슬라이드 1
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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
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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
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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
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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
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Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis
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Gastric MALT Lymphoma 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification
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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
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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
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
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Important findings to be observed in endoscopic examination of GERD patients 성균관대학교의과대학내과이준행 오늘의소주제 Personal key question과내시경교육 식도의내시경해부학 Hiatal hernia 큰, sliding, paraesophageal, interpretatation GERD와
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GI Lymphomas 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification clinical
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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 - / - /
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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
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Gastric MALT Lymphoma 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification
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2018 삼성서울병원내시경실 special program 내시경 Description Exercise 성균관대학교의과대학내과이준행 Version 2.0 (2018-6-30) 누구를가르칠것인가? 전문훈련과정을 밟고있는 사람만가르친다. 원하면 누구나가르친다. Fellow 생활을마치며마지막발표 실기가중요한것같지만마지막에는역시질병에대한지식으로돌아옵니다. 과거의방법
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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
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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
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Gallbladder, Perihilar Bile Ducts & Distal Bile Duct 연세대학교의과대학세브란스병원외과학교실 김경식 서론암의병기결정은 1977년 1판 AJCC cancer staging 이나온이래 6 8년의주기로개정작업이시행되어왔다. 2002년개정된 6판은간문부암에대한병기가세분되어있지않았고담낭암및담도암에있어서림프절침범유무에만구분하였으나
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