• 제목/요약/키워드: Stage I and II

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후두암의 임상적 연구 (Clinical Study on Laryngeal Cancer)

  • 문교갑;최종일;박철원;이형석;안경성
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.105-105
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    • 1993
  • 후두암은 두경부의 악성종양중 가장 흔한 것으로 특히 남자에 많아 한국남자의 악성 종양중 2.3%를 차지하고 있고, 두경부의 다른 악성종양에 비해 생존율이 매우 높다. 저자들은 후두암으로 진단받고 치료받은 환자 121명을 대상으로 치료성적을 분석하여 다음과 같은 결과를 얻었다. 1. 성문암 44%, 성문상부암 41%, 성문하부암 8%, 경성문부암 7% 순이었다. 2. 경부임파절 전이는 T2 stage 19%, T3 stage 47%, T4 stage 69%를 보였다. 전체적인 3년 NED 생존율은 65% 으며 stage I93%, stage II 76%, stage III 63%, stage IV 53%를 보였다. 4. 3년 NED생존율은 성문암이 82%로 성문상부암 58% 보다 더 좋았다. 5. 치료방법에 따른 합병증은 수술단독일경우 보다 수술후 방사선 치료군에서 높고, 방사선 치료실패로 구제수술을 행한 경우는 더욱 높게 나타났다.

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자궁경부암의 방사선치료성적 (Radiotherapy Result of the Carcinoma of Uterine Cervix)

  • 박찬일;하성환;강순범;이효표;신면우
    • Radiation Oncology Journal
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    • 제2권1호
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    • pp.107-113
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    • 1984
  • One hundred sixty one patients with the carcinoma of uterine cervix received curative radiotherapy at the Department of Therapeutic Radiology, Seoul National University Hospital between December, 1979 and December, 1982. According to FIGO classification; stage $I_a 1(0.6\%)\;1_b\;8(5.0\%),\;II_a\;31(19.3\%),\;II_b\;66(41.0\%),\;III_a\;3(1.8\;%),\;III_b\;46(28.6\%)\;and\;IV_a\;6(3.7\;%)$. The proportion of early stage cancer is too small because most of them treated by surgery. External beam whole pelvic irradiation was done first with 10MV x-ray or Co-60 gamma ray upto 4,000 or 5,000 rad for early and advanced cases, followed by one or two courses of intracavitary radiation using Fletcher-Suit Applicator loading c Cs-137. Supplementary external radiation to pelvic side wall to bring dose to 6,000 or 6,500 rads, if there is parametrial involvement or positive pelvic lymph node. Of the 161 Patients, 49 Patients were lost to follow-up but only 22 patients were lost in disease free state. And so, 86.3 percent of the patients were followed to time of recurrence or to date. The results are as follows ; 1. Locoregional control rates according to stage is: stage I $100\%,\;II_a\;90.3\;%,\;II_b\;75.8\%,\;III_a\;66.7\%,\;III_b\;58.7\%\;and\;IV_a\;16.7\%$, respectively. 2. Persistent or recurrent disease were localized in pelvic cavity in 32 of 50 patients and 6 had distant metastasis only. 3. Rectal bleeding was the most common complication and appeared mostly between 6 and 24 months after radiotherapy. Most of them had transient minor bleeding and only 2 patients needed transfusion and 1 patient needed colostomy due to rectovaginal fistula. 4. The 3 year disease free survival rate is: stage I $100\%,\;II_a\;78.0\%,\;II_b\;60.6\%,\;III_a\;66.7\;III_b\;46.3\%\;and\;IN_a\;16.7\%$, respectively.

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미국삼 종자의 매장처리 : 배 성장과 온도 (Stratification of American Ginseng Seed: Embryo Growth and Temperature)

  • John, T.A.Proctor;Dean, Louttit
    • Journal of Ginseng Research
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    • 제19권2호
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    • pp.171-174
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    • 1995
  • Freshly harvested American ginseng (Panax quinquefolium L.) seeds were stratified at two locations over each of three years. Seed development and temperature in the stratification boxes were investigated until the seed was removed 12 months later and direct-seeded in the field. During stratification and seeding (14 months) three embryo stages were identified. In Stage I of 250 days (Sept. to mid-May) embryo length increased from about 0.5 to 1.0 mm: in Stage II of 100 days (mid-May to late Aug. when seeded) length increased to 2.0 mm and in Stage III (late Aug. to late Nov.) length increased to 5.3 mm. Excerpt split width could also be placed in three stages. Changes in embryo length correlated with embryo endosperm length ratio. Insertion compression tests showed that the excerpt softened rapidly in late Stage II and throughout Stage III. The stratification box temperatures at all depths (10, 25 and 50 cm) never exceeded -2$^{\circ}C$ even when the air temperatures dropped to -13$^{\circ}C$ and were, therefore not damaging to the seeds.

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특발성 파킨슨병 환자의 임상척도에 따른 심박변이도의 변화에 대한 연구 (Clinical Study of Heart Rate Variability on Patients with Idiopathic Parkinson's Disease according to Clinical Scale(Hoehn-Yahr stage, UPDRS))

  • 박상민;이상훈;정지철;김건형;박히준;임사비나;장대일;이윤호
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.137-144
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    • 2005
  • 본 저자는 2004년 3월 9일부터 2004년 5월15일까지 경희의료원 침구과 외래를 내원한 특발성 파킨슨병 환자를 대상으로 하여 파킨슨병 증상의 호전도를 판단하는 임상척도인 H-Y stage에 따른 HRV를 관찰한 결과 다음과 같은 결론을 얻었다. 1. 시간영역분석에서 H-Y stage I, II, III 그룹의 SDNN은 $28.21{\pm}10.10$, $22.25{\pm}11.26$, $14.57{\pm}5.31$으로 그룹 I과 그룹III 간에는 유의한 차이가 있었다(P<0.05). RMS-SD는 $19.23{\pm}13.27$, $14.63{\pm}6.44$, $6.44{\pm}2.32$ 으로 역시 그룹 I과 그룹III 간에는 유의한 차이가 있었 다(p<0.05). 2. 주파수영역분석에서 TP는 H-Y stage Ⅰ, II, III 그룹에서 각각 $499.86{\pm}345.45$, $243.72{\pm}212.22$, $99.44{\pm}51.01$로 ANOYA 검정결과 p-value가 0.007로 매우 유의 있었으며, 사후 검정에서는 그룹 I과 II, 그룹 II와 III에서는 유의한 차이가 없었으나 그룹 I과 III에서는 매우 유의한 차이가 있었다(p<0.01). LF는 H-Y stage I과 III 그룹에서 유의한 차이가 있었으나(p<0.05) VLF, HF, LF norm HF nonm LF norm, LF/HF ratio에서는 각 그룹 간 유의한 차이가 없었다. 3. SDNN, RMS-SD, TP가 UPDRS 총점이 증가함에 따라 유의성 있게 감소하는 경향 (p<0.05)을 보이는 것으로 보아 파킨슨병이 진행함에 따라 자율신경계의 활동성이 저하될 것으로 보인다.

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Confirmation of $F_1$ Hybridity Using RAPD Markers in Soybean

  • Chung, Jong-Il;Ko, Mi-Suk;Shim, Jung-Hyun;Kim, Seok-Hyeon;Kang, Jin-Ho
    • Plant Resources
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    • 제2권1호
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    • pp.22-25
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    • 1999
  • Molecular markers are useful to confirm the hybridity of F1 plant derived from cross of two homozygous parents with similar morphological traits. RAPD markers were used to test F1 hybrid plant obtained from cross of two homozygous soybean (Glycine max) parents. Fl plant for cross I was made from the mating of Hobbit87 (female) and L63-1889 (male) and Fl plant for cross II was obtained from the mating of H1053 (female) and L63-1889 (male). Selfing plant per each cross was also obtained. Among 20 Operon primers used, OPA04 and OPA09 show polymorphism between cross I and II parent. Band in size 1Kb of OPA04 and 2.1Kb of OPA09 primer was polymorphic band. This fragment identified Fl hybrid plant and selfing plant in cross I and II. Female parent Hobbit87 in cross I and H1053 in cross II has no this fragment (recessive allele). However, male parent L63-1889 and Fl hybrid plant in cross I and II has this size of polymorphic band (dominant allele). This indicated that Fl hybrid and selfing plants were detected by RAPD marker before phenotypic marker would be used to identify Fl hybridity. Amplification products of selfing plant for cross I and II were completely same to the those of female parent. When mature, flower color of Fl hybrid plant in cross I and II was purple and flower color of selfing plant in cross I and II was white. Purple flower is dominant trait. Fl hybridity was successfully detected at very early growth stage using RAPD marker. Therefore, RAPD marker can be used broadly to confirm Fl hybridity in many crops.

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충남 부여지역의 홀로세 기후변화 -탄소동위원소분석과 대자율분석을 이용하여- (Holocene Environments of the Buyeo Area Choongnam Province: Reconstructed from Carbon Isotopic and Magnetic Evidences from Alluvial Sequences)

  • 박경;박지훈
    • 대한지리학회지
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    • 제46권4호
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    • pp.396-412
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    • 2011
  • 충남 부여지역의 홀로세(약 8,400 yrs B.P.~현재) 기간의 환경 특히 기후환경을 복원하기 위하여 부여군 가탑리 일대에 분포하는 선상지 퇴적물을 대상으로 탄소동위원소분석과 대자율분석을 실시하였다. 탄소동위원소분석 결과에 의하면, 조사지역에서는 크게 5회의 기후변화가 확인되었는데 I기(期)부터 VI기(期)로 가면서 가장 냉량 건조${\rightarrow}$온난 습윤${\rightarrow}$냉량 건조${\rightarrow}$온난 습윤${\rightarrow}$IV기(期)에 비해 건조${\rightarrow}$V기(期)에 비해 습윤한 환경으로 변천하는 것을 알 수 있었다. 특히 약 5,900~3,200 yrs B.P.의 기간이 상대적으로 가장 온난 습윤했던 것으로 밝혀졌다. 하지만 대자율분석에 의하면 시료채취지점 일대의 환경변화는 크게 4개의 시대로 구분되는데 ii-기(期)에 가장 대자율이 높다. I-기(期)는 배후습지 기원의 퇴적물로 이루어져 있으며, 시간의 경과에 따라 토양화가 진전되었다. 이에 비해 ii-기(期)와 iii-기(期)에서 대자율이 다른 시기에 비해 높은 이유는 구릉사면의 풍화와 토양화 과정에서 강자성 광물이 집적된 토양층이 침식에 의해 제거되고 이들이 운반되어 선상지 퇴적물을 형성했기 때문이다. iv-기(期)는 경작층으로 이용되는 현재에 대비된다.

동보(東寶) 중석(重石)-모리브덴 광상(鑛床)의 광물공생(鑛物共生)과 유체포유물(流體包有物) (Mineral Paragenesis and Fluid Inclusions of the Dongbo Tungsten-Molybdenum Deposits)

  • 박희인;문상호;배영부
    • 자원환경지질
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    • 제18권4호
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    • pp.331-342
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    • 1985
  • The Dongbo tungsten-molybdenum deposits are fissure-filling veins emplaced in granites of late Cretaceous age. Integrated field, mineralogic and fluid inclusion studies were undertaken to illuminate the characters and origin of the ore deposits. Mineral paragenesis is complicated by repeated fracturing, but four distinct depositional stages can be recognized; (I) tungsten-molybdenum minerals-quartz-chlorite stage, (II) iron-oxide and sulfides-quartz stage, (III) iron -oxide-base metal sulfides-sulfosalts-quartz-carbonates stage, (IV) barren rhodochrosite-zeolite stage. Fluid inclusion studies were carried out for stage I quartz and stage III quartz, sphalerite and calcite. Fluid inclusion studies reveals highly systematic trends of homogenization temperature and salinity throughout the mineralization. Ore fluids during stage I were complex, NaCl rich brine and salinity reached values as high as 34.4 weight percent equivalent NaCl, but the later ore fluids were more dilute and reached to 9.7 weight percent equivalent NaCl during stage III. Intermittent boiling of ore fluid during stage I is indicated by the fluid inclusions in stage I quartz. Depositional temperatures and pressures during stage I range from $520^{\circ}C$ to $265^{\circ}C$and from 600 to 400 bars. Homogenization temperatures of the stage III quartz, sphalerite and calcite range from $305^{\circ}C$ to $190^{\circ}C$. Fluid inclusion data from the Dongbo mine are nearly similar to those from other hydrothermal tungsten deposits in the Kyeongsang basin. Depositional temperature and salinity of ore fluids during precipitation of tungsten-molybdenum minerals in Dongbo mine were much higher, but $CO_2$ contents were much lower than those from hydrothermal tungsten-molybdenum deposits of late Cretaceous plutonic association in central parts of Korean peninsula.

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Accuracy of Intraoperative Gross Examination of Myometrial Invasion in Stage I-II Endometrial Cancer

  • Sethasathien, Prauk;Charoenkwan, Kittipat;Siriaunkgul, Sumalee
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7061-7064
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    • 2014
  • Background: To assess the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of intraoperative gross examination (IGE) of uterine specimens in determining deep myometrial invasion and cervical invasion compared to final histology. Materials and Methods: The clinical, surgical and histological data of all FIGO stage I-II endometrial cancer (EC) patients who had primary surgery were reviewed. Results of the IGE for myometrial invasion and cervical invasion were compared to the final histology. The sensitivity, specificity, PPV, NPV, and accuracy of the IGE in determining deep myometrial invasion and cervical invasion were calculated. Association between clinico-pathological factors and discrepancy between IGE and final histology in the determination of myometrial invasion was also assessed. A p-value of <0.05 was considered significant. Results: From January 2007 to December 2012, 179 patients diagnosed with clinical stage I-II endometrial cancer underwent surgical staging. The sensitivity and specificity of IGE in detecting deep myometrial invasion were 42.4% and 90.0%, respectively, and the PPV and NPV were 67.6% and 76.1%. The overall accuracy of IGE was 74.3%. The sensitivity and specificity of IGE in identifying cervical invasion were 28.6% and 97.5%, respectively, while the PPV and NPV were 60.0% and 91.1%. The overall accuracy of IGE was 89.4%. Conclusions: The sensitivity of IGE for detecting deep myometrial invasion and cervical invasion in early-stage EC is too low to be used alone. Alternative methods including intraoperative frozen section analysis, preoperative three dimensional ultrasound, and preoperative magnetic resonance imaging should be strongly considered.

원발성 폐암의 외과적 치료 (Surgical Treatment of Primary Lung Cancer)

  • 곽문섭
    • Journal of Chest Surgery
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    • 제21권1호
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    • pp.87-100
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    • 1988
  • The authors evaluated 200 cases of primary carcinoma of lung in terms of the cell type, operability, resectability and survival rate, that proved by histopathologic examination at the Dept. of Thoracic and Cardiovascular Surgery, Catholic Medical College during the period of 11 years from Jan., 1977 to Dec., 1987. The results are as follows; 1] The peak incidence was observed in the 7th decade of life [34%] and followed by 6th [30%] 8 5th decade [25%]. Male to female ratio was 3.4:1. 2] Histopathologic classifications were squamous cell carcinoma 48% [96 cases], adenocarcinoma 27% [34 cases], small cell carcinoma 13%[26 cases], ;bronchioloalveolar cell carcinoma 5% [10 cases], large cell carcinoma 4.5% [9 cases], adenosquamous cell carcinoma 1.5% [3 cases] and adenoalveolar cell carcinoma 0.5% [1 case]. 3] Among 200 cases of primary lung cancer, the operability was 47.5% [95 cases], refusal of operation 6.0% [12 cases] and inoperability 46.5% [93 cases]. 4] Ninety five cases [47.5%] were operated. Of these, post-surgical stage I was 18.9% [18 cases], stage II 24.2% [23 cases] and stage III 56.8% [54 cases]. Among 54 cases of stage III, 32 cases were unresectable, while 22 cases were resectable. Consequently, the resectability was 31.5% [63 cases] from the total numbers of 200 cases, and the resectability for the operable 95 cases was 66.3% [63 cases]. 5] Surgical complications were empyema with bronchopleural fistula [4 cases], G-I bleeding [1 case], tedious pleural effusion [1 case] and acute respiratory insufficiency [1 case]. Operative mortality was 3.2% [2 cases], which caused by massive G-I bleeding [1 case] and respiratory insufficiency [1 case]. 6] On the long term follow-up of resectable 63 cases, overall 3 year survival rate was 35%, 5 year 22% and 9 year 2%. Five year survival rate was 39% in stage l, 30% in stage II and 0% in stage III. As for the cell types, the higher 5 year survival rate was observed in resectable squamous cell carcinoma [35%] as compared to adenocarcinoma [15%], alveolar cell carcinoma [14%], small cell carcinoma [0%] and large cell carcinoma [0%].

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