

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

Jkss hwp

Jkss hwp 급성복증을보이는감염성요막관기형 Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management Jan Dy Lee, M.D., Chee Young Lim, M.D. 1, Hyoung Il Kim, M.D. 1, Chul Woon Chung,

More information

04_이근원_21~27.hwp

04_이근원_21~27.hwp 1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Mar.; 28(3),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Mar.; 28(3), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2017 Mar.; 28(3), 163 169. http://dx.doi.org/10.5515/kjkiees.2017.28.3.163 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) PCB

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Sep.; 30(9),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Sep.; 30(9), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2019 Sep.; 30(9), 712 717. http://dx.doi.org/10.5515/kjkiees.2019.30.9.712 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) MOS

More information

Jkcs022(89-113).hwp

Jkcs022(89-113).hwp 대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo

More information

Kaes025.hwp

Kaes025.hwp 고위험군유두상갑상선암환자에대한방사성옥소최대허용선량측정법및치료법의검증 Verification of Measurement Methods and Therapeutic Efficacy of Maximum Permissible Dose of I-131 in High Risk Patients with Differentiated Papillary Thyroid Cancer

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jul.; 27(7),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jul.; 27(7), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 16 Jul.; 27(7), 64662. http://dx.doi.org/./kjkiees.16.27.7.646 ISSN 1226-3133 (Print)ISSN 2288-226 (Online) 2D Microwave Image

More information

untitled

untitled 대한소화기학회지 2008;51:142-146 고형가유두상종양및췌관내유두상점액종양소견을보인췌장선암종 2 예 연세대학교의과대학내과학교실및소화기병연구소, 병리학교실 * 김동현ㆍ조재희ㆍ이수현ㆍ김현기 * ㆍ방승민ㆍ송시영ㆍ정재복ㆍ박승우 Two Cases of Pancreatic Ductal Adenocarcinoma, Manifested as Solid Pseudopapillary

More information

???? 1

???? 1 The Korean Journal of Applied Statistics (2014) 27(1), 13 20 DOI: http://dx.doi.org/10.5351/kjas.2014.27.1.013 Maximum Tolerated Dose Estimation by Stopping Rule and SM3 Design in a Phase I Clinical Trial

More information

untitled

untitled The Korean Journal of Gastrointestinal Endoscopy Case Report 총간관관상선종과동반한조기담낭암 1 예 최준호ㆍ이태훈ㆍ박상흠ㆍ심윤숙ㆍ이창균ㆍ이석호ㆍ김선주ㆍ조현득 * 순천향대학교의과대학천안병원내과학교실, * 병리학교실 A Case of Tubular Adenoma of the Common Hepatic Duct Accompanied

More information

CASE REPORTS THE KOREAN JOURNAL OF PANCREAS AND BILIARY TRACT 총담관에서발생한혼합신경내분비선암 1 예 백인엽 1, 정윤진 1, 박민규 1, 정동형 1, 신동우 1, 권종규 1, 류현욱 1, 박종훈 2 대구파티마병원 1 내

CASE REPORTS THE KOREAN JOURNAL OF PANCREAS AND BILIARY TRACT 총담관에서발생한혼합신경내분비선암 1 예 백인엽 1, 정윤진 1, 박민규 1, 정동형 1, 신동우 1, 권종규 1, 류현욱 1, 박종훈 2 대구파티마병원 1 내 CASE REPORTS THE KOREAN JOURNAL OF PANCREAS AND BILIARY TRACT 백인엽 1, 정윤진 1, 박민규 1, 정동형 1, 신동우 1, 권종규 1, 류현욱 1, 박종훈 2 대구파티마병원 1 내과, 2 외과 A Case of Mixed Adenoneuroendocrine Carcinoma in Common Bile Duct

More information

<C1BEBCB320B1E8C5C2C7F62E687770>

<C1BEBCB320B1E8C5C2C7F62E687770> CASE REPORTS pissn 1976-3573 eissn 2288-0941 THE KOREAN JOURNAL OF PANCREAS AND BILIARY TRACT 정상윤 1, 김효정 1, 김재선 1, 김백희 2, 이연호 1, 유양재 1, 정용 1, 박영태 1 1 고려대학교의과대학구로병원내과학교실, 2 병리학교실 Intraductal Papillary Neoplasm

More information

7.ƯÁýb71ÎÀ¯È« š

7.ƯÁýb71ÎÀ¯È« š J KMA Special Issue Myelodysplastic Syndrome June Won Cheong, MD Yoo Hong Min, MD Department of Internal Medicine, Yonsei University College of Medicine E mail : jwcheong70@yumc.yonsei.ac.kr minbrmmd@yumc.yonsei.ac.kr

More information

장영주.hwp

장영주.hwp 대한내과학회지 : 제 80 권부록 2 호 2011 담도암과감별이어려웠던국소형자가면역성췌장염 한국원자력의학원 1 내과, 2 외과, 3 병리학과 장영주 1 양기영 1 김상범 2 박선후 3 안영 1 양재현 1 이종환 1 Focal-Type Autoimmune Pancreatitis Mimicking Cholangiocarcinoma Young Joo Jang 1,

More information

<C7D1B1B9B1B3C0B0B0B3B9DFBFF85FC7D1B1B9B1B3C0B05F3430B1C733C8A35FC5EBC7D5BABB28C3D6C1BE292DC7A5C1F6C6F7C7D42E687770>

<C7D1B1B9B1B3C0B0B0B3B9DFBFF85FC7D1B1B9B1B3C0B05F3430B1C733C8A35FC5EBC7D5BABB28C3D6C1BE292DC7A5C1F6C6F7C7D42E687770> 기혼 여성이 사이버대학에서 상담을 전공하면서 겪는 경험 방기연 (고려사이버대학교 상담심리학과 부교수) * 요 약 본 연구는 기혼 여성의 사이버대학 상담전공 학과 입학에서 졸업까지의 경험을 이해하는 것을 목적으로 한 다. 이를 위해 연구참여자 10명을 대상으로 심층면접을 하고, 합의적 질적 분석 방법으로 분석하였다. 입학 전 에 연구참여자들은 고등교육의 기회를

More information

±èÇ¥³â

±èÇ¥³â 533 Fig. 1. Dead zone. Nine echoes are positioned 2-10 mm below the scan surface with 1 mm distance. All nine echoes are clearly visualized. 534 Fig. 2. Vertical and horizontal measurement. 10 cm distance

More information

........-55..9.30

........-55..9.30 MYONGJI ST. MARY S HOSPITAL EXCELLENT STROKE TREATMENT CENTER The president of Myongji St. Mary s Hospital M.D. HUH, CHOON WOONG Graduated from Seoul Catholic Medical College. Achived M.D. in Neurosurgeon.

More information