• Title/Summary/Keyword: CM 예비비

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Second Look Arthroscopic Finding after Fibrin Matrix Autologous Chondrocyte Implantation for the Treatment of Articular Cartilage Defect of the Knee - Preliminary Report - (슬관절 연골 결손에 대한 fibrin matrix 자가 연골 세포 이식술 후 이차 관절경 소견 - 예비보고 -)

  • Choi, Sung-Wook;Oh, In-Suk;Kim, Ryuh-Sup;Park, Sun-Won;Lee, Jong-Min;Lee, Moon;Kim, Myung-Ku
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.1-6
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    • 2007
  • Purpose: The purpose of this preliminary report is to investigate the short term outcome of performing gel type fibrin matrix autologous chondrocyte implantation to patients who have damaged knee joint cartilage using secondary arthroscopy. Material and Methods: Six patients who have damaged knee joint cartilage were involved. The average size of defect was $5.13\;cm^2$. While performing primary arthroscopy, whole layer of cartilage bone was obtained either from the margin of damaged cartilage or the bilateral margin of a trochlea. The cartilaginous cells were obtained for culture for four to six weeks. While performing secondary minimal invasive arthrotomy, gel type fibrin matrix autologous chondrocyte was implanted on the chondral defect site. Results: 4 among 6 patients to be more than good in Modified Cincinnati Knee Scoring system. Lysholm function score was 59.5 preoperatively, and it improved to 76.25. ICRS grading by performing secondary arthroscopy revealed 4 out of 6 patients to be nearly normal. Conclusion: Gel type fibrin matrix autologous chondrocyte implantation is a treatment for cartilage defect, which takes less time to operate than the conventional implantation. In addition, this method minimizes the size of incision and allows arthroscopic surgery. However, long term follow up and more case study is thought to be necessary.

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Modeling of Dual Head Gantry Radiotherapy System with Monte Carlo Simulation (듀얼 헤드 갠트리 방사선치료 시스템 설계를 위한 몬테칼로 시뮬레이션 연구)

  • Park, Seungwoo
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.627-632
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    • 2017
  • In order to design a dual-head gantry radiotherapy system, the single head of LINAC was modeled using GATE as a preliminary study. The LINAC head was designed with VARIAN manufacturer's information. 6 MV photons were generated from the head and the photons w irradiated to a water phantom for beam evaluation. GATE simulation was segmented by two stages, the one was to generate X-ray spectrum and the other one was for irradiation X-ray to the water phantom. The quantitative results were described in Percentage depth dose and beam profile. Two field size conditions were employed as $5{\times}5$ and $10{\times}10cm^2$. After beam quality was verified, dual heads gantry radiotherapy system were simulated and they was compared to the single head of LINAC system in terms of dose deposition with in the phantom. The simulated LINAC head showed acceptable beam quality result for radiotherapy. The efficiency was calculated that deposited dose from dual heads was divided by the dose from single head. At all conditions, dual heads showed higher treatment efficiency. Efficiency was increased about 40 to 60%. Form the result, The dual head gantry system of new LINAC system will contribute to the practical radiotherapy of tumor and to reduce treatment time.

A Study on the Basic Characteristics of In-situ Soil Flushing Using Surfactant (계면활성제를 이용한 원위치 토양세정 기법 적용을 위한 기초 특성 연구)

  • 최상일;소정현;조장환
    • Journal of Soil and Groundwater Environment
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    • v.7 no.4
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    • pp.87-91
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    • 2002
  • Lab scale batch and column tests were performed to investigate the treatability of petroleum contaminated soil using the in-situ soil flushing method. The pyrex column (4.5$\times$25 cm) was used to investigate optimal washing agent, surfactant concentration, mixing ratio, and inlet velocity. The miked surfactant of $POE_{14}$ and SDS were determined as ideal systems for the batch tests. From the results of preliminary tests, mixed surfactant was found to be more harmful for microorganisms. So $POE_{5}$ and $POE_{14}$ were chosen as the surfactant system for the batch study. The washing efficiency for the diesel contaminated soil was increased until 1 %, and decreased after l %. When applied as selected mixed surfactant, the ideal mixed ratio was recognized as 1:1. Therefore we selected miked surfactant $POE_{5}$ and $POE_{14}$, surfactant concentration 1%, and mixed ratio 1:1 for the remediation of diesel contaminated soil. In column tests, the total removal efficiency was improved as the flux of washing agent was increased. At the same pore volume, small flux showed better removal efficiency.

경주시 양남 제4기 역질 해안단구 퇴적층 풍화단면내 앨로패인(allophane) 교결층의 기원

  • 정기영;배진한;정창식
    • Proceedings of the Mineralogical Society of Korea Conference
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    • 2001.06a
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    • pp.115-115
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    • 2001
  • 경주시 양남면의 4기 단층으로 추정되는 수렴단층에 의해 절단되는 해안단구 퇴적층 풍화단면에서 저결정질 광물인 앨로패인 교결층을 기재하였다. 이들은 자갈퇴적층 내에 협재하는 수조의 모래층에 한정되어 형성되어 있으며, 3-17 cm 두께로 연장성이 매우 좋다. 편광현미경 관찰에 의하면 모래층에는 사장석편들이 다량 함유되어 있으며 앨로패인은 광학적 등방성의 치밀한 점토집합체들로서 사장석 입자를 선택적으로 교대하거나 자갈과 모래입자들을 피복하고 있다. 앨로패인은 광학적 이방성인 상하위층의 고령토질 점토피복물과 명확히 구분된다. 앨로패인의 전자현미분석에 의하면, Al/Si 원자비가 1.3-1.7 범위이고 평균값은 1.5이다. X선회절분석 결과 3.49$\AA$과 2.26$\AA$에서 두 개의 넓은 회절대가 관찰된다. 주사 및 투과전자현미경관찰에 의하면 앨로패인을 특정한 입자형태 없이 치밀한 겔상태를 이루고 있다. 열분석에 의하면 96$^{\circ}C$에서 큰 흡열피크와 992$^{\circ}C$에서 발열피크가 관찰되며, 총 45% 정도의 중량감소를 보인다. 사장석의 평균조성은 An$_{87}$이며, 사장석내 유리포유물의 전자현미분석결과는 화산암 화학분류도에서 현무암 영역에 도시된다. 이 지역의 기반암은 현무암질 라필리응회암이나 사장석편을 제외하고 벤토나이트화되어 있다. 따라서 해빈환경에서 사장석이 벤토나이트에서 분리되어 퇴적한 것으로 보인다. 앨로패인 교결층은 해수면 강하로 단구퇴적층이 지표로 노출된 후, Al의 함량이 높고 비교적 풍화에 약한 사장석이 선택적으로 풍화되어 생성되었다. 앨로패인으로 피복된 모래층 내의 자갈은 풍화반응이 지체되어 상하위층의 자갈과 비교하여 풍화도에 있어서 현저한 차이를 보인다.. 파이프 중심에서 외곽부로 갈수록 전기석의 함량은 줄어들고 있고 장석들이 알바이트ㆍ칼스베드 쌍정을 보이며, 흑운모가 각섬석보다는 우세하게 나타나고 있다. 전기석은 주상 결정, 자형 내지 반자형의 입자로 다색성을 보이며, 결정 중심에서 가장자리로 갈수록 파란색과 황갈색의 광학적 누대구조를 관찰할 수 있다. 일광광산에서 산출되는 전기석에 대한 현미경 관찰은 열수기원임을 지시하고 있다. 야외조사와 현미경 관찰의 예비조사에 의하면 일광광산의 전기석이 형성된 환경은 다른2가지 화학적인 저장소의 혼합 효과의 결과로 생성되어진 것으로 예상된다. 일광의 화강암류를 만든 마그마는 전기석을 형성할 만큼의 Fe-Mg성분이 충분하지 않았을 것이다. 화강암 내에 흑운모와 각섬석의 결정작용에 의해 마그마의 Fe-Mg성분이 고갈되어지고 이로 인해 그 함량이 감소하며 상대적으로 마그마 내에 남은 붕소(B$_2$O$_3$)는 열수로 용리되고 흑운모, 각섬석과 평형을 유지하며 열수에 남아있게 된다. 잔류용융체에 남은 붕소의 함량은 전기석을 만들기에 충분함에도 불구하고, Fe-Mg 함량이 부족하여 마그마 기원의 전기석 결정을 만들 수가 없다가 광맥이 형성된 시기에 또 다른 열수가 공급되면서 이전의 평형이 깨지고 기존의 흑운모와 같은 염기성 광물이 붕소(B)를 함유한 새로운 열수와 반응하여 전기석을 형성한 것으로 예상한다. 앞으로 전암과 광물에 대해 지화학적 연구를 통해 화강암류와 전기석과의 지화학적 연관성, 주성분 원소와 열수의 특성과의 상관관계, 전기석의 기원(마그마 기원인지 열수기원인지)이 보다 정확하게 파악될 것이다. 마그마 진화에 따른 전기석의 성분변화와 기원을 이용하여 일광광산의 동광화대를 형성한 마그마 계에서 열수계로 이어지는 지질학적 과정을 이해할 수 있을 것이며, 암석 성인론적 지시자로서

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Effect of Additional 1 hour T-piece Trial on Weaning Outcome to the Patients at Minimum Pressure Support (최소압력보조 수준에서 추가적 1시간 T-piece 시도가 이탈에 미치는 영향)

  • Hong, Sang-Bum;Koh, Youn-Suck;Lim, Chae-Man;Ann, Jong-Jun;Park, Wann;Shim, Tae-Son;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.813-822
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    • 1998
  • Background: Extubation is recommended to be performed at minimum pressure support (PSmin) during the pressure support ventilation (PSV). In field, physicians sometimes perform additional 1 hr T-piece trial to the patient at PSmin to reduce re-intubation risk. Although it provides confirmation of patient's breathing reserve, weaning could be delayed due to increased airway resistance by endotracheal tube. Methods: To investigate the effect of additional 1 hr T-piece trial on weaning outcome, a prospective study was done in consecutive 44 patients who had received mechanical ventilation more than 3 days. Respiratory mechanics, hemodymic, and gas exchange measurements were done and the level of PSmin was calculated using the equation (PSmin=peak inspiratory flow rate $\times$ total ventilatory system resistance) at the 15cm $H_2O$ of pressure support. At PSmin, the patients were randomized into intervention (additional 1 hr T-piece trial) and control (extubation at PSmin). The measurements were repeated at PSmm, during weaning process (in cases of intervention), and after extubation. The weaning success was defined as spontaneous breathing more than 48hr after extubation. In intervention group, failure to continue weaning process was also considered as weaning failure. Results: Thirty-six patients with 42 times weaning trial were satisfied to the protocol. Mean PSmin level was 7.6 (${\pm}1.9$)cm $H_2O$. There were no differences in total ventilation times (TVT), APACHE III score, nutritional indices, and respiratory mechanics at PSmin between 2 groups. The weaning success rate and re-intubation rate were not different between intervention group (55% and 18% in each) and control group (70% and 20% in each) at first weaning trial. Work of breathing, pressure time product, and tidal volume were aggravated during 1 hr T-piece trial compared to those of PSmin in intervention group ($10.4{\pm}1.25$ and $1.66{\pm}1.08$ J/L in work of breathing) ($191{\pm}232$ and $287{\pm}217$cm $H_2O$ s/m in pressure time product) ($0.33{\pm}0.09$ and $0.29{\pm}0.09$ L in tidal volume) (P<0.05 in each). As in whole, TVT, and tidal volume at PSmin were significantly different between the patients with weaning success ($246{\pm}195$ hr, $0.43{\pm}0.11$ L) and the those with weaning failure ($407{\pm}248$ hr, $0.35{\pm}0.10$L) (P<0.05 in each). Conclusion : There were no advantage to weaning outcome by addition of 1 hr T-piece trial compared to prompt extubation to the patient at PS min.

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HACCP Model for Quality Control of Sushi Production in the Eine Japanese Restaurants in Korea (일본전문식당의 급식품질 개선을 위한 HACCP 시스템 적용 연구)

  • 김혜경;이복희;김인호;조경동
    • Journal of the East Asian Society of Dietary Life
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    • v.13 no.1
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    • pp.25-38
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    • 2003
  • This study was conducted to establish the microbiological quality standards applying the HACCP system on sushi items of Japanese restaurant in Korea. The study evaluated hygienic conditions of kitchen and workers, pH time-temperature relationship, and microbial assessments during whole process of sushi making in 2001. Overall hygienic conditions were normal for both kitchen and for workers by 3 point scale, but hygienic controls against the cross-contamination were still needed. Each process of sushi making was performed under the risk of microbial contamination, since pH value of most of ingredients was over pH 4.6 and also production time(3.5~6 hrs) were long enough to cause problems. Microorganisms were high enough to cause foodborne illness ranged 8.0$\times$10$^2$~3.3$\times$10$^{6}$ CFU/g of TPC and 1.0$\times$10$^1$~1.6$\times$10$^3$CFU/g of coliforms, although TPC, coliforms and Staphylcoccus aureus were within the standard limits (TPC 10$^2$~10$^{6}$ CFU/g, coliforms 10$^3$CFU/g). However, Salmonella and Vibrio parahaemolyticus were not detected. High populations TPC and coliforms were also found in the cooks' hands and cooking utensils(TPC 10$^2$~10$^{6}$ CFU/100cm$^2$and Coliforms 10$^1$~10$^3$CFU/100cm$^2$). Based on the CCP decision tree analysis, the CCPs were the holding steps far six sushi production line except the tuna and the thawing step for tuna sushi. In conclusion, overall state of sushi production was fairly good but much improvement was still needed.

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Estimation of POC Export Fluxes Using 234Th/238U Disequilibria in the Amundsen Sea, Antarctica; Preliminary Result (남극 아문젠해에서 234Th/238U 비평형법을 사용한 유광대에서 심층으로의 입자상 유기탄소 침강플럭스 추정; 예비결과)

  • Kim, Mi Seon;Choi, Man Sik;Lee, Sang Heon;Lee, Sang Hoon;Rhee, Tae Siek;Hahm, Doshik
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.19 no.2
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    • pp.109-124
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    • 2014
  • In order to understand the carbon cycle in the Amundsen Sea of the Southern Ocean, the export fluxes of particulate organic carbon from the euphotic zone to deep water estimated using ${\psi}$/${\psi}$ disequilibrium method. Seawaters in 14 water columns were collected during February and March 2012, and analyzed for total and dissolved ${\psi}$, and particulate organic carbon. Total ${\psi}$ activities in the water column showed deficiency and excess relative to those of ${\psi}$ depending on the water depth. Deficiency of total ${\psi}$ in the euphotic zone showed mirror images both with chlorophyll-a and fluorescence, and was consistent with the loss of nitrate, which indicated the effect of biological activity. In addition, deficiency of total ${\psi}$ from deep water was associated with the increase of total dissolvable Fe/Mn concentration. Excess total ${\psi}$ activity presented below the euphotic zone might be related to particulate ${\psi}$ concentrated in this water depth. Mean export flux of ${\psi}$ estimated using the steady state model was $867{\pm}246dpmm^{-2}day^{-1}$. Mean export flux of particulate organic carbon, which were estimated by the product of total ${\psi}$ flux and ratio of POC/${\psi}$ ($7.08{\pm}4.27{\mu}molCdpm^{-1}$) in the sinking particles, was $5.9{\pm}3.9mmolCm^{-2}day^{-1}$. These fluxes were similar levels to those in the Weddell Sea during February and March 2008. Export ratios (ThE) relative to the primary production in the euphotic zone were in the range of 3-54% (av. 28%).

A Pilot Study for the Feasibility of F-18 FLT-PET in Locally Advanced Breast Cancer: Comparison with F-18 FDG-PET (국소진행성 유방암에서 F-18 FLT-PET 적용 가능성에 대한 예비 연구: F-18 FDG-PET와 비교)

  • Hyuen, Lee-Jai;Kim, Euy-Nyong;Hong, Il-Ki;Ahn, Jin-Hee;Kim, Sung-Bae;Ahn, Sei-Hyun;Gong, Gyung-Yup;Kim, Jae-Seung;Oh, Seung-Jun;Moon, Dae-Hyuk;Ryu, Jin-Sook
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.1
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    • pp.29-38
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    • 2008
  • Purpose: The aim of this study was to investigate the feasibility of 3 ' -[F-18]fluoro-3 ' -deoxythymidine positron emission tomography(FLT-PET) for the detection of locally advanced breast cancer and to compare the degree of FLT and 2' -deoxy-2 ' -[F-18]fluoro-d-glucose(FDG) uptake in primary tumor, lymph nodes and other normal organs. Material & Methods: The study subjects consisted of 22 female patients (mean age; $42{\pm}6$ years) with biopsy-confirmed infiltrating ductal carcinoma between Aug 2005 and Nov 2006. We performed conventional imaging workup, FDG-PET and FLT PET/CT. Average tumor size measured by MRI was $7.2{\pm}3.4$ cm. With visual analysis, Tumor and Lymph node uptakes of FLT and FDG were determined by calculation of standardized uptake value (SUV) and tumor to background (TB) ratio. We compared FLT tumor uptake with FDG tumor uptake. We also investigated the correlation between FLT tumor uptake and FDG tumor uptake and the concordant rate with lymph node uptakes of FLT and FDG. FLT and FDG uptakes of bone marrow and liver were measured to compare the biodistribution of each other. Results: All tumor lesions were visually detected in both FLT-PET and FDG-PET. There was no significant correlation between maximal tumor size by MRI and SUVmax of FLT-PET or FDG-PET (p>0.05). SUVmax and $$SUV_{75} (average SUV within volume of interest using 75% isocontour) of FLT-PET were significantly lower than those of FDG-PET in primary tumor (SUVmax; $6.3{\pm}5.2\;vs\;8.3{\pm}4.9$, p=0.02 /$SUV_{75};\;5.3{\pm}4.3\;vs\;6.9{\pm}4.2$, p=0.02). There is significant moderate correlation between uptake of FLT and FDG in primary tumor (SUVmax; rho=0.450, p=0.04 / SUV75; rho=0.472, p=0.03). But, TB ratio of FLT-PET was higher than that of FDG-PET($11.7{\pm}7.7\;vs\;6.3{\pm}3.8$, p=0.001). The concordant rate between FLT and FDG uptake of lymph node was reasonably good (33/34). The FLT SUVs of liver and bone marrow were $4.2{\pm}1.2\;and\;8.3{\pm}4.9$. The FDG SUVs of liver and bone marrow were $1.8{\pm}0.4\;and\;1.6{\pm}0.4$. Conclusion: The uptakes of FLT were lower than those of FDG, but all patients of this study revealed good FLT uptakes of tumor and lymph node. Because FLT-PET revealed high TB ratio and concordant rate with lymph node uptakes of FDG-PET, FLT-PET could be a useful diagnostic tool in locally advanced breast cancer. But, physiological uptake and individual variation of FLT in bone marrow and liver will limit the diagnosis of bone and liver metastases.

Hypofractionated Radiation Therapy for Early Glottic Cancer - Preliminary Results - (초기 성문암 환자에서의 소분할 조사법을 이용한 방사선치료 - 예비적 결과 -)

  • Wu Hong-Gyun;Hong Semie;Shin Seong Soo;Park Charn Il
    • Radiation Oncology Journal
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    • v.19 no.4
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    • pp.301-305
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    • 2001
  • Purpose : This study was peformed for the evaluation of the feasibility and toxicity of hypofractionated radiation therapy for early glottic cancer Methods and Materials : From February 1999 to February 2000, 20 patients with Histologically confirmed Stage I, II glottic cancer were enrolled into this study. There were 18 males and 2 females, the median age of the patients was 59 years. The distribution of stage distribution was as fellows; T1aN0-16 patients, T1bN0-1 patient, T2N0-3 patients. Eighteen patients underwent laryngomicroscopic biopsy only, and two patients underwent laser cordectomy. All patients received radical radiation therapy (2.5 Gy per fraction, 24 fractions, total 60 Gy). Median duration of treatment was 36 days (range $31\~45\;days$). Results : Radiation therapy were well tolerated. Most common acute reactions were odynophagia and hoarseness, and these reactions resolved after radiation therapy. There were one case of RTOG grade 3 odynophagia $(5\%)$, six cases of grade 3 hoarseness $(30\%)$. Response of radiation therapy was evaluated one month after completion of treatment. All patients revealed complete response. During follow up, total three cases of treatment failure were detected. two cases were local recurrence in 10 and 13 months of radiation therapy and one case was local recurrence and distant metastasis in 2 months of radiation therapy. Conclusion : This hypofractionated radiation therapy schedule was feasible and effective for control of early glottic cancer But longer follow up time would be required to assess the long-term disease control and the late complication by shortening radiation therapy duration.

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The Prognostic Effect of Subpleural Lesions in Early Stage Non-small Cell Lung Cancer - Preliminary Report - (초기 비소세포 폐암 환자의 늑막하 병변이 예후에 미치는 영향; 예비 보고)

  • Lee, Ho-Jun;Lee, Hyung-Sik;Hur, Won-Joo;Lee, Ki-Nam;Choi, Pill-Jo
    • Radiation Oncology Journal
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    • v.16 no.4
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    • pp.425-431
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    • 1998
  • Purpose : We retrospectively analyzed the impact of subpleural lesions of early stage non-small cell lung cancer on the patterns of failure to support selection of postoperative adjuvant therapy. Methods and Materials : The study included 91 patients who underwent surgery for early stage non-small cell lung cancer at Dong-A University Hospital from Dec 1990 to Sep 1996. Twenty five patients were excluded due to postoperative mortality (four patients, 4.4$\%$) and stage III (21 patients). Of 66 patients, 22 patients were subpleural lesions (15 patients in stage I, and seven patients in stage II). Postoperative adjuvant radiation therapy was given to seven patients with T2Nl disease. The median follow-up duration was 29.5 months (range; 8-84 months). Results : The overall survival rate was 69.5$\%$ at 3 years. For all patients who presented with (22 patients) and without (44 patients) subpleural lesions, 3-year overall survival rates were 35.5$\%$ and 84.6$\%$, respectively (p=0.0017). For stage I patients who presented with (15 patients) and without (29 patients) subpleural lesions, 3-year overall survival rates were 33.1$\%$ and 92.3$\%$, respectively (p=0.001). For stage II patients who presented with (7 patients) and without (15 patients) subpleural lesions, 3-year overall survival rates were 53.3$\%$ and 45.7$\%$, respectively (p=0.911). For patients with T2N0 disease (34 patients) who presented with (11 patients) and without (23 patients) subpleural lesions, 3-year overall survival rates were 27.3$\%$ and 90.3$\%$, respectively (p=0.009). Conclusion : These observations suggest that the subpleural lesion play an important role as a prognostic factor for early stage non-small cell lung cancer. Especially for T2N0 disease, patients with subpleural lesions showed significantly lower survival rate than those without that.

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