• 제목/요약/키워드: oncology service

검색결과 123건 처리시간 0.026초

동측 이하선과 측경부에 발생한 혈관면역모세포 T세포 림프종 1예 (A Case of Angioimmunoblastic T-cell Lymphoma Involving the Ipsilateral Parotid and Lateral Neck)

  • 홍석정;이미지;김승우
    • 대한두경부종양학회지
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    • 제35권1호
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    • pp.37-40
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    • 2019
  • Angioimmunoblastic T-cell lymphoma (AITL) is a rare subtype of malignant lymphoma (ML), accounting for only 1 to 2% of all non-Hodgkin's lymphoma (NHL). Although ML of the parotid gland is rare, the majority are B-cell types. The AITL occurring synchronously in the parotid gland and lateral neck has not been reported earlier. It is classified as a high-grade malignancy with aggressive clinical features, and the prognosis is worse than any other type of NHL. We recently encountered a 72-year-old man with multiple mass on the ipsilateral parotid tail and lateral neck, and he was finally diagnosed as AITL. We report the unique and rare disease entity with a brief literature review.

상측경부에 발생한 악하선 외 다형선종 1예 (A Case of Extra-Submandibular Gland Pleomorphic Adenoma in Upper Lateral Neck)

  • 홍석정;이미지;김승우
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.65-67
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    • 2018
  • Pleomorphic adenoma (PA) is a benign tumor which usually originates from major and minor salivary glands. This tumor arising outside submandibular gland (SMG) is extremely rare. To author's knowledge, only four cases have been reported so far in English literature. Its pathogenesis is still unclear, but it can be explained by embryologic theory of major salivary gland. A 68-year-old man with an incidental mass on left upper lateral neck visited to our clinic. The radiologic findings showed well-margined round mass outside left SMG. The excisional biopsy revealed a pleomorphic adenoma. We report the rare and unique case with a brief literature review.

신경인성 종양과 유사한 양상의 경부 동정맥 기형 1예 (A Case of Neurogenic Tumor-like Cervical Arteriovenous Malformation)

  • 임성환;김민아;김승우
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.85-87
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    • 2018
  • The arteriovenous malformation (AVM) is an anomaly of capillary development that results from direct connection between branches of artery and vein without intervening capillary bed. The neurogenic tumors have a tendency to various types of degeneration. Recently, we experienced a 73-year old man with a mass in left supraclavicular area. The intraoperative findings showed severe adhesions with cervical plexus, like a neurogenic tumor. Finally, the mass was revealed as AVM. We report a unique disease pattern with a literature review.

방사선치료를 위한 영상장비의 선량 및 영상 평가 (Dose and Image Evaluations of Imaging for Radiotherapy)

  • 이형건;윤창연;김태준;김동욱;정원규;박성호;이원호
    • 한국의학물리학회지:의학물리
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    • 제23권4호
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    • pp.292-302
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    • 2012
  • 최근 방사선치료 분야에 있어서 환자 선량이 중요한 쟁점이 되고 있다. 선량 감소를 위해 선진 기술을 이용한 방사선치료 시 사용하는 진단영상 장비에 대한 평가가 이루어져야 한다. 특히 CT는 방사선치료 분야에서 널리 사용되는 영상 장비이며, 본 연구에서는 CT의 선량과 영상에 대한 평가를 실시하였다. 선량과 영상을 동시에 비교할 수 있도록 동일한 조건 하에서 평가를 실시하였다. 또한 몬테카를로 시뮬레이션 툴인 MCNPX를 이용한 선량과 영상 평가가 가능하다는 것을 확인하였다. 저 선량 CT 영상의 질을 향상시키기 위하여 MLEM기법을 이용한 반복적 영상재구성 기법을 구축하였다. 본 연구의 평가 방법을 통해 방사선 치료 분야에서의 환자 선량을 줄이는 것뿐만 아니라 산업 연구 분야에서의 영상장비들의 총체적인 평가가 가능할 것이다.

Discussing Sexuality with Cancer Patients: Oncology Nurses Attitudes and Views

  • Oskay, Umran;Can, Gulbeyaz;Basgol, Sukran
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7321-7326
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    • 2014
  • Background: Sexual health and function frequently are overlooked by healthcare professionals despite being identified as an essential aspect of patient care. Patients with cancer have identified sexuality issues as being of equal importance to other quality-of-life issues. Objectives: The aim of this study was to determine the views and attitudes of oncology nurses caring for cancer patients regarding sexual counseling. Participants and Methods: A descriptive cross-sectional study was conducted on the web site of the Turkish Oncology Nurses Association. With the participation of 87 nurses from oncology departments, the study determined that most nurses do not evaluate and counsel patients regarding their sexual problems and many difficulties prevent them from focussing on sexual health. The most important reasons for ignoring sexual counseling were the absence of routine regarding sexual counseling in oncology departments, the belief that the patient may become ashamed and the nurses' self-evaluation that they have insufficient skills and education to counsel in this subject. Conclusions: The most important variables in sexual evaluation and counseling are long years of service in the profession and a postgraduate degree.

이하선과 상경부에 동시 발생한 외투세포 림프종 1예 (A Case of Mantle Cell Lymphoma Involving the Parotid Gland and Upper Neck)

  • 곽슬기;김춘동;김윤정;김승우
    • 대한두경부종양학회지
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    • 제31권1호
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    • pp.43-46
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    • 2015
  • The Mantle cell lymphoma(MCL) is a relatively rare subtype of malignant lymphoma characterized by chromosomal translocation t(11 ; 14)(q13 ; q32), positive response for CD5, and nuclear cyclin D1. It is account for an estimated 3-6% of all non-Hodgkin's lymphoma. The involvement of extra-nodal site is not uncommon, whereas salivary glands are rarely affected. It is more commonly occurred in men and old age and approximately 75% of cases are diagnosed with advanced stage. It is usually characterized by an aggressive clinical course, and the prognosis is poorer than other type of head and neck lymphoma. We recently encountered a 69-year-old female with mass in parotid tail and upper neck, and it was diagnosed as mantle cell lymphoma. We report the unique case with a review of literature.

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성문상부 종물 양상의 일차성 후두 Large B세포 림프종 1예 (A Case of Primary Large B-cell Lymphoma of Larynx Presenting as Supraglottic Mass)

  • 최전하;김춘동;김윤정;김승우
    • 대한두경부종양학회지
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    • 제31권1호
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    • pp.31-33
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    • 2015
  • The extranodal non-Hodgkin lymphoma is uncommonly occurred in larynx, accounting for less than 1% of all laryngeal neoplasm. In general, the laryngeal lymphoma is appeared as submucosal mass without mucosal ulceration and is most commonly found in supraglottis. The primary laryngeal lymphoma constitute a diagnostic challenge because they are characterized by absence of clinical and gross differential criteria, compared with squamous cell carcinoma (SCC). We encountered a 74-year-old man with hoarseness and lump sensation in the throat. On direct laryngoscope, multiple ulcerative and exudative mass in glottis and supraglottic areas were observed. The patient was finally diagnosed as large B-cell lymphoma through the laryngeal microsurgery. He received radiation therapy and there is no evidence of recurrence. Although the laryngeal mass has superficial mucosal change, primary laryngeal lymphoma must be included in the differential diagnosis.

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피열후두개주름에 발생한 유경성 신경초종 1예 (A Case of Pedunculated Schwannoma of Aryepiglottic fold)

  • 홍창의;박준철;이미경;신향애
    • 대한두경부종양학회지
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    • 제33권2호
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    • pp.95-99
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    • 2017
  • Schwannoma, also known as a neurilemmomas or neurinomas, is benign peripheral nerve sheath tumors arising from the Schwann cells. About 25~45 % of all schwannomas are found in the head and neck region, and the majority are found in the parapharyngeal space. Schwannoma of the larynx is very rare with an incidence of 0.1~1.5% in all benign laryngeal tumors. Recently, we experienced a case of a pedunculated schwannoma arising from the left aryepiglottic fold in a 80-year-old patient. The tumor was completely excised under direct laryngoscopy with the use of a $CO_2$ laser and subsequently confirmed as schwannoma. So, we report this case with a review of the literatures.

기도 폐색을 유발한 성문부 거대 소엽성 모세관 혈관종 1예 (A Case of Giant Lobular Capillary Hemangioma in Glottis Causing Airway Obstruction)

  • 최전하;임성환;이미지;김승우
    • 대한두경부종양학회지
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    • 제32권1호
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    • pp.49-52
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    • 2016
  • The lobular capillary hemangioma (LCH) was previously known to pyogenic granuloma and is benign vascular lesion which grows rapidly on skin and mucosa. It arises from whole body, but oral and nasal cavities are most predilection sites in the head and neck area. The laryngeal LCH looks like a granulomatous lesion of posterior glottis and its common etiology are tracheal intubation and laryngopharyngeal reflux disease etc. The LCH in larynx can cause blood tinged sputum and lump sense. The lesions refractory to medical therapy or causing dyspnea may require surgical excision. A 74-year-old man who presented gradually aggravated dyspnea, lump sensation and hoarseness of one month came to our hospital. The stroboscopic examination revealed large well-margined glottic mass. It was excised with $CO_2$ laser and finally diagnosed as LCH. We present a rare unique case of glottic LCH with a review of literatures.

후경부에 발생한 광범위 골화를 동반한 모기질종 1예 (A Case of Pilomatricoma with Extensive Ossification Arising the Posterior Neck)

  • 백훈희;홍석정;이미지;김승우
    • 대한두경부종양학회지
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    • 제32권1호
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    • pp.37-40
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    • 2016
  • The pilomatricoma is a benign skin neoplasm arising from hair follicle matrix cells, and it comprises approximately 0.12% of all benign skin tumors. It occurs most commonly in head and neck. It usually tends to occur in childhood or school-age. Mainly, it exists in single subcutaneous or intradermal nodule and grows very slowly. The diagnosis is confirmed by histopathologic examination. Histopathologically, it is characterized by basaloid cells, enucleated shadow cells and calcifications in the shadow cell. However, it is rare to present extensive ossification in pilomatricoma. The treatment of choice is wide local excision. A 66-year-old man came to our clinic and he complained of two masses on right parotid tail and posterior neck. We performed excisional biopsy on posterior neck and partial parotidectomy. The pathology of former was pilomatricoma with extensive ossification. We report a rare unique case of pilomatricoma with brief review of literature.