• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.94-94
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• 1993

구강설에 발생한 편평상피암에 대하여 임상적 소견과 치료방법에 따른 결과를 알아보고자 후향적 고찰을 하였다. 대상은 연세대학교 의과대학부속 세브란스병원에서 1976년부터 1989년까지 구강설암으로 진단받은 112례중 편평상피암이 아니거나 불충분한 치료를 받은 22례를 제외하고 최소추적관찰기간이 3년이상인 90례를 대상으로 하였다. 평균 추적기간은 47 개월이었다. 호발부위는 구강설의 외측연이 가장 많았으며 경부임파절전이는 45.6%(41/90)에서 관찰되었다. 병기별 5년 생존율은 병기 I, II의 조기암이 78.8%, III, IV의 진행암이 20.7%이었으며 전체 5년 생존율은 58.5%를 보였다. 치료방법에 따른 생존율은 방사선치료례가 19.7%, 수술 및 방사선치료례가 55.7%, 수술치료례가 66.2% 이었다. 국소 치료율은 병기 I, II가 59.4%, III, IV가 26.8%를 보였다. 치료실패의 원인은 국소재발이 가장 많았고 국소및 경부재발, 경부재발 순이었다. 구강설암의 생존율을 높이기 위하여는 국소재발율 줄이고 진행암의 경우 보다 적극적인 치료가 필요할 것으로 생각된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5687-5690
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• 2015

Background: Factors predictive of survival have been identified in Western patients with metastatic clear cell renal cell carcinoma (mCCRCC) treated with sunitinib. Less is known, however, about factors predictive of survival in Japanese patients. This study evaluated factors prognostic of survival in Japanese patients with mCCRCC treated with first-line sunitinib. Materials and Methods: This retrospective study evaluated 46 consecutive Japanese mCCRCC patients treated with sunitinib as first line therapy. Clinical and biochemical markers associated with progression-free survival (PFS) were analyzed, with prognostic factors selected by uniand multivariate Cox regression analyses. Results: Univariate analysis showed that factors significantly associated with poor PFS included Memorial Sloan-Kettering Cancer Center poor risk scores, International Metastatic RCC Database Consortium poor risk and high (>0.5 mg/dl) serum C-reactive protein (CRP) concentrations (p<0.001 each). Multivariate analysis showed that high serum CRP was independently associated with poorer PFS (p=0.040). Six month disease control rate (complete response, partial response and stable disease) in response to sunitinib was significantly higher in patients with normal (${\leq}0.5mg/dl$) than elevated baseline CRP (p<0.001). Conclusions: CRP is a significant independent predictor of PFS for Japanese patients with mCCRCC treated with first-line sunitinib. Pretreatment CRP concentration may be a useful biomarker predicting response to sunitinib treatment.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5177-5182
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• 2012

Purpose: To compare the efficacy and safety of epidermal growth factor receptor tyrosine kinase inhibitormonotherapy (EFGR-TKIs: gefitinib or erlotinib) with standard second-line chemotherapy (single agent docetaxel or pemetrexed) in previously treated advanced non-small-cell lung cancer (NSCLC). Methods: We systematically searched for randomized clinical trials that compared EGFR-TKI monotherapy with standard second-line chemotherapy in previously treated advanced NSCLC. The end points were overall survival (OS), progression-free survival (PFS), overall response rate (ORR), 1-year survival rate (1-year SR) and grade 3 or 4 toxicities. The pooled hazard ratio (HR) or risk ratio (RR), with their corresponding 95% confidence intervals (CI) were calculated employing fixed- or random-effects models depending on the heterogeneity of the included trials. Results: Eight randomized controlled trials (totally 3218 patients) were eligible. Our meta-analysis results showed that EGFR-TKIs were comparable to standard second-line chemotherapy for advanced NSCLC in terms of overall survival (HR 1.00, 95%CI 0.92-1.10; p=0.943), progression-free survival (HR 0.90, 95%CI 0.75-1.08, P=0.258) and 1-year-survival rate (RR 0.97, 95%CI 0.87-1.08, P=0.619), and the overall response rate was higher in patients who receiving EGFR-TKIs(RR 1.50, 95%CI 1.22-1.83, P=0.000). Sub-group analysis demonstrated that EGFR-TKI monotherapy significantly improved PFS (HR 0.73, 95%CI: 0.55-0.97, p=0.03) and ORR (RR 1.96, 95%CI: 1.46-2.63, p=0.000) in East Asian patients, but it did not translate into increase in OS and 1-year SR. Furthermore, there were fewer incidences of grade 3 or 4 neutropenia, febrile neutropenia and neutrotoxicity in EGFR-TKI monotherapy group, excluding grade 3 or 4 rash. Conclusion: Both interventions had comparable efficacy as second-line treatments for patients with advanced NSCLC, and EGFR-TKI monotherapy was associated with less toxicity and better tolerability. Moreover, our data also demonstrated that EGFR-TKImonotherapy tended to be more effective in East Asian patients in terms of PFS and ORR compared with standard second-line chemotherapy. These results should help inform decisions about patient management and design of future trials.

• 한국동물번식학회:학술대회논문집
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• 한국동물번식학회 2001년도 춘계학술발표대회
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• pp.76-76
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• 2001

The objective of this study was to optimize the vitrification method of in vitro produced bovine embryos. Thus, in vitro produced embryos at 8 cell, morula and blastocyst stages were vitrified on electron microscope grids (EM grids) or in open pulled straws (OPS) with EG5.5 (5.5 M ethylene glycol, 1.0 M sucrose and 10% FBS in m-DPBS medium) freezing solution and their survival rates after thawing were compared. The embryos on EM grids or in OPS were briefly exposed to EG5.5 freezing solution and plunged directly into liquid nitrogen within 30 to 35 sec. Post-thawed embryos were serially diluted in 0.5, 0.25 and 0.125 M sucrose in m-DPBS, each for 1 min, and then cultured in CRI aa medium supplemented with 10% FBS. Embryonic survival rate was assessed as re-expanded and hatched rates of those embryos after warming. The rates of re-expansion embryos did not significantly different between EM grid (8 cell: 42.10%, morula: 66.66% and blastocyst: 77.08%) and OPS (8 cell: 47.36%, morula: 61.90% and blastocyst: 83.33%) methods. In addition, the hatched rates in EM grid (8 cell: 31.57%, morula: 57.14% and blastocyst: 72.91%) were similar to those in OPS (8 cell. 34.21%, morula: 50.00% and Blastocyst: 77.08%). Interestingly, even at the same blastocyst stage, the in vitro survival of day 7 embryos (EM grid: 79.48 and OPS: 87.18%) was higher than those of day 8 embryos (EM grid: 72.10 and OPS: 82.06%). The total cell number of blastocyst developed in vitro after vitrification was examined with Hoechst 33342 staining to compare the embryo quality among different treatment groups. The total cell number of blastocyst was not significantly different between vitrified groups (EM grid: 162.4$\pm$8.0 and OPS: 158.4$\pm$7.1) and unvitrified control (168.0$\pm$5.6). These results indicate that both vitrification containers can provide the high rate of embryo survival. Moreover, the OPS container may not need a cap to protect the container from floating after immersion in L$N_2$. Therefore, this study suggest that bovine embryos can be cryopreserved easily, effectively and successfully by vitrification method using EM grid or OPS with EG5.5 freezing solution. In the future, the Pregnancy rate would be investigated after transfer of our vitrified embryos into the appropriated recipients.

• Clinical and Experimental Reproductive Medicine
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• 제17권2호
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• pp.167-172
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• 1990

This study was carried out to clarify the effects of various kinds of cryoprotectants which were frequently used in freezing embryos of domestic animals on the survival of frozen-thawed mouse embryos. Mouse embryos were collected by hyperstimulation induction of ICR mouse. The samples were slowly cooled ($l^{\circ}C/min$) to temperatures between $-7^{\circ}C$ and $-30^{circ}C$ before direct transfer to liquid nitrogen ($-196^{\circ}C$) and thawed rapidly ($-500^{\circ}C$/min). As cryoprotectants, Glycerol, DMSO, Ethylene glycol and Propylene glycol were used and applied each 2 cell, 8 cell, morula in embryo stage. After normal mouse embryos developed to blastocyst by in vitro culture, we observed recovery rate and developing rate of embryos at thawing. The results obtained in these experiments were as follows : 1. The in vitro development rate from the frozen-thawed 2 cell embryos to the blastocyst were 67.7% in ethylene glycol, 65.7% in Propylene glycol, 55.2% in glycerol and 50.0% in DMSO respectively. 2. The in vitro development rate from the frozen-thawed 8 cell embryos to the blastocyst were 83.6% in DMSO, 75.7% in glycerol, 52.2% in propylene glycol respectively. 3. The in vitro development rate from the frozen-thawed morula to the blastocyst were 84.2% in glycerol, 80.0% in DMSO, 66.6% in propylene glycol and 55.2% in ethylene glycol respectively.

• Radiation Oncology Journal
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• 제16권3호
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• pp.283-289
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• 1998

목적 : 국소 진행된 비소세포 폐암에서 방사선치료 전 시행하는 유도화학요법의 효과를 분석하기 위하여 본 연구를 시행하였다. 대상 및 방법 : 1989년 부터 1995년 까지 본원에서 국소 진행된 비소세포 폐암으로 진단받은 환자 중 80명의 환자를 대상으로 후향적으로 분석하였다. 21명의 환자는 유도화학요법후 방사선치료를 시행하였고 59명의 환자는 방사선 단독으로 치료를 시행하였다. 항암제는 cispatin 에 기초한 약물로 시행하였다. 모든 환자는 Co-60 또는 6 MV 선형가속기로 하루 1.8 Gy 씩 50 Gy 내지 80Gy (중앙값, 64.8 Gy) 조사하였다. 두 군간에 반응율, 생존율, 실패양상을 분석하였다. 결과 : 전체 반응율은 유도화학요법 군에서 48%, 방사선 단독 군에서 44% 였다. 80명의 환자 중 치료실패에 대한 평가가 46예에서 가능하였다. 유도화학요법 군에 대한 초기 실패 양상은 국소 재발 8예 (57%), 원격전이 4예 (33%)가 있었다. 방사선 단독 군은 국소재발 24예 (71%), 원격전이 5예 (29%)가 있었다. 두 군간의 재발 유형에 있어 통계학적 차이는 없었다. 1년 및 2년 생존율은 유도화학요법 군에서 각각 43%, 14% 였고 방사선 단독군에서 31%, 7%였다 (p=0.13). 결론 : 제 3기 비소세포 폐암에서 유도화학요법과 방사선 치료의 병합요법이 방사선 단독 치료에 비해 생존율에 있어서 좀더 나은 경향을 보였으나 통계적으로 차이는 없었다. 원격 전이는 두 군간에 차이가 없는 것으로 나타났으며 이것은 유도화학요법이 원격전이를 효과적으로 조절하지 못하는 것을 의미하는 것으로 추정된다.

• 보험의학회지
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• 제31권1호
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• pp.34-36
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• 2012

Lung cancer such as small cell lung cancer(SCLC) and non small cell lung cancer(NSCLC) have high mortality rate, so, we insurance doctors have little interest in their risk. But nowadays there's a lot of development in targeted therapy of NSCLC. Screening by CT scanning and early resection strategy also shows better prognosis. It is helpful for underwriters and insurance doctors to review the current development of targeted therapy of NSCLC and estimation of extra-risk of early lung cancer. The preferred treatment option for patients whose tumors contain EGFR-activating mutations are one of the EGFR-directed tyrosine kinase inhibitors, such as gefitinib or erlotinib. In patients with NSCLC whose tumors harboured an ALK rearrangement, there was 61% objective response rate to crizotinib in the phase 1 study. The median survival progression-free survival was 10 months. Mortality analysis of early lung cancer who were detected by CT screening, MR of 105% and EDR of 1‰ were calculated.

• Journal of Chest Surgery
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• 제34권12호
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• pp.924-929
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• 2001

배경 : 흉벽을 침습한 비소세포암의 외과적 절제후의 장기 생존율에는 현재까지 림프절 전이, 완전 절제, 흉벽침습 깊이 등이 관여한다고 알려져 있다. 본 연구에서는 완전절제후의 예후에 관련된 요소들에 대해 알아보고자 한다. 대상 및 방법 : 1988년부터 1998년까지 원발성 비소세포암으로 수술을 받은 680명중, 벽측늑막과 흉벽을 침범한 경우에 완전절제를 실시한 55예(8.0%)에 대해 후향적 방법을 통해 분석하였다. 결과 : 29예(47.3%)에서 총괄절제를 시행하고 26예(52.7%)에서 늑막외절제를 실시하였다. 늑막외절제를 시행한 모든 예에서 침습정도는 벽측늑막에 국한되어 있었고, 총괄절제군에서는 9예(31.0%)에서 벽측늑막에 나머지 20예(69.0%)에서는 흉벽에의 침습이 병리학적으로 판명되었다. 수술사망은 3명에서 발생해 5.4%였으며, 추적은 100%에서 가능하였다. 전체환자군의 5년 생존율은 26%였으며, T3N0M0군의 생존율이 29%로 T3N2M0군의 18% 보다 높기는 하나 통계학적인 유의성은 없었다.(p=0.35) 흉벽침습 깊이정도에 따른 생존율은 림프절 전이의 유무에 관련없이 유의한 차이가 없었다.(p=0.99) 결론 : 흉벽을 침습한 T3 비소세포암에 대해 완전절제를 실시해 만족할 만한 생존율을 보였다. 림프절 전이 여부는 완전절제후의 생존율에 관여하는 바가 크나, 침습 깊이는 관여하는 정도가 덜하다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제43권5호
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• pp.312-317
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• 2017

Objectives: In order to assess clinical behavior, response to treatment, and factors influencing prognosis of Korean patients with osteosarcoma of the jaws (OSJ). Materials and Methods: A retrospective study of clinical, and pathological records of 26 patients with OSJ treated at the Department of Oral and Maxillofacial Surgery in Yonsei University Dental Hospital from 1990 to March 2017. Results: Of 26 patients, there were 9 men (34.6%) and 17 women (65.4%). Twenty-one of 26 patients had osteosarcoma of the mandible, and 5 of 26 patients had osteosarcoma of the maxilla. The histopathology of OSJ is highly variable, ranging from chondroblastic type (6 out of 26), osteoblastic type (10 out of 26), fibroblastic type (2 out of 26), to the rare variants like mixed type, small cell osteosarcoma types and more. All patients underwent gross total excision and only a few patients underwent neoadjuvant chemotherapy. Postoperative chemotherapy was given to most of the patients as adjuvant treatment or in combination with radiotherapy. The overall survival rate was 73.1% with an overall 2-year survival rate of 83.3%. The overall 5-,10-,15-year survival rates in this study were 73.5%, 73.5%, 49%, respectively. Using Kaplan-Meier analysis with log rank tests, the size of tumor (T-stage), and resection margins were found to affect the survival rate significantly. The chemotherapy was not significantly associated with improved survival rate. Conclusion: Surgical resection with a clear margin is the most important factor in disease survival. The role of chemotherapy and radiotherapy in OSJ remains controversial, and deserves further studies.

• 한국수정란이식학회지
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• 제31권4호
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• pp.367-374
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• 2016

This study was conducted to evaluate the effect of transfer temperature of epididymis on survival rate of semen and development ability of B6D2F1 mice embryos. No significant differences were noted in the survival rate of semen ($59.0%{\pm}0.1$ vs. $47.6%{\pm}0.1$), in vitro fertilization rate ($90.7%{\pm}0.1$ vs. $90.7%{\pm}0.1$), developmental rate ($90.0%{\pm}0.1$ vs. $90.0%{\pm}0.1$), and blastocysts formation rate ($53.1%{\pm}0.2$ vs. $52.3%{\pm}0.2$) between groups. (NS; P>0.05). However, the zona hatched rate was significantly higher in the $4^{\circ}C$ group compared to those of the $37^{\circ}C$ group ($47.8%{\pm}0.1$ vs. $25.6%{\pm}0.2$; p<0.05). When it comes to cell numbers of blastocysts, the % ICM (/total cells) was significantly higher in the group of $4^{\circ}C$ compared to the $37^{\circ}C$ ($27.0%{\pm}0.1$ vs. $18.3%{\pm}0.1$; p<0.05). However there were no differences in total cell numbers ($72.7{\pm}31.6$ vs. $62.0{\pm}36.6$), ICM cell numbers ($17.0{\pm}7.8$ vs. $14.6{\pm}8.6$), TE cell numbers ($55.8{\pm}29.8$ vs. $64.0{\pm}24.4$), the ratio of ICM:TE ($1:4.2{\pm}4.1$ vs. $1:6.4{\pm}7.2$) between two groups (NS; P>0.05). Taken altogether, it is expected to achieve the best developmental ability of B6D2F1 mice embryos in the transfer temperature of epididymis. Also these results can provide fundamental data to maximize culture condition for in vitro fertilization on B6D2F1 mice. In future, therefore, it is expected that results herein might be applied for in vitro culture of human embryos.