• Journal of Korean Neurosurgical Society
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• 제56권6호
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• pp.504-508
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• 2014

A 59-year-old male patient had 5-month history of gait disturbance and memory impairment. His initial brain computed tomography scan showed $3.5{\times}2.8cm$ sized mass with high density in the pineal region. The tumor was hypointense on T2 weighted magnetic resonance images and hyperintense on T1 weighted magnetic resonance images with heterogenous enhancement of central portion. The tumor was totally removed via the occipital transtentorial approach. Black mass was observed in the operation field, and after surgery, histopathological examination confirmed the diagnosis of malignant melanoma. Whole spine magnetic resonance images and whole body 18-fluoro-deoxyglucose positron emission tomography could not demonstrate the primary site of this melanoma. Scrupulous physical examination of his skin and mucosa was done and dark pigmented lesion on his left leg was found, but additional studies including magnetic resonance images and skin biopsy showed negative finding. As a result, final diagnosis of primary pineal malignant melanoma was made. He underwent treatment with the whole brain radiotherapy and extended local boost irradiation without chemotherapy. His preoperative symptoms were disappeared, and no other specific neurological deficits were founded. His follow-up image studies showed no recurrence or distant metastasis until 26 weeks after surgery. Primary pineal malignant melanomas are extremely rare intracranial tumors, and only 17 cases have been reported since 1899. The most recent case report showed favorable outcome by subtotal tumor resection followed by whole brain and extended local irradiation without chemotherapy. Our case is another result to prove that total tumor resection with radiotherapy can be the current optimal treatment for primary malignant melanoma in the pineal region.

• Clinical and Experimental Pediatrics
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• 제54권6호
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• pp.253-259
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• 2011

Purpose: Long-term survivors of childhood cancer appear to have an increased risk for the metabolic syndrome, subsequent type 2 diabetes and cardiovascular disease in adulthood compared to healthy children. The purpose of this study was to investigate the frequency of the metabolic syndrome and associated factors in childhood cancer survivors at a single center in Korea. Methods: We performed a retrospective review of medical records of 98 childhood cancer survivors who were diagnosed and completed anticancer treatment at Samsung Medical Center, Seoul, Korea between Jan. 1996 and Dec. 2007. Parameters of metabolic syndrome were evaluated between Jan. 2008 and Dec. 2009. Clinical and biochemical findings including body fat percentage were analyzed. Results: A total of 19 (19.4%) patients had the metabolic syndrome. The median body fat percentage was 31.5%. The body mass index and waist circumference were positively correlated with the cranial irradiation dose (r=0.38, P<0.001 and r=0.44, P<0.00, respectively). Sixty-one (62.2%) patients had at least one abnormal lipid value. The triglyceride showed significant positive correlation with the body fat percentage (r=0.26, P=0.03). The high density lipoprotein cholesterol showed significant negative correlation with the percent body fat (r=- 0.26, P=0.03). Conclusion: Childhood cancer survivors should have thorough metabolic evaluation including measurement of body fat percentage even if they are not obese. A better understanding of the determinants of the metabolic syndrome during adolescence might provide preventive interventions for improving health outcomes in adulthood.

• Radiation Oncology Journal
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• 제10권1호
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• pp.107-113
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• 1992

4-5MeV의 전자선은 피부표면의 흡수선량을 증가시키고 표면하 10mm 내외에서 급속히 감소함으로 Mycosis fungoides, Kaposi's sarcoma등 전신피부암에 대한 가장적당한 치료방사선으로 알려져왔다. 그러나 평면이 아니고 굴곡이 심한 인체표면에 균일한 선량을 계획하기는 많은 어려움이 있었다. 연세암센터에서는 1980년부터 시행하여왔던 6MeV 전자선의 마름모형, 네방향 조사방법을 개량하고 많은 문헌을 참고하여 상하 양방향의 조사면과 환자위치를 각각 여섯가지 자세로 나누어 조사(Six-Dual-Field)하는 방법을 사용하였으며 이에따른 전신피부표면의 선량과 선량분포를 측정하였다. 선형가속기에서 발생되는 6MeV 전자선을 0.5 cm 두께의 아크릴판으로 감약시키고 콜리메터가 완전히 열린 조사면을 상하 $19^{\circ}$씩 옮기므로서 타겟트에서 3m 거리에 약 $2m{\times}1m$의 균일한선량의 조사면(평탄도 $+3\%$)과 10 mm 내외의 실효깊이 ($80\%$, 선량지점) 및 산란선에 의한 피부표면선량을 증가시킬 수 있었다. 환자는 일부피부가 가려지지 않도록 팔과 다리를 적당한 자세로 고정시키고 전자선을 여섯방향에서 각각 2회씩 상하로 조사시키므로서 피부표면에 균일한 선량분포(표준편차 $5\%$)가 가능하였으며 $80\%$,의 심부율이 $8\~10mm$에서 측정되었다. 모든 측정은 인체등가팬텀과 폴리스틸렌팬텀을 사용하였으며 필름, 평형전리측정기 및 표준전리측정기를 이용하였다. 특히 환자피부표면의 흡수선량분포를 확인하기 위하여 열형광측정기와 반도체측정기를 이용하였으며 $6\~20$개의 소형 측정기를 환자 피부표면에 부착시킨후 전자선 치료과정 동안 피폭 시켜 측정하였고 그결과 차폐된 부위를 제외하고 평균 $10\%$, 이 내의 균일한 선량분포를 얻을수 있었다.

• Clinical and Experimental Reproductive Medicine
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• 제44권4호
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• pp.187-192
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• 2017

Although the survival rate of hematologic malignancies in young patients is very high, cytotoxic therapies such as chemotherapy and total body irradiation therapy can significantly reduce a patient's reproductive capacity and cause irreversible infertility. Early ovarian failure also commonly occurs following additional cancer treatment, bone marrow transplantation, or autologous transplantation. Because the risk of early ovarian failure depends on the patient's circumstances, patients with a hematologic malignancy must consult health professionals regarding fertility preservation before undergoing treatments that can potentially damage their ovaries. While it is widely known that early menopause commonly occurs following breast cancer treatment, there is a lack of reliable study results regarding fertility preservation during hematologic malignancy treatment. Therefore, an in-depth discussion between patients and health professionals about the pros and cons of the various options for fertility preservation is necessary. In this study, we review germ cell toxicity, which occurs during the treatment of hematologic malignancies, and propose guidelines for fertility preservation in younger patients with hematologic malignancies.

• Radiation Oncology Journal
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• 제3권2호
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• pp.163-168
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• 1985

원발성 안구 흑색종은 20세 이상의 성인에서 가장 많이 발생되는 안주의 악성종양이지만 한국에서의 발생빈도는 그리 흔하지 않은 것으로 되어 있다. 안구 흑색종의 치료전에는 문진, 이학적검사, 기본적인 혈액상검사와, 특히 간, 폐, 골에 세심한 주의를 하여야 하며, 그래서 흉부 X-선과 LDH, SGPT, Transpeptidase를 포함한 간기능 검사 등을 시행하여야 하고 만약 임상적으로 증상이 있거나 위의 검사상 비정상적인 소견을 보일 매에는 전신뼈 스캔, 간-지 라 스캔을 시행하여야 한다. 일반적으로 악성 흑색종은 방사선 치료에 대해 치료효과가 나쁜 것으로 알려져 있지만 때로는 총 종양조사선량 $7,000\~8,000 cG/8\~9$주로 매우 빠른 종괴의 감소를 보여 주기도 한다. 그리하여 저자등은 외부방사선조사로 빠른 치료반응을 보인 원발성 안주 흑색종의 치료와 문헌고찰을 보고하는 바이다.

• 대한수의학회지
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• 제43권3호
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• pp.323-331
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• 2003

We performed this study to determine the late biological effect of gamma radiation and effect of Bu-Zhong-Yi-Qi-Tang (BZYQT), a prescription of traditional Oriental medicine, on radiation-induced late biological effect (survival, hematological change, carcinogenesis) of mice irradiated with 3 Gy of gamma-radiation. There were little difference in body weights between normal and irradiated mice. Survival rate were decreased in irradiated mice and the survival rate and mean survival time of the groups treated with BZYQT were far better than the irradiation control group. A significant elevation of total leukocyte or lymphocyte counts was seen at week 4 and 12 of the group treated with BZYQT. Stimulated recovery by the extract from BZYQT was also observed in thrombocyte. Main gross findings of irradiated mice were appeared as enlargement of spleen, thymus and liver, tumorous nodules of lung and cyst or mass of ovary. Microscopically, there were various findings including hematopoietic and lymphoid tumor, lung cancer, ovarian cancer and cancer of other lesions. BZYQT reduced the incidence of tumor development. Further studies are needed to characterize better the protective nature of ingredients and active compounds.

• Journal of Chest Surgery
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• 제2권1호
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• pp.65-72
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• 1969

Superior Vena Cava Syndrome: Dacron and Nylon graft between the left innominate vein and the right atrial appendage. Two cases with typical superior vena cave syndrome treated by by-pass graft between the left innominate vein and the right atrial apepndage were presented. One of them was a 58 year old farmer who suffered from marked swelling of the neck and upper half of body, the other was a 50 years old government employee who had acutely progressive symptoms of superior vena cave obstruction. Both of cases revealed that [1] cubitel venous pressure was markedly increased. [2] tumors were noted in the posterior mediastinum by laminography. [3] preoperative cavogram showed the occlusion of superior vena cava and marked collaterals. Dacron and Nylon graft were inserted between the left innominate vein and the right atrial appendage. Postoperatively, the symptoms were relieved markedly, showing edema free face and decreased cubital venous pressure. Postoperative cavogram showed patent graft. Histologically the first case was diagnosed as squamous cell carcinoma and the second as undifferentiated carcinoma, originated probably from bronchus. Total doses of 3150 r X-ray irradiation and 5000 mg of 5-FU were administered in each cases. The first case expired 11 months postoperatively without recurrence of superior vena cave obstruction symptom and the second case is living now without obstruction signs, 4 months after by-pass operation.

• Advances in Traditional Medicine
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• 제4권3호
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• pp.163-170
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• 2004

The effect of immune activation by Echinacea purpurea was investigated by measuring total immunoglobulin (Ig) G, IgM. and the radioprotective effect of immune activation by Echinacea purpurea was investigated by measuring T lymphocyte subsets in the peripheral blood of mice following whole body irradiation. Echinacea purpurea activated macrophages to stimulate $IFN-{\gamma}$ production in association with the secondary activation of T lymphocytes, resulting in a decrease in IgG and IgM production. Cytokines released from macrophages in mouse peripheral blood after Echinacea purpurea administration activated helper T cells to proliferate. In addition, activated macrophages in association with the secondary T lymphocyte activation increased $IFN-{\gamma}$ production and stimulated proliferation of cytotoxic T cells and suppressor T cells, indicating the activation of cell-mediated immune responses.

• BMB Reports
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• 제36권2호
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• pp.190-195
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• 2003

The Vitamin E (VE) effect was examined on oxidative damage to DNA, lipids, and protein in mice that were fed various levels of lipid diets after total body irradiation (TBI) with X-rays at 2 Gy. No increase of 8-hydroxydeoxyguanosine (8OHdG) by TBI was observed in the +VE group; however, in the case of the -VE group, a significantly higher 8OHdG level was observed in the high-lipid group than in the low- or basal-lipid group. In the groups with TBI, the concentration of thiobarbituric reactive substances (TBARS) only significantly increased in the high-lipid (-VE) group. These changes in TBARS, due to TBI, were not detected in other groups. The contents of protein carbonyls only increased in the (-VE) group. The contents of protein carbonyls was significantly different between the (+VE) and the (-VE) groups, regardless of the lipid levels. The concentrations of GSH, vitamins C and E in the liver were lower, and the concentration of non-heme iron in the liver was higher in the high-lipid group than in the low- and basal-lipid groups. These concentrations in the high-lipid group were significantly different between the (+VE) and the (-VE) groups. These results strongly suggest that mice that are fed a high-lipid diet are susceptible to TBI-induced oxidative damage. Also, decreases in the GSH levels and an increase in the iron level are involved in the mechanism of this susceptibility.

• 한국동물학회지
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• 제8권2호
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• pp.42-46
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• 1965

가물치 (Ophicephalus argus CANTOR) ♂♀를 재료로 하여 두 실험군으로 나누어서 대조군에 부치사량인 25-${\gamma}$의 137Cs-${\gamma}$ 선을 조사하고 실험군에는 250${\gamma}$의 137Cs-${\gamma}$선을 조사 즉후 adrenaline (0.5cc/80g$\pm$18%)을 매일 투여하여 약 23$^{\circ}C$에서 사육하면서 혈청단백질의 전기영동상과 총혈청단백질의 변화를 1, 4, 7, 10 , 13 및 1일구간으로 분리 즉 시일적 경과로 조사하였다. 한편 가물치에서의 ${\gamma}$선 치사량은 310${\gamma}$이다. 1) 양군에서 일반적으로 1, 4, 7, 10 및 13 일구에 현저한 albumin 분설의 감소가 나타났다. 즉 대조군인 adrenaline 비투여 대조군에서 a1 및 a2 globulin 분설의 증가와 실험군이 adrenaline 투여 대조군에서 a1 및 $\beta$-globulin 분설의 증가에 다른 albumin 분설의 감소가 나타났다. 따라서 A/G 비고 역시 시일적 경과에 따라 감소된 치를 나타내었다. 그러나 특히 adrenabine 투여 대조군의 1 일간에서 A/G비가 현저하게 감소의 지체성을 나타내었다. 2) 총혈청단백질량은 양군에서 일반적으로 1, 4 및 7일구에서 현저하게 감소되나 13 미치 16 이구에서 가물치의 정상치로 근접된 치를 나타내었다. 그러나 특히 adrenaline 투여 조사군에서 4 및 7일구에서 현저하게 감소의 지체성을 나타내었다. 3) 상기의 결과로 미루어보다 명백하게 혈청단백질에 미치는 adrenaline 처리의 방어효과가 ${\gamma}$선 조사후 특히 초기상태에서 현저하게 초래된다고 생각도니다.