• 제목/요약/키워드: 조기 암 검진

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유전성 대장암 (Hereditary Colorectal Cancer)

  • 김덕우
    • Journal of Genetic Medicine
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    • 제7권1호
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    • pp.24-36
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    • 2010
  • 대장암은 우리나라에서 가장 급격하게 발생이 증가하는 암종의 하나로 유전성 대장암은 전체 대장암의 5-15%를 차지한다. 유전성 대장암은 크게 유전성 비용종증 대장암과 유전성 용종 증후군에서 발생하는 대장암으로 나눌 수 있고, 유전성 용종 증후군에는 가족성 용종증, 포이츠-예거증후군, 유년기 용종증, MYH 연관 용종증 등이 이에 해당한다. 유전성 대장암은 원인 유전자의 배선돌연변이에 기인하므로 산발성 대장암에 비하여 암이 조기 발생하고, 동시성 및 이시성 암이 흔하며, 대장 이외의 장기에도 종양을 비롯한 질병을 일으키는 특징이 있다. 유전성 대장암은 환자뿐 아니라 가족구성원에 대한 유전자 검사, 유전 상담, 조기 진단을 위한 정기검진이 매우 중요하며, 이러한 환자 및 가족구성원의 효율적 관리를 위한 유전성종양 등록소의 역할이 중요하다. 본 논문에서는 유전성 대장암에 해당하는 질환들의 임상적/유전적 특성, 치료, 유전자 검사 및 정기검진 프로그램에 대하여 고찰하고자 한다.

외래내원여성의 유방암 조기검진행위에 영향을 미치는 요인 (Factors Affecting Early Detection Behaviors of Breast Cancer)

  • 김영임;양수형;정혜선;이창현
    • 지역사회간호학회지
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    • 제15권1호
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    • pp.155-164
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    • 2004
  • Purpose: The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography. Method: The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, $x^2$ and logistic analysis by SAS program. Results: 52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects. Conclusions: According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated.

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CAD(ComputerAidedDiagnosis)의 다차원적인 의사결정지원 시스템 Modeling (Modeling of Multi-Dimensional Decision Support System for CAD(Computer Aided Diagnosis))

  • 이상복;왕지남
    • 한국경영과학회:학술대회논문집
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    • 대한산업공학회/한국경영과학회 2004년도 춘계공동학술대회 논문집
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    • pp.599-602
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    • 2004
  • 최근 국내 여성의 유방암 발생율은 1위를 차지하며 그 비율 또한 나날이 늘어가고 있는 추세이다. 하지만 유방암은 다른 암에 비해 5년간 관찰 생존율이 약 76%로 갑상선에 이어 두 번째의 생존율을 보이며, 이는 조기발견의 중요성을 다시 한번 상기시키게 한다. 하지만 국내에서 사용되는 유방암 조기검진 방법에는 Mammography(유방촬영술)와 초음파 진단 두 가지가 주를 이루고 있으나 촬영과정 및 장비에 따른 오차로 인한 객관화된 정보생성 부족 및 전달의 부족으로 문제점이 대두되고 있다. 본 연구에서는 Mamography 및 초음파 유방 진단술을 이용하여 전문의의 의사결정에 도움을 줄 수 있는 CAD(Computer Aided Diagnosis) 시스템의 유방암 진단의 특징을 이용, 전문의 관점의 모델링을 기술해보고자 한다.

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건강관리성공사례담 20-자궁암

  • 이은희
    • 건강소식
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    • 제11권11호통권108호
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    • pp.2-7
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    • 1987
  • 언제 더웠냐 싶게 꽤나 썰렁한 바람이 부는 날이다. 추수를 하고 있는 농부의 모습이 차창을 스치고 지나간다. 수건을 쓴 어느 아주머니가 허리를 펴고 하늘을 한번 쳐다본다. 무슨 재미있는 얘기를 주고받았을까. 커다란 웃음소리가 크게 들렸다가 서서히 사라져간다. 기자는 건강검진차를 찾아, 자궁암검사를 받았다가 병을 조기발견하고 두 달에 걸친 치료 끝에 건강을 되찾아 행복한 생활을 하고 있는 정부영씨(경기도 수원시 세곡2동 537-19)를 만나러 갔다. 자신이 당한 일을, 슬퍼하기 보다는 좋은 경험이라고 얘기하는 그녀를 만나면서, 기자는 많은 것을 생각하고 배울 수 있었다.

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농촌지역 중년남녀의 암 조기검진 수검유무에 따른 건강증진행위 비교 (Comparison of Health Promotion Behavior in Middle aged Rural Residents by Cancer Screening Participation)

  • 이명숙
    • 지역사회간호학회지
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    • 제21권1호
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    • pp.43-52
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    • 2010
  • Purpose: The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation. Methods: Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0. Results: The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was $2.65{\pm}0.35$. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization. Conclusions: These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

유방암 조기검진수검 및 반복수검 실태와 관련요인 (Breast Cancer Screening and Repeat Screening)

  • 정인숙;김성희;김정순
    • 대한간호학회지
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    • 제34권5호
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    • pp.791-800
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    • 2004
  • Purpose: This study was to investigate the characteristics and related factors of breast cancer screening and repeat screening, and to propose nursing interventions to increase the rate of breast cancer screening and repeat screening. Method: Study subjects was 236 women residing in the community, teachers and nurses who were older than 45 were recruited. Data was collected with self administered questionnaires from July 1st to August 31st, 2003 and analysed using SPSS/WIN 10.0 with $X^2$test, t-test, and stepwise multiple logistic regression at a significant level of =.05. Result: The breast cancer screening rate was 57.2%, and repeat screening rate was 15.3%. With the multiple logistic regression analysis, factors associated with mammography screening were age and perceived barriers of action, and factors related to the repeat mammography screening were education level and other cancer screening experience. Conclusion: Based on the results, we recommend the development of anintervention program to decrease the perceived barrier of action, to regard mammography as an essential test in regular check-up, and to give active advertisement and education to the public to improve the rates of breast cancer screening and repeat screening.

산업간호사의 유방암 조기검진행위에 영향을 미치는 요인 분석 (Analysis of Factors Affecting Occupational Health Nurses' Early Breast Cancer Screening)

  • 이창현;정혜선;김지윤;김영임
    • 지역사회간호학회지
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    • 제16권1호
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    • pp.68-76
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    • 2005
  • Purpose: The aims of this study were to evaluate early breast cancer screening rate of occupational health nurses and to analyze factors affecting their behavior. Method: We reviewed and analyzed the structured questionnaires of III respondents from 230 participants in continuing education of occupational health nurses. Result: Breast self examination was performed in 72.1%, clinical breast examination was received in 30.6% and mammography was received in 40.5% significant factors affecting breast self examination were age and the age of menarche. significant factors affecting clinical breast examinations for breast cancers were age and the place of residence, and factors affecting mammography were age, monthly income, alcohol intake, the age of menarche, and attitude about early screening for breast cancers. Conclusion: Early breast cancer screening rate of occupational health nurses was higher than that of general population of women. But the rate of clinical breast examination and mammogaphy were lower of less than 50% of respondents. Therefore occupational health nurses who are responsible for health management of working women need more education for themselves to promote the motivation and to increase the rate of participation in early breast cancer screening.

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일 지역 종합병원 간호사의 암 조기검진 수검실태에 관한 조사연구 (A Survey on Cancer Screening Among Nurses at General Hospital in Busan)

  • 주현옥;김주성;조영숙;박남희;어용숙;조영란;정인숙
    • 여성건강간호학회지
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    • 제9권1호
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    • pp.18-27
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    • 2003
  • Purpose : Cancer is th e most frequent cause of death in Korea. Cancer screening can save lives through early detection. This study was to investigate major cancer screening rates and the reasons for not having been screening. Method : 210 participants of registered nurses from 5 general hospitals in Busan, Korea were completed a structured self-administered questionnaire. Data were analyzed using descriptive statistics with SPSS WIN 10.0. Results : The cancer screening rates of the subjects were 53.8% in Pap smear test for cervical cancer, 41.0% in gastroendoscopy for stomach cancer, 15.7% in mammograpy for breast cancer, and 3.8% in colonoscopy. And the higher proportions of having regular screening were 9, 5% in Pap smear test and 2.9% in gastroendoscopy. The primary reason related to not having a screening test was 'seems to be healthy'. Conclusion : The findings showed the necessity of recognizing and educating Korean nurses to have a regular cancer screening for their health management.

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