• Title/Summary/Keyword: 중복암

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Surgical Treatment of Synchronous Double Cancer of the Lung and Esophagus - A case report- (폐와 식도에서 동시에 발견된 중복암의 수술적 치료 -1예 보고-)

  • 이재익;우종수;이길수;노미숙;박미경
    • Journal of Chest Surgery
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    • v.36 no.11
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    • pp.866-869
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    • 2003
  • Less than 2% of patients with primary esophageal cancers have synchronous primary lung cancers and many patients with these synchronous tumors are deemed ineligible for radical resection by surgeons due to the poor prognoses of both the diseases. However, we believe that carefully selected patients could benefit from one stage curative resection for these synchronous tumors. We experienced a case of synchronous double cancer of the lung and esophagus and performed bilobectomy and Ivor Lewis operation simultaneously. To the best of our knowledge, this is the first report on the good result of one stage curative resection for these synchronous serious tumors in Korea.

RVOTO Caused by Pulmonary Artery Sarcoma Originating from Pulmonary Valve -Two case report- (식도와 폐의 동시성 중복암 -2예 보고 -)

  • 김대현;이인호;윤효철;김수철;김범식;조규석;박주철
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.184-187
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    • 2004
  • The synchronous double cancer of the esophagus and lung is rare. Right lower lobectomy and Ivor Lewis procedure were performed simultaneously in a 75 year-old male patient who had synchronous double primary squamous cell carcinoma of the thoracic esophagus and right lower lobe of the lung, Left upper lobectomy was performed in a 69 year-old male patient who had squamous cell carcinoma of the left upper lobe of the lung, and four months later we performed Ivor Lewis procedure for the squamous cell carcinoma that occurred in the thoracic esophagus. The above two patients were doing well 10 months and 24 months after the operation respectively without recurrence. We treated the two cases of synchronous double cancer of the esophagus and lung with complete resection, and report this with review of literature.

Incidence and Significance of Multiple Primary Malignant Neoplasms (다발성 원발성 악성 종양 - 121 예의 임상적 분석-)

  • Choi Eun Kyung;Cho Moon June;Ha Sung Whan;Park Charn Il;Bang Young Ju;Kim Noe Kyung
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.129-133
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    • 1986
  • To know the three questions about multiple primary cancers: 1) what are the characteristics of persons having multiple parimary cancer? 2) Does the presence of a single primary concer after the susceptability to multiple primary cancers? 3) Does the location of one multiple primary cancer influence the site of others?, we analysed 121 cases of multiple primary malignant neoplasms registered in Seoul National University Hospital during 8 years from July 1978 to August 1986. Of 121 cases, double primary malignant neoplasms were 119 cases and triples were 2 cases. The incidence of multiple primary malignant neoplasms was $0.7\%$. The metachronous tumor (>6 months) was found in 70 cases and the median time between the first and the second was 32 months. The most commonly associated tumors were stomach and primary liver carcinoma. Cervix and Lung cancer, Stomach and Rectal cancer, Stomach and Esophagus cancer were also commonly associated.

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Synchronous Double Primary Cancers of Lung and Liver (폐와 간의 동시성 원발성 중복암)

  • Lim, So Yeon;Sim, Yun Su;Lee, Jin Hwa;Kim, Tae-Hun;Ryu, Yon Ju;Chun, Eun Mi;Kim, Yoo Kyung;Lee, Jung Kyong;Sung, Sun Hee;Ahn, Jae Ho;Chang, Jung Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.4
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    • pp.318-322
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    • 2007
  • Although reports of multiple primary malignant tumors have increased recently, cases of synchronous double primary tumors of lung and liver are rare. A 73-year-old man suffered from chronic cough. His chest x-ray showed segmental atelectasis of the right upper lobe. Bronchoscopy revealed a mass occluding the orifice of the anterior segmental bronchus of the right upper lobe, and a biopsy showed a squamous cell carcinoma. A synchronous hepatic mass was found by ultrasonography. However, F18-FDG-PET showed no evidence of a distant metastasis. The liver biopsy revealed a hepatocellular carcinoma. A right upper lobe lobectomy and a sleeve resection were performed for the lung cancer, and radiofrequency ablation was performed for the hepatocellular carcinoma.

The Utility of $^{18}F$-FDG PET/CT for Following Up Head and Neck Cancer (두경부암 환자의 추적관찰에서 $^{18}F$-FDG PET/CT의 유용성)

  • Chung, Eun-Jae;Baek, Seung-Kuk;Woo, Jeong-Soo;Kwon, Soon-Young;Jung, Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.178-182
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    • 2010
  • 서 론 : 두경부암의 예후에 가장 중요한 인자는 진단시 병기와 치료 후 재발의 유무이다. 따라서, 재발 병변을 조기에 발견하는 것이 매우 중요하다. 본 연구에서는 두경부암 환자의 추적 관찰에서 $^{18}F$-FDG PET/CT의 유용성에 대해 알아보고자 하였다. 대상 및 방법 : 2004년 4월부터 2008년 8월까지 고려대 안암병원에서 두경부암으로 치료를 완료한 후 추적관찰이 가능하였던 88 예의 환자를 대상으로 하였다. 환자는 본원의 두경부암 추적관찰 양식에 따라 술 후 6, 12개월째 $^{18}F$-FDG PET/CT를 시행하였으며, 원발부위 및 경부 재발, 원격전이와 중복암의 진단에 있어 $^{18}F$-FDG PET/CT의 민감도, 특이도, 양성예측율, 음성예측율을 평가하였고, 기존의 추적관찰 방법과 이를 비교하였다. 결 과 : 원발부위 재발의 진단에 있어 민감도, 특이도, 양성예측율, 음성예측율은 각각 95%, 97%, 90%, 98% 였다. 경부전이 재발의 진단에 있어서는 각각 94%, 98%, 83%, 99%였으며, 원격전이 및 이차암 진단에 있어서는 94%, 100%, 100%, 99%였다. 원발부위 재발은 고식적인 진단 방법, 원격전이와 이차암은 $^{18}F$-FDG PET/CT가 진단에 의미있게 유리하였다. 결 론 : $^{18}F$-FDG PET/CT는 두경부암의 추적관찰 과정에서 재발 여부를 판정하는데 있어 매우 유용하며, 특히 원격전이 및 이차암의 발견에 있어 유용하다. 그러나, 위양성 및 위음성의 가능성으로 고식적인 진단 방법과 병행해야 진단의 효과를 높힐 것으로 생각된다.

Incremental Gene Selection-based Cancer Classification Using Microarray Data (마이크로어레이 데이터를 이용한 점증적 유전자 선택기반 암 분류)

  • Kown, Hyung-Tae;Hong, Jin-Hyuk;Cho, Sung-Bae
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.10b
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    • pp.7-10
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    • 2007
  • 마이크로어레이 데이터는 매우 많은 수의 유전자로 구성되며, 암 분류 성능을 높이기 위해서는 대상 암과 관련된 유용한 유전자를 선택해야 한다. 기존 필터 기반 유전자 선택 기법은 유전자를 개별적으로 평가하여 암 분류에 사용하기 때문에, 유전자 사이의 관계나 분류기와의 상관성을 고려하지 않으며, 비슷한 특성의 유전자를 중복해서 선택하는 경향이 있다. 본 논문에서는 필터와 래퍼 방식을 결합하여 분류결과를 반복적으로 반영하며 유전자를 선택하는 기법을 제안한다. 필터 기법으로 유전자의 순위를 계산할 때 이전 분류에서 틀린 샘플의 가중치가 높도록 설계하고, 분류를 반복하면서 각 단계에서 유용한 유전자를 추가로 선택한다. 제안하는 방법을 대표적 암 분류 데이터인 림포마 암과 대장암 데이터에 적용하여 유용성을 검증하였다.

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A Case of Simultaneous Squamous Cell Carcinomas in Mouth Floor and Esophagus (식도암이 동시에 발견된 구강저부의 편평세포암 환자 1예)

  • Kim, Tae Min;Song, In Sik;Joo, Jae Woo;Kim, Min-Su;Oh, Kyoung Ho;Lee, Ju-Han;Kwon, Soon Young
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.73-77
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    • 2016
  • Simultaneous second primary tumors are not uncommon in patients with oral cavity squamous cell carcinoma. Many studies have previously shown that oral cavity squamous cell carcinoma patients with simultaneous second primary tumor generally have a poor prognosis. Additionally, the choice of the optimal therapeutic modality for oral cavity squamous cell carcinoma patients who present with simultaneous second primary tumor remains problematic. We reported a case of simultaneous squamous cell carcinomas in mouth floor and esophagus, that multidisciplinary team performed resection and reconstruction simultaneously.

A Case of Combined Mixed Germ Cell Tumor and Angiosarcoma within the Mediastinum (종격동내 혼합 생식 세포종과 폐전이를 동반한 혈관육종이 동시에 존재한 중복암 1예)

  • Ryu, Hon-Mo;Choi, Hee-Jin;Shin, Ghung-Cheul;Chung, Jin-Hong;Lee, Kuan-Ho;Lee, Hyen-Woo;Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae;Shim, Young-Ran;Kim, Dong-Suk
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.413-417
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    • 1994
  • We experienced one case of combined mixed germ cell tumor and angiosarcoma metastasis to the lung within the mediastinum. He was 19-year-old male, complained of hemoptysis, coughing, purulent sputum and weight loss for 2 months prior to adimission. The patient underwent open thoracotomy, but we couldn't resect the mass completely, because of tumor encroachment on adjacent mediastinal structures. He began radiation therapy involving the right lung but had no response to therapy.

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