• Title/Summary/Keyword: 진행성 암

Search Result 594, Processing Time 0.029 seconds

Surgical Treatment of Multiple Lung Abscesses with Adenoid Cystic Carcinoma - A Case Report - (선양 낭포암에 의한 다발성 폐농양의 외과적 치료 - 1례 보고 -)

  • 김도형;조현민;정은규;강두영;손국희;이두연
    • Journal of Chest Surgery
    • /
    • v.35 no.1
    • /
    • pp.73-76
    • /
    • 2002
  • Adenoid cystic carcinoma is a very slowly growing and directly invasive cancer. The treatment of choice is complete surgical resection but if major complications associated with remaining carcinoma occur, aggressive conservative treatment to prevent complication is able to gain long term survival even though remaining carcinoma metastases to other organs. We experienced a case of surgical treatment of uncontrollable fever that caused by multiple lung abscesses due to obstruction of left main bronchus with adenoid cystic carcinoma. The post operative course was uneventful for 4 months to now.

Exercise for reducing and controlling lymphedema in Women with breast cancer: A systematic review and meta-analysis (여성 유방암 환자의 림프부종 감소와 조절을 위한 운동의 효과: 체계적 고찰과 메타분석)

  • Kim, Kyung-Hee;Oh, Ki Young
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.4
    • /
    • pp.512-520
    • /
    • 2016
  • Breast cancer is the most common malignancy in women, and lymphedema is one of the most common postoperative complications of breast surgery. Exercises are usually prescribed to prevent this occurrence. On the other hand, conflicting results regarding the effects and timing of such exercises have been reported. This study reviewed systematically the contemporary literature, peer-reviewed publications, and web sites of professional organizations that examined exercise for lymphedema prevention or therapy to determine the effects of exercise on lymphedema providing the best evidence for the treatment of patients. Exercise or training groups have strategies that appear to reduce the development of secondary lymphedema and altering its progression compared to the control group. Advances in cancer treatment, cancer and exercise research, and lymphedema management require physicians to have a basic understanding of the current evidence to provide the appropriate patient education and specialist referral.

괴산-보은일대 옥천대 분포지역의 지하수 수질 특성 연구

  • 신우식;이병선;문상기;정성욱;김연태;우남칠
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
    • /
    • 2003.04a
    • /
    • pp.246-249
    • /
    • 2003
  • 충북 괴산군-보은군 일대를 따라 발달된 중부 옥천대의 구룡산층과 운교리층 분포지역에서, 기반암에 따른 지하수의 수질특성의 차이를 규명하고자 하였다. 2002년 11월에 18개 지점에서 지하수 시료를 채취하였고, 이를 분석하여 기반암에 따른 지하수의 수질을 분류하였다. 구룡산층 시료와 운교리층 시료 모두 Ca-(HCO$_3$+ CO$_3$) 유형의 수질특성을 보였다. 군집분석의 결과 기반암의 종류에 따라 수질특성이 나됨을 알 수 있었다. 수질 분석결과를 국내 먹는물 수질기준와 비교 하였을때, 질산성 질소 항목만 기준치를 초과하였다. 질산성 질소의 경우, 국내 먹는물 수질기준인 10 mg/L를 초과한 시료는 한 지점이었지만, 인간 활동에 의해 오염된 것으로 여겨지는 2 mg/L이상의 시료는 전체 18개 시료 중 61%인 11개 지점으로 나타나, 이 연구지역에서 인간활동에 의한 질산성 질소의 오염이 진행되고 있음을 추정할 수 있었다.

  • PDF

Levels of Barriers to Pain Management of Cancer Patients and their Nurses (암 환자와 간호사의 통증관리 장애정도)

  • Yoo, Yang-Sook;Lee, Won-Hee;Cho, Ok-Hee;Lee, So-Woo
    • Journal of Hospice and Palliative Care
    • /
    • v.8 no.2
    • /
    • pp.224-233
    • /
    • 2005
  • Purpose: This study was conducted to provide basic data for developing an effective strategy for cancer pain management by comparing the levels of barriers to pain management of metastatic or advanced cancer patient and their nurses. Methods: The subject of this study were 155 patients who were treated for metastatic or advanced cancer at one of three hospitals in Seoul from January 2004 to January 2005, and 153 nurses who take care of those patients. The levels of barriers to pain management were measured using a tool developed by Gunnarsdottir et al. (2002), 27 questions on a six point scale. The levels of stresses were measured using a tool modified from a stress response measurement reported by Goh Gyung-bong et al. (2000), 27 questions on a five point scale. The levels of barriers in cancer patients were analyzed using t-test and ANOVA, while the data obtained from patients and nurses were compared by t-test. Results: Higher levels of barriers to pain management were found in three groups: 'less than middle school,' 'not treated with anti-cancer chemotherapy,' and 'ECOG of 2.' The level (2.55) of barriers to pain management in the patient group was higher than that (1.76) of the nurse group. Both of the two groups had high levels of barriers in two variables: 'There is a danger of becoming addicted to pain medicine.' and 'Using pain medicine blocks your ability to know if you have any new pain.' There was not a significant difference in the levels of stresses between the two groups. Conclusion: It was found that, for effective cancer pain management practices, it would be necessary to provide cancer patients and their nurses with education and training about pain management and related barriers.

  • PDF

Surgical Treatment in Locally Advanced Thyroid Cancer - Trachea, Larynx, Esophagus Invasion Management (국소 진행된 갑상선암의 수술 - 기관 및 후두, 식도 침범의 치료)

  • Lee, Guk Haeng;Kang, Ju Yong
    • International journal of thyroidology
    • /
    • v.11 no.2
    • /
    • pp.99-108
    • /
    • 2018
  • Most thyroid cancers are well-differentiated cancers and have a very good prognosis. About 10% of thyroid cancer, however, invades the surrounding tissues, causing local recurrence and distant metastasis, and eventually affecting survival rate. In locally advanced thyroid cancers, the invasion of trachea, larynx and esophagus, can be occurred by primary tumor and may also result in lymph nodes metastasis. Surgical resection is still mainstay for the treatment of locally advanced thyroid cancer. The main purpose of the surgical resection is to eliminate the cancer completely, therefore, it can cause many complications such as dysfunction of the larynx, trachea and esophagus. It can have a serious effect on the quality of life, therefore there is still controversy on the extent of the surgery. The authors compare and analyze the opinions which were already discussed in the literatures published so far. These will help to select the surgical method.

Safety and Efficacy of Gemcitabine Based Chemotherapy in Elderly Patients with Advanced Pancreatic Cancer - Safety of Gemcitabine in Elderly (진행성 췌장암을 가진 노인환자에서 Gemcitabine 항암화학요법의 안정성과 효과 - 노인에서 Gemcitabine의 안정성 -)

  • You Ie Choi;Dong Uk Kim;Jae Hoon Cheong;Bong Eun Lee;Gwang Ha Kim;Geun Am Song
    • Journal of Digestive Cancer Research
    • /
    • v.1 no.1
    • /
    • pp.36-42
    • /
    • 2013
  • Background/Aims: Gemcitabine is regarded as a reference regimen for advanced pancreatic cancer and shows relatively safe toxicity profiles compared with other cytotoxic agents. However, many oncologists are appeared to be still reluctant to treat elderly pancreatic cancer patients with cytotoxic chemotherapy because of predicted low response rate and potential adverse events. Methods: All patients who were received gemcitabine based chemotherapy between 2007 and 2010 were identified and clinical, laboratory, radiographic data were retrospectively reviewed. Patients were divided into two groups based on their ages: less than 65, and equal or more than 65 years old. Gemcitabine, at a dose of 1,000 mg per square meter of body surface area, was administered by intravenously over 30 minutes weekly for 3 weeks followed by 1 week rest, alone or along with other chemotherapeutic agents including cisplatin, capecitabine and erlotinib. Results: A total of 61 patients were identified and all patients were not eligible to receive operation because of advanced stage at diagnosis. Twenty three patients (37.7%) were equal or more than 65 year of age. Mean age was 56 years old and 71 years old in each group. Laboratory data including CA 19-9 were not significantly different. More gemcitabine monotherapy was delivered (56.5% vs. 26.3%, p=0.029) and less second or third line therapy was adminis- tered (17.4% vs. 50.0%, p=0.014) in elderly group. Cholangitis occurred and stent placement were performed similarly in both groups. Conclusion: Gemcitabine based chemotherapy can be administered safely to elderly pancreatic cancer patients and comparable response rate and progression free survival can be expected as young patients.

  • PDF

Patterns Analysis of Prefrontal Brain Waves of Cancer Patients using Brain-Computer-Interface (뇌-컴퓨터-인터페이스를 이용한 암환자들의 전전두엽 뇌파 분석)

  • Han, Young-Soo;Chae, Myoung-Sin;Park, Pyung-Woon;Park, Chong-Ki
    • Journal of KIISE:Software and Applications
    • /
    • v.35 no.3
    • /
    • pp.169-178
    • /
    • 2008
  • Cancer patients have been suffered from the instability of mind/body and unbalanced homeostasis because of cancer progression and medical treatment such as chemotherapy, It is very important that appropriated actions can be promptly taken by monitoring cancer patients' mental conditions. For this reason, it is crucial to develop a monitoring method which is convenient and not harmful to their body. Brain-computer-interface(BCI) system is introduced for the purpose in this paper. Prefrontal brain waves of cancer patients and control groups have been measured by a portable neurofeedback(NF) system based on self-regulation of the human electroencephalogram(EEG). The NF system consists of the portable EEG amplifier and a headband with dry electrodes placed on Fp1 and Fp2 sites. Patterns of the prefrontal brain waves taken by computer are correlated to brain quotients by EEG-analysis program. Basic rhythm quotient, attention quotient, emotional quotient, anti-stress quotient and correlation quotient of control group have shown high significant level compared with the cancer patients group. On the other hand, the EEG patterns analysis is shown its possibility to be an important methodology of monitoring cancer patients' condition.

Overexpression of MicroRNA-31 as a Promising Biomarker for Prognosis and Metastasis in Human Colorectal Cancer (MicroRNA-31 과발현을 이용한 대장암의 예후예측 및 전이예측 바이오마커 발굴)

  • Hur, Keun
    • Journal of Life Science
    • /
    • v.26 no.6
    • /
    • pp.705-710
    • /
    • 2016
  • Colorectal cancer (CRC) is the third most common cancer and a leading cause of cancer-related death worldwide. Although several diagnostic and therapeutic tools have been available, CRC remains difficult to complete cure because of insufficient understanding of the molecular mechanisms underlying this disease progression. MicroRNAs (miRNAs) are small non-coding RNA molecules that strongly regulate gene expression via transcriptional and translational control mechanisms. Many crucial cellular pathways are frequently disrupted in cancer development process due to dysregulation of several miRNAs. Mir-31 functions as an oncogene that modulate expression of multiple cancer related genes. Thus, we aimed to demonstrate clinical relevance of miR-31 in human CRC. Quantitative RT-PCR analysis of miR-31 expression was performed in 175 CRC tissues and 16 normal colonic mucosa (NM). Next, we investigated clinical significances of miR-31 expression in various clinicopathologic features in CRC patients cohort. Mir-31 was significantly up-regulated in CRC tissues compared to NM. In CRC tissues, miR-31 expression level was significantly elevated in a stage-dependent manner, which was associated with poor survival in patients with CRC. High miR-31 levels in CRC tissues significantly correlated with poor prognosis (hazard ratio [HR]=2.4) as well as distant metastasis (odds ratio [OR]=2.3). In conclusion, we identified clinical significance of miR-31 expression in CRC. High miR-31 expression may be clinically able to use as a biomarker for CRC prognosis and predicting metastasis.

Analysis of Matrix Metalloproteinase-9 Expression in Renal Cell Carcinoma (신세포암종에서 Matrix Metalloproteinase-9 발현의 분석)

  • Kim, Ji-Yoon;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
    • /
    • v.23 no.1
    • /
    • pp.82-89
    • /
    • 2006
  • Background: Matrix metalloproteinases (MMPs) are involved in the degradation of the extracellular matrix, which is an important step in tumor invasion and metastasis. A positive correlation between the expression of MMP-9 and aggressive behavior of renal cell carcinomas (RCCs) has been reported. MMP-9 expression in RCCs and adjacent normal kidney tissues were examined in this study. Materials and Methods: Twenty-five patients pathologically diagnosed as clear cell RCCs, from specimens obtained at radical nephrectomy, between May 2003 and December 2004 were enrolled in this study. MMP-9 activity was estimated using gelatin zymography, and quantified using a laser densitometer. The results were compared with clinicopathological characteristics. Results: The expression of MMP-9 was significantly elevated in the RCC compared with non-tumor kidney specimens (p<0.01). The levels of MMP-9 expression in the RCC patients with large tumors (>4 cm) or vascular invasion were significantly higher than in those without these clinical manifestations (p<0.01). There were also significant differences in the expression of MMP-9 among T stages (p<0.01). The tissue MMP-9 level was the highest in nuclear grade 4, but there was no statistical significance between the histological grades (p=0.17). Conclusions: These results suggest that enhanced MMP-9 expression contributes to carcinogenesis and tumor progression in the later stages of RCC.

  • PDF