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Analysis of Cancer Incidence in Zhejiang Cancer Registry in China during 2000 to 2009

  • Du, Ling-Bin;Li, Hui-Zhang;Wang, Xiang-Hui;Zhu, Chen;Liu, Qing-Min;Li, Qi-Long;Li, Xue-Qin;Shen, Yong-Zhou;Zhang, Xin-Pei;Ying, Jiang-Wei;Yu, Chuan-Ding;Mao, Wei-Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5839-5843
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    • 2014
  • Objective: The Zhejiang Provincial Cancer Prevention and Control Office collected cancer registration data during 2000 to 2009 from 6 cancer registries in Zhejiang province of China in order to analyze the cancer incidence. Methods: Descriptive analysis included cancer incidence stratified by sex, age and cancer site group. The proportions and cumulative rates of 10 common cancers in different groups were also calculated. Chinese population census in 1982 and Segi's population were used for calculating age-standardized incidence rates. The log-linear model was used for fitting to calculate the incidence trends. Results: The 6 cancer registries in Zhejiang province in China covered a total of 60,087,888 person-years during 2000 to 2009 (males 30,445,904, females 29,641,984). The total number of new cancer cases were 163,104 (males 92,982, females 70,122). The morphology verified cases accounted for 69.7%, and the new cases verified only by information from death certification accounted for 1.23%. The crude incidence rate in Zhejiang cancer registration areas was $271.5/10^5$ during 2000 to 2009 (male $305.41/10^5$, female $236.58/10^5$), age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) were $147.1/10^5$ and $188.2/10^5$, the cumulative incidence rate (aged from 0 to 74) being 21.7%. The crude incidence rate was $209.6/10^5$ in 2000, and it increased to $320.20/10^5$ in 2009 (52.8%), with an annual percent change (APC) of 4.51% (95% confidence interval, 3.25%-5.79%). Age-specific incidence rate of 80-84 age group was achieved at the highest point of the incidence curve. Overall with different age groups, the cancer incidences differed, the incidence of liver cancer being highest in 15-44 age group in males; the incidence of breast cancer was the highest in 15-64 age group in females; the incidences of lung cancer were the highest in both males and females over the age of 65 years. Conclusions: Lung cancer, digestive system malignancies and breast cancer are the most common cancers in Zhejiang province in China requiring an especial focus. The incidences of thyroid cancer, prostate cancer, cervical cancer and lymphoma have increased rapidly. Prevention and control measures should be implemented for these cancers.

Serum Carbohydrate Antigen 19-9 as an Indicator of Liver Metastasis in Colorectal Carcinoma Cases

  • Dong, Hang;Tang, Jie;Li, Long-Hao;Ge, Jun;Chen, Xin;Ding, Jing;Men, Hai-Tao;Luo, Wu-Xia;Du, Yang;Li, Cong;Zhao, Feng;Chen, Ye;Cheng, Ke;Liu, Ji-Yan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.909-913
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    • 2013
  • Purpose: The liver is the organ to which colorectal carcinomas (CRCs) most commonly metastasize, and surgical resection has been established as the most effective and potentially curative treatment for CRC with liver metastasis (LM). Therefore, surveillance of LM is vital for improvement of prognosis of CRC patients. In this study, we aimed to explore the potential value of carbohydrate antigen 19-9 (CA 19-9), carcinoembryonic antigen (CEA), and marker enzymes in indicating LM with CRC. Methods: Three groups of eligible patients with metastatic cancers were retrospectively included: CRC patients with LM (CRC-LM) or without LM (CRC-NLM), and non-CRC patients with LM (NCRC-LM). All metastatic lesions were identified by CT or MRI. Data on characteristics of the patients, the primary site, the locations of metastasis, CA 19-9, CEA, and biochemical parameters were collected for analysis. Results: A total of 493 patients were retrospectively included. More alcohol consumption was found in CRC-LM than CRC-NLM. Some biochemical enzymes were found to be significantly higher in groups with LM than without (CRC-LM or NCRC-LM v.s CRC-NLM). Both CEA and CA 19-9 were much higher in CRC-LM than CRC-NLM or NCRC-LM. For CRC patients, CA 19-9, ${\gamma}$-glutamyl transpeptidase, CEA and alcohol consumption were identified as independent factors associated with LM. Conclusion: Our analysis suggested the CA 19-9 might be a potential valuable indicator for LM of CRC in the clinic.

A Study on Curriculum Development For Community Health Practitioners (보건진료원 직무교육 교과과정 개선을 위한 일 연구)

  • 조원정;이경자
    • Journal of Korean Academy of Nursing
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    • v.22 no.2
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    • pp.207-226
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    • 1992
  • This study was designed to develop a conceptual framework for the curriculum and develop the details of the learning content for the education of Community Health Practitioners (CHPs). Since education programs for CHPs started 10 years ago, concepts related to CHP services have changed because of changes in society. The objectives of the study were as follows : 1) to analyse the usefulness of the present education program for CHPs, 2) to analyse the Job performance and self -confidence of the CHPs, 3) to identify the health needs of the clients served by the CHPs and the community problems related to health. 4) to develop a conceptual framework for the curriculum, for the education of CHPs, 5) to develops details for the learning content of the education program for CHPs. Phase I of the study was conducted by questionnaires to 150 CHPs who have worked in remote rural areas for more than 2 years. Among them, 147 responded. Data was collected from August 16, to August 25, 1990. In order to identify the health needs of the community people, research within the last five years was reviewed and analyzed. The data on 1, 842 communities gathered by the WHO Nursing Collaborations Center of the College of Nursing, Yonsei University was utilized to identify community problems related to health and the self - confidence in job performance of the CHPs. Psase II of the study consisted of a workshop with 13 professionals including Community Health Practitioners to evaluate the existing education program and a conceptual framework of the curriculum for the job education of CHPs. The results of the study are Summariged below : 1. The only 26 among 45 content items of the education program related to job skills was used by 80% of the responding CHPs. The knowledge of $\ulcorner$Networking community organization$\lrcorner$ was used by only 53.7% of the respondents. Educational content about $\ulcorner$Mental disease$\lrcorner$ was used by less than 50% of CHPs because of a knowledge deficit. 2. The CHPs reported that their activities concentrated on clinical services during the last six months. The survey showed that they seemed to neglect the activities for health promotion and disease prevention. Thus, $\ulcorner$Education for community loaders$\lrcorner$(15.9%), $\ulcorner$Activity for eavironmental health$\lrcorner$(16.3%) and $\ulcorner$Social work for needey people$\lrcorner$(23.3%) were done by less than 30% of CHPs. 3. More than 90% of CHPs reported being self - confident for the activities of $\ulcorner$Health education and counselling$\lrcorner$, $\ulcorner$Medicine prescription$\lrcorner$ and $\ulcorner$Immunization$\lrcorner$. But 50% of CHPs reported that they were not have self - confident in $\ulcorner$Management of water and environmental health$\lrcorner$ and only 25.6% of CHPs could insert an IUD independently. 4. It was identified that respiratory diseases and the gastrointestinal diseases were most common problems for the community people, followed by musculoskeletal and skin problems. 5. The community problems were classified into eight categories : physical environmental problems, environmental hygiene, health problems, health behavior, social problem, lack of resources, financial problem and the problems of the cultural and value system. 6. The conceptual framework consisted of the target population and their health status, nursing process working site and primary health care services such as health promotion, disease prevention, treatment and rehabilitation. 7. The contents of curriculum of education program for CHPs were formulated from the results of this study.

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Variation of Air Temperature Inside Carbonate Area Caves (석회암 지역에 분포하는 동굴의 내부 온도 변동 특성)

  • Kim, Lyoun;Park, Youngyun;Lee, Jonghee;Choi, Jaehun;Jung, Qyusung;Kim, Jungtae;Kim, Insu
    • Korean Journal of Heritage: History & Science
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    • v.53 no.1
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    • pp.52-63
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    • 2020
  • This study was conducted in order to evaluate the characteristics of air temperature fluctuation inside the Daegeumgul, Ondaldonggul, and Seongnyugul Caves, which are the most representative limestone caves in Korea, and also to assess the effects of air temperature on cave temperature. Temperature was measured hourly at three sites in Daegeumgul, Ondaldonggul, and Seongnyugul Caves from April 13 to June 25, 2019. Additionally, air temperature data for the areas around the caves was provided by the Meteorological Administration. Using this collected data, the basic statistical measure of fluctuation characteristics over time was ascertained, and time series analyses were performed. Wide variation of temperature was exhibited in the order of the cave entrance, the cave water inflow point, and the midpoint. Cave temperature was observed to increase gradually during the study period. There was a vast range in temperature at the Daegeumgul station located approximately 150 m outside the cave, but it remained nearly constant beyond the midpoint. Although the effect of air temperature was not significant due to the influence of visitors, the effect of air temperature on cave temperature gradually decreased from the entrance to the interior. At Ondaldonggul, there was a wide range in temperature recorded at the entrance due to the influence of air temperature, but it stayed almost constant in the interior. However, at the site where cave water flows into the cave, temperature was influenced by the cave water temperature. At Seongnyugul, there was a distinct fluctuation in temperature recorded at the cave entrance, while the middle of the cave remained nearly constant. Temperature fluctuated due to the air temperature at the entrance, while at the middle of the cave, measurements were expected to be affected to a greater extent by the lake water temperature than by the air temperature. However, this pattern was not observed. According to the time series analysis results, in all caves, fluctuations of air temperature affected cave temperature after approximately one hour. Cave size and structure, water presence, the entrance's size and shape, air flow, and visitor patterns can all influence cave temperature. Therefore, consideration of these factors is very important in the pursuit to clearly understand cave temperature characteristics.

Origin of Clay Minerals of Core RS14-GC2 in the Continental Slope to the East of the Pennell-Iselin Bank in the Ross Sea, Antarctica (남극 로스해 펜넬-이젤린 퇴 동쪽 대륙사면의 코어 RS14-GC2의 점토광물의 기원지 연구)

  • Ha, Sangbeom;Khim, Boo-Keun;Cho, Hyen Goo;Colizza, Ester
    • Journal of the Mineralogical Society of Korea
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    • v.31 no.1
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    • pp.1-12
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    • 2018
  • A gravity core (RS14-C2) was collected at site RS14-C2 in the continental slope to the east of Pennell-Isellin Bank of the Ross Sea (Antarctica) during PNRA XXIX (Rosslope II Project) Expedition. In order to trace the sediment source, magnetic susceptibility (MS), sand fraction, and clay mineral compositions were analyzed, and AMS $^{14}C$ ages were dated. Core sediments consist mostly of hemipelagic sandy clay or silty clay including ice-rafted debris (IRD). AMS $^{14}C$ age of core-top indicates the modern and Holocene sediments. Based on AMS $^{14}C$ dating, sediment color, MS and sand fraction, core sediments are divided into interglacial and glacial intervals. The interglacial brown sediments are characterized by low MS and sand fraction, whereas the glacial gray sediments are characterized by high MS and sand fraction. Among clay mineral compositions of core sediments, illite is highest (61.8~76.7%), and chlorite (15.7~21.3%), kaolinite (3.6~15.4%), and smectite (0.9~5.1%) are in decreasing order, and these compositions are also divided into the interglacial and glacial/deglacial intervals. During the glacial period, the high content of illite and chlorite indicate sediment supply from the bedrocks of Transantarctic Mountains under the Ross Ice Sheet. In contrast, because of decreasing supply of illite and chlorite by the glacial retreat, smectite and kaolinite contents increased relatively during the interglacial period. During the interglacial period, smectite may be transported additionally by the northeastward flowing surface current from the coast of Victoria Land in the western Ross Sea. Kaolinite may be also supplied to the continental slope by the Antarctic Slope Current from the kaolin-rich metasedimentary rock outcropped on the Edward VII Peninsula.

Vertical Profiles and Assessment of Trace Metals in Sediment Cores From Outer Sea of Lake Shihwa, Korea (시화호 외측 해역 주상 퇴적물 내 미량금속 수직분포 특성 및 오염도 평가)

  • Ra, Kongtae;Kim, Joung-Keun;Kim, Eun-Soo;Kim, Kyung-Tae;Lee, Jung-Moo;Kim, Eu-Yeol
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.16 no.2
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    • pp.71-81
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    • 2013
  • Trace metal concentration in sediment cores from the outer sea of Lake Shihwa were determined to study the vertical profiles of metal concentrations and to evaluate the levels of metal contamination. Sediment pollution assessment was carried out using enrichment factor (EF) and geo-accumulation index (Igeo). The mean concentration of metals were 58.8 mg/kg for Cr, 10.3 mg/kg for Co, 22.8 mg/kg for Ni, 18.1 mg/kg for Cu, 74.0 mg/kg for Zn, 6.75 mg/kg for As, 0.14 mg/kg for Cd, 27.4 mg/kg for Pb and 0.026 mg/kg for Hg, respectively. The mean EF values for Cu, Zn, As, Cd and Hg were greater than 1.5 in sediment cores, indicating that these metals in sediments are slightly enriched by anthropogenic activities. The geo-accumulation index (Igeo) suggested unpolluted status for metals of sediments collected from outer see of Lake Shihwa. Igeo values for Cu and Hg nearby LNG station (site C, D, E) ranged from 1 to 2, indicating moderately to unpolluted pollution status for those metals. Even if the higher concentrations of trace metals nearby LNG station were observed, there is significantly positive relationship between Al and trace metals. Thus, the sediment grain size plays an important roles in influencing the distribution of trace metals in sediment cores from the outer sea of Lake Shihwa. Based on the comparison with sediment quality guidelines such as threshold effect level and probable effect level in Korea, the concentration of metals in sediments from outer sea of Lake Shihwa are likely to result in no harmful effects on sediment-dwelling organisms.

The Effect of Herding Behavior and Perceived Usefulness on Intention to Purchase e-Learning Content: Comparison Analysis by Purchase Experience (무리행동과 지각된 유용성이 이러닝 컨텐츠 구매의도에 미치는 영향: 구매경험에 의한 비교분석)

  • Yoo, Chul-Woo;Kim, Yang-Jin;Moon, Jung-Hoon;Choe, Young-Chan
    • Asia pacific journal of information systems
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    • v.18 no.4
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    • pp.105-130
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    • 2008
  • Consumers of e-learning market differ from those of other markets in that they are replaced in a specific time scale. For example, e-learning contents aimed at highschool senior students cannot be consumed by a specific consumer over the designated period of time. Hence e-learning service providers need to attract new groups of students every year. Due to lack of information on products designed for continuously emerging consumers, the consumers face difficulties in making rational decisions in a short time period. Increased uncertainty of product purchase leads customers to herding behaviors to obtain information of the product from others and imitate them. Taking into consideration of these features of e-learning market, this study will focus on the online herding behavior in purchasing e-learning contents. There is no definite concept for e-learning. However, it is being discussed in a wide range of perspectives from educational engineering to management to e-business etc. Based upon the existing studies, we identify two main view-points regarding e-learning. The first defines e-learning as a concept that includes existing terminologies, such as CBT (Computer Based Training), WBT (Web Based Training), and IBT (Internet Based Training). In this view, e-learning utilizes IT in order to support professors and a part of or entire education systems. In the second perspective, e-learning is defined as the usage of Internet technology to deliver diverse intelligence and achievement enhancing solutions. In other words, only the educations that are done through the Internet and network can be classified as e-learning. We take the second definition of e-learning for our working definition. The main goal of this study is to investigate what factors affect consumer intention to purchase e-learning contents and to identify the differential impact of the factors between consumers with purchase experience and those without the experience. To accomplish the goal of this study, it focuses on herding behavior and perceived usefulness as antecedents to behavioral intention. The proposed research model in the study extends the Technology Acceptance Model by adding herding behavior and usability to take into account the unique characteristics of e-learning content market and e-learning systems use, respectively. The current study also includes consumer experience with e-learning content purchase because the previous experience is believed to affect purchasing intention when consumers buy experience goods or services. Previous studies on e-learning did not consider the characteristics of e-learning contents market and the differential impact of consumer experience on the relationship between the antecedents and behavioral intention, which is the target of this study. This study employs a survey method to empirically test the proposed research model. A survey questionnaire was developed and distributed to 629 informants. 528 responses were collected, which consist of potential customer group (n = 133) and experienced customer group (n = 395). The data were analyzed using PLS method, a structural equation modeling method. Overall, both herding behavior and perceived usefulness influence consumer intention to purchase e-learning contents. In detail, in the case of potential customer group, herding behavior has stronger effect on purchase intention than does perceived usefulness. However, in the case of shopping-experienced customer group, perceived usefulness has stronger effect than does herding behavior. In sum, the results of the analysis show that with regard to purchasing experience, perceived usefulness and herding behavior had differential effects upon the purchase of e-learning contents. As a follow-up analysis, the interaction effects of the number of purchase transaction and herding behavior/perceived usefulness on purchase intention were investigated. The results show that there are no interaction effects. This study contributes to the literature in a couple of ways. From a theoretical perspective, this study examined and showed evidence that the characteristics of e-learning market such as continuous renewal of consumers and thus high uncertainty and individual experiences are important factors to be considered when the purchase intention of e-learning content is studied. This study can be used as a basis for future studies on e-learning success. From a practical perspective, this study provides several important implications on what types of marketing strategies e-learning companies need to build. The bottom lines of these strategies include target group attraction, word-of-mouth management, enhancement of web site usability quality, etc. The limitations of this study are also discussed for future studies.

Characteristics of Fish Community in Gap Stream by Habitat Type (서식처 유형에 따른 갑천의 어류군집 특성)

  • Lee, Dong-Jun;Byeon, Hwa-Kun;Choi, Jun-Kill
    • Korean Journal of Ecology and Environment
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    • v.42 no.3
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    • pp.340-349
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    • 2009
  • The natural type section of Gap Stream was divided into 7 sites, such as, closed pool, runs, riffle, opened pool, pool, reek-scattered riffle, and Dam-type pool. The ecological characteristics of fish community at each site was examined from April, 2007 to October, 2008. During the survey period, 29 species belonging to 8 families were collected, and Carassius auratus (St. 1), Coreoleuciscus splendidus (St. 3), Acheilognathus lanceolatus (St. 4) and Zacco platypus (St. 2, 5, 6, 7) were characteristic species that represent each habitat. The species of C. auratus preferred physical habitat with sand-bottom pool, moderate depth of 65$\sim$90 cm, and stagnant water. The species of C. splendidus mainly preferred physical habitat with cobbles and pebbles are scattered riffles (St. 3), moderate depth of 65$\sim$90 cm, and flow velocity is 0.14$\sim$0.85 m $sec^{-1}$. It also preferred where concentration of BOD, COD, TN, TP and SS is low and DO's value is high, because the flow velocity is fast. A. lanceolatus preferred where the depth of water is low (3$\sim$44 cm) like an opened pool (St. 4) and the flow velocity is slow (0.01$\sim$0.02 m $sec^{-1}$). Z. platypus dominated in a variety of habitats such as runs (St. 2), pool (St. 5), rock-scattered riffles (St. 6) and D-type pool (St. 7), and it preferred places where flow is abundant and riverbed structure is diverse. On the other hand, 4 individuals of Iksookimia choii appeared at reek-scattered riffles (St. 6). I. choii appeared in this research lived in where the width of river is 24 m, the depth of water is 3$\sim$35 cm and the flow velocity is 0.01$\sim$0.49 m $sec^{-1}$, and riverbed structure was diversely formed with boulder to sand. Also, water temperature, EC, BOD, COD, TN and TP was low, but concentrations of DO and SS were high comparatively. Therefore, it seems that I. choii can live only in physical and chemical environment with similar conditions.

Characterizing Responses of Biological Trait and Functional Diversity of Benthic Macroinvertebrates to Environmental Variables to Develop Aquatic Ecosystem Health Assessment Index (환경변이에 대한 저서성 대형무척추동물의 생물학적 형질과 기능적 다양성 분석: 수생태계 건강성 평가 관점에서)

  • Moon, Mi Young;Ji, Chang Woo;Lee, Dae-Seong;Lee, Da-Yeong;Hwang, Soon-Jin;Noh, Seong-Yu;Kwak, Ihn-Sil;Park, Young-Seuk
    • Korean Journal of Ecology and Environment
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    • v.53 no.1
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    • pp.31-45
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    • 2020
  • The biological indices based on the community structure with species richness and/or abundance are commonly used to assess aquatic ecosystem health. Meanwhile, recently functional traits-based approach is considered in ecosystem health assessment to reflect ecosystem functioning. In this study, we developed a database of biological traits for 136 taxa consisting of major stream insects (Ephemeroptera, Plecoptera, Trichoptera, Coleoptera, and Odonata) collected at Korean streams on the nationwide scale. In addition, we obtained environmental variables in five categories (geography, climate, land use, hydrology and physicochemistry) measured at each sampling site. We evaluated the relationships between community indices based on taxonomic diversity and functional diversity estimated from biological traits. We classified sampling sites based on similarities of their environmental variables and evaluated relations between clusters of sampling sites and diversity indices and biological traits. Our results showed that functional diversity was highly correlated with Shannon diversity index and species richness. The six clusters of sampling sites defined by a hierarchical cluster analysis reflected differences of their environmental variables. Samples in cluster 1 were mostly from high altitude areas, whereas samples in cluster 6 were from lowland areas. Non-metric multidimensional scaling (NMDS) displayed similar patterns with cluster analysis and presented variation of taxonomic diversity and functional diversity. Based on NMDS and community-weighted mean trait value matrix, species in clusters 1-3 displayed the resistance strategy in the life history strategy to the environmental variables whereas species in clusters 4-6 presented the resilience strategy. These results suggest that functional diversity can complement the biological monitoring assessment based on taxonomic diversity and can be used as biological monitoring assessment tool reflecting changes of ecosystem functioning responding to environmental changes.

Nodal Status of the Head and Neck Cancer Patients (두경부 암 환자의 경부 림프절 전이 분석)

  • Yang, Dae-Sik;Choi, Myung-Sun;Choi, Jong-Ouck
    • Radiation Oncology Journal
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    • v.15 no.4
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    • pp.321-329
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    • 1997
  • Purpose : It is well known that the risk of lymph nodes metastases to head and neck cancers are influenced by the location and size of the Primary tumor. as well as the degree and types of histological differentiation. However, data on the statistical analyses of lymph node metastases from the head and neck cancers among Korean Population are not available at present. In order to obtain current status of such data, we have analyzed cancer patients at the department of radiation oncology, korea universityhospital for radiation treatment. Materials and Methods : We have evaluated nine-hundred and ninetyseven (997) head and neck cancer Patients who visited to the Department of radiation oncology, between November 1981 to December 1995. After careful physical examinations and CAT scan, Patients were divided into two groups, those with positive lymph node metastases and with negative lymph node metastases. The nodal status were classified according to the TNM system of American Joint Committee on Cancer (AJCC) Besults : Four-hundred and sixteen Patients out of the 997 patients were lymph node positive $(42\%)$ and 581 patients were lymph node negative $(58\%)$ when they were first presented at the department of radiation oncelogy. According to the AJCC classification, the distribution of positive lymph node is as follow: Nl:106 $(25.5\%),\;N2a:100\;(24\%),\;N2b:68\;(16.4\%),\;N2c:69\;(16.6\%),\;3:73\;(15\%).$ respectively. The frequency of lymph node metastases according to the primary sites is as follow : larynx 283 $(28.5\%)$, paranasal sinuses: 182 $(18\%),\;oropharynx:144\;(14.5\%)\;nasopharynx:122(12\%),\;oral\;cavity\;92\;(9\%),\;hypopharynx:71\;(7\%),\;falivary\;gland:58\;(6\%)$ unknown primary:31 $(3\%),\;skin:\;14(2\%)$,. The most frequent Primary site for the positive Iymph node metastases was nasopharynx $(71\%)$ followed by hypopharynx $(69\%),\;oropharynx\;(64\%),\;oral\;cavity\;(39\%)$ The most common histologic type was squamous cell carcinoma (652/997: $65.4\%$). followed by malignant lymphoma $(109/997:11\%)$. Conclusion : Statistical results of lymph node metastases from head and neck cancer at our department were very similar to those obtained from other countries. It is concluded that the location of Primary cancer influences sites of metastases on head and neck, and stage of the primary cancer also influences the development of metastatic lesions. Since the present study is limited on the data collected from one institute. further statistical analyses on Korean cancer Patients are warrented.

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