• Title/Summary/Keyword: 종양 침습

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Endoscopic Therapy for Pancreatic Benign Neoplasms (췌장 양성 종양의 내시경적 치료)

  • Hwang, Jun Seong;Ko, Sung Woo
    • Journal of Digestive Cancer Reports
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    • v.9 no.1
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    • pp.25-32
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    • 2021
  • Since Endoscopic ultrasound (EUS) was introduced in the 1980s, EUS has evolved from a diagnostic tool to a therapeutic modality for patients with pancreatic neoplasms. Traditionally, treatment policy of pancreatic benign neoplasms (PBN) has been a dichotomous approach to observation or surgery. However, EUS guided treatment provides an alternative option with minimally invasiveness for patients with PBN. This review aimed to provide the role of EUS guided treatment for PBN.

Treatment of Osteoid Osteoma with Radio-frequency - A case report - (유골 골종의 경피적 고주파 파괴술 - 1례 보고-)

  • Seo, Jai-Gon;Kim, Jee-Hyoung;Ahn, Choong-Mo
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.1
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    • pp.35-40
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    • 2000
  • We report the radio-frequency ablation technique applied on an osteoid osteoma under CT guide and review other new methods of treatment for the osteoid osteoma. An 18-year-old boy with an osteoid osteoma at the left proximal tibia, which was visible at plain film and MRI. He was treated by the percutaneous radio-frequency ablation technique under CT guide after a needle biopsy. He is free from any symptom and able to do daily activities. So, we proposed that the percutaneous radio-frequency ablation technique under CT guide is the effective and safe treatment method for an osteoid osteoma.

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Analysis of (-)-Epigallocatechin-3-Gallate-Induced Apoptosis and Inhibition of Invasiveness in Oral Cavity Carcinoma Squamous Cell Carcinoma According to Expression of c-Met (구강암편평세포암에서 c-Met 발현여부에 따른 (-)-Epigallocatechin-3-Gallate의 세포사멸 및 종양침습억제효과의 변화분석)

  • Shin, Yoo-Seob;Koh, Yoon-Woo;Choi, Eun-Chang;Kang, Sung-Un;Hwang, Hye-Sook;Choo, Oak-Sung;Lee, Han-Bin;Kim, Chul-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.1
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    • pp.3-11
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    • 2011
  • Hepatocyte growth factor(HGF) and c-Met play an important role in the control of tumor growth and invasion, and they are known to be good prognostic indicators of patient outcome. Epigallocatechin-3-gallate (EGCG) has been shown to have chemopreventive and therapeutic properties by modulating multiple signal pathways regarding the control of proliferation and invasion of cells. In this study, we evaluated the role of c-Met in EGCG-induced inhibition of invasion and apoptosis in an oral cancer cell line. In KB cells where c-Met was knocked down with siRNA, we performed invasion assay and FACS with Annexin V-FITC/PT staining. In addition, we checked the change of mitochondrial membrane potential(MMP) and the generation of reactive oxygen species(ROS). EGCG-induced inhibition of invasiveness was significantly decreased after the knock-down of c-Met. EGCG-induced apoptosis, MMP change and ROS generation was also reduced in c-Met knock-ed-down KB cells. These results suggest that c-Met is involved in EGCG-induced apoptosis and inhibition of invasiveness of oral cancer cell line.

Microwave Radiometry for functional Diagnosis of Biological tissue (생체 기능적 진단을 위한 Microwave Radiometry의 응용)

  • Lee, J.W.;Kim, K.S.;Lee, S.M.;Yoon, G.
    • Proceedings of the KIEE Conference
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    • 2000.11d
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    • pp.845-847
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    • 2000
  • 깊은 생체 조직에서 전자기 에너지의 일부가 피부로 전달되는데, 이때 생체 내부에서 피부로 전달되는 전자기 에너지의 세기는, 주파수 대역과 전자기파를 흡수, 반사, 투과시키는 인체의 매질에 따라 다르다. Microwave Radiometry는 인체 내부 조직에서 방출되는 1-6 GHz 대역의 전자기 에너지 일부를 피부 표면에서 측정하여 일정한 체적내의 인체 내부 온도 평균온도를 추정하는 방법이다. 이러한 Radiometry로 암이나 종양 등의 이상 조직을 진단하는 의학적 가설은, 암이 진행시 악성 종양의 세포의 신진대사가 정상 세포보다 활발하게 되고 또한 종양 세포 주위로 혈액의 유입이 증가하게되어, 주위의 정상 세포 보다 열을 보다 더 방출하는 데 있다. 이때 발생된 열은 일정한 주파수 대역의 마이크로파 에너지를 방출하게 되고, 이에 Radiometry로 인체에 무해하고(passive), 비침습적(non-invasive), 방사능의 영향이 없는 (non-ionizing) 방법으로 인체 내부에서 전달되는 전자기 에너지 강도를 측정하여 종양 부위와 주위 정상부위의 온도 차이를 추정 의학진단에 응용할 수 있다. 본 논문에서는 이러한 Microwave Radiometry의 의학적 응용과 생리학적 특성을 고려한 인체모델용 팬텀에 대하여 살펴본다.

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Resistance to Cisplatin Renders High Metastatic Potential in Human Non-Small Cell Lung Cancer Cell Line (Cisplatin 내성을 보이는 비소세포폐암 세포주에서의 전이 능력 증가)

  • 차대원;김진국;손동섭;조대윤;양기민
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.377-385
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    • 2001
  • 배경: Cisplain과 같은 세포돗성 약제에 대한 내성은 폐암 치료 실패의 중요한 원인이다. 이러한 항암제에 대한 내성의 발생기전은 복잡하고 아직 완전히 알려져 있지 않지만 불량한 예후의 원인으로 생각된다. 특히 약제 내성이 발생한 환자의 경우 기존의 종양의 급속한 성장뿐 아니라 새로운 전이 병소가 급속히 발생 및 진단됨은 약제 내성을 가진 종양이 전이에의 용이성을 획득하는게 아닌가 의심케한다. 이를 규명하기 위해 Cisplatin에 내성을 지닌 비소세포폐암 세포주 H460/CISm이 전이 능력을 Cisplatin에 민감한 비소세포폐암 세로주 H460과 비교하고자 한다. 대상 및 방법: 약제 내성 세포주를 확보하기 위하여 H460세포에 cisplatin을 점차적으로 증가시켜 처리한 후 배양하였다. H460 세포와 H460/CIS 세로에서의 혈관신생인자와 성장관련인 자의 발현양상, gelatin zymography 분석 그리고 in vivo 실험으로 nude 마우스에서의 자발적 전이 능력의 차이를 비교하였다. 결과: H460 세포를 이식한 마우스에 폐에서는 종양이 형성되지 않았으나 H460/CIS세포를 이식한 마우스 10마리중 8마리에서 종양이 형성되었다. 또한 H460/CIS 세포주에서 전이 관련 유전자로 알려진 angiopoietin-1, vascular endothelial growth factor, basic fibroblast growth factor, matrix metalloproteinase 2 등이 더 발현되었고, 전이의 침습성을 유발하는 gelatinase의 활성이 증가된 것을 확인할 수 있었다. 결론: 본 여구 결과를 통해 cisplatin에 내성을 가진 비소세포폐암세포에서 전이 능력이 증가될 수 있다고 여겨지며 이러한 사실을 토대로 초기 비소세포폐암 환자의 수술 전 항암약물요법의 타당성에 대해서 이야기 하기 위해서는 많은 임상적 연구가 필요하리라 생각된다.

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Extracorporeal High Intensity Focused Ultrasound Therapy (체외강력집속초음파치료)

  • Han, Sang-Suk
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.17-24
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    • 2005
  • Local treatment for tumors has developed from extended radical surgery to function preserving surgery on the basis of modern biology. With the development of minimally invasive technique, it changed to be minimal-invasive surgery. And nowadays technical revolution made non-invasive surgery possible with appearance of several kinds of non-surgical knives such as gamma knife, cyber knife, and HIFU (high intensity focused ultrasound) knife. In this article, history, HIFU machine and treatment procedure, histological change and its mechanism, clinical applications, advantage, disadvantage, and future prospect of extracorporeal high intensity focused ultrasound therapy using HIFU knife will be reviewed.

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Primary Cardiac Lipoma Combined with Chest Pain Like Angina Pectoris (협심증 증상을 동반한 심낭내 원발성 지방종)

  • Kim Jung-Tae;Oh Tae-Yoon;Chang Woon-Ha
    • Journal of Chest Surgery
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    • v.39 no.4 s.261
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    • pp.320-322
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    • 2006
  • A 60-year-old male was admitted because of dyspnea and angina like chest pain. Noninvasive findings showed a mass at the posterior aspect of the left atrium. The mass was removed under cardiopulmonary bypass. An encapsulated adipose mass, which originated from the left atrium without any invasion to the pericardium, was completely excised. Histological examination showed mature adipose tissue with partial necrosis, confirming the diagnosis of lipoma. We report a rare of case of massive left atrial lipoma occupying the pericardial space.

Ectopic Cervical Thymic Tumor Misdiagnosed as a Thyroid Mass (갑상선 종괴로 오인된 이소성 경부 흉선 종양)

  • Kim Jin-Soo;Chung Woung-Yoon;Hong Soon-Won;Yoon Jong-Ho;Chang Hang-Seok;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.1
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    • pp.75-79
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    • 2003
  • Ectopic cervical thymic tumor, first described in 1941 by Boman, is a rare tumor of the neck displaying the same histologic features as mediastinal thymoma. It was classified into benign thymoma, invasive (or malignant) thymoma, thymic carcinoma histopathologically and clinically. The ectopic cervical thymic tumor is misdianosed as the thyroidal mass on radiologic examination and FNA cytology due to its rarity and unusual location. Recently, we have experienced two cases of ectopic cervical thymic tumor misdiagnosed as thyroid mass ; a case of thymic carcinoma;the other of invasive thymoma. So, we report these cases with review of the literature.

A Case of Intraductal Papillary Neoplasm of the Bile Duct with 8 Years of Follow Up (담관의 관내 유두상 종양에서 발생한 간 내 담관암 1예: 8년 간의 경과관찰)

  • Hye Kyung Jeon;Dong Uk Kim
    • Journal of Digestive Cancer Research
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    • v.2 no.2
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    • pp.78-81
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    • 2014
  • Intraductal papillary neoplasm of the bile duct (IPN-B) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. It has better prognosis because of slow disease progression and high probability of early diagnosis, but also has potential for malignant transformation. Therefore early treatment such as surgical resection has been recommended. There are few reports about nature course of IPN-B without treatment. We report a case of papillary adenoma of intrahepatic duct that transformed into intrahepatic cholangiocarcinoma with 8 years of follow up.

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Minimally Invasive Surgery for Esophageal Cancer (식도암에 대한 최소 침습수술)

  • Ryu Kyong Min;Jung Yo Chun;Cho Suk Ki;Jin Sung Hoon;Sung Sook Whan;Park Do Joong;Kim Hyung-Ho;Jheon Sanghoon
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.255-259
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    • 2006
  • The operation for esophageal cancer is both complex and challenging, and may be associated with significant morbidity and mortality compared to other oncologic surgeries. Minimally invasive surgeries have been applied on various kinds of surgery to enhance better recovery with minimal surgical complications. But for the esophageal cancer, it has not been actively applied yet. With improvement in instrumentations and increasing experience with endoscopic surgical techniques, minimally invasive surgical approaches to esophageal cancer are being explored to determine feasibility, results and potential advantages. We experienced eight cases of minimally invasive surgery for esophageal cancer and report here focusing on surgical techniques and tips.