• Journal of Medicine and Life Science
• /
• 제18권2호
• /
• pp.35-39
• /
• 2021

Exaggerated acute and late toxicities following radiotherapy have been reported in patients with pre-existing connective tissue diseases, such as systemic lupus and scleroderma. Behcet's disease (BD) is a relapsing multisystem connective tissue disease characterized by vasculitis in the mucocutaneous, ocular, gastrointestinal, respiratory, neurologic, urogenital, articular, and cardiovascular systems. Data concerning the relationship between radiotherapy toxicity and BD are limited in the literature. Here, we report a case of lung cancer treated with radiotherapy (60 Gy) in a patient with BD. No severe radiation-induced toxicity was observed. Radiation-induced toxicity in patients with BD has also been discussed.

• Journal of Chest Surgery
• /
• 제48권3호
• /
• pp.199-201
• /
• 2015

Chondrosarcoma is a rare entity of malignant tumor which arises from cartilaginous tissue, and the literatures on this disease are scarce. The first-line of treatment for cardiac chondrosarcoma is surgery. Due to early local recurrence and distant metastasis, the prognosis is poor even after complete surgical excision. We present a case of chondrosarcoma in the left atrium causing functional mitral stenosis which required urgent surgical intervention, and the successful treatment outcome.

• Journal of Chest Surgery
• /
• 제23권6호
• /
• pp.1244-1250
• /
• 1990

Hamartoma had been considered as a congenital malformation of a tumerous lesion since the original description by Albrecht in 1904. Pulmonary hamartoma is able to classified as endobronchial and intrapulmonary hamartoma clinically, and is considered to benign mesenchymal neoplasms which originated in peribronchial connective tissue, and so called mesenchymoma by someone. We have experienced 3 cases intrapulmonary hamartoma which were discovered during routine chest film check up at all cases and are able to detailed histologic examination by electron microscopy at one case.

• 대한두개안면성형외과학회지
• /
• 제22권1호
• /
• pp.62-65
• /
• 2021

Superficial angiomyxoma (SA) is a rare, benign, cutaneous soft tissue tumor. It is composed of myxoid matrix and blood vessels. Herein, we report a case of a solitary SA on the posterior neck of a 6-year-old boy. An analysis of the biopsied specimen showed a prominent myxoid stroma with thin-walled, branching blood vessels, revealing the presence of an SA. SA especially that originating in the posterior neck, is rarely seen and should be considered as a differential diagnosis for a solitary mass in the posterior neck.

• Journal of Yeungnam Medical Science
• /
• 제39권2호
• /
• pp.168-171
• /
• 2022

Palisading encapsulated neuroma is a rare, benign, cutaneous nerve sheath tumor. It usually occurs as an asymptomatic solitary skin-colored papule and commonly affects the nose and cheeks. Sometimes, it involves other sites, including the shoulder, upper arm, and trunk, but rarely involves the oral mucosa, including that of the lip. In our case, a 63-year-old female patient complained of a pinkish rubbery nodule on her lower lip. Histopathologic examination demonstrated a well-circumscribed nodule encapsulated by connective tissue stroma in the dermis. The nodule consisted of palisading spindle-shaped tumor cells with wavy and basophilic nuclei. The cells were arranged in streaming fascicles with multiple clefts and were strongly positive for S-100 proteins. To our knowledge, only three cases of palisading encapsulated neuroma on the lower lip have been reported in the Korean literature. Herein, we report a rare case of an oral palisaded encapsulated neuroma.

• 대한수의학회지
• /
• 제30권4호
• /
• pp.447-457
• /
• 1990

In order to observe the distribution of mast cell on the stages of the mammary carcinogenesis, the numerical changes of mast cells in the mammary tumor development in rats treated with DMBA and compound 48/80 have been investigated by the light microscope. The results observed were summarized as follows: The appearance of tumor were not observed during the whole experimental period in the rats of the control group received injection of sterile saline, but tumors appeared in 100% of the animals, the tumor induction time that represented the number of days elapsing between the 3rd DMBA administration until a first tumor became $10{\times}10mm$ in diameter was $42.5{\pm}4.7$ days and the mean number of tumor masses per rat was $3.4{\pm}1.2$ in the DMBA treated group. And the majority of the DMBA-induced mammary neoplasms were appeared cervical mammary gland and thoracic mammary gland. The histological findings of mammary carcinoma were recognized adenocarcinoma in the DMBA treated group. Mast cells were distributed within the adipose tissues and the interglandular connective tissue in the control, but found to be randomly dispersed within the tumor cell masses, in the connective tissues adjacent to the periphery of the tumor, the adipose tissues and the subcutaneous tissues contiguous to the region of tumor development in the DMBA treated group. Numerical alterations of mast cells were observed in the mammary tumors that separated into three major classes of tumors: hyperplasia, atypical hyperplasia and carcinoma. The number of mast cells were distributed in the connective tissues adjacent to the mammary gland was $45.3{\pm}3.4$ cells in the control group, but was $50.2{\pm}4.9$ cells, $126.7{\pm}10.5$ cells and $340.3{\pm}19.2$ cells according to each stages of mammary tumorigenesis in the DMBA treated group.

• 치위생과학회지
• /
• 제20권1호
• /
• pp.1-8
• /
• 2020

Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.

• 한국산학기술학회논문지
• /
• 제11권11호
• /
• pp.4395-4403
• /
• 2010

본 연구는 2000년 1월부터 2010년 3월까지 Pubmed에 게재된 논문 중, alternative medicine 으로 검색하여 근거중심 대체의학에 대한 연구 현황을 알아보고자 문헌고찰을 하였다. 682편의 연구 중 대체의학에 관한 임상연구는 19개였으며 연구전체 대상자는 2,573명이었다. 논문분석 결과 RCT(Randomized Controlled Trial) 실험 설계연구가 44%였으며 CCT(Controlled Clinical Trials)가 16%, OD(efficacy studies with either a controlled or an Other than controlled Design) 40%였다. 가장 많은 임상실험이 시행된 중재 방법은 Acupuncture과 Massage 였다. 대상 질병군 분포는 근골격계 및 결합조직의 질환과 관련된 '통증 완화'에 대한 임상연구가 20%, 다음으로 특정 감염성 및 기생충성 질환, 신생물이 각각 15% 순이었다. 근거중심 대체의학 현황을 파악하고자 문헌 고찰한 결과 대체의학을 통한 중재가 질병치료에 효과가 있는지에 대한 과학적 근거를 제시한 임상연구가 부족하다. 대체의학의 품질, 안정성, 유효성 확보를 위해 대체의학에 대한 질 높은 연구필요하며 근거중심 대체의학의 활성화가 필요할 것으로 생각된다.

• 농촌의학ㆍ지역보건
• /
• 제30권1호
• /
• pp.1-14
• /
• 2005

보훈병원 입원환자의 재원기간과 진료비분석을 위해 일개 보훈병원에서 2001년 1월부터 2003년 12월 31일까지의 입원환자를 대상으로 9,640명의 진료비 대장을 분석하여 다음과 같은 결과를 얻었다. 1. 조사대상자의 성별 분포는 남자 70.9%, 여자 29.1%로 남자의 비율이 여자보다 높았다. 연령별로는 70대이상 42.6%, 50-60대 31.8%, 20대이하 13.4%, 30-40대 12.1%로 나타났으며, 의료보장별로는 의료보험이 78.1%, 의료보호가 14.2%, 일반환자가 4.1%, 자보환자가 2.8%, 산재환자가 0.8%로 나타났다. 진료과목별 분포는 내과가 28.3%, 정형외과 21.3%, 외과 16.6%, 신경외과 7.1%, 소아과 5.9%로 나타났다. 보훈 대상자군의 성별분포는 남자 99.3%, 여자 0.7%이였으며, 연령별로는 70대 이상 51.6%, 50-60대 42.2%, 30-40대 4.7%. 20대이하 1.6%였으며, 지역별로 살펴보면 대전 거주자 1, 550명 43.5%, 충남 거주자 838명 23.5%, 충북 거주자 785명 22.0%순으로 나타났다. 2. 보훈병원 입원환자의 21대분류 상병분포는 손상, 중독 및 외인에 의한 특정기타 결과 17.1%, 소화기계의 질환 16.1%, 근골격계 및 결합조직의 질환 13.9%, 호흡기계 질환 9.4%, 비뇨 생식계의 질환 8.6%로 나타났다. 보훈대상자군을 21대 분류상병별로 보면 근골격계 및 결합조직의 질환 19.4%, 소화기계의 질환 16.8%, 손상, 중독 및 외인에 의한 특정 기타 결과 15.7%, 비뇨 생식계의 질환 9.7%, 순환기계 질환이 8.2%순으로 나타났다. 3. 평균 재원일수는 29.0일, 보훈대상자군 51.8일, 비대상자군은 15.7일이며, 총진료비는 평균 3,669,579원, 보훈대상자군 7,263,877원, 비대상자군 1,560,333원이다. 본인 및 보험자 부담비율은 55.2 : 44.8로 나타났고, 본인부담 비율은 보훈 대상자군의 경우 61.7%, 비대상군의 경우 33.0%였다. 4. 대분류 상병별 총진료비는 순환기계 질환 6,593,662원, 근골격계 및 결합조직의 질환 4,716,317원, 비뇨 생식계 질환 4,487,799원, 손상, 중독 및 외인에 의한 특정 기타 결과가 4,199618원이며, 항목별 진료비 구조는 입원료가 34.7%, 약제비 13.2%, 행위료 부분이 48.6%, 기타 3.4%로 나타났고, 항목별로는 입원료가 34.7%, 물리치료 및 처치료가 26.3%, 수술료 9.7%, 주사재료비 7.8%, 투약재료비 5.4%, 검사료 52%순으로 나타났다. 보훈대상자군의 경우 물리치료비 및 처치료 35.3%, 입원료 35.2%, 주사재료비 62%, 수술료 5.9%로 나타났으며, 비대상자군의 경우 입원료 35.7%, 수술료 16.4%, 주사재료비 11.4%, 검사료 8.3%로 나타났다. 5. 보훈대상자의 거주지와 병원간 거리별로 상병구조를 비교해 보았을 때 21.5Km내의 지역에서는 달리 분류되지 않은 증상, 징후와 임상 및 검사의 이상소견 56.0%, 손상, 중독 및 외인에 의한 특정 기타 결과 55.6%, 눈 및 눈 부속기의 질환 52.9%순으로 나타났고, 21.5km 밖의 지역에서는 신생물 57.4%, 근골격계 및 결합조직의 질환 55.9%, 비뇨생식계의 질환 53.5%순으로 나타났다. 결론적으로 보훈대상자의 70.6%가 60세 이상이고, 평균재원일수가 51.8일 점을 볼 때 보훈병원에 장기요양시설에 대한 대책이 절대적으로 필요하다는 것을 알 수 있으며, 총진료비가 높은 순환기 질환, 근골격계 질환, 신생물 등 만성질환 관리를 위한 노력이 필요하리라 생각된다. 상위 7개 질환군이 77.9%를 차지하고 있으므로 노인연령층에서 지속적으로 발생하고 있는 치사율이 높은 뇌혈관 및 심혈관의 순환기계 질환, 악성신생물, 그리고 불의의 사고를 주요 건강문제로 설정하여 뇌혈관 및 심혈관의 순환기계 질환은 적절한 신체적, 정신적, 사회적 활동유지를, 악성신생물의 경우는 만성질환 조기 발견 및 관리를, 불의의 사고와 관련해서는 장애 및 만성질환에 따른 불편의 최소화를 주요 목표로 하여 다양한 프로그램을 개발하여 시행해야 한다.