• Title/Summary/Keyword: 간 전이 암

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Role of Locoregional Treatment after Good Response to Systemic Chemotherapy in Metastatic Nasopharyngeal Cancer : A Case Report (원격 전이가 동반된 비인두암에서 항암화학요법 후 치료 반응을 보인 환자에 대한 국소치료의 역할 : 증례보고)

  • Lee, Joo Ho;Wu, Hong-Gyun;Heo, Dae Seog
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.93-96
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    • 2013
  • 원격 전이된 비인두암 환자에서 주요한 치료 방법은 고식적 항암화학치료에 국한되어왔다. 그러나 적극적인 항암화학치료로 비인두암 환자 중 많은 환자에서 치료 반응을 보이며, 치료 반응을 보인 환자군에서는 국소 제어가 중요한 문제가 된다. 본 저자들은 원격 전이 된 환자 1예를 보고하고자 한다. 환자는 큰 크기의 다발성 전이가 있었으나 항암화학요법으로 관해 상태를 보였다. 이후 공고화 항암화학방사선요법을 추가하였고 현재 30개월 간 무병상태이다. 원격전이된 비인두암에서 공고화 항암화학방사선 요법의 역할에 대하여 문헌 고찰을 통해 논의하고자 한다.

Long-term Survival of Recurrent Pancreatic Cancer Treated with Tumorectomy and Stereotactic Body Radiation Therapy (수술 후 재발한 췌장암에서 종양절제술과 정위적 체부 방사선치료로 장기간 생존을 보인 환자)

  • Jong Hwa Won;Ji Kon Ryu;Min Su You
    • Journal of Digestive Cancer Research
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    • v.6 no.2
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    • pp.73-77
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    • 2018
  • A 70-year-old female diagnosed with pancreatic ductal adenocarcinoma was treated by pylorus-preserving pancreaticoduodenectomy (PPPD) and adjuvant concurrent chemoradiotherapy with 5-fluorouracil. Pancreatic ductal adenocarcinoma pT3N0 (stage IIA) was pathologically confirmed. Abdominal computed tomography (CT) findings 14 months after PPPD showed 10 mm sized solitary liver metastasis in segment 3. After 12 cycles of gemcitabine and 9 cycles of capecitabine plus oxaliplatin, the metastatic nodule increased in size to 27 mm. Tumorectomy at segment 3 of liver was done. 25 months after tumorectomy, chest CT showed 23 mm sized cavitary nodule in right upper lobe of lung. The result of percutaneous biopsy favored metastatic adenocarcinoma. Two sets of stereotactic body radiation therapy were done and the patient has survived without further disease progression for 6 years after initial diagnosis. This case suggests that selected population of recurrent pancreatic cancer patients with solitary liver or pulmonary metastasis can be treated by resection of metastatic site and ablative therapies.

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Proper Base-model and Optimizer Combination Improves Transfer Learning Performance for Ultrasound Breast Cancer Classification (다단계 전이 학습을 이용한 유방암 초음파 영상 분류 응용)

  • Ayana, Gelan;Park, Jinhyung;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.655-657
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    • 2021
  • It is challenging to find breast ultrasound image training dataset to develop an accurate machine learning model due to various regulations, personal information issues, and expensiveness of acquiring the images. However, studies targeting transfer learning for ultrasound breast cancer images classification have not been able to achieve high performance compared to radiologists. Here, we propose an improved transfer learning model for ultrasound breast cancer classification using publicly available dataset. We argue that with a proper combination of ImageNet pre-trained model and optimizer, a better performing model for ultrasound breast cancer image classification can be achieved. The proposed model provided a preliminary test accuracy of 99.5%. With more experiments involving various hyperparameters, the model is expected to achieve higher performance when subjected to new instances.

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Purification of the Yolk Protein, and Identification of the Synthetic Site of Its Precursor in Eriocheir japonicus (Decapoda, Brachiura) (동남참게(Eriocheir japonicus)의 난황단백질 정제와 그 전구체의 합성부위 구명)

  • HAN Chang-Hee;BAE Hyun-Hwan
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.25 no.5
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    • pp.432-442
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    • 1992
  • To identify the histological site of synthesis of yolk protein precursor, vitellogenin, by immunocytochemical method in the freshwater crab Eriocheir japonicus, we purified the yolk protein, vitellin, from crude egg extracts, and prepared the anti-rabbit serum against vitellin. Then, the site of vitellogenin synthesis was demonstrated by immunotytochemical method with PAP(peroxidase-antiperoxidase) reaction using the rabbit antiserum aganist vitellin. Female specific serum protein was identified in female serum by immunoelectrophoresis and Ouchterlony's immunodiffusion test for mature male and female sera. Based on the immunoelectrophoresis and Ouchterlony's diffusion test for mature male and female sera and crude egg extracts using antiserum against vitellogenic female serum absorbed with male serum, the female specific serum protein was identified as vitellogenin, detected in female serum only. The major yolk protein, vitellin, was purified from the crude egg extracts by DEAE-cellulose ion exchange chromatography, followed by sepharose CL-4B gel filteration chromatography. The molecular weight of vitellin was estimated to be about 245,000 dalton by sepharose CL-4B gel filteration chromatography. from the results of immunological analysis for vitellin, it was found that the vitellin antiserum contained the antibody against vitellogenin. In the results of immunocytochemical reaction by PAP method with the rabbit antiserum against vitellin, the vitellogenic oocytes and the hepatopancreas of mature female showed positive PAP reaction, but not in follicle cells and previtellogenic oocytes nf ovary, muscle of female and mature male hepatopancreas. Therefore, it showed that the hepatopancreas of mature female is the site of vitellogenic synthesis.

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Cancerous Transfer Evaluation which Presumes as Prosecuting Attorney Nuclear Medicine (핵의학적 검사로 추정한 암 전이 평가)

  • Kim, Seung-Chul
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.236-245
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    • 2008
  • The cancer patient who leads Bone scan and the PET study from in the nuclear medical study what is enforced with the link of early detection and the time which spreads, it will be able to accomplish a positive treatment with the data which presumes that time it researches a degree as cancer discovery initially and only difference of final period the bay it knows. The patient who receives a cancer decision it will be able to accomplish the necessary defense it will be able to delay the time in order, the maximum control the possibility of doing will be becomes the judgement. Cancer decision to initially the nuclear study and treatment it will be in parallel with effort and the investment which are constant and the schedule hour will elapse and to after difficulty some the case which comes to be negligent will be frequent and it will appear with him there to be a possibility of knowing, it will be caused by and the transfer of the cancer sell will be activity. It has a treatment objective and are to each medical treatment agency against and the medical treatment agency worker it will be able to overlook is not the portion is the private plan which needs a more positive disposal, it does.

Multistage Transfer Learning for Breast Cancer Early Diagnosis via Ultrasound (유방암 조기 진단을 위한 초음파 영상의 다단계 전이 학습)

  • Ayana, Gelan;Park, Jinhyung;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.134-136
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    • 2021
  • Research related to early diagnosis of breast cancer using artificial intelligence algorithms has been actively conducted in recent years. Although various algorithms that classify breast cancer based on a few publicly available ultrasound breast cancer images have been published, these methods show various limitations such as, processing speed and accuracy suitable for the user's purpose. To solve this problem, in this paper, we propose a multi-stage transfer learning where ResNet model trained on ImageNet is transfer learned to microscopic cancer cell line images, which was again transfer learned to classify ultrasound breast cancer images as benign and malignant. The images for the experiment consisted of 250 breast cancer ultrasound images including benign and malignant images and 27,200 cancer cell line images. The proposed multi-stage transfer learning algorithm showed more than 96% accuracy when classifying ultrasound breast cancer images, and is expected to show higher utilization and accuracy through the addition of more cancer cell lines and real-time image processing in the future.

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Effect of dietary changes from high-fat diet to normal diet on breast cancer growth and metastasis (고지방식이에서 일반식이로의 전환이 유방암의 성장 및 전이에 미치는 영향)

  • Park, Seung hwa;Jung, InKyung;Kim, Jung-Hyun
    • Journal of Nutrition and Health
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    • v.53 no.4
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    • pp.369-380
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    • 2020
  • Purpose: It has been previously reported that breast tumor incidence, growth, and metastasis are stimulated by high-fat diet but reduced by caloric restriction. However, few studies have elucidated the effects of dietary change from a high-fat diet after breast cancer initiation. Therefore, in this study, we attempted to provide practical assistance to breast cancer prevention and management by investigating the effects of dietary change from a high-fat diet to normal diet on breast cancer growth and metastasis. Methods: The experimental animals were divided into 2 groups (high-fat diet control [HFC] group and diet restriction [DR] group) and consumed a high-fat diet for 8 weeks. 4T1 cells were transplanted into subcutaneous fat or tail vein to measure the growth and metastasis of breast cancer. The HFC and DR groups continuously ingested either high-fat diet or AIG-93G diet for 5 weeks or 3 weeks, respectively. Cell proliferation and apoptosis markers from tumor tissues were analyzed by Western blot analysis. The data were analyzed using the SPSS 25.0 package program. Results: The results show that the DR group significantly reduced breast tumor initiation, growth, and tumor tissue weight compared to the HFC group. The DR group suppressed tumor growth by decreasing proliferation and inducing apoptosis through down-regulation of Bcl-xL and up-regulation of caspase-3 activity. Furthermore, the DR group significantly reduced numbers of metastasized tumors in lung tissues. Conclusion: These results suggest that dietary change from a high-fat diet to normal diet decreased breast growth by reducing cell proliferation and inducing apoptosis and metastasis. Taken together, these results indicate that dietary change to a low-fat and balanced diet might suppress breast tumor growth and metastasis even after tumor diagnosis.

Heavy Metal Pollutions of the Top Soil Plants and Stream Water from the Serpentinite Area Chungnam (충남 사문암 지역 토양 식물체 및 계류의 중금속 오염)

  • 김명희
    • Korean Journal of Environment and Ecology
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    • v.14 no.2
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    • pp.119-126
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    • 2000
  • 충남 사문암 지역인 광천, 홍성, 백동, 대흥 및 유구지역의 토양, 식물체(참억새, 쑥, 리기다소나무) 및 지표수, 갱내수의 중금속 함량을 분석한 결과 사문암 토양의 Ni, Cr 및 Co 원소가 변성암 토양에 비하여 10~13배높았으며 이 원소들이 serpentine factor로 생각된다 사문암 지역간에는 이들원소의 차이가 뚜렷하지 않았다 변성암 토양식물에서보다 사문암 토양 식물에서 Ni, Cr, Co등이 높았다 리기다소나무의 원소 흡수량은 비교적 낮았고 3종 식물에서 대체로 뿌리의 원소 함량이 지상부 함량보다 높았으며 사문암 토양에서는 Ni, Cr, Co, Mo, Sc, As 및 Fe 원소들이 쑥보다 참억새에서 높았다 사문암 토양에서 생육하는 식물체 지상부의 생물학적 흡수계수는 Ni, Cr, Co, Zn, Sc, As 및 Fe 원소는 참억새에 높고Zn은 쑥에서 높았다,. 사문암 토양에서 뿌리로부터 지상부로의 원소 전이는 Ni, Cr, Co, Zn As 및 Fe 원소에 대해 쑥에서 높았고 Mo와 Sc 원소는 리기다소나무에서 높았다. 따라서 사문암 토양에서 참억새가 중금속의 흡수율은 높고 중금속에 대한 내성은 강할 것으로 사료된다 대흥지역에서 광산의 오염이 지표수 및 갱내수의 Ni. Cr, Co, Zn 및 Fe 등의 원소 농도를 높게 하였으며 비오염 계류는 오염계류의 원소 농도를 희석시켰다.

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A Clinical Use of CT Scan in Rectal Cancer (직장암 단층촬영(CT)의 임상적 이용)

  • Suh, Bo-Yang;Chung, Yong-Sik;Lee, Su-Jeung;Shim, Min-Chul;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.67-72
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    • 1986
  • Authors evaluated the accuracy of preoperative pelvic CT scan staging and its effects on management in 12 biopsy proved rectal cancer patients. Authors also studied postoperative CT in 5 patients to detect disease recurrence and metastasis. Preoperative CT staging was identical to surgical and/or pathological staging in 9 patients(75%), but it was underestimated in two cases and overstimated in one instance than in surgical stagings. In 7 cases, CT scan didnot alter original choice of procedures. However, preoperative CT staging gave definitive informations to change management plans in 5 cases otherwise the treatment would be difficult and inadequate. Postoperative CT showed local recurrence in one and liver metastases in 2 cases. One of them was not detected at exploratory laparotomy.

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Factors Influencing the quality of life in thyroid cancer patients after thyroidectomy (갑상선암 수술환자의 삶의 질에 영향을 미치는 요인)

  • Jeong, Jeong-Sook;Kim, In-Sook;Lee, Eun-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5442-5451
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    • 2015
  • The purpose of this study was to examine the affection factors of quality of life in thyroid cancer patients after thyroidectomy. The subject of this study were 125 patients with thyroid cancer who were receiving operation and outpatient medical examination in general hospital in Gwangju city. Data were analysed using descriptive statistics, t-test, one-way ANOVA, Sheffe test, Pearson correlation analysis and stepwise multiple regression analysis using SPSS 21.0 program. The significant factors influencing quality of life were depression(${\beta}=-0.39$, p<.001), spiritual fatigue(${\beta}=-0.30$, p<.001) and physical fatigue(${\beta}=-0.24$, p<.001), which explained 57.2% of the quality of life. Therefore, it is necessary to develop nursing intervention program reducing fatigue and depression for thyroid cancer patients after thyroidectomy.