• Title/Summary/Keyword: 경부전이

Search Result 321, Processing Time 0.032 seconds

Metastatic Cervical Lvrnphadenopathy from Uterine Leiornyosarcorna with Good Local Response to Radiotherapy and Chemotherapy (자궁 평활근육종의 경부림프절 전이와 방사선치료 및 화학요법에의 반응)

  • Oh Yoon Kyeong;Park Hee Chul;Kee Keun Hong;Jeon Ho Jong;Park You Hwan;Chung Choon Hai
    • Radiation Oncology Journal
    • /
    • v.18 no.4
    • /
    • pp.309-313
    • /
    • 2000
  • The metastasis of uterine leiornyosarcorna to the neck node has not been reported previously and the radiotherapy has been rarely used for the metastatic lesion of the other sites. We report a case of neck metastasis from a uterine leiornyosarcorna, which developed 10 months after surgery and postoperative pelvic radiotherapy. It also involved the parapharyngeal space, adjacent spine, and spinal canal. The metastatic neck mass was inoperable, and was treated by neck radiotherapy (6,000 cGy) and chemotherapy including taxol and carboplatin. The mass has regressed progressively to a nearly impalpable state. She has never developed spinal cord compression syndrome, and has maintained good swallowing for eight months since the neck radiotherapy and chemotherapy. Since the extensive metastatic neck mass showed good local response to high dose radiotherapy and chemotherapy, both treatments may be considered for an unresectable metastatic leiornyosarcorna.

  • PDF

Proprioception associated with sub-clinical neck pain (경미한 경부 통증과 고유수용성 감각)

  • Lee, Hae-jung;Nicholoson, Leslie L.;Adams, Roger D.;Bae, Sung-Soo
    • PNF and Movement
    • /
    • v.3 no.1
    • /
    • pp.55-66
    • /
    • 2005
  • 목적 : 본 연구는 경미한 경부 통증을 가진 대상자의 경부 운동감각과 경부 통증과 기능에 대하여 조사하였다. 방법 : 본 연구의 대상자는 자발적으로 참여한 81명의 (나이 18-30세, 평균 23.2) 건강한 대학생으로 구성되었으며, 측정은 경부운동감각과 통증 및 기능에 대하여 측정하였다. 경부운동감각은 편안히 앉은 자세에서, 경부 후인과 좌우 회전의 중간 관절 범위에서 대상자의 두부에 착용하지 않는 기구를 사용하여 측정하였다. 경부 통증과 기능은 가장 흔히 쓰이는 4가지 설문지를 한국어로 번역하고 문화적으로 적응하는 과정을 거쳐 사용하였다. 결과 : 대상자들을 경부 통증 빈도에 따라 세 집단으로 (통증 없음, 월별, 주별) 구분하였다. 각 집단간에는 4가지 설문지로 조사한 경부통증과 기능에는 차이를 보이지 않았으나, 경부운동감각은 통증 빈도가 높을수록 더 민감하게 나타났다 결론 : 경부 운동감각은 편안히 앉은 자세에서 경부 후인과 좌 우회전의 중간 관절범위에서 측정하였으며, 경미한 경부 통증 빈도가 높을수록 경부 운동감각은 더 민감하게 나타났다.

  • PDF

Study for Range of Motion, Neck Disability Index According to Cervical Posture in Adults with Reduced Cervical Lordosis Due to Smartphone Use (스마트폰 사용에 의한 경추부 만곡이 감소된 성인의 경부 자세에 따른 관절가동범위와 목장애지수에 대한 연구)

  • Kim, Su-Hyung;Han, Sang-Chuol;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.12 no.4
    • /
    • pp.679-690
    • /
    • 2017
  • The purpose of this study was to investigate the relationship between neck posture and range of motion and neck disability index(NDI) in young adults with reduced cervical lordosis. This study selected 34 young adults with cervical lordosis reduced (Cobb's angle less than 35 degrees). The assessor measured neck flexion, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacements of all subjects using cervical of range motion instrument, Then, the NDI was evaluated. After all assessments, degree for cervical lordosis was divided into two groups: bottom group(severe cervical lordosis) and top group(mild cervical lordosis). The bottom group was significantly higher in Cobb's angle, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacement compared to the top group (p<.05). There was no significant difference between the two groups in flexion, NDI(p >.05). In comparison of subscale of NDI, top group was significantly higher in pain, lifting, and headache than bottom group (p <.05). In correlation analysis, Cobb's angle showed significant positive correlation with flexion, extension, left lateral flexion, right lateral flexion, left rotation and right rotation(p<.05), and showed significant negative correlation with forward displacement, NDI(p<.05). Cobb's angle showed a significant negative correlation with pain, lifting, and headache of subscale of NDI(p<.05). The findings of this study potentially suggest that neck posture may affect the cervical range of motion and pain.

Effects of Cervical Spinal Stabilization Training in Private Security on Chronic Neck Pain and Cervical Function, Neck Pain, ROM (경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과)

  • Kim, Seong-Ho;Kwon, Bong-An;Lee, Wan-Hee
    • Korean Security Journal
    • /
    • no.25
    • /
    • pp.89-107
    • /
    • 2010
  • The purpose of this study was to evaluate the effects of using cervical spinal stabilization exercise for the improvement of pain intensity, cervical range of motion, neck disability index, reposition sense, muscle tenderness with chronic neck pain in private security. For 21 patients diagnosed with chronic cervical pain and divided into cervical spinal stabilization exercise group and postural correction exercise group. Each exercise was conducted for 8 weeks. Pain and neck disability index were measured before and after exercise using the visual analogue scale(VAS) and the neck disability index(NDI). Range of motion were measured electronic goniometer, muscle tenderness of upper trapezius ad sternocleidomatoid were measured algometer, reposition sense were measured reposition panel before and after exercise. After 8 weeks of exercise, the cervical stabilization exercise group pain and neck disability were significantly decreased(p<0.05). Also there was significant difference in both group(p<0.05). In addition, range of motion, muscle tenderness reduce rate, reposition sense were significantly increase as compared to the pre-post exercise in cervical stabilization exercise group(p<0.05). But there was no significantly difference in postural correction group before and after exercise(p>0.05). And there was significantly increase more cervical stabilization exercise group than postural correction exercise group in range of motion, muscle tenderness reduce, reposition sense. In summary, cervical spinal stabilization exercise is more effective in improving cervical range of motion, muscle pain, reposition sense in private security on chronic cervical pain patients, in reducing patients' pain and disability. It is an effective treatment to aid rehabilitation in these cases.

  • PDF

Effect of Stretching Exercise on Cervical ROM in Elderly (노인환자의 스트레칭 운동이 목 가동범위에 미치는 영향)

  • Jeon, Ho-Young;Lee, Sang-Yeol;Bae, Sung-Soo;Jang, Chel;Lee, Geon-Cheol
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.4 no.1
    • /
    • pp.57-62
    • /
    • 2009
  • 목적 : 이 연구의 목적은 스트레칭이 노인의 경부 통증과 관절가동범위에 미치는 영향을 알아보는데 있다. 방법 : 치료에 따른 전, 후 경추 굴곡 신전 패턴을 이용한 스트레칭이 목의 관절가동범위 변화와 통증변화에 미치는 영향을 알아보기 위해 20명(남자 10명, 여자 10명)을 대상으로 치료 전, 치료 4주 후에 얻은 측정치를 대응 t-검정을 사용하여 분석하였다. 결과 : 치료 4주후 통증수치, 경추 관절 굴곡, 신전, 좌회전, 우회전 변화는 유의한 감소를 보였다. 결론 : 스트레칭이 노인 경부근막동통증후군 환자의 관절가동범위 증가와 통증 감소에 효과적이라는 것을 확인하였다.

  • PDF

Nodal Status of the Head and Neck Cancer Patients (두경부 암 환자의 경부 림프절 전이 분석)

  • Yang, Dae-Sik;Choi, Myung-Sun;Choi, Jong-Ouck
    • Radiation Oncology Journal
    • /
    • v.15 no.4
    • /
    • pp.321-329
    • /
    • 1997
  • Purpose : It is well known that the risk of lymph nodes metastases to head and neck cancers are influenced by the location and size of the Primary tumor. as well as the degree and types of histological differentiation. However, data on the statistical analyses of lymph node metastases from the head and neck cancers among Korean Population are not available at present. In order to obtain current status of such data, we have analyzed cancer patients at the department of radiation oncology, korea universityhospital for radiation treatment. Materials and Methods : We have evaluated nine-hundred and ninetyseven (997) head and neck cancer Patients who visited to the Department of radiation oncology, between November 1981 to December 1995. After careful physical examinations and CAT scan, Patients were divided into two groups, those with positive lymph node metastases and with negative lymph node metastases. The nodal status were classified according to the TNM system of American Joint Committee on Cancer (AJCC) Besults : Four-hundred and sixteen Patients out of the 997 patients were lymph node positive $(42\%)$ and 581 patients were lymph node negative $(58\%)$ when they were first presented at the department of radiation oncelogy. According to the AJCC classification, the distribution of positive lymph node is as follow: Nl:106 $(25.5\%),\;N2a:100\;(24\%),\;N2b:68\;(16.4\%),\;N2c:69\;(16.6\%),\;3:73\;(15\%).$ respectively. The frequency of lymph node metastases according to the primary sites is as follow : larynx 283 $(28.5\%)$, paranasal sinuses: 182 $(18\%),\;oropharynx:144\;(14.5\%)\;nasopharynx:122(12\%),\;oral\;cavity\;92\;(9\%),\;hypopharynx:71\;(7\%),\;falivary\;gland:58\;(6\%)$ unknown primary:31 $(3\%),\;skin:\;14(2\%)$,. The most frequent Primary site for the positive Iymph node metastases was nasopharynx $(71\%)$ followed by hypopharynx $(69\%),\;oropharynx\;(64\%),\;oral\;cavity\;(39\%)$ The most common histologic type was squamous cell carcinoma (652/997: $65.4\%$). followed by malignant lymphoma $(109/997:11\%)$. Conclusion : Statistical results of lymph node metastases from head and neck cancer at our department were very similar to those obtained from other countries. It is concluded that the location of Primary cancer influences sites of metastases on head and neck, and stage of the primary cancer also influences the development of metastatic lesions. Since the present study is limited on the data collected from one institute. further statistical analyses on Korean cancer Patients are warrented.

  • PDF

An Unusual Metastasis of Posterior Neck and Axillary Lymph Nodes from Nasopharyngeal Carcinoma (비인강암의 후경부 및 액와 림프절 전이)

  • Hong, Yong Tae;Minh, Phan Huu Ngoc;Hong, Ki Hwan
    • Korean Journal of Head & Neck Oncology
    • /
    • v.32 no.2
    • /
    • pp.23-27
    • /
    • 2016
  • 비인강암은 비인강상피에 발생한 암으로 경부전이 및 간, 폐, 뼈 등의 원격전이가 흔히 나타난다. 본 증례에서는 제 4기 병기를 가진 비인강암환자에서 항암 화학요법 및 방사선 치료 후 매우 드물게 후경부 및 액와 림프절 전이를 보인 환자를 보고하는 바이다. 진행된 병기를 보이는 비인강암 환자는 방사선 치료 후 피부전이가 종종 나타나는 현상이나 후경부 림프절 전이는 흔치 않다. 특히 액와 림프절 전이는 비인강암에서 거의 전이를 보이지 않으나 본 증례에서는 매우 드물게 액와 림프절 전이를 보여 보고하는 바이다.

일본 고속철도 운행 변화

  • 서광석
    • Proceedings of the KSR Conference
    • /
    • 2002.10b
    • /
    • pp.753-775
    • /
    • 2002
  • 1969년 10월 개통된 일본의 토오카이도 신칸센은 세계최초의 고소철도로 당시만해도 세계를 놀라게 하였다. 그러나 일본의 고속철도의 개발은 2차대전을 일으킬수 있는 바탕이 된 기술자들의 패전후 업무었다는 점에서 패러다임의 변화를 알 수 있다. 그런데 이제 우리나라도 경부고속철도 개통을 앞두고 있어 이에 대한 많은 논란이 되고 있다. 이러한 점에서 앞으로 경부고속철도 착공이전과 착공이후에 논의된 이상의 토의가 필요한 것이 운영 문제라고 볼 수있다. 그래서 본 고는 일본의 최초의 고속철도인 토오카이도 신칸센의 개통에서 최근까지를 정리하여 향후 경부고속철도 개통을 앞두고 그 시사점을 알아보고자 한다. (중략)

  • PDF

Light-load Efficiency Optimization Control Strategy for Active Clamp Forward Converter (액티브 클램프 포워드 컨버터에 적용 가능한 경부하 효율 최적화 제어 기법)

  • Kim, Dongmin;Lee, Young-Dal;Kim, Chong-Eun;Moon, Gun-Woo
    • Proceedings of the KIPE Conference
    • /
    • 2020.08a
    • /
    • pp.142-144
    • /
    • 2020
  • 본 논문은 액티브 클램프 포워드 컨버터(ACFC)에 적용 가능한 경부하 조건 효율 최적화 제어 기법을 제안한다. 기존의 액티브 클램프 포워드 컨버터는 경부하 조건에서 과도한 프리휠링 전류로 인해 큰 도통 손실이 발생하여 높은 효율을 기대하기가 어렵다. 제안하는 제어 방식은 복잡한 추가 회로 없이도 전도 손실을 줄이면서 경부하 효율을 유의미하게 개선할 수 있다. 제안하는 제어 방식의 실현 가능성 및 성능은 범용 AC 입력 및 65W 최대 출력에서 설계된 USB PD 어댑터 프로토타입 회로 구성을 통하여 실험 검증된다.

  • PDF