• 제목/요약/키워드: stage II

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I, II병기 비소세포폐암의 예후에 대한 수술 전 양전자방출 컴퓨터 단층촬영기의 임상적 의의 (Prognostic Value of Preoperative Positron Emission Tomography-Computed Tomography in Surgically Resected Stage I and II Non-Small Cell Lung Cancer)

  • 송성헌;손장원;곽현정;김사일;김상헌;김태형;윤호주;신동호;최윤영;박성수
    • 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).

한반도 후빙기의 저지대 식생사 (The Post-glacial Vegetation History of the Lowland in Korean Peninsula)

  • 최기룡
    • The Korean Journal of Ecology
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    • 제21권2호
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    • pp.169-174
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    • 1998
  • This is the review of vegetational history of the post-glacial period in Korea. most of studies for vegetational changes are located in the lowland alluvial plain, especially below the hilly zone of western and eastern coastal regions of Korea. A couple of methods, pollen analysis and radiocarbon dating, have been employed in these studies. These results lead us to establish the pollen zonation in Korea as the followings. Yasuda et al.(1980) classified six period in Yongrang lake of sokcho. These are as follow I. 17,000-15,000yr B.P.: Picea, Abies, Pinus(Haploxylon), Larix stage, II.15,000-10,000yr B.P:Herb, Pteridophyta stage, III.10.000-6,700yr BP.:Quercus stage, IV.6,700-4,500yr B.P.:Pinus, Quercus, Carpinus stage, V.4,500-1,400yr B.P.:Quercus. Pinus stage, VI.1,400yr B.P.-present: Pinus, Herbs stage. Jo(1979) also divided the period into two stages from the outcomes of analysis done in Jumoonjin and other sites I.10,000-6,000yr B.P.:Quercus stage, II.6,000-present: Pinus-Quercus stage, and three substages: IIa.6,000-3,400 yr B.P.:lower Pinus stage, IIb.3,400-2,000yr B.P.:Pinus-Quercus stage, IIc.2,000-present: Pinus stage. Choi(1993, 1996) divided the period into three stages: I.6,000-5,000yr B.P.:Alnus, Quercus stage, II.5,000-4,000yr B.P.: Alnus, Quercus, Pinus stage, III.4,500-2,600yr B.P.: Alnus, Pinus stage. In the period around 6,000yr B.P. distinct dominant species clearly occupied the lowland of the eastern and western coasts. Thus, this strongly supports the fact that even if Korea experienced its warm and wet climate after the lateglacial, it underwent a different environmental change, dry climate, compared to the regions of Japan.

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Computational predictions of improved of wall mechanics and function of the infarcted left ventricle at early and late remodelling stages: comparison of layered and bulk hydrogel injectates

  • Kortsmit, Jeroen;Davies, Neil H.;Miller, Renee;Zilla, Peter;Franz, Thomas
    • Advances in biomechanics and applications
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    • 제1권1호
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    • pp.41-55
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    • 2014
  • Acellular intra-myocardial biomaterial injections have been shown to be therapeutically beneficial in inhibiting ventricular remodelling of myocardial infarction (MI). Based on a biventricular canine cardiac geometry, various finite element models were developed that comprised an ischemic (II) or scarred infarct (SDI) in left ventricular (LV) antero-apical region, without and with intra-myocardial biomaterial injectate in layered (L) and bulk (B) distribution. Changes in myocardial properties and LV geometry were implemented corresponding to infarct stage (tissue softening vs. stiffening, infarct thinning, and cavity dilation) and injectate (infarct thickening). The layered and bulk injectate increased ejection fraction of the infarcted LV by 77% (II+L) and 25% (II+B) at the ischemic stage and by 61% (SDI+L) and 63% (SDI+B) at the remodelling stage. The injectates decreased the mean end-systolic myofibre stress in the infarct by 99% (II+L), 97% (II+B), 70% (SDI+L) and 36% (SDI+B). The bulk injectate was slightly more effective in improving LV function at the remodelling stage whereas the layered injectate was superior in functional improvement at ischemic stage and in reduction of wall stress at ischemic and remodelling stage. These findings may stimulate and guide further research towards tailoring acellular biomaterial injectate therapies for MI.

Prognostic Factors, Treatment and Outcome in a Turkish Population with Endometrial Stromal Sarcoma

  • Donertas, Ayla;Nayki, Umit;Nayki, Cenk;Ulug, Pasa;Gultekin, Emre;Yildirim, Yusuf
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.881-887
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    • 2015
  • Purpose: To analyze treatment modalities and prognostic factors in patients with Stage I-II endometrial stromal sarcoma (ESS). Materials and Methods: Twenty four patients (nineteen with low-grade ESS [LGESS] and five with high-grade ESS [HGESS]) were assessed retrospectively in terms of general characteristics, prognostic factors, treatment methods and survival. Results: Twenty patients were at Stage I and three were at Stage II. The stage of one patient could not be determined. With respect to age and comorbidity, no statistically significant difference was found among disease-free survival (DFS) (p=0.990; p=0.995). However, DFS was significantly shorter in Stage II than Stage I patients (p=0.002). It was also significantly shorter in HGESS patients than in LGESS patients (p=0.000). There was no statistically significant differences among the overall survival (OVS) times of patients with respect to age at diagnosis and comorbid disease (p=0.905; p=0.979) but OVS was significantly shorter in patients with HGESS (p=0.00) and Stage II disease (p=0.001). No statistically significant difference was found with respect to OVS between patients who received radiotherapy (RT) and those who did not receive RT (p=0.055). It was not statistically possible to include other treatment modalities in the analysis because of the small sample size. Conclusions: Grade and stage of a tumour were found to be the most important prognostic factors. It was not possible to determine the optimal surgical method and the effect of adjuvant treatment since the number of cases was insufficient.

다덕광산(多德鑛山) 풍정맥(楓井脈)의 금은광화작용(金銀鑛化作用) (Gold and Silver Mineralization of the Pungjeong Vein, Dadeok Mine)

  • 박희인;최석원;이상선
    • 자원환경지질
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    • 제21권3호
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    • pp.269-276
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    • 1988
  • Ore deposits of Dadeok mine, the largest in the Bonghwa gold mining district, are composed of numerous gold and silver-bearing quartz veins emplaced in granite batholith. Mineralization of the Pungjeong vein, one of the representative vein in the mine was investigated. K-Ar age of sericite in the vein is $84{\pm}5$ Ma. Hypogene 6pen-space filling can be devided into four paragenetic stages; (1) fine grained quartz and carbonate; (2) quartz and carbonates with base metal sulfides, electrum, native silver, argentite, polybasite, freibergite, pyrargyrite, and Cu-Ag-Fe-S minerals; (3) quartz with base metal sulfides; (4) quartz and calcite with or without pyrite. Composition of electrum ranges from 44.17 to 56.50 atomic % Ag. Meanwhile FeS content of sphalerite coexisting with elctrum in stage II range from 0.01 to 1.67 mol. %. Homogenization temperatures for quartz and sphalerite of stage II ($239^{\circ}$ to $310^{\circ}C$), quartz of stage III ($206^{\circ}$ to $255^{\circ}C$) and quartz and calcite of stage IV ($232^{\circ}$ to $253^{\circ}C$) show little time-space variation during mineralization. Salinities of the fluid inclusions range from 5.5 to 12.8wt% NaCI in stage II, 7.3 to 12.3wt% in stage III and 4.5 to 8.0wt% in stage IV. Based on the homogenization temperatures, Fe content of sphalerite and Ag content of electrum, tempera ture and sulfur fugacity for stage II are estimated to be $208^{\circ}$ to $310^{\circ}C$ and $10^{-9.2}-10^{-12.8}$ bars, respectively.

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흑연에 황산을 Intercalation 시킬 때의 Mechanism 규명 (II. 화학적 방법에 의한 Graphite Salts의 중간상에 관한 연구) (Mechanism of Intercalation Compounds in Graphite with Hydrogen Sulfate (II. Study of Intermediate Phase between 2 stage and 1 stage in Graphite Hydrogen Sulfate))

  • 고영신
    • 한국세라믹학회지
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    • 제25권4호
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    • pp.408-414
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    • 1988
  • This thesis is 2nd thesis from "Mechanism of Intercalation Compounds in Graphite with Hydrogen sulfate(J. Korea Cer. Soc. Vol. 22. No.6, 1985). We have oxidized natural Graphite flakes(0.1~0.2mm., Kropfm hl passau in Deutchland. S40) with a solution of CrO3 in H2SO4. Whilst persulfate ions were intercalated, too, below 7$^{\circ}C$, no evidence for intercalation of a peroxo compound was found at 22$^{\circ}C$. The reaction was interrupted after various times by filtering and washing with concentrated H2SO4. X-ray diffraction showed that the 2nd stage compound had already been formed after 2 minutes. We could only follow further oxidation to the blue stage compound which was completed after 35 minutes. We have found six distinct intermediate stage between 2nd stage and 1 stage. Experiments are described on the formation of intermediate stage color and X-ray diffraction analysis.ysis.

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On the Occurrences of Pyrrhotite from the Yeonhwa 1 Mine, Korea

  • Chung, Jae-Il;Lee, Young-Up
    • 한국지구과학회지
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    • 제24권1호
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    • pp.36-45
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    • 2003
  • This study is made for examining the characteristics of the lead-zinc deposition from the mineralogy of pyrrhotite at the Yeonhwa 1 Mine, Korea. The pyrrhotite of the Yeonhwa 1 mine is divided two species; the pynhotites I and II. The pyrrhotite I that represents the product in Stage II mineralization is characterized by hexagonal pyrrhotite occurring as the mechanical mixtures of hexagonal and monoclinic phases with various proportion. These mixtures might be formed from 'primary' hexagonal pyrrhotite by the subsequent retrograde reaction and/or by the influence of later mineralization in Stage III. Whereas the pyrrhotite II crystallized out in later Mineralization Stage III (hydrothermal stage) is always monoclinic variant with ferromagnetic properties; no two phase mixtures have been recognized.

원발성 비소세포폐암의 임상적 고찰 (Clinical Evaluation of Non-Small Cell Lung Cancer)

  • 조재민;박승일;이종국
    • Journal of Chest Surgery
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    • 제29권11호
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    • pp.1241-1247
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    • 1996
  • 1989년 1월부터 1996년 3월까지 연세대학교 원주의과대학 흉부외과학 교실에서 비소세포폐암으로 수술을 시행 받은 환자 102명을 대상으로 연령 및 성별 분포, 임상 증상, 진단 방법, 병리 조직 소견, 수술방법, 수술전·후의 병기, 수술후 합병증 및 사망률과 장기 생존율을 조사한 결과 다음과 같은 결론을 얻었다. 폐암 환자의 연령은 50대이후에서 가장 많은 분포를 보였으며(83.3%), 남녀 성비는 2.52:1로서 남자 환자가 많았으며, 수술전 진단은 기관지경 검사가 59.8%, 객담 세포 검사가 17.6%, 경피적 조직 검사가 11.8% 그리고 진단을 얻지 못한 경우가 10.8%이었다. 조직학적 분류는 편평상피세포암이 57례, 선암이 31례, 기관지폐포세포암이 1례, 미분화 거대세포암이 5례, 편평 상피 세포와 선암의 혼합암이 7례 였으며, 세 가지 세포형이 같이 있는 혼합암 1례가 관찰되었다. 그리고 수술 방법은 전폐 절제술이 48례로 가장 많았으며 폐엽절제술 39례, 우폐 양엽절제술이 6례, 폐설상절제술이 2례, 개흉술만 시행한 것이 7례이었다. 수술 전후의 Stage에서는 수술전 Stage I이 12.7%, II 31.4%, IIIa 47.1%, IIIb 8.8%이였으며, 수술 후에는 Stage I이 13.7%, II 31.4%, IIIa 38.3%, IIIb 14.7% 및 IV 1.9%를 차지하였으며 또한 술전·후의 병기가 달랐던 경우가 26% 였다. 그리고 수술후 합병증은 10례이었으며, 사망은 2례에서 발생하였다. 장기생존율은 추적 관찰이 가능하였던 90례를 대상으로 전체 생존율은 1년이 81.7%, 3년이 49.7%, 5년이 21.8%로 나타났으며, 병기별 5년 생존율은 병기 I 38.9%, 병기 II 24.3%, 병기 IIIa 23.9% 였다.

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한국형발사체 추진기관개발에서의 제품보증활동 (Product Assurance of KSLV-II Propulsion System)

  • 조상연;설우석;고정환
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2017년도 제48회 춘계학술대회논문집
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    • pp.598-602
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    • 2017
  • 한국항공우주연구원에서는 1.5톤급의 실용위성을 태양동기궤도에 투입할 수 있는 3단형 발사체인 한국형발사체 KSLV-II를 개발하고 있다. 한국형발사체의 개발과정으로 2018년에는 2단과 3단으로 구성된 시험발사체(TLV)를 발사할 계획이며 여기에 사용되는 추진기관은 한국형발사체의 2단 엔진인 75톤급 엔진의 지상형 모델과 추진제 탱크, 공급 시스템이 적용되게 될 것이다. 현재 엔진시스템을 포함한 시험발사체 추진기관의 경우, 엔지니어링모델(EM)의 조립과 인증모델(QM)의 제작, 납품이 이루어지고 있다. 본 논문에서는 한국형발사체 추진기관의 개발중 수행되고 있는 제품보증 활동에 대하여 설명하고자 한다.

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Single Institution Experience of Thymic Tumor Treatment and Survival in Egypt

  • Darwish, Dalia
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.771-774
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    • 2016
  • Thymic tumors are the most common tumors in the anterior mediastinum. Total resection is the main treatment and predictor of longer survival. Adjuvant radiotherapy alone or in combination with chemotherapy is recommended with incomplete excision or advanced disease. Thirty seven patients with thymic tumors were included in this retrospective study from January 2001 till December 2012. They were studied regarding age, sex, performance status, tumor size and invasion, stage, pathology, treatment given, overall and progression free survival. Myasthenia gravis was present in 18.1% of the patients. Masaoka stage III was diagnosed in 40.5% of the cases followed by stage II in 24.3% and the other stages with lower percentages. Pathology type B3 was the most frequent followed by B2 and B1 with percentages of 27, 24.3 and 21.7 respectively. Complete resection was conducted in 11 cases (29.75%). Partial resection or debulking was done in 15 (40.5%) and a biopsy was taken in 11 cases (29.8%) Adjuvant chemotherapy was given to 14 patients (37.8%) and neoadjuvant to 13 (35.2%). Adjuvant radiotherapy was given to 17 patients (46%) and neoadjuvant to 14 (37.8%). The 5-year overall survival by was 83% for stage I, 71% for stage II, 60% for stage III, and 44% for stage IV (p=0.0426). Five year progression free survival was 71% for stage I, 62% stage II, 42% stage III, and 37% for stage IV (p=0.0532). In conclusion with the rare thymic tumors early stage and complete resection have the highest impact on overall and progression free survival.