• Radiation Oncology Journal
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• 제16권2호
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• pp.139-145
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• 1998

목적 : 성문상부암에서 근치적 방사선치료의 효율성을 알아보고자 하였다. 대상 및 방법 : 성문상부 편평상피세포암으로 확진되어 1990년 3월부터 1994년 12월까지 경상대학교병원 치료방사선과에서 근치적 방사선치료를 시행한 21예를 대상으로 분석을 시행하였다. 환자의 연령 분포는 52세부터 75세로 중앙값은 62세 이었다. 남자가 19예이었고 여자는 2예이었다. AJCC TNM 병기에 따른 환자의 분포는 병기 I이 4예, 병기 II가 7예, 병기 III이 3예, 병기 IV가 7예이었다. 추적조사기간의 중앙값은 36개월이었고 95%가 추적이 가능하였다. 결과 : 성문상부암 환자 21예의 전체 5년 생존율은 39.3%이었다. 병기에 따른 5년 생존율은 병기 I이 75.0%, 병기 II가 42.9%, 병기 III이 33.3%, 병기 IV이 28.6%이었다. 전체 5년 국소제어율은 52.0%이었고, 병기에 따른 국소제어율은 병기 I가 75.0%, 병기 II이 57.1%, 병기 III이 66.7%, 병기 IV가 28.6%이었다. 성문상부암의 치료 후 3예의 환자에서 이차 원발종양이 식도에 발생하였고, 진단 후 각기 5개월, 6개월, 5개월에 사망하였다. 결론 : 병기 I, II의 조기 성문상부암의 치료시 우선 근치적 방사선치료를 시행하고, 치료실패시 구제수술을 시행하는 것이 높은 국소제어율과 성대 보존율을 기대할 수 있는 효과적인 치료방법이라고 판단된다. 진행된 병기에서는 수술이 가능한 경우 근치적 수술과 방사선요법을 병행하고 수술이 불가능한 경우에만 근치적 방사선치료를 시행하는 것이 권장된다.

• 자원환경지질
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• 제26권3호
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• pp.311-325
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• 1993

The Ohto and Tohyun copper mine which are located 4 km southeast of Euiseong, Gyeongsangbukdo, Republic of Korea show various common geologic and mineralogic features. Both copper deposits are of hydrothermal-vein types, and associated with fracture system developed during formation of the Geumseong-san caldera in late Cretaceous age. According to structures and mineral assemblages, the mineralization processes have progressed in four stages: three hypogene mineralization stages and one supergene stage. Three hypogene stages are 1) stage I forming $N5{\sim}20^{\circ}E$ veins in the Ohto mine, 2) stage II building $N5^{\circ}W{\sim}N5^{\circ}E$ veins in the Tohyun mine, and 3) stage ill bringing $N80^{\circ}E$ veins which crosscut veins of the stage II. The vein ores consist mainly of pyrite, arsenopyrite, galena and chalcopyrite, minor or trace amounts of magnetite, hematite, pyrrhotite, stannite, bournonite, boulangerite, stibnite, galenobismutite, native bismuth, marcasite, geothite and malachite. The main gangue minerals are quartz and calcite. Wallrock is altered by sericitization, chloritization, pyritization, carbonitization and argillization. Arsenic and copper contents in arsenopyrite increase from stage I to stage III (from 31.28 to 33043 atom.% As) and (from 0.04 to 0040 atom.% Co). Going from stage I to stage III Fe and Mn contents in sphalerite decreases from 12.56 to 0.44 wt.% and from 0.24 to 0.01 wt.%, respectively. The compositional data of arsenopyrite in the early stage I indicate a temperature of $420{\sim}365^{\circ}C$ and sulfur fugacity of $10^{-6.5}{\sim}10^{-8.3}$ atm. Chalcopyrite and pyrrhotite assemblage suggest that Middle stage I was deposited at below $334^{\circ}C$. The compositional data of arsenopyrite in early stage II suggest a temperature range of $425{\sim}390^{\circ}C$ and sulfur fugacity codition of $10^{-6.4}{\sim}10^{-7.3}$ atm. Based on fluid inclusion the Middle stage II was regarded as to be deposited at $420{\sim}337^{\circ}C$ (Chi et al., 1989). Referring composition of sphalerite and stannite middle-late stage II seem to be deposited around $246^{\circ}C$ and $10^{-16.5}$ atm. sulfur fugacity. The ${\delta}^{34}S$ values of sulfide minerals in the Stage I, II, III range from 4.9 to 7.6%0 and indicate igneous ore fluid origin. Based on differences in mineral assemblages, chemical composition and chemical environments of Ohto and Tohyun mine its mineralization are considered to be formed at diffent mineralization ages and by different ore fluids.

• Journal of Chest Surgery
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• 제54권2호
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• pp.127-136
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• 2021

Background: This meta-analysis aimed to evaluate the incidence of tumor recurrence, postoperative myasthenia gravis, postoperative complications, and overall survival after limited versus total thymectomy for Masaoka stage I and II thymoma. Methods: A systematic search of the literature was conducted using the PubMed, Embase, MEDLINE, and Cochrane databases to identify relevant studies that compared limited and total thymectomy in Masaoka stage I-II patients. The quality of the included observational studies was assessed using the Newcastle-Ottawa Scale. The results of the meta-analysis were expressed as log-transformed odds ratios (log ORs), with 95% confidence intervals (CIs). Results: Seven observational studies with a total of 2,310 patients were included in the meta-analysis. There was an overall non-significant difference in favor of total thymectomy in terms of tumor recurrence (pooled log OR, 0.40; 95% CI, -0.07 to 0.87; p=0.10; I2=0%) and postoperative myasthenia gravis (pooled log OR, 0.12; 95% CI, -1.08 to 1.32; p=0.85; I2=22.6%). However, an overall non-significant difference was found in favor of limited thymectomy with respect to postoperative complications (pooled log OR, -0.21; 95% CI, -1.08 to 0.66; p=0.64; I2=36.1%) and overall survival (pooled log OR, -0.01; 95% CI, -0.68 to 0.66; p=0.98; I2=47.8%). Conclusion: Based on the results of this systematic review and meta-analysis, limited thymectomy as a treatment for stage I and II thymoma shows similar oncologic outcomes to total thymectomy.

• 자원환경지질
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• 제20권1호
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• pp.1-18
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• 1987

The Cheolam silver deposits are emplaced along the fractures in breccia dike and the Hongjesa granite. Breccia dike contains fragments of late Cretaceous acidic volcanic rocks and other fragments of various rocks distributed in the mine area. Therefore it is presumed that the mineralization was taken place in later than late Cretaceous time. Mineral paragenesis is complicated by multiple episodes of fracturing. Six distinct depositional stages can be recognized: stage I, deposition of base metal sulfides; stage II, deposition of base metal sulfides and silver minerals; stage III, deposition of carbonates; stage IV, deposition of silver minerals and base metal sulfides; stage V, deposition of silver minerals; stage VI, deposition of barren quartz. Silver minerals from the deposits are native silver, acanthite, pyrargyrite, argentian tetrahedrite, stephanite, polybasite, pearceite, allargentum, antimonial silver and electrum. Fluid inclusion studies ware carried out for stage I, II, IV and VI quartz and stage III calcite. Homogenization temperatures for each stage are as follows: stage I, from $225^{\circ}$ to $360^{\circ}C$; stage II, from $145^{\circ}$ to $220^{\circ}C$; stage III, from $175^{\circ}$ to $240^{\circ}C$; stage IV, from $130^{\circ}$ to $185^{\circ}C$; stage VI, from $120^{\circ}$ to $145^{\circ}C$. Salinities of ore fluids were in the range of 4 and 10 wt.% equivalent NaCl over stage I and stage VI. Ore mineralogical data of each stage indicate that temperatures are within the range of homogenization temperature of fluid inclusions and sulfur fugacities declined steadily from $10^{-9.7}atm$. to $10^{-18.7}atm$. through stage I into stage V.

• Journal of Chest Surgery
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• 제55권6호
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• pp.470-477
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• 2022

Background: Upfront surgery followed by systemic treatment is recommended to treat clinical stage I-IIA small cell lung cancer (SCLC), but data on the clinical outcomes are sparse. Thus, this study evaluated the stage migration and long-term prognosis of surgically treated clinical stage I-IIA SCLC. Methods: We retrospectively reviewed 49 patients with clinical stage I-IIA SCLC who underwent upfront surgery between 2000 and 2020. Additionally, we re-evaluated the TNM (tumor-node-metastasis) staging according to the eighth edition of the American Joint Committee on Cancer staging system for lung cancer. Results: The clinical stages of SCLC were cIA in 75.5%, cIB in 18.4%, and cIIA in 6.1% of patients. A preoperative histologic diagnosis was made in 65.3% of patients. Lobectomy and systematic lymph node dissection were performed in 77.6% and 83.7% of patients, respectively. The pathological stages were pI in 67.3%, pII in 24.5%, pIII in 4.1%, and pIV in 4.1% of patients. The concordance rate between clinical and pathological stages was 44.9%, and the upstaging rate was 49.0%. The 5-year overall survival (OS) rate was 67.8%. No significant difference in OS was found between stages pI and pII. However, the OS for stages pIII/IV was significantly worse than for stages pI/II (p<0.001). Conclusion: In clinical stage I-IIA SCLC, approximately half of the patients were pathologically upstaged, and OS was favorable after upfront surgery, particularly in pI/II patients. The poor prognosis of pIII/IV patients indicates the necessity of intensive preoperative pathologic mediastinal staging.

• Tuberculosis and Respiratory Diseases
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• 제71권6호
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• pp.425-430
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• 2011

Background: High 2-[$^{18}F$] fluoro-2-deoxy-D-glucose (FDG) uptake on positron emission tomography-computed tomography (PET-CT) is a prognostic factor for poor survival in non-small cell lung cancer (NSCLC), especially in Stage I. We determined whether the high FDG uptake value of a primary tumor was associated with recurrence and death in patients with resected Stage I and Stage II NSCLC. Methods: We identified consecutive patients who underwent complete surgical resection for Stage I and II NSCLC between 2006 and 2009, who had preoperative PET-CT, and reviewed clinical records retrospectively. FDG uptake was measured as the maximal standardized uptake value (SUVmax) for body weight. Patients were divided into two groups based on SUVmax: (i) above or (ii) below the cut-off value (SUVmax=5.9) determined by a receiver operating characteristic (ROC) curve. Results: Of 57 patients who were enrolled consecutively, 32 (56%) had Stage I NSCLC and 25 (44%) had Stage II. The 5-year recurrence-free survival (RFS) for patients with high (${\geq}5.9$) and low (<5.9) SUVmax were 31% and 57%, respectively (p=0.014). The 5-year overall survival (OS) rates were 39% and 60%, respectively (p=0.029). In univariate analyses, SUVmax (p=0.014), T staging (p=0.025), and differentiation of tumor tissue (p=0.034) were significantly associated with RFS. But, multivariate analyses did not show that SUVmax was an independently significant factor for RFS (p=0.180). Conclusion: High FDG uptake on PET-CT is not an independent prognostic factor for poor outcomes (disease recurrence in patients with resected Stage I and II NSCLC).

• 한국주조공학회지
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• 제34권1호
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• pp.1-5
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• 2014

The austempering transformation behavior in Fe-0.7wt.%C-2.3wt.%Si-0.3wt.%Mn steel is investigated. Each specimen was austenitized for 60 min at $900^{\circ}C$, and austempered at $380^{\circ}C$ for different time periods varying from 2 min to 256 min. After the austempering heat treatment, the Stage I and II evolutions are performed using optical metallography, X-ray diffraction and image analyses. Variations in the X-ray diffraction patterns and lattice parameters of the ferrite and austenite demonstrate that the residual austenite decomposes into ferrite and carbide during the Stage II evolution; moreover the amount of ferrite increases during the Stage I evolution. While the amount of austenite increases during Stage I, it dicreases during Stage II. Overall, the variations in the volume fractions of the microstructure and carbide formation in stages I and II meet high temperature austempering reaction of the ausferrite microstructure.

• 화훼연구
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• 제18권4호
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• pp.231-237
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• 2010

본 연구는 daminozide의 엽면 살포방법를 이용하여 국내육성 스프레이 국화 '일월(Ilweol)'의 하계 고온에 의한 꽃목 길이의 과도한 신장을 억제함으로서 품질을 향상시키기 위해 수행하였다. 처리 시기는 화뢰 발달과정별로 3단계(stage I, II, III)로 나누고 daminozide의 처리농도는 0, 500, 1000, $2000mg{\cdot}L^{-1}$로 구분하여 조합 처리하였다. 절화장과 꽃목 길이는 각각 stage III와 stage II에서 줄기신장 억제효과가 가장 크게 나타났고, daminozide의 농도가 증가할수록 절화장과 꽃목 길이는 감소하였다. 화폭은 무처리구에 비하여 처리시기가 늦어질수록 증가하였으며, daminozide의 농도가 증가할수록 비례적으로 감소하였다. 선단부 화방의 배열각도는 시기별로는 stage III에서 농도에서는 $2,000mg{\cdot}L^{-1}$ daminozide 처리에서 각각 가장 크게 나타났다. 전체 처리 중에서는 $2,000mg{\cdot}L^{-1}$ daminozide를 stage II에 처리시 무처리구 대비 31.3%가 증가하여 가장 높은 배열각도를 보여주었다. 화수와 총 화뢰수도 $2,000mg{\cdot}L^{-1}$ 처리시 가장 많았으며, 처리시기별로는 stage I에서 가장 많았다. 국내육성 스프레이 품종 '일월(Ilweol)'의 하계 재배시 꽃목(소화경)의 신장을 가장 효과적으로 억제하고 화서배열을 고르게 하며 화수증가를 유도하는 daminozide의 처리농도와 시기는 $2,000mg{\cdot}L^{-1}$와 Stage III로 나타났다. 그러나 이 처리는 절화장과 화폭의 감소가 크게 나타나 상품성의 또 다른 면에서 불리하게 작용하였다. 따라서 실용적인 daminozide의 처리시기와 농도는 절화의 품질을 감안할 때 Stage III에서 $500mg{\cdot}L^{-1}$로 판단되었다.

• 자원환경지질
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• 제17권4호
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• pp.245-258
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• 1984

Geoje copper ore deposits are fissure filled copper veins which developed in late Cretaceous pyroclastics, andesite and shale. Mineral paragenesis reveals a division of the hydrothermal mineralization into three stages: Stage I, deposition of pyrite, magnetite, specularite, quartz and chlorite; Stage II, deposition of chalcopyrite, sphalerite, galena, tetrahedrite, aikinite, cosalite, electrum, quartz and chlorite; Stage III, deposition of barren calcite. Filling temperatures of fluid inclusions in quartz of stage I range from 171 to $282^{\circ}C$ whereas fluid inclusions in quartz and sphalerite of stage II range from 213 to $262^{\circ}C$ and from 186 to $301^{\circ}C$ respectively. Salinities of fluid inclusions in quartz of stage I range from 5.2 to 11.2 weight percent equivalent to NaCl. Salinities of fluid inclusions in quartz and sphalerite of stage II range from 6.6 to 10.9 and from 7.1 to 14.4 weight percent equivalent NaCl. Salinities of ore fluid during major mineralization stage in this deposits reveal nearly the same ranges as those of many copper deposits in Koseong copper mining district which located about 30km apart from Geoje mine. But filling temperatures of fluid inclusions formed during major copper mineralization stage in this deposits show slightly lower than those of copper deposits in Koseong copper mining district.

• Radiation Oncology Journal
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• 제36권4호
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• pp.295-303
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• 2018

Purpose: We evaluated prognostic value of the 8th edition of the American Joint Committee on Cancer/International Union for Cancer Control (AJCC/UICC) staging system for nasopharyngeal cancer and investigated whether tumor volume/metabolic information refined prognostication of anatomy based staging system. Materials and Methods: One hundred thirty-three patients with nasopharyngeal cancer who were staged with magnetic resonance imaging (MRI) and treated with intensity-modulated radiotherapy (IMRT) between 2004 and 2013 were reviewed. Multivariate analyses were performed to evaluate prognostic value of the 8th edition of the AJCC/UICC staging system and other factors including gross tumor volume and maximum standardized uptake value of primary tumor (GTV-T and SUV-T). Results: Median follow-up period was 63 months. In multivariate analysis for overall survival (OS), stage group (stage I-II vs. III-IVA) was the only significant prognostic factor. However, 5-year OS rates were not significantly different between stage I and II (100% vs. 96.2%), and between stage III and IVA (80.1% vs. 71.7%). Although SUV-T and GTV-T were not significant prognostic factors in multivariate analysis, those improved prognostication of stage group. The 5-year OS rates were significantly different between stage I-II, III-IV (SUV-T ≤ 16), and III-IV (SUV-T > 16) (97.2% vs. 78% vs. 53.8%), and between stage I, II-IV (GTV-T ≤ 33 mL), and II-IV (GTV-T > 33 mL) (100% vs. 87.3% vs. 66.7%). Conclusion: Current anatomy based staging system has limitations on prognostication for nasopharyngeal cancer despite the most accurate assessment of tumor extent by MRI. Tumor volume/metabolic information seem to improve prognostication of current anatomy based staging system, and further studies are needed to confirm its clinical significance.