슬라이드 1

Size: px
Start display at page:

Download "슬라이드 1"

Transcription

1 SMC 내시경퀴즈 21 회 성균관대학교의과대학내과이준행

2 Q21-1. 중부식도입니다. 소견과진단은?

3 A21-1. 식도암. 점막병소보다점막하병소가현저하였던경우 Esophagus and upper stomach, 3-field operation: Invasive squamous cell carcinoma, poorly differentiated, middle thoracic esophagus : 1) tumor size: 6x5 cm 2) extension to periesophageal soft tissue (adventitia) (pt3) 3) lymphovascular invasion: not identified 4) perineural invasion: present 5) resection margins: involved circumferential margin by carcinoma negative other resection margins, safety margin: proximal, 8.5 cm ; distal, 3.5 cm ; 6) no metastasis in 72 regional lymph nodes

4 Q21-2. 소견과진단은?

5 A21-2. Fundic gland polyposis in FAP

6 Q21-3. 소견과진단은?

7 A21-3. EGC IIb Early gastric carcinoma 1. Location : middle third, Center at body and anterior wall 2. Gross type : EGC type IIb 3. Histologic type : tubular adenocarcinoma, poorly differentiated 4. Histologic type by Lauren : mixed 5. Size : 5.3x3.2 cm 6. Depth of invasion : invades mucosa (muscularis mucosae) (pt1a) 7. Resection margin: free from carcinoma safety margin: proximal 3.7 cm, distal 5.8 cm 8. Lymph node metastasis : no metastasis in 48 regional lymph nodes (pn0) 9. Lymphatic invasion : not identified 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. Peritoneal cytology : negative

8 Q21-4. Rectum. 소견과진단은? 12 months later

9 A21-4. SMT-like rectal cancer

10 Q21-5. 소견과진단은? - Recurrent oral ulcer (+)

11 A21-5. Intestinal Behcet s disease 베체트장염진단가이드라인. 대한소화기학회지 2009;53:

12 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

13 SMC 내시경퀴즈 22 회 성균관대학교의과대학내과이준행

14 Q22-1. 식도입니다. 소견과진단은?

15 A22-1. Herpetic esophagitis 6 years after subtotal gastrectomy - Valaciclovir 1,000mg 1 주처방함 Treatment for herpetic esophagitis is the same as other herpes simplex infections in the immunocompetent host, such as prompt initiation of a 7- to 10-day course of orally administered acyclovir or valacyclovir. Occasionally, severe odynophagia necessitates initial treatment with intravenous acyclovir, 250 mg/m2 every 8 hours and then changing to oral therapy when the patient can take oral medication. Given the relative rarity of esophageal involvement, however, no outcome data exist specifically on treating esophageal herpes simplex infection. Sleisenger textbook 2006

16 참고자료 : 보다전형적인 herpetic esophagitis

17 Q22-2. 소견과진단은?

18 A22-2. Diffuse large B cell lymphoma After chemotherapy

19 Q22-3. 소견과진단은?

20 A22-3. EGC Early gastric carcinoma 1. Location : lower third, Center at angle and posterior wall 2. Gross type : EGC type IIb 3. Histologic type : tubular adenocarcinoma, poorly differentiated 4. Histologic type by Lauren : diffuse 5. Size : 1x1 cm 6. Depth of invasion : invades mucosa (muscularis mucosae) (pt1a) 7. Resection margin: free from carcinoma, safety margin: proximal 3 cm, distal 5.5 cm 8. Lymph node metastasis : no metastasis in 37 regional lymph nodes (pn0) 9. Lymphatic invasion : not identified 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. AJCC stage by 7th edition: pt1a N0

21 Q22-4. 소견과진단은?

22 A22-4. Acute diverticulitis

23 Q22-5. 소견과진단은?

24 A22-5. FAP with colon cancer Adenoma Symptom Cancer Death Feldman: Sleisenger's GI and Liver Disease, 7th:2002;p2199

25 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

26 SMC 내시경퀴즈 23 회 성균관대학교의과대학내과이준행

27 Q23-1. Dysphagia 환자의상부식도

28 A23-1. 상부식도암 Esophagus, 13cm from incisor, biopsy: SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED

29 Q23-2. 소견과진단은?

30 A23-2. EGC Early gastric cancer 1. Location : lower third, Center at low body and greater curvature 2. Gross type : EGC type IIc 3. Histologic type : tubular adenocarcinoma, well differentiated 4. Histologic type by Lauren : intestinal 5. Size : 2.4x1.8 cm 6. Depth of invasion : invades mucosa (muscularis mucosae) (pt1a) 7. Resection margin: free from carcinoma, safety margin: proximal 5 cm, distal 5 cm 8. Lymphatic invasion : not identified 9. Venous invasion : not identified 10. Perineural invasion : not identified 11. Lymph node metastasis : no metastasis in 37 regional lymph nodes (pn0)

31 Q23-3. 소견과진단은?

32 A23-3. BGU 2 months later

33 Q23-4. 소견과진단은?

34 A23-4. Colon MALToma Dense infiltration of small lymphocytes with lymphoid follicle formation and multifocal lymphoepithelial lesions, suggestive of EXTRANODAL MARGINAL ZONE LYMPHOMA OF MALT

35 Q23-5. 소견과진단은?

36 A23-5. Solitary rectal ulcer syndrome Chronic benign condition Characterized by single or multiple shallow ulcers surrounded by a hyperemic margin Located in the majority of cases on the anterior or anterolateral rectal wall Not all cases are associated with ulceration Polypoidal or patchy granular hyperemic lesions have been described.

37 A23-5. Solitary rectal ulcer syndrome Endoscopic findings shallow ulcer with a white base surrounded by a rim of erythematous mucosa size : a few milimeters to several centimeters broad-based polypoidal lesions : 25% patchy granular or velvety hyperemic mucosa : 18%

38 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

39 SMC 내시경퀴즈 24 회 성균관대학교의과대학내과이준행

40 Q24-1. 소견과진단은? 심달도는?

41 A24-1. 조기식도암 Invasive squamous cell carcinoma, poorly differentiated with basaloid feature, lower thoracic esophagus : 1) tumor size: 1.3x1.0 cm 2) extension to submucosa (sm3) 3) endolymphatic tumor emboli: not identified 4) perineural invasion: not identified 5) resection margins: free from carcinoma 6) no metastasis in 41 regional lymph nodes 7) treatment effect: no prior treatment

42 Q24-2. 소견과진단은?

43 A24-2. Gastric amyloidosis

44 Q24-3. 소견과진단은?

45 A24-3. Extrinsic compression by hepatic hemangioma

46 Q24-4. Stomach 입니다. 소견과진단은?

47 A24-4. Acute phlegmonous gastritis

48 Q24-5. 소견과진단은?

49 A24-5. Acute appendagitis

50 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

51 SMC 내시경퀴즈 25 회 성균관대학교의과대학내과이준행

52 Q25-1. 소견과진단은?

53 A25-1. Barrett adenocarcinoma 1. Location : [1] esophagus, [2] upper third, center at cardia (gastroesophageal junction) and greater curvature 2. Gross type : EGC type IIa 3. Histologic type : tubular adenocarcinoma, moderately differentiated 4. Histologic type by Lauren : intestinal 5. Size : 1.2x0.8 cm 6. Depth of invasion : extension to mucosa (muscularis mucosa) (pt1a) 7. Resection margin: free from carcinoma8. Lymph node metastasis : no metastasis in 22 regional lymph nodes (pn0) 9. Lymphatic invasion : not identified 10.Venous invasion : not identified 11.Perineural invasion : not identified 12.Associated findings : Barrett esophagus

54 Q25-2. 소견과진단은?

55 A25-2. Gastric carcinoid Stomach, mid body, greater curvature, wedge resection :. Carcinoid tumor (well differentiated neuroendocrine tumor): 1) tumor size: 0.8x0.8cm 2) mitosis: 0/10 HPFs 3) confined to submucosa 4) no endolymphatic tumor emboli 5) no perineural invasion 6) negative resection margins. Synaptophysin: Positive in tumor cells. Chromogranin : Positive in tumor cells. Ki-67: Positive in about 5% of tumor cells. D2-40: Demonstrates no endolymphatic tumor emboli

56 Q25-3. 소견과진단은?

57 A25-3. Tenia asciatica 할머니의영향으로어릴때부터돼지생간을많이먹어온 43세남자환자입니다. 1년전부터칼국수같은모양의운동성기생충이항문으로나오는것을주소로내원하였습니다. 대장내시경에서는전형적인 tape worm이발견되었고아시아조충 (Taenia asiatica) 로진단되었습니다. 아시아조충은과거무구조충 (Taenia saginata) 으로분류되었던것입니다. 무구조충의중간숙주는소이며소고기육회등을먹어서감염됩니다. Cysticercosis는일으키지않습니다. 그러나이상하게도우리나라를비롯한아시가여러나라에분포하는무구조충은소가전혀없는지역에서발견되었습니다. 주로대만에서이에대한연구가활발히진행되었고중간숙주를돼지로하는무구조충의아형 (Taenia saginata taiwanensis) 으로분류되었다가최종적으로아시아조충으로명명되었습니다. 우리나라에서는주로돼지간을날로먹는습성이있는지역에서발견됩니다. Praziquantel 10 mg/kg로잘치료됩니다.

58 Q25-4. 소견과진단은?

59 A25-4. Chronic ischemia related with AAA

60 Q25-5. s/p total gastrectomy due to AGC. 소견과진단은?

61 A25-5. Colon metastasis from stomach cancer

62 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

63 SMC 내시경퀴즈 26 회 성균관대학교의과대학내과이준행

64 Q26-1. 상부식도. 소견과진단은?

65 A26-1. Inlet patch

66 Q26-2. 소견과진단은?

67 A26-2. Lymphangioma

68 Q26-3. 소견과진단은?

69 A26-3. Cavernous hemangioma

70 Q26-4. 소견과진단은?

71 A26-4. Mesenteric phlebosclerosis 만성복통으로내원하신 70대여자입니다. 내시경과 CT 후 mesenteric phlebosclerosis는 chronic ischemic colitis를일으키는원인미상의드문질환으로진단되었습니다. 내시경에서는궤양과함께꺼무접접한점막으로관찰되었습니다 (Rectum쪽은정상이었음 ). Imaging 에서는 right colon의 vessel에 linear calcification이보였습니다. Dis Colon Rectum 2003;46:209-20에보고된 7 증례에대한기술을요약하면아래와같습니다. All seven patients had calcifications in the small mesenteric veins and their intramural branches. No evidence of vasculitis or portal hypertension was recognized. Clinical findings included abdominal pain and diarrhea of a gradual onset and chronic course. A positive fecal occult blood test and mild anemia were often found. The patients had linear calcifications and stenosis in the right colon, which were discovered by plain abdominal radiography and barium enema, respectively. Endoscopic findings included edematous, dark colored mucosa and ulcerations. Four patients underwent a subtotal colectomy because of persistent abdominal pain or ileus. The histopathologic findings were macroscopically characterized by a dark purple or dark brown colored colonic surface, the swelling and disappearance of plicae semilunares coli, and marked thickening of the colonic wall, while they were microscopically characterized by marked fibrous thickening of the venous walls with calcifications, marked submucosal fibrosis, deposition of collagen in the mucosa, and foamy macrophages within the vessel walls.

72 Q26-5. Rectum. 소견과진단은?

73 A26-5. Rectal neuroendocrine tumor 1. Name of Procedure: transanal endoscopic microsurgery 2. Site of Tumor: rectum 3. Diagnosis: Neuroendocrine tumor 4. WHO classification(2010): Neuroendocrine tumor(g2) 5. Multiplicity: Single 6. Size: 0.8x0.6 cm 7. Extent: Proper Muscle (pt2) 8. Grading: Mitotic Count(/HPF): 0-1, Ki-67 labeling index: G2 3-20% 9. Resection Margins: Negative AJCC stage: stage IIA (pt2 N0 M0)

74 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

75 SMC 내시경퀴즈 27 회 성균관대학교의과대학내과이준행

76 Q27-1. 소견과진단은?

77 A27-1. Right pyriform sinus cancer

78 Q27-2. 소견과진단은? Depth of invasion 은?

79 A27-2. SM cancer 1. Location : lower third, Center at antrum and lesser curvature 2. Gross type : EGC type IIa+IIc 3. Histologic type : tubular adenocarcinoma, moderately differentiated 4. Histologic type by Lauren : intestinal 5. Size : 1.6x1 cm 6. Depth of invasion : invades submucosa (sm3) (pt1b) 7. Resection margin: free from carcinoma 8. Lymph node metastasis : metastasis to one out of 31 regional lymph nodes (pn1) 9. Lymphatic invasion : present 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. AJCC stage by 7th edition: pt1b N1

80 Q27-3. 위암환자의복강경입니다. 소견과진단은?

81 A27-3. 무증상공단검진내시경에서발견된위암 (signet ring cell carcinoma) 환자의 diagnostic laparoscopy 에서발견된복막의 seeding nodules

82 Q27-4. 십이지장입니다. 소견과진단은?

83 A27-4. 브루너샘과형성 Brunner's gland hyperplasia (Johann Conrad Brunner, , Swiss anatomist) is the hypertrophy of tubuloalveolar glands in the submucosal layer of the duodenum. They are most numerous in the duodenal bulb proximal to the pyloric canal and their number decreases gradually in the second and third part of the duodenum. They are not usually present in the jejunum or the ileum. It has been reported that their number increases in patients with cystic fibrosis, uraemia and Zollinger Ellison syndrome. Hyperplasia of Brunners glands probably represents a response of the duodenal mucosa to peptic ulcer disease.

84 Q27-5. 급성설사. 대장입니다. 소견과진단은?

85 A27-5. 감염성장염. 상세원인모름

86 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

87 SMC 내시경퀴즈 28 회 성균관대학교의과대학내과이준행

88 Q28-1. 소견과진단은?

89 A28-1. Diaphragmatic eventration

90 Q28-2. 진단은?

91 A28-2. 양성위궤양

92 Q28-3. 소견과진단은?

93 A28-3. Duodenal MALT lymphoma RT

94 Q28-4. 대장. 소견과진단은?

95 A28-4. Cavernous hemangioma

96 Q28-5. 소견과진단은? - History of prostate cancer treatment

97 A28-5. Radiation-induced proctitis

98 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

99 SMC 내시경퀴즈 29 회 성균관대학교의과대학내과이준행

100 Q29-1. 소견과진단은?

101 A29-1. Reflux esohpagitis LA-D, hiatal hernia

102 Q29-2. 젊은환자위암입니다. 심달도는?

103 A29-2. T4 였습니다. 매우심했습니다. Advanced gastric carcinoma 1. Location : middle third, Center at body and greater curvature 2. Gross type : Borrmann type 3 3. Histologic type : tubular adenocarcinoma, poorly differentiated 4. Histologic type by Lauren : mixed 5. Size : 6.5x6 cm 6. Depth of invasion : invades serosa (pt4a) 7. Resection margin: free from carcinoma 8. Lymph node metastasis : metastasis to 48 out of 67 regional lymph nodes (pn3b) 9. Lymphatic invasion : present(+++) 10. Venous invasion : present(extramural) 11. Perineural invasion : present 12. AJCC stage by 7th edition: pt4a N3b

104 Q29-3. 십이지장입니다. 소견과진단은?

105 A29-3. Duodenal varix - 절대로조직검사하면안됩니다.

106 Fatal duodenal varix bleeding

107 Q29-4. 십이지장입니다. 소견과진단은?

108 A29-4. Angiodysplasias APC ablation 으로치료하였습니다.

109 Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease)

110 Q29-5. 간이식환자입니다. 소견과진단은? Follow-up endoscopy

111 A29-5. Transplant-Associated Thrombotic Microangiopathy (TA-TMA) Nasal diffuse large B cell lymphoma 로항암치료를받고관해 상태중 acute hepatitis B with toxic hepatitis 로 living related liver transplatation 을받은분입니다. 설사로대장내시경을하 였고 "From D-colon to S-colon, several longitudinal ulcers with submucsal heamorrhage, edematous margin was noticed" 의소견이었으며조직검사는 "Suggestive of thrombotic microangiopathy with multifocal ischemic change" 로보고되었습니다. 진단은 Transplant-Associated Thrombotic Microangiopathy (TA-TMA) 로생각되었습니다. TA-TMA 의소견은 ischemic colitis 와유사할수있다고합니다.

112 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

113 SMC 내시경퀴즈 30 회 성균관대학교의과대학내과이준행

114 Q30-1. 소견과진단은? 8 years later

115 A30-1. Sentinel polyp + reflux esophagitis + hiatal hernia

116 Q30-2. M/D adenocarcinoma. Would you ESD?

117 A30-2. EGC, SM, Lymphatic (+) 1-3. Stomach, subtotal gastrectomy: Early gastric carcinoma 1. Location : lower third, Center at antrum and greater curvature 2. Gross type : EGC type IIc 3. Histologic type : tubular adenocarcinoma, moderately differentiated 4. Histologic type by Lauren : intestinal 5. Size : 1.7x0.8 cm 6. Depth of invasion : invades submucosa (sm2) (pt1b) 7. Resection margin: free from carcinoma 8. Lymph node metastasis : no metastasis in 24 regional lymph nodes (pn0) 9. Lymphatic invasion : present 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. AJCC stage by 7th edition: T1b N0

118 Q30-3. 소견과진단은?

119 A30-3. Small bowel bezoar 수술함

120 Q30-4. 소견과진단은?

121 A30-4. Duodenal varix in Budd-Chiari syndrome 간문맥고혈압환자에서발생하는정맥류출혈은대량출혈및재출혈빈도가높아서빠르고정확한진단과치료가요구되는응급질환이다. 출혈부위는식도및위정맥류출혈이대부분이지만드물게는이소성으로십이지장, 공장, 회장, 충수돌기, 하행결장, 직장및 S자결장등에서도발생할수있다. 그중십이지장정맥류는이소성정맥류의 1/3을차지하고출혈은거의발생하지않는것으로알려져왔다. 그러나일단출혈하게되면생명의위협이될정도로심하다. 최근에는십이지장정맥류출혈시비수술적인방법으로내시경적경화술, 내시경적결찰술, 경정맥간내문맥-간정맥단락술 (transjugular intrahepatic portosystemic shunt) 등이보고되고있지만아직효율적인치료방법은정립되어있지않다.

122 Q30-5. 태어날때부터피부에 hemangioma 가다수있었습니다. 빈혈로검사를하였습니다. 진단은?

123 A30-5. Blue rubber breb nevus syndrome A rare disorder that consists mainly of abnormal blood vessels affecting the gastrointestinal tract by William Bean in 1958 a venous malformation, formerly, though incorrectly, thought to be related to the hemangioma skin, small bowel, distal large bowel >> brain, liver, muscle

124 Blue rubber breb nevus syndrome Fishman, S. J. Annals of Surgery 241(3) 2005

125 Blue rubber breb nevus syndrome Clinical manifestations presents soon after birth. Melena, hematochezia, intussusception, hemothorax, hemopericardium, pul HTN, dementia, paraparesis, ataxia Genetic link?? It may be associated with TEK tyrosine kinase. Medical treatment: iron supplementation, steroids, interferon, octerotide Treatment modalities for GI lesion: laser photocoagulation, band ligation, and polypectomy

126 Fishman, S. J. Annals of Surgery 241(3) 2005

127 Acting 선생님은 PDF로되어있는문제를모두에게전달해주세요. 각자소견과진단 (first impression 하나만 ) 을 A4 용지에작성하여다음주월요일오후까지 acting 선생님께전달해주세요. Acting 선생님은목요일집담회때발표해주세요.

조기 위암 집담회 부산대학교 병원 CASE

조기 위암 집담회   부산대학교 병원 CASE 부산대학교병원 CASE PRESENTATION 전임의이현정 2013.10.02 CASE PRESENTATION F/79 C.C) Epigastric soreness P.I) 2011년 4월외부병원시행한 EGD 상병변보여본원의뢰됨 P.Hx) HT / DM / Hepa / Tbc - / - / - / - S.Hx) smoking (-), alcohol (-) F.Hx)

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

슬라이드 1

슬라이드 1 양성으로오인하기쉬운 악성위병변 성균관대학교의과대학내과이준행 양성으로오인하기쉬운악성위병변 보만 4형진행성위암과내시경교육 놓치기쉬운상부식도암 식도 SMT와위 SMT 위식도접합부 - 암같은용종과용종같은암 MALT 림프종 보만 4 형진행성위암과 내시경교육 성균관대학교내과이준행 Age-adjusted gastric cancer incidence in Korean male

More information

슬라이드 1

슬라이드 1 내시경입문자를위한식도질환 성균관대학교의과대학내과이준행 Mucosa of the normal esophagus Second physiologic narrowing 대동맥궁과좌기관지에의해형성되는 2-3 cm 부위를통칭 25 cm : 대동맥궁 27 cm : 좌측기관지 cf> 35 cm : 좌심방 정상식도내경 2.5 cm Indentations of the esophagus

More information

슬라이드 1

슬라이드 1 Advanced gastric cancer Recent update 성균관대학교의과대학내과이준행 위암 2019 우리나라위암검진의현황 더좋은검진을위한검사방법 더좋은검진을위한검사시간 증례로살펴보는위암 1, 2 Random cases 우리나라위암검진의현황 성균관대학교의과대학내과이준행 생로병사의비밀 위암 (2019.5.26) M/I ratio was 0.31 in

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

슬라이드 1

슬라이드 1 Hiatal Hernia - A neglected disease with important clinical significance 성균관대학교의과대학내과이준행 도무지어디가어딘지알수없을때? 내시경기계고장 ( 공기가안들어가는경우 ) Hiatal hernia Situs inversus Gastric volvulus Diaphragmatic evantration 소만의단축

More information

슬라이드 1

슬라이드 1 내시경사진촬영및기타 성균관대학교의과대학내과이준행 좋은내시경사진을남겨야하는이유 검사결과의정확한기록. 글로정확히기술하기어려운부분을영상으로명확히전달가능 과거나미래의내시경소견과비교 치료방침의결정이나치료결과의판정에보조적인수단으로이용 적절한내시경검사에대한증거 좋은내시경사진을찍기위하여노력하는과정에서병변을정확히관찰하는습관을가질수있다 어느외과의사의사진촬영법연구 기능을알아야활용할수있습니다.

More information

슬라이드 1

슬라이드 1 위식도접합부 - 짧은구간, 긴관찰이필요한부분 이준행 성균관대학교의과대학삼성서울병원내과 2018-3-25. 내시경학회세미나 위식도접합부내시경해부학 이준행 성균관대학교의과대학삼성서울병원내과 Normal esophagogastric junction Diaphragm Phrenoesophageal ligament Ascending limb Descending limb

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Gastro intestinal lymphomas R3. 정세진 정의 GI lymphoma introduction 위장관및이와관련된배액부위림프절에국한, 간이나비장및기타림프절침범이없고, 단순흉부촬영상이정상, 말초혈액검사의백혈구가정상인경우. Extranodal lymphoma 69.6% GI lymphoma 29.22% Kim JM, WHO Classification

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

The Korean Journal of Pathology 2005; 39: 위암병리보고서기재사항표준화 김우호 박철근 김영배 김윤화김호근 배한익 송규상 장희경장희진 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report

The Korean Journal of Pathology 2005; 39: 위암병리보고서기재사항표준화 김우호 박철근 김영배 김윤화김호근 배한익 송규상 장희경장희진 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report The Korean Journal of Pathology 2005; 39: 106-13 위암병리보고서기재사항표준화 김우호 박철근 김영배 김윤화김호근 배한익 송규상 장희경장희진 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report for Gastric Cancer Woo Ho Kim, Cheol Keun Park, Young

More information

슬라이드 1

슬라이드 1 Gastric MALT Lymphoma 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification

More information

P.P.TEMPLATE KOREA

P.P.TEMPLATE KOREA 부울경소화기내시경학회 10월집담회 메리놀병원소화기내과 R3. 이홍직 Case Presentation Patient : 최 O 수 ( M / 53 ) C.C) melena & hematemesis Case Presentation P.I) 2001. 3 : bladder cancer radical cystectomy /c ileal conduit reconstruction

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

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

Very low-risk Low-risk Intermediate-risk High-risk Appendiceal mucinous tumours Mucinous adenoma Mucinou

Very low-risk Low-risk Intermediate-risk High-risk Appendiceal mucinous tumours Mucinous adenoma Mucinou I. Workshop 결과에대한설문조사결과 A. 종양의행태 (behavior) 코드부여에이견이있는소화기계암에대한설문조사결과 Organ or Subject Stomach Colon Diagnosis 응답자수 ( 총 240 명 ) Low grade adenoma/dysplasia 230 10 0 1 2 3 6 무응답 High grade adenoma/dysplasia

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

Session 2. 하부 Lancet 삼성서울병원

Session 2. 하부 Lancet 삼성서울병원 장염완전정복 : 감염성장염 김태준 성균관대학교의과대학삼성서울병원소화기내과 제 17 회소화기병심포지움 47 Session 2. 하부 Lancet 2008 48 삼성서울병원 Pathogen % Infectious diarrhea S. aureus 6.1 E. coli 23.5 Shigella spp. 1.0 Salmonella spp. 4.0 C. perfringens

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

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

슬라이드 1

슬라이드 1 Important findings to be observed in endoscopic examination of GERD patients 성균관대학교의과대학내과이준행 오늘의소주제 Personal key question과내시경교육 식도의내시경해부학 Hiatal hernia 큰, sliding, paraesophageal, interpretatation GERD와

More information

기관고유연구사업결과보고

기관고유연구사업결과보고 기관고유연구사업결과보고 작성요령 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 1 2/3 2 1 0 2 3 52 0 31 83 12 6 3 21 593 404 304 1,301 4 3 1 8 159 191 116 466 6 11 (`1: (1: 16 33 44 106

More information

슬라이드 1

슬라이드 1 GI Lymphomas 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification clinical

More information

The Clinicopathologic Characteristics of Cases with Negative Pathologic Diagnosis after Endoscopic Submucosal Dissection

The Clinicopathologic Characteristics of Cases with Negative Pathologic Diagnosis after Endoscopic Submucosal Dissection CASE PRESENTATION 2014.06.11 전임의윤종민 M/59 C.C.: SMT on stomach, duodenum P.I.: 2013. 12월외부병원검진위내시경상 cardia 및 2 nd portion of duodenum의 SMT 관찰되어 EUS 등 F/E 위해내원 HISTORY P.Hx) HT / DM / Hepa / Tbc - / - /

More information

, slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Socie

, slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Socie 21 1999.., slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Society of Digestive Endoscopy) terminology OMED.. (European

More information

슬라이드 1

슬라이드 1 위선종 / 이형성 Gastric adenoma/dysplasia Jun Haeng Lee. Department of Medicine Sungkyunkwanuniversity School of Medicie, Seoul, Korea Dysplasia in Barrett s esophagus Ideally, the management of a disorder is

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

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads

More information

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

(

( 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

( )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

슬라이드 1

슬라이드 1 Gastric MALT Lymphoma 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification

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

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 2012 개원의와함께하는임상강좌 경희대학교의과대학감염내과학교실 문수연 F/29 CC: fever, headache, multiple cervical lymph node onset) 5 days ago 1 cm sized Bilateral, mild tender, movable, soft Reactive LN with viral infection 2012 개원의와함께하는임상강좌

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

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

Jksvs019(8-15).hwp

Jksvs019(8-15).hwp Grade I Grade II Grade III 12 대한혈관외과학회지 : 제 20 권 제 1 호 2004 Control Group A Group B Fig. 4. Microscopic findings of vein wall in control, group A and group B on the day of 7 after venous occlusion. The

More information

78 Kor J Neurogastroenterol Motil: Vol. 10, No. 1, 2004 Fig. 3. Endoscopic findings of esophageal diverticula. Two diverticula with retained food materials are observed at 37 cm (A) and at 45 cm apart

More information

untitled

untitled 대한소화기내시경학회지 2008;36:292-297 내시경적결찰술과경화요법으로치료한십이지장정맥류출혈 - 증례보고및국내문헌고찰 - 경상대학교의학전문대학원내과학교실, 건강과학연구원 이재민ㆍ김태효ㆍ이창민ㆍ강동오ㆍ민현주ㆍ김현진ㆍ정운태ㆍ이옥재 Duodenal Variceal Bleeding Treated with a Combination of Endoscopic Ligation

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Hiatal hernia and Barrett's esophagus 내과전공의 3 년차김지유 Hiatal hernia Definition of Hiatal hernia 횡격막의식도열공을통해흉강내로위의일부가탈장되는것. Incidence - 10-20% GERD 환자에서 50-94% Development of hiatal hernia & phrenoesophageal

More information

00약제부봄호c03逞풚

00약제부봄호c03逞풚 경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품

More information

슬라이드 1

슬라이드 1 2018 삼성서울병원내시경실 special program 내시경 Description Exercise 성균관대학교의과대학내과이준행 Version 2.0 (2018-6-30) 누구를가르칠것인가? 전문훈련과정을 밟고있는 사람만가르친다. 원하면 누구나가르친다. Fellow 생활을마치며마지막발표 실기가중요한것같지만마지막에는역시질병에대한지식으로돌아옵니다. 과거의방법

More information

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770> 개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료

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

ca

ca Towards Global Eminence Renal Cancer Kidney Transplant JIA LEE College of Nursing Science Kyung Hee University 1 Contents Kidney Cancer Risk factor Symptom Diagnosis Treatment Nursing Kidney Transplantation

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

지원연구분야 ( 코드 ) E-3 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 조기위암으로위절제술을시행받은환자에서내과적만성질환에미치는 연구과제명 과제책임자 세부과제 총연구

지원연구분야 ( 코드 ) E-3 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 조기위암으로위절제술을시행받은환자에서내과적만성질환에미치는 연구과제명 과제책임자 세부과제 총연구 지원연구분야 ( 코드 ) E-3 과제번호 1210551 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 조기위암으로위절제술을시행받은환자에서내과적만성질환에미치는 연구과제명 과제책임자 세부과제 총연구기간 연구기간및 연구비 ( 단위 : 천원 ) 영향 ( 영문 )influence of gastrectomy

More information

ÀÇÇа�ÁÂc00Ì»óÀÏ˘

ÀÇÇа�ÁÂc00Ì»óÀÏ˘ Common Allergic Diseases in Children Sang - Il Lee, M.D. Department of pediatrics Sungkyunkwan University School of Medicine, Samsung Medical Center E - mail : silee@smc.samsung.co.kr Abstract Allergy

More information

위장관 (Gastrointestinal Tract) 위장관의구조와기능 : - 소화와흡수에관여 - 식도 (esophagus), 위 (stomach), 소장과대장 (small and large intestine), 그리고항문 (anus) 으로구성 1. 식도 (Esophag

위장관 (Gastrointestinal Tract) 위장관의구조와기능 : - 소화와흡수에관여 - 식도 (esophagus), 위 (stomach), 소장과대장 (small and large intestine), 그리고항문 (anus) 으로구성 1. 식도 (Esophag 위장관 (Gastrointestinal Tract) 위장관의구조와기능 : - 소화와흡수에관여 - 식도 (esophagus), 위 (stomach), 소장과대장 (small and large intestine), 그리고항문 (anus) 으로구성 1. 식도 (Esophagus) 인두 (pharynx) 에서위 (stomach) 까지뻗어있는, 위 - 아래조임근 (sphincter)

More information

歯채민병.PDF

歯채민병.PDF Patient number Sex Age Animal contact 1 F 36 No 2 F 31 Cat scratch Result of biopsy/aspiration cytology of lymph nodes Chronic granulomatous inflammation with caseation necrosis, compatible with tuberculous

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 18.01.02 topic review Hiatal hernia Barrett's esophagus IM R3 송주혜 Endoscopic anatomy of EGJ Esophagogastric junction (EGJ) = Proximal margin of gastric folds = Distal end of palisade zone Squamocolumnar

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

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung

More information

K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis

More information

¼Û±âÇõ

¼Û±âÇõ 223 Table 1. Results of FEV 1.0, Methacholine Challenge Test, and Exercise Provocation Test in Eight Patients Who Performed PFT Pts Tests 1 2 3 4 5 6 7 8 FEV 1.0 (%pred) 66.6 88.8 120 101 90.5 95.4 91.6

More information

±è¹ÎÁö

±è¹ÎÁö 531 김민지 외: 미숙아에 발생한 의인성 식도천공과 기종격증 및 종격동염 A B C D E F Fig. 1. Chest radiographs and CT scans of a premature infant. Chest radiograph at 6 days after birth (A) shows left paravertebral radiolucency at the

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

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

1장

1장 Thorax CHAPTER 1 (, thorax). (chest) (thorax),. (chest) (pectoral),, () ( ), ( )., (breast). (, thoracic cavity).. ( ) (thoracic cage, rib cage), (, sternum) (, thoracic vertebrae) (, rib) (, costal cartilage)

More information

Crt114( ).hwp

Crt114( ).hwp cdna Microarray Experiment: Design Issues in Early Stage and the Need of Normalization Byung Soo Kim, Ph.D. 1, Sunho Lee, Ph.D. 2, Sun Young Rha, M.D., Ph.D. 3,4 and Hyun Cheol Chung, M.D., Ph.D. 3,4 1

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

슬라이드 1

슬라이드 1 위장관게실증 성균관대학교의과대학내과이준행 위장관게실증 상부위장관게실증 식도게실 ( 상부, 중부, 하부 ) 위게실 십이지장게실 하부위장관게실증 소장게실 대장게실 상부위장관게실증 성균관대학교의과대학내과이준행 Zenker diverticulum A Zenker diverticulum is a false diverticulum consisting of mucosa

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

슬라이드 1

슬라이드 1 Proposed Korean guideline for the diagnosis of BPH Hyun Woo Kim The Catholic University of Korea BPH Guideline AHCPR guideline on BPH (1994) AUA guideline on BPH (2003) EAU guideline on BPH (2004) International

More information

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 심전도연수강좌 : 처음시작하는사람들을위한심전도 연세대학교원주의과대학순환기내과학교실 안민수 Cardiac Electrophysiology I : Automaticity : 60-100 회 /min, His bundle : 40-60 회 /min Bundle branch : 20-40 회 /min Purkinje fiber : 20 회 /min Cardiac Electrophysiology

More information

°Ç°�°úÁúº´5-44È£ÃÖÁ¾

°Ç°�°úÁúº´5-44È£ÃÖÁ¾ K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 44 www.cdc.go.kr/phwr 2012 11 2 5 44 ISSN:2005-811X Vector surveillance after elimination of lymphatic filariasis

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

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

°Ç°�°úÁúº´6-2È£

°Ç°�°úÁúº´6-2È£ K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 6 No. 2 www.cdc.go.kr 2013 1 11 6 2 ISSN:2005-811X Flavivirus surveillance in mosquitoes collected from the quarantine

More information

untitled

untitled DOI: 10.3857/JKSTRO.2008.26.2.113 노령의 피부암에서 방사선치료 계명대학교 의과대학 동산의료원 방사선종양학교실 김 진 희 목 적: 노령의 피부암에서 방사선치료 후 국소 제어률, 생존율, 실패양상, 부작용을 알아보기 위해 이 연구를 시행 하였다. 대상 및 방법: 1990년 1월부터 2002년 10월까지 계명대학교 동산의료원 방사선종양학과에서

More information

석사논문.PDF

석사논문.PDF ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 1 ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 2 ABO Rh

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 ORIGINAL ARTICLE ISSN 1738-3331, http://dx.doi.org/10.7704/kjhugr.2015.15.3.166 The Korean Journal of Helicobacter and Upper Gastrointestinal Research, 2015;15(3):166-173 Borrmann 4 형위암의다양한내시경소견과임상적특성

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

현재도 피운다. (a) Half pack a day (b) half to one pack a day 반 갑 미만 반 갑 ~ 한 갑 (c) one to two packs a day (d) more than 2 packs a day 한 갑 ~ 두 갑 두 갑 이상 5. Ho

현재도 피운다. (a) Half pack a day (b) half to one pack a day 반 갑 미만 반 갑 ~ 한 갑 (c) one to two packs a day (d) more than 2 packs a day 한 갑 ~ 두 갑 두 갑 이상 5. Ho Name: Preliminary Medical Examination (Female) 문진표(여성) 1. Have you ever suffered from or been treated for below diseases for more than 3 months? 과거에 다음과 같은 질병으로 3개월 이상 앓았거나 진단(치료)을 받은 적이 있습니까? 1 diabetes

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

untitled

untitled J Korean Surg Soc 2010;79:S26-30 DOI: 10.4174/jkss.2010.79.Suppl1.S26 증 례 위수술기왕력이없는환자의심낭종성위염에서발생한위암 아주대학교의과대학외과학교실 김준영ㆍ허훈ㆍ조용관ㆍ한상욱 Gastric Cancer Associated with Gastritis Cystica Profunda in Patients without

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

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

Special Issue Colorectal Polyps : Endoscopic Diagnosis and Polypectomy Seung Taek Oh, M.D. Department of General Surgery The Catholic University of Ko

Special Issue Colorectal Polyps : Endoscopic Diagnosis and Polypectomy Seung Taek Oh, M.D. Department of General Surgery The Catholic University of Ko Colorectal Polyps : Endoscopic Diagnosis and Polypectomy Seung Taek Oh, M.D. Department of General Surgery The Catholic University of Korea, College of Medicine Kangnam St. Mary's Hospital E mail : stoh@catholic.ac.kr

More information

Case Presentation

Case Presentation Case Presentation 부산백병원소화기내과임상강사황진원 C.C: Dysphagia Present illness F / 43 10 일전부터갑자기시작된상기 C.C 로 LMC 방문하여 EGDS 시행후 mass lesion 발견되어 further evaluation 위해내원함. Past Hx.: DM/HTN/TB/Hepatitis ( - / - / - /

More information

<31312EB9DABCB1BFB52E687770>

<31312EB9DABCB1BFB52E687770> 대한내과학회지 : 제 74 권 부록 1 호 2008 자발 천공을 일으킨 에스상 결장의 편평세포암종 전남대학교 의과대학 내과학교실 1, 외과학교실 2 박선영 1 이완식 1 서경원 2 박형천 1 김현수 1 최성규 1 유종선 1 Spontaneous perforation of primary squamous cell carcinoma in the sigmoid colon

More information

Slide 1

Slide 1 위질환관리와간호 부선주 Gastritis ( 위염 ) Peptic Ulcer Disease( 소화성궤양 ) Gastric Cancer ( 위암 ) 2 Gastritis Def. : 위점막의염증성질환 1) 급성위염 : onset 급격, 질병기간이짧다. 2) 만성위염 : onset 완만 3 Etiology 1) 감염 : H. pylori 2) 약물 : NSAIDs,

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

The Korean Journal of Pathology 2006; 40: 대장암병리보고서기재사항표준화 장희진 박철근 김우호 김영배김윤화 김호근 배한익 송규상장미수 장희경 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology R

The Korean Journal of Pathology 2006; 40: 대장암병리보고서기재사항표준화 장희진 박철근 김우호 김영배김윤화 김호근 배한익 송규상장미수 장희경 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology R The Korean Journal of Pathology 2006; 40: 193-203 대장암병리보고서기재사항표준화 장희진 박철근 김우호 김영배김윤화 김호근 배한익 송규상장미수 장희경 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report for Colorectal Cancer Hee Jin Chang, Cheol Keun

More information

Fluoroscopic anatomy for supraventricular tachycardia ablation Hui-Nam Pak, MD, PhD Division of Cardiology, Yonsei Cariovascular Center and Cardiovascular Research Institute, Yonsei University College

More information

대한한의학원전학회지26권4호-교정본(1125).hwp

대한한의학원전학회지26권4호-교정본(1125).hwp http://www.wonjeon.org http://dx.doi.org/10.14369/skmc.2013.26.4.267 熱入血室證에 대한 小考 1 2 慶熙大學校大學校 韓醫學科大學 原典學敎室 韓醫學古典硏究所 白裕相1, 2 *117) A Study on the Pattern of 'Heat Entering The Blood Chamber' 1, Baik 1

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

한국 출산력의 저하 요인에 관한 연구

한국 출산력의 저하 요인에 관한 연구 가족계획실천율 가족계획실천자 세 유배우부인 조출생률 년간 총출생아수 연앙인구수 일반출산율 년간 총출생아수 가임연령 여자연앙인구수 합계출산율 세 연령층 여성이 출산한 출생아수 세 연령층 여성의 연앙인구수 즉 합계출산율 합 6 계 출 산 율 5 4 3 2 1 1960 1973 1977 1981 1985 1989 1993 1997 2001

More information

2012 MARFPR Vol.92 0304 World Best Safety, Global INHA 2012. 03+04 C O N T E N T S Mar.Apr Vol.92 02 04 06 09 12 14 16 18 20 22 24 27 28 30 31 32 33 38 04 2012_ Mar + Apr 05 06 2012_ Mar + Apr 07 08 2012_

More information