• 제목/요약/키워드: Breast Mass

검색결과 407건 처리시간 0.029초

연골성 분화를 보이는 화생성 유방암의 영상의학적 소견: 증례 보고 (Imaging Findings of Metaplastic Breast Carcinoma with Chondroid Differentiation: A Case Reports)

  • 김지영;김성희;정명자;이지혜;강미진;곽금희;유수현
    • 대한영상의학회지
    • /
    • 제83권6호
    • /
    • pp.1385-1393
    • /
    • 2022
  • 화생성 유방암은 상피성 암과 다양한 화생성 변화가 혼합된 형태의 암으로, 드물게 발생하나, 높은 재발률과 전이율을 보이는 공격적 성향을 가진 암이다. 연골성 분화를 보이는 화생성 암은 화생성 유방암의 아형 중에서도 상대적으로 드물게 발생하며, 다른 아형에 비해 비교적 좋은 예후를 보인다. 저자들은 연골성 분화를 보이는 화생성 유방암으로 진단된 3명의 환자의 영상의학적 소견을 다음과 같이 보고한다. 유방촬영상 무정형 또는 거친 불균질한 석회화를 동반한 고밀도 종괴를 보이고 초음파상 미세소엽형 또는 불분명한 경계를 가진 복합성 낭성 및 고형성 종괴(complex cystic and solid mass)로 보인다. 자기공명영상에서 비교적 경계가 분명한 또는 부분적으로 경계가 불분명한 종괴로, T2 강조영상에서 비균질한 고신 호강도를 보이고, 빠른 초기 조영증강 및 말기 세척형의 신호강도 감소를 동반한 비균질한 조영증강이나 가장자리 조영증강을 보인다.

서울 거주 산모 모유 중 PBDEs 이성질체 농도 및 노출 요인에 관한 연구 (Concentrations of PBDE Congeners in Breast Milk and Predictors of Exposure in Seoul Residents)

  • 위성욱;윤조희;민병윤
    • 한국환경보건학회지
    • /
    • 제37권6호
    • /
    • pp.440-449
    • /
    • 2011
  • Objectives: This study was designed to determine the levels of polybrominated diphenyl ethers (PBDEs) in breast milk and to evaluate the relations with factors affecting these levels. Methods: The congener levels of PBDE in 22 samples of breast milk were analyzed using a high resolution gas chromatograph with a high resolution mass detector. In accordance with our standard operating procedures, the recoveries of internal standards had to range between 68% and 118%. Since the distribution of PBDE concentrations is close to log-normal, the data were logarithmically transformed before analysis. Test subjects were healthy primipara and multipara mothers with a mean age of 32 (SD = 2.7) in 2006. Results: Seven PBDE congeners (BDE-28, 47, 99, 100, 153, 154, and 183) were detected and identified in all of the pooled breast milk samples, indicating widespread contamination from PBDEs in the environment in Korea. Residue levels of total PBDEs (sum PBDEs from tri- to hepta-BDE) ranged from 0.84-13.1 ng/g lipid with median and geometric mean levels of 2.6 ng/g lipid and 2.74 ng/g lipid, respectively. PBDE congeners 47, 99 and 153 markedly predominated and accounted for about 75% of the amount of the PBDE congeners analyzed. BDE-47 was the dominant congener in most samples, whereas BDE-153 was predominant in a few (n = 7/22). BDE-47 was highly correlated with total PBDEs (r = 0.987, p < 0.01). In analyses of the differences of the means of log transformed breast milk PBDE levels for groups of potential covariates, only breast milk BDE-47 and BDE-99 levels were significantly associated with fish (p < 0.05) and meat consumption (p < 0.01). However, we did not find significant correlations between PBDE levels and maternal age, body mass index (BMI), parity, job presence and smoking status. Conclusions: Our findings are mainly limited due to the small sampling size and low doses of PBDEs exposure. Background and human exposure data of PBDEs is lacking, and longitudinal investigations into the environment and biota are encouraged to determine the health impact on future populations in Korea.

유방촬영검사에서 선량지표분석에 대한 모니터링 (Monitoring on Dose Index Analyzed in the Mammography)

  • 조지환;이효영;임인철
    • 한국방사선학회논문지
    • /
    • 제10권7호
    • /
    • pp.477-482
    • /
    • 2016
  • 유방촬영검사(Mammography)에서 선량지표를 분석하여 한국식품의약품안전처(Korea Food & Drug Administ ration)에서 제시하는 가이드라인과 비교분석하여 의료방사선의 관리가 잘 이루어지고 있는지 파악하고자 하였다. 방법으로는 유방촬영검사를 시행한 후 의료영상저장정보시스템(Picture Archiving Communication System, PACS)으로 전송되어진 선량 보고서(dose report)와 의료전자차트(Electronic Medical Record, EMR)를 참고하여 양쪽 유방 상하방향촬영(cranio-caudal, CC), 내외 사방향 촬영(medio-lateral oblique, MLO)검사에서 관전압(kVp), 조사시간(exposure time), 관전류량(mAs), 유방압박두께(compressed breast thickness), 평균유선선량(average glandular dose), 체질량지수(Body Mass Index, BMI)를 분류하여 분석하였다. 결과적으로 연령별에 따른 검사부위 CC, MLO에서 유방압박두께는 50-59세에서 45.6 mm, 49.6 mm로 가장 두껍게 나타났으며 전체적인 평균유방압박두께는 CC에서 44.2 mm, MLO 48.9 mm로 MLO가 4.7 mm 더 두껍게 나타났다. 평균유선선량은 CC에서 1.05 mGy, MLO에서 1.14 mGy로 CC보다 MLO에서 0.09 mGy가 더 높게 나타났으며 유방압박두께가 10 mm 증가할수록 CC와 MLO에서는 0.15 mGy, 0.17 mGy가 증가하는 것으로 나타났다. 한국식품의약품안전처에서 제시하는 유방 CC에서 1매 촬영 시 환자가 받는 평균유선선량 1.16 mGy 평가와 비교했을 시 1.05 mGy로 나타났으나 60 mm이상에서는 1.30 mGy로 초과하는 것으로 나타났다. 또한 유방압박두께가 높을수록 체질량지수가 높게 나타났으며 체질량지수에 따른 비만기준 25이상인 경우는 유방압박두께가 50 mm 이상일 경우에 비만인 것으로 나타났다.

집단 검진에서 발견된 갑상선 우연암종에 대한 임상적 고찰 (Clinical Investigation of Incidentally Found Thyroid Carcinoma in Mass Screening)

  • 김은서;장항석
    • 대한기관식도과학회지
    • /
    • 제7권2호
    • /
    • pp.168-173
    • /
    • 2001
  • Background and Objectives: The introduction of highly sensitive imaging techniques has made it possible to detect many non-palpable nodules, or“incidentaloma”in the thyroid. Discovery of these lesions raises concerns about their malignancy, but the optimal strategy for managing these lesions has not been clearly established. This study was designed to evaluate the usefulness of ultrasonographic exam with new diagnostic criteria and presume the value of mass screening for thyroid cancer. Materials and Methods : Mass screening for thyroid cancer were carried out in conjunction with mass screening for breast cancer. The subjects were 630 women aged 30 years or over. Thyroid glands were examined with 10 MHz transducer ultrasonography by one radiologist. Needle aspiration biopsy were performed when suspicious of malignancy under the new diagnostic criteria. Results and Conclusion : The new ultrasonographic criteria to diagnose thyroid cancer provided useful information and ensured more accurate evaluation. 7 cases of thyroid cancer were discovered and successfully managed. It should be further demonstrated that there is sufficient value of mass screening for thyroid cancer to perform it independently despite early cancer detection.

  • PDF

12주저항트레이닝 운동시 천연단백질과 분리유청단백질 섭취의 차이가 근육량 및 신체구성에 미치는 영향 (The Effect of the Difference Between Natural Protein and Whey Protein Intake During the 12 weeks of Resistance Training Exercise on Changes in Solt Lean Mass and Body Composltion)

  • 박원덕
    • 수산해양교육연구
    • /
    • 제28권5호
    • /
    • pp.1220-1230
    • /
    • 2016
  • The purpose of this study is to investigate the effect of 20s university student bodybuilders' protein intake differences with resistant exercise(weight training) by 12 weeks on solt lean mass and body composltion. Natural protein(Chicken breast meat) intake group and Whey protein isolates(WPI) intake group are the experimental groups. Conventional meal intake group is the control group. This study proposes a efficient protein diet for weight training. The results were as follows. In the experimental group(natural protein intake), muscle mass and lean body mass was significantly increased, but body fat percentage was significantly decreased. In the experimental group(WPI intake), muscle mass and lean body mass was significantly increased, but body fat percentage was significantly decreased. In the control group(conventional meal intake), muscle mass and lean body mass was insignificantly increased, but body fat percentage was insignificantly decreased. In addition, there was not a significant difference among intake groups, and also not a differentiated effect between natural protein and WPI intake. In conclusion, natural protein and WPI made muscle mass and lean body mass rise, body fat percentage reduced effectively. Only WPI intake(without natural protein intake) was the efficient mean to increase muscle mass and lean body mass, and to decrease body fat percentage.

Clinical Risk Factor Analysis for Breast Cancer: 568,000 Subjects Undergoing Breast Cancer Screening in Beijing, 2009

  • Pan, Lei;Han, Li-Li;Tao, Li-Xin;Zhou, Tao;Li, Xia;Gao, Qi;Wu, Li-Juan;Luo, Yan-Xia;Ding, Hui;Guo, Xiu-Hua
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권9호
    • /
    • pp.5325-5329
    • /
    • 2013
  • Objectives: Although there are many reports about the risk of breast cancer, few have reported clinical factors including history of breast-related or other diseases that affect the prevalence of breast cancer. This study explores these risk factors for breast cancer cases reported in Beijing in 2009. Materials and Methods: Data were derived from a Beijing breast cancer screening performed in 2009, of 568,000 women, from 16 districts of Beijing, all aged between 40 and 60 years. In this study, multilevel statistical modeling was used to identify clinical factors that affect the prevalence of breast cancer and to provide more reliable evidence for clinical diagnostics by using screening data. Results and Conclusion: Those women who had organ transplants, compared with those with none, were associated with breast cancer with an odds ratio (OR)=65.352 [95% confidence interval (CI): 8.488-503.165] and those with solid breast mass compared with none had OR=1.384 (95% CI: 1.022-1.873). Malignant tendency was strongly associated with increased risk of breast cancer, OR=207.999(95% CI: 151.950-284.721). The risk of breast cancer increased with age, $OR_1$=2.759 (95% CI: 1.837-4.144, 56-60 vs. 40-45), $OR_2$=2.047 (95% CI: 1.394-3.077, 51-55 vs. 40-45), $OR_3$=1.668 (95% CI: 1.145-2.431). Normal results of B ultrasonic examination show a lower risk among participants, OR= 0.136 (95% CI: 0.085-0.218). Those women with ductal papilloma compared with none were associated with breast cancer, OR=6.524 (95% CI: 1.871-22.746). Therefore, this study suggests that clinical doctors should pay attention to these high-risk factors.

한국인 유방암 경험자의 유방암 진단 후 식사변화: 신체활동, 신체측정치, 그리고 건강관련 삶의 질과의 연관성 (Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors)

  • 송시한;윤현조;정소연;이은숙;김지선;조지형;유영범;문형곤;노동영;이정은
    • 대한지역사회영양학회지
    • /
    • 제21권6호
    • /
    • pp.533-544
    • /
    • 2016
  • Objectives: We aimed to examine levels of physical activity, anthropometric features, and health-related quality of life (HRQoL) among Korean breast cancer survivors who reported changes in their diet after diagnosis. Methods: A total of 380 women who had been diagnosed with stage I to III breast cancer and had breast cancer surgery at least six months before the interview were included. Participants provided information on dietary change after diagnosis, post-diagnostic diet, physical activity, anthropometric measures, and HRQoL through face-to-face interview. We assessed HRQoL levels of breast cancer survivors using a validated Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and Breast Cancer Module (BR23). We used the logistic regression and generalized linear models to identify the associations of dietary changes in relation with physical activity, anthropometry, and HRQoL. Results: The majority of participants (72.6%) reported that they have changed their diet to a healthier diet after diagnosis. Breast cancer survivors who reported to have change to a healthy diet had higher intakes of vegetables and fruits and lower intakes of red and processed meats, and refined grains than those who did not. Also, survivors with a healthy change in their diet were more likely to engage in physical activity (top vs. bottom tertile: odds ratio [OR], 1.85; 95% confidence interval [95% CI], 1.02-3.36) and have lower body mass index (BMI) (OR, 0.90; 95% CI, 0.82-0.98 for one $kg/m^2$ increment in BMI) compared to those who did not. We found that a healthy change in diet was associated with higher scores of physical functioning (p=0.02) and lower scores of constipation (p=0.04) and diarrhea (p=0.006) compared to those who did not. Conclusions: Healthy changes in diet after breast cancer diagnosis may be associated with lower levels of BMI, and higher levels of physical activity and HRQoL.

수원 시내 일부 여성의 영아영양법에 관한 실태 조사 (A Study on the Infant Feeding Method of Mothers in Suwon City)

  • 이종현
    • 한국식품영양학회지
    • /
    • 제6권2호
    • /
    • pp.81-88
    • /
    • 1993
  • This survey was conduced to investigate the feeding methods of mothers in Suwon, Kyungkido. Incidence of breast feeding was 29.9eA of the Interviewed mothers, which showed lower percentages than those of previous surveys. The jai or factors influencing the method of infant feeding were generally depended on mother rather than infant. The mothers who had a higher income and a higher academic career tended to pre(or the bottle feeding to the other. md first birth order made them select the breast feeding rather than the other. Generally mothers knew the information about infant nutrition very well (91.0%), but their knowledge actually did not work. The sources of mother's Information on the Infant nutrition were the books of rearing infants and magazine. But there were some discrepancies between the actual and needed source of information : i.e. mothers wanted to acquire their information from mass communication.

  • PDF

여자대학생의 체형과 의복의 원형구조법에 관한 연구 -신분각부위의 상관 계수를 중심으로- (A Study on the pattern construction and body structure of Korean college girls on the basis of correlation coefficient of each body part.)

  • 임원자
    • 대한가정학회지
    • /
    • 제8권1호
    • /
    • pp.21-35
    • /
    • 1970
  • 1. For the purpose of making the basic pattern construction 100 girls attending the Seoul National University College of Home Economics were measured in finding of body size and coefficient of correlation which would be used as one basis of this study. 2. Coefficient of correlation of each body part based on the breast width was shown as follows; Correlation coefficients of bust to waist and hip were high and those of bust to shoulder width, neck height, back width, and breast width were low. None of that was found between bust and back length. It was not recognized so scientific to adjust the basic pattern construction with figures proportioned by those of neck, shoulder width, breast width, and back width. 3. The method of basic pattern construction obtained by this research has been demonstrated in direct wearing since 1967. It is believed that the result will contribute a great benefit in teaching clothing as well as in mass production industry of ready-made garments.

  • PDF

서울 지역 여성의 영아 영양법에 관한 실태조사 연구 (A Survey on the infant feeding in Seoul area)

  • 이연숙;황계순
    • 한국식생활문화학회지
    • /
    • 제7권2호
    • /
    • pp.97-103
    • /
    • 1992
  • This research was conducted to survey the feeding methods of Korean women. The survey was executed for 355 mothers bringing up a child below 24 months in some part of Seoul in Korea from April to May, 1990. Incidence of breast feeding was 29.1% of the interviewed mothers in Seoul, which showed lower percentages than those of previous surveys. This research proved the major influencing factor generally depended on its mother rather than babies or labor condition. For example, the higher income and the higher educational degree of its mothers, they tended to prefer the bottle feeding to the others. Generally mothers knew the informations of infant nutrition very well, 84.5% of the interviewed mothers in Seoul had the opinion of 'breast feeding is better', but their knowledge actually didn't work. The source of mothers‘ informations on the infant nutrition showed the books and magazines, friend and relatives, grandmother were many by the order. But there were some discrepancies between the actual and needed source of information; i.e. mothers in Seoul mostly(44.8%) wanted to acquire their informations from mass communications. The reason of breast feeding showed 'for baby's health' was the greatest, and then 'immunity of breast milk' and 'baby's emotion' were great by the order, and the reason of bottle feeding showed 'not enough breast milk' was the greatest. There were no problems in feeding attitude and position of breast feeding, but there were problems in feeding volume, consistency of formula milk and feeding position of bottle feeding.

  • PDF