• Journal of Digestive Cancer Research
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• 제11권3호
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• pp.165-170
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• 2023

Gastric cancer is histologically classified into two types. One is the intestinal and diffuse type according to Lauren's classification, and the other is the differentiated and undifferentiated type based on Nakamura's classification. In 2007, Japanese groups proposed a new type of well-differentiated gastric adenocarcinoma in the gastric fundic glands with distinct endoscopic and clinicopathologic features. This is gastric adenocarcinoma of the fundic-gland type (GA-FG), a rare variant of gastric cancer. In a 2012 Korean study, of 6,000 cases of gastric cancer tissues, only three cases of GA-FG were identified. GA-FG is usually located in the upper third of the stomach and not known to be associated with the Helicobacter pylori infection. We herein report a case of GA-FG diagnosed in a 63-year-old man. A gastric polyp was incidentally detected during an upper endoscopy screening while conducting a health check-up, and he was diagnosed with GA-FG after an endoscopic mucosal resection (EMR) was conducted for diagnostic and therapeutic purposes. Our case suggests that for both diagnostic and therapeutic purposes, EMR may be beneficial in case of gastric polyps with suspected GA-FG.

• Journal of Digestive Cancer Research
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• 제2권2호
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• pp.68-71
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• 2014

한 달 동안의 점점 커지는 복부의 종괴를 주소로 방문한 57세 남자 환자에서 대장-십이지장루를 동반한 대장암을 진단하였으며, 이에 대해 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 줄일 수 있었던 좋은 예였다. 국소적으로 진행된 대장암 환자에서 본 증례와 같은 합병증으로 수술의 범위가 커질 가능성이 있다면, 보존적 치료 및 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 좁히는 것이 환자의 치료 경과에 도움이 될 것으로 생각된다.

• Journal of Digestive Cancer Research
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• 제5권1호
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• pp.58-61
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• 2017

5-FU로 인한 심장독성은 드물지만 협심증, 심근경색, 심지어 심장 돌연사까지 유발할 수 있다. 그러므로 약물치료를 계획하기 전 환자의 기저 심질환 여부를 정확히 평가해야 하며, 지연반응으로 인해 약물 투여와 증상 발생의 시간적 간격이 늘어날 수도 있으므로 증상과 EKG에서의 변화가 명확하다면 5-FU로 인한 관상동맥의 일시적인 연축으로 볼 수 있다. 심장효소의 상승과 관상동맥 조영술에서 심혈관의 협착 소견이 없더라도 약물을 중단하고 칼슘통로차단제 등의 혈관확장제를 사용하여야 한다. 그리고 재발의 위험성이 매우 높기 때문에 재투여는 피해야 한다.

• 대한영상의학회지
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• 제81권3호
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• pp.688-700
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• 2020

목적 폐암이 동반된 특발성 폐섬유증 환자와 폐암 비동반 특발성 폐섬유증 환자에서 폐섬유증 급성 악화의 발병률, 생존율 및 전산화단층촬영 소견을 비교하고자 하였다. 대상과 방법 2004년 6월부터 2018년 7월까지, 특발성 폐섬유증으로 진단받은 89명의 환자를 대상으로 하였으며 26명의 폐암 동반 특별 폐섬유증 환자군과 63명의 폐암 비동반 특발 폐섬유증 환자군으로 구성되었다. 이들의 폐섬유증, 폐암, 급성 악화와 관련된 임상 검사 소견과 CT 소견을 검토하였다. 폐암 환자들은 1차 또는 2차 치료로 수술(n = 6), 항암치료(n = 23) 등을 받았다. 두 군 간에 생존율, 급성 악화의 CT 소견, 무병 기간과 급성 악화 발병 이후 사망까지의 시간을 비교하였다. 결과 급성 악화의 발병률은 폐암 동반군에서는 61.5%, 비동반군에서는 58.7%였다(p = 0.806). 폐암 동반군과 비동반군의 평균 생존 기간은 각각 16.8개월과 83.0개월이었다(p < 0.001). 치료 시작부터 급성 악화까지의 기간은 수술과 항암치료에서 각각 16.0개월과 4.6개월이었다. 급성 악화에 의한 사망을 비교하였을 때, 생존율은 폐암 동반군이 비동반군보다 유의하게 낮았다(p = 0.008). 급성 악화의 CT 소견은 폐암 동반군에서 기관지 주위 분포(p < 0.001)와 비대칭 분포(p = 0.016)를 보이는 경우가 많았다. 결론 폐암을 동반한 특발성 폐섬유증 환자에서, 급성 악화에 의한 사망률이 폐암 비동반 특발 폐섬유증 환자들보다 높았다. 또한, 기관지 주위 또는 비대칭 분포의 CT 소견을 보이는 경향이 있다.

• Journal of Digestive Cancer Reports
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• 제8권1호
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• pp.71-75
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• 2020

식도암은 장막이 없어 암의 침윤 및 전이가 쉽고, 흉부의 가운데 있어 수술이 힘든 장기이다. 이로 인해 명확하게 가이드라인을 따라 치료를 하지 못하는 경우도 있다. 이런 상황에서 다학제 치료를 통해 식도암 환자에서 치료를 효율적으로 하고, 생존율을 향상시키고자 하는 노력이 증가하고 있다. 본 증례에서는 경부 식도 1곳과 흉부 식도 2곳으로 총 3곳에 표재성 식도암이 있는 환자에서 다학제 논의를 통해 수술 대신 항암방사선 동시 치료를 시행한 경우를 보고 한다. 또한 치료 중 확인된 복강 내 림프절에 대해 전이 여부 및 향후 치료 계획을 다시 다학제 모임을 통해 논의하였다. 이런 과정을 통해 환자는 완전 관해에 도달하였다. 본 증례를 통해 경부 식도에 위치한 조기식도암에 대해 항암방사선 동시 치료가 효과적일 수 있으며, 또한 식도암의 치료에 있어 다학제적 접근이 효율적임을 알리고자 한다. 아직 사망률이 높다고 인식되는 식도암에서, 향후 다학제 치료를 통해 더 많은 환자가 도움 받을 것으로 생각된다.

• 지역사회간호학회지
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• 제30권3호
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• pp.324-335
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• 2019

Purpose: The purpose of this study is to understand nursing college life experiences of North Korean Defectors and identify their meanings. Methods: The study collected data through individual in-depth interviews among six undergraduates or graduates from nursing colleges, using phenomenological research methodology of Colaizzi-one of qualitative research approaches. Results: Six categories drawn as a result of research include 'Be bumped against hard reality wall', 'Bondage of discrimination and prejudice', 'Endure and stand with strength of faith', 'Myself grown up along with work', 'Becoming one amid differences', and 'Stepping towards unification'. Conclusion: The result of this study would contribute to understanding academic and interpersonal difficulties North Korean defectors might experience at nursing colleges. And it may also help people to learn that they would play an important role in integration of the nursing fields of South and North Korea as well as the nation's unification. Along the way, the results of the study could be basic data to establish national policy helping North Korean defectors adapt to nursing college life, and develop the supporting system of colleges as well as setting up appropriate supports and measures from the perspective of the nursing field.

• 대한간호학회지
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• 제51권1호
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• pp.105-118
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• 2021

Purpose: This study aimed to explore young adult donors' experiences of living donor liver transplantation. Methods: A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi's phenomenological method. Results: Five theme clusters extracted from the young adult donors' experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity. Conclusion: The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.

• 임상간호연구
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• 제26권3호
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• pp.352-364
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• 2020

Purpose: The purpose of this study was to understand and describe the meaning of the experience of male nurses working in Intensive Care Units (ICU). Methods: Data were collected through in-depth interviews with 8 male nurses. Data were collected from november 2019 to february 2020 and were analyzed using Colaizzi's method, a phenomenological approach. Results: 8 theme clusters, and 28 themes were identified. The 8 clusters were as follows; the feeling of burden in a busy and sensitive situation, the daily life facing life and death, female colleagues and patients who are still difficult to treat, a reliable and grateful male colleague, being proud of this role that a man can do, various experiences that improve me, constant effort to be recognized as a team member, and wavering and weighing in the career. Conclusion: These results could help to expand understanding the role of male nurses working in the ICU and in other areas. In addition, the results provide basic data needed to improve mutual respect and relationships between male and female nurses. It is necessary to offer mentoring programs for male nurses to adapt to nursing field.

• 대한두경부종양학회지
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• 제39권1호
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• pp.37-40
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• 2023

Schwannoma is a slow growing benign tumor that can occur anywhere in our body. About 25~45% cases of schwannomas occur in the head and neck, but intra-thyroidal schwannomas are very rare, and mostly are diagnosed by post-thyroidectomy pathologic study. In this article, we present a case of intra-thyroidal schwannoma diagnosed preoperatively with core needle biopsy. The patient underwent enucleation of the thyroid tumor, and the pathology of the tumor was confirmed as schwannoma. Few cases of intra-thyroidal schwannomas have been reported in the literature, but none of them have been diagnosed through core needle biopsy preoperatively. Preoperative diagnosis of intra-thyroidal schwannoma can be helpful when determining appropriate surgical extent and avoid unnecessary thyroidectomy.

• 대한두경부종양학회지
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• 제39권1호
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• pp.49-52
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• 2023

Sublingual resection is known as the most effective treatment of choice to prevent recurrence in patients with plunging ranula. In this case report, we present our experience with a 37 year-old man with prolonged upper neck mass diagnosed as plunging ranula. He had persisting mass lesion even after 4 times of sclerotherapy. Due to fibrotic change the pseudocyst could not be drained after removing the sublingual gland. To resolve the mass lesion, ultrasonography guided transoral drainage was performed. Intraoperative ultrasonography may be useful for transoral drainage of plunging ranula difficult to approach after sublingual resection.