• 제목/요약/키워드: Seoul Medical Center

검색결과 3,700건 처리시간 0.031초

Erratum: Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach

  • Tae-Han Kim ;In-Ho Kim ;Seung Joo Kang;Miyoung Choi;Baek-Hui Kim ;Bang Wool Eom;Bum Jun Kim;Byung-Hoon Min;Chang In Choi ;Cheol Min Shin;Chung Hyun Tae;Chung sik Gong;Dong Jin Kim;Arthur Eung-Hyuck Cho;Eun Jeong Gong;Geum Jong Song;Hyeon-Su Im;Hye Seong Ahn;Hyun Lim;Hyung-Don Kim;Jae-Joon Kim;Jeong Il Yu;Jeong Won Lee;Ji Yeon Park;Jwa Hoon Kim;Kyoung Doo Song;Minkyu Jung;Mi Ran Jung;Sang-Yong Son;Shin-Hoo Park;Soo Jin Kim;Sung Hak Lee;Tae-Yong Kim;Woo Kyun Bae;Woong Sub Koom;Yeseob Jee;Yoo Min Kim;Yoonjin Kwak;Young Suk Park;Hye Sook Han;Su Youn Nam;Seong-Ho Kong
    • Journal of Gastric Cancer
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    • 제23권2호
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    • pp.365-373
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    • 2023

항생제 치료 후 호전을 보여 진단이 늦어진 폐선암/세기관지폐포암 1예 (Consolidative Bronchioloalveolar Carcinoma Presenting as Pneumonia, and This Led to a Late Diagnosis due to the Improvement after Antibiotic Therapy)

  • 정인아;허은영;이재석;윤호일;이재호;이춘택;강영애
    • Tuberculosis and Respiratory Diseases
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    • 제65권2호
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    • pp.147-151
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    • 2008
  • 고령의 폐렴 환자들에게 적절한 치료를 하였는데도 방사선 검사상, 호전되지 않고, 병변이 남아있는 '호전되지 않는 폐렴(non-resolving pneumonia)' 환자들을 종종 볼 수 있다. 여러 가지 원인들에 따라 환자들마다 방사선학적 호전을 보이는 기간이 매우 다양하다. 흔하지는 않지만, '호전되지 않는 폐렴'의 원인이 경화성 폐암으로 뒤늦게 진단되는 경우도 있다. 경화성 병변으로 나타나는 세기관지폐포암의 경우 다양한 임상 증상과 영상 소견을 보일 수 있고, 폐렴과 구분이 어려워 주의를 요한다. 경화성 폐암의 경우, 조기진단을 하면 근치적 절제가 가능하기 때문에 신속하고 정확한 검사를 시행하는 것이 중요하다. 따라서, 폐렴 환자들에서 처음 검사에서 악성 세포가 없었다고 하더라도, 경화성 병변이 지속된다면 세기관지폐포암을 염두에 두고 신중하게 추가 검사를 고려해야 한다.

ABT-737 ameliorates docetaxel resistance in triple negative breast cancer cell line

  • Hwang, Eunjoo;Hwang, Seong-Hye;Kim, Jongjin;Park, Jin Hyun;Oh, Sohee;Kim, Young A;Hwang, Ki-Tae
    • Annals of Surgical Treatment and Research
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    • 제95권5호
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    • pp.240-248
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    • 2018
  • Purpose: This study aimed to validate the synergistic effect of ABT-737 on docetaxel using MDA-MB-231, a triple negative breast cancer (TNBC) cell line overexpressing B-cell lymphoma-2 (Bcl-2). Methods: Western blot analysis was performed to assess expression levels of Bcl-2 family proteins and caspase-related molecules. Cell viability was assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Cell cycle distribution was determined by flow cytometry analysis. Benzyloxycarbonyl-Val-Ala-Asp(OMe)-fluoromethylketone (z-VAD-fmk) was used for pretreatment to assess the role of caspases. Results: Cell viability of MDA-MB-231 after combination treatment with ABT-737 and docetaxel was significantly lower than that after docetaxel or ABT-737 monotherapy based on MTT assay (both P < 0.001), with a combination index of 0.41. The proportion of sub-G1 population after combination treatment was significantly higher than that after docetaxel or ABT-737 monotherapy (P = 0.001, P = 0.003, respectively). Pretreatment with z-VAD-fmk completely restored cell viability of MDA-MB-231 from apoptotic cell death induced by combination therapy (P = 0.001). Although pro-caspase-8 or Bid did not show significant change in expression level, pro-casepase-9 showed significantly decreased expression after combination treatment. Cleaved caspase-3 showed increased expression while poly (ADP-ribose) polymerase cleavage was induced after combination treatment. However, hypoxia-inducible factor 1-alpha and aldehyde dehydrogenase 1 totally lost their expression after combination treatment. Conclusion: Combination of ABT-737 with docetaxel elicits synergistic therapeutic effect on MDA-MB-231, a TNBC cell line overexpressing Bcl-2, mainly by activating the intrinsic pathway of apoptosis. Therefore, adjunct of ABT-737 to docetaxel might be a new therapeutic option to overcome docetaxel resistance of TNBCs overexpressing Bcl-2.

Pelvic Fistulas Complicating Pelvic Surgery or Diseases: Spectrum of Imaging Findings

  • Sung Gyu Moon;Seung Hyup Kim;Hak Jong Lee;Min Hoan Moon;Jae Sung Myung
    • Korean Journal of Radiology
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    • 제2권2호
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    • pp.97-104
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    • 2001
  • Pelvic fistulas may result from obstetric complications, inflammatory bowel disease, pelvic malignancy, pelvic radiation therapy, pelvic surgery, or other traumatic causes, and their symptoms may be distressing. In our experience, various types of pelvic fistulas are identified after pelvic disease or pelvic surgery. Because of its close proximity, the majority of such fistulas occur in the pelvic cavity and include the vesicovaginal, vesicouterine, vesicoenteric, ureterovaginal, ureteroenteric and enterovaginal type. The purpose of this article is to illustrate the spectrum of imaging features of pelvic fistulas.

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Factors Associated with Indeterminate and False Negative Results of QuantiFERON-TB Gold In-Tube Test in Active Tuberculosis

  • Cho, Ki-Won;Cho, Eun-Ha;Kwon, Soo-Hoon;Im, Sang-Hyuk;Sohn, In;Song, Sook-Hee;Kim, Hye-Ok;Kim, Su-Hyun
    • Tuberculosis and Respiratory Diseases
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    • 제72권5호
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    • pp.416-425
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    • 2012
  • Background: The sensitivities and specificities of interferon-gamma release assays (IGRAs) vary among different population studies, and the data on the routine use of IGRAs are limited. The aim of this study was to evaluate the role of QuantiFERON-TB Gold In-Tube (QFT-GIT) test in the diagnosis of active tuberculosis. Methods: We conducted a prospective study, enrolling 77 patients with suspected pulmonary tuberculosis (TB), at a secondary care teaching hospital in Seoul. Results: In total, 12 (15.6%) patients showed indeterminate results due to positive control failure on the QFT-GIT test. Indeterminate results were significantly associated with the elderly, history of the intensive care unit stay, lymphocytopenia, especially low CD4 count, increased C-reactive protein and decreased protein levels. Of the 77 patients, 44 (57.1%) were diagnosed with active pulmonary tuberculosis, and the percentage of false negative results of the QFT-GIT was 36.4% (vs. 31.8% with TST). In the TB group with >65 years old (n=12), the proportions of the indeterminate (33.3% vs. 3.1%) and the false negative results (58.3% vs. 25.0%) of the QFT-GIT were significantly higher than in the younger TB group (n=32). Conclusion: Indeterminate and false negative results of QFT-GIT test were not infrequent in tuberculosis, especially in the elderly. Care should be considered for the interpretation with the elderly, immunocompromised, chronic and severely diseased patients.

Breast Sparganosis Presenting with a Painless Breast Lump: Report of Two Cases

  • Oh, Moon Young;Kim, Kyoung-Eun;Kim, Min Jung;Chu, Ajung;Lee, Jong Yoon;Park, Jeong Hwan;Kim, Jongjin;Hwang, Ki-Tae
    • Parasites, Hosts and Diseases
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    • 제57권2호
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    • pp.179-184
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    • 2019
  • Sparganosis is a parasitic infestation caused by sparganum, a plerocercoid tapeworm larva of the genus Spirometra. Since the first case of human sparganosis reported in 1908, sparganosis has been a global disease, and is common in China, Japan, and Southeast Asian countries. Consumption of raw snakes, frogs, fish, or drinking contaminated beverages are sources of human infections. Human sparganosis usually manifests in subcutaneous fat in areas such as the abdomen, genitourinary tract, and limbs. Breast sparganosis cases are rare, representing less than 2% of total cases of human infections. Complete surgical extraction of the sparganum is the treatment of choice. Because of the rarity of the disease, clinical suspicion is vital to reach the diagnosis of breast sparganosis. Here we report 2 rare cases of breast sparganosis presenting with a painless breast lump, both treated with surgical excision and sparganum extraction.