• Title/Summary/Keyword: 전이발생

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Influence of Depression on Cancer Metastasis (암환자의 우울이 전이발생에 미치는 영향)

  • Lee, Suk-Jeong;Kim, Joo-Hyung;Park, Young-Mi
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.105-110
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    • 2008
  • Purpose: This study was a retrospective analysis with survey study which analyze influence of depression of patients with cancer on metastasis. Methods: The subjects of this research were 223 patients who underwent chemotherapy or are in follow-up management with stomach, colon, or breast cancer. The questionnaires were collected in 2002 and medical documents were reviewed 400 days after the first data collection. Subjects were divided according to the depression level into over-average group and under average group. Results: In survival analysis, metastasis occurred in 49 of 211 in 223 subjects for whom follow-up review was done after 400 days. The depression and anxiety level were higher in the group with metastasis than the other with no metastasis. As a result, it showed that the lower depression they have, the lesser the metastasis occurred. Conclusion: This research showed that patients who have higher level of depression, experienced higher risk for cancer metastasis. Nurses who take care of cancer patients are responsible for giving patients with positivity with intention to subside their depression.

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Clinical Presentation of Paraganglioma in Orthopaedics - Report of Two Cases - (정형외과 영역에서의 부신경절종의 임상 양상 - 2례 보고 -)

  • Lee, Sang-Lim;Oh, Joo-Han;Lee, Sang-Hoon;Kim, Han-Soo;Kim, Hyung-Ho;Kim, June-Hyuk
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.94-99
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    • 2005
  • Paraganglioma is a neoplasm consisting of sympathetic neuroendocrine cells, which arise from neural ectoderm of extra-adrenal paraganglia. It often occurs in thyroid, carotid body, mediastinum, lung, duodenum, the retroperitoneal area and periaortic area. Malignant paraganglioma is defined not by the histological diagnosis, but by spread to regional lymph nodes or distant metastasis. Rare bone metastasis mostly occurs in the base of skull or spine, and even it rarely metastasizes to pelvis or femur. We would like to report two cases of paraganglioma; one in the subcutaneous fat layer that was mistaken for a vascular tumor, and the other in the retroperitoneal space with early bone metastasis.

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Expression and Clinical Significance of the N-myc Downstream Regulated Gene-1 in Hypopharyngeal Cancer (하인두암에서의 N-myc Downstream Regulated Gene-1 발현의 임상적 의의)

  • Sohn, In-Kyung;Han, Nam-Soo;Shin, Yoo-Seob;Kim, Jang-Hee;Kim, Chul-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.1
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    • pp.22-26
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    • 2011
  • 목 적 : 두경부 암은 발생 순위에서 전체 6위에 해당하는 다빈도 암이나 최근 20여년 동안의 노력에도 불구하고 두경부 암의 독톡한 특성상 생존률에서 뚜렷한 향상을 보이지 못하고 있다. 특히, 하인두 암은 원발 부위의 점막하 침윤이 흔하며, 주변 림프절 전이와 원격 전이가 흔하고, 2차 원발 암종 발생이 흔하여 두경부 암 중에서도 가장 불량한 예후를 보이고 있는 악성 종양이다. 최근에 이러한 암을 치료하고 진단하기 위한 방법으로 분자생물학적 접근법들이 많이 시도 되고 있으며, 그 중 하나로 N-myc downstream regulated gene-1(Ndrg-1)이라는 유전자가 유방, 전립선, 방광 암 등의 타 악성 종양에서 종양의 전이 및 진행 양상과 관련되어 있다는 보고가 있었다. 이에 본 연구는 하인두 암에서의 Ndrg-1의 발현 양상을 살펴보고 이와 임상 양상과의 연관관계를 살펴보고자 하였다. 방 법 : 1996년부터 2003년까지 수술 받은 하인두 암 환자 56명을 대상으로 면역조직화학검사를 시행하여 Ndrg-1 발현을 확인하였고, 3명의 신선 조직을 대상으로 RT-PCR, Western blot을 시행하였다. 결 과 : Ndrg-1은 RT-PCR에서 정상 조직과 악성종양 조직 모두에서 비슷한 수준으로 발현되었다. 그러나 Western blot에서는 정상 조직에서 뚜렷한 증가 양상을 보여 타 연구와 동일한 결과를 보였고, 이는 불필요하며 비효율적인 mRNA수준에서의 발현이 있지만 최종적인 단백 산물 발현에서는 암종의 진행과 연계되어 악성 종양 진행군에서 발현이 억제되는 결과로 해석된다. 면역조직화학검사에서는 정상 상피조직에서 Ndrg-1 발현이 확인되었으며, 통계적으로 유의하지는 않으나 불량한 예후를 가진 그룹에서 대체로 발현이 억제되는 악성 종양과의 역 연관 관계를 확인할 수 있었고, 특히 림프절 전이를 보인 그룹과 그렇지 않은 그룹 사이에서는 통계적으로 유의미한 결과가 확인되었다. 결 론 : 즉, 림프절 전이가 없는 그룹에서 Ndrg-1이 종양의 전이에 관여할 것이라는 타 연구와 일관된 결과로 하인두 암에서도 그 역할이 있음을 나타내는 결과라 할 수 있다.

Probabilistic Analysis of Drought Propagation Over The Han River Basin Under Climate Change (기후변화에 따른 한강 유역의 확률론적 가뭄 전이 분석)

  • Muhammad, Nouman Sattar;Kim, Ji-Eun;Lee, Joo-Heon;Kim, Tae-Woong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.1
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    • pp.155-163
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    • 2019
  • The knowledge about drought propagation is very important in accurate estimation of hydrological drought characteristics and efficient development of early warning system. This study investigated a probabilistic relationship of drought propagation based on Bayesian network model for historic period and for future projection under climate change scenario RCP 8.5 over the Han River basin. The results revealed that the propagation rate and lag time have increasing and decreasing trends from the historic period of 1967-2013 to the future periods of 2014-2053 and 2054-2100 under climate change, respectively. The probabilistic results of Bayesian model revealed that the probability of occurrence of lag time varied spatially and decreased when the intensity of meteorological drought changed from moderate to severe and extreme condition during 1967-2013. The values of probability increased in the first future period of 2014-2053 in several sub-basins and slight decreased in the second period of 2054-2100. The proposed probabilistic results will be useful for the decision makers to develop related policies with an appropriate insight toward the future drought status.

Anti-metastatic Effect of Garlic Hexane Extract on Lung Metastasis Induced by Melanoma B16F10 Cells in Mice (Melanoma B16F10 cell에 의해서 유도된 mouse모델에서 마늘 헥산 추출물의 암전이에 억제 효과)

  • Ko, Min Jung;Rajasekar, Seetharaman;Wang, Ziyu;Li, Mei;Kwak, Jung Ho;Park, Young Hoon;Son, Beung Gu;Kang, Jum Soon;Choi, Young Whan
    • Journal of Life Science
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    • v.26 no.2
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    • pp.259-264
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    • 2016
  • Metastatic cancer is one of the main causes of cancer-related death since they rarely respond to available treatments. There is epidemiologic evidence that high garlic consumption decreases the incidence of cancer. Recent studies of our laboratory have revealed that a garlic-extracts is effective in suppressing metastasis. For experimental metastasis, C57BL/6 mice were injected intravenously with melanoma B16F10 cells in the tail vein, and were orally administered various concentrations (0, 50, 100 or 200 mg/kg body weight) of garlic hexane extract (GHE) for 21 days. The incidence and the area of the melanoma cell colony occupied by the poorly differentiated carcinoma were significantly lower in dose-dependent in 50, 100 and 200 mg/kg BW GHE - treated mice compared with control mice. In conclusion, the results of the present study show that GHE administration prevents lung metastasis in C57BL/6 mice.

Channel and Nonlinear Element Estimation Technique for Self - Interference Cancellation in DOCSIS 3.1 System with Full Duplex (전이중 통신기반 DOCSIS 3.1 시스템에서 자기간섭제거를 위한 채널 및 비선형왜곡 추정 기술 연구)

  • Baek, Myung-Sun;Cho, Yong-Sung;Jung, Jun-Young
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2018.06a
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    • pp.28-30
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    • 2018
  • 본 논문에서는 전이중 통신 방식을 사용하는 DOCSIS 3.1 시스템의 자기간섭 제거를 위한 자기간섭신호의 채널 및 비선형 왜곡 요소를 추정하는 기술을 제안한다. DOCSIS 3.1 시스템의 전이중 통신 방식은 일반적으로 가입자 단말인 CM (Cable Modem) 과 케이블방송신호 송신 시스템인 CMTS (Cable Modem Termination System) 사이의 상하향 통신을 시간/주파수의 분할 없이 동시에 수행하는 통신 방식이다. CMTS 에서 CM 의 신호를 수신함과 동시에 CMTS 신호를 송신하는 경우 고출력의 CMTS 송출신호가 CMTS 의 수신기로 인가되는 자기간섭 현상이 발생하게 된다. 이렇게 인가되는 자기간섭신호는 고출력 증폭기 (HPA: High - Power Amplifier) 및 Feedback 채널의 영향으로 크게 왜곡되어 수신된다. 따라서 자기간섭신호를 제거하고 CM 의 신호를 원활하게 복조하기 위해서는 자기간섭신호의 왜곡 요소룰 추정 및 보상하는 절차가 반드시 필요하다. 본 논문에서는 자기간섭신호의 HPA 에서 발생하는 비선형 왜곡 요소 및 Feedback 채널의 영향으로 발생하는 채널 요소를 추정하는 기술을 제안하고 성능을 분석한다. 제안된 기술은 간단한 연산기반으로 왜곡요소의 추정이 가능하며 반복추정을 통해 성능을 효과적으로 향상시키는 것이 가능하다.

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Implantation Metastasis of Lung Cancer to Chest Wall after Percutaneous Fine-Needle Aspiration Biopsy (흉부 세침 흡인 생검 후 발생한 폐암의 이식성 체벽 전이 2례)

  • Jung, Seung-Mook;Won, Tae-Kyung;Kim, Tae-Hyung;Hwang, Hweung-Kon;Kim, Mi-Young;Jeong, Won-Jae;Lim, Byung-Sung
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.6
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    • pp.718-725
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    • 2001
  • The implantation of malignant cells along the needle tract is an extremely rare complication after a percutaneous fine-needle aspiration biopsy(FNAB). However, it is very serious and may result in a change in the prognosis of lung cancer, especially in the curable early stage(T1-2,N0,M0). Recently, we experienced two cases of such complications. A 43 years old female underwent a fine needle aspiration biopsy and a right middle lobectomy with adjuvant chemotherapy due to an adenocarcinoma(T2N0M0). Two years later, a new tumor developed at the site of the needle aspiraton biopsy. It had the same pathological findings as the previous lung cancer. Therefore, it was concluded to be an implantation metastasis, and she was treated successfully by a right pneumonectomy and a resection of the chest wall mass with adjuvant radiotherapy. In another case, a 62 years old man was diagnosed with squamous cell lung cancer by a fine needle aspiration biopsy and underwent a right upper lobectomy(T2N0M0) with adjuvant chemotherapy. eight months later, a protruding chest wall mass developed at the aspiration site. It showed the same pathological findings as the previous lung cancer. Consequently, a total excision of the mass with adjuvant radiotherapy was done. Two years after the second operation, although the right lung was intact, a metachronous squamous cell lung cancer was found at the left lower lobe. The two patients were still alive 15 and 37months after thenresection of the chest wall mass, respectively.

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Metastatic Pathologic Fractures in Lower Extremities Treated with the Locking Plate (잠김 금속판을 이용한 하지의 전이성 병적 골절에 대한 치료)

  • Seo, Chang-Young;Jung, Sung-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.80-86
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    • 2010
  • Purpose: The skeleton is commonly affected by metastatic cancer. The purpose of this study was to evaluate the results of treating metastatic pathologic fractures in lower extremities using locking plates. Materials and Methods: Between 2004 and 2010, we evaluated 12 patients (13 cases) of metastatic pathologic fractures in lower extremities, treated with the locking plate. Mean patient age was 62.2 years (range, 50-81 years), the locations of the fractures were; proximal femur in 2 cases, femoral mid-shaft in 3, distal femur in 3, proximal tibia in 4, and distal tibia in 1 case. The interval to wheelchair ambulation, pain relief and complications were evaluated. Additionally, we assessed operation time and postoperative blood loss. Results: Mean time from operation to wheelchair ambulation was 3.2 days (range, 1-6 days). Mean VAS scores improved from a preoperative score of 8.1 points (range, 7-9 points) to a score of 2.7 points (range, 2-4 points) at 1 week postoperatively. No early complications associated with surgery were encountered. Mean operation time was 88.4 minutes (range, 70-105 minutes), and mean postoperative blood loss was 246.5 ml (range, 130-320 ml). Conclusion: Internal fixation of metastatic pathologic fractures using a locking plate in the lower extremity can be an effective treatment option in the meta- or diaphyseal area of long bones with massive bony destruction or poor bone stock by offering early ambulation, pain relief and low postoperative complications.

Case study of landslide types in Korea (우리나라 산사태의 형태분류에 따른 사례)

  • 김원영;김경수;채병곤;조용찬
    • The Journal of Engineering Geology
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    • v.10 no.2
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    • pp.18-35
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    • 2000
  • The most dominant type of landslide in Korea is debris flows which mostly take place along mountain slopes during the rainy season, July to August. The landslides have been reported to begin activation when rainfall is more than 200mm within 2days. The debris flows are usually followed by translational slips which occur upper part of mountain slopes and they transit to debris flow as getting down to the valleys. Lithology, location, slope inclination, grain size distribution of soil, permeability, dry density and porosity have been proved as triggering factor causing translational slides. The triggering data taken from mapping are statistically analysed to get landslide potential quantitatively. Rock mass creeps mostly occur on well bedded sedimentary rocks in Kyeongsang Basin. Although the displacement of rock mass creep is relatively small about 1m, the creep can cause severe hazards due to relatively large volume of the involved rock mass. Examples are rock mass creep occurred in the mouth of Hwangryongsan Tunnel, in Chilgok and in Sachon in 1999. Although the direct factor of the creeps are due to slope cutting at the foot area, more attention is required A rotational slide occurring within thick soil formation or weathered rock is also closely related to bottom part of slope cutting. It is propagated circular or semi-circular type. Especially in korea, the rotational slide may be frequently occurred in Tertiary tuff area. Because they are mainly composed of volcanic ash and pyroclastic materials, well developed joints and high degree of swelling and absorption can easily cause the slide. The landslide among the Pohang-Guryongpo national road is belong to this type of slide.

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An Epidemiologic Study of Metastatic Bone Tumor (전이성 골종양의 역학적 연구)

  • Kim, Jae-Do;Lee, Duk-Hee;Park, Jeong-Ho;Son, Young-Chan;Hong, Yonng-Gi;Son, Jeong-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.1
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    • pp.38-44
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    • 1995
  • Metastatic bone tumor is the most common bone tumor and 32.5% of all primary malignant tumors are eventually metastasize to bone. Metastatic bone tumor has been more frequently encountered disease in the orthopedic fields due to the greater longevity of life of the patients with primary visceral cancers by major advances in early detection, diagnosis, and surgical/radiotherapeutic/chemotherapeutic treatment of primary and metastatic lesions. Therefore, the epidemiologic data about the incidences and the patterns of bone metastasis is important. We reviewed 417 patients who were diagnosed and treated for metastatic bone tumor at Kosin University Medical Center from 1985 to 1993 to analyse the primary lesion, age and sex distributions, location of bone metastasis, patterns of metastasis according to the primary. The results were as follows : 1. The common origin of bone metastasis were lung(29.5%), stomach(15.3%), breast(11.3%), unknown(7.7%), cervix(5.3%), liver(4.8%) in order of frequency. 2. There were 251 men and 166 women and their mean age was 54.8 years and the peak age incidence was in 6th decades. Most cases(85.3%) were occured beyond 5th decades. 3. The preferred sites of metastatic deposits were spine(64.0%), pelvis(40.5%), rib(38.8%), femur(36.7%), skull(21.1%), humerus(13.9%), scapula(13.0%) in order of frequency. In the spine, thoracic(42.1%), lumbar(39.1%), cervical(13.2%), sacral(5.6%) vertebrae were involved in order of frequency. 4. Multiple bone metastases were more common(73.1%) than single metastasis(26.9%). 5. In the lung cancer, the peak age incidence was 6th decades, and the preferred sites of bone metastasis were spine, pelvis, femur. 6. In the stomach cancer, the peak age incidence was 6th decades, and the preferred sites of bone metastasis were spine, femur, pelvis. 7. In the breast cancer, the peak age incidence was 5th decades, and the preferred sites of bone metastasis were spine, rib, pelvis. 8. In the bone metastasis with unknown primary site, the peak age incidence was 7th decades, the preferred sites of bone metastasis were spine, femur, pelvis, and the common histologic types were adenocarcinoma and squamous cell carcinoma.

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