• Journal of Chest Surgery
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• 제26권9호
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• pp.686-695
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• 1993

A total of eighty one patients with resected stage II and IIIA non-small cell lung cancer treated with postoperative adjuvant radiation therapy between Jan. 1971 and Dec. 1990 were retrospectively analysed to evaluate whether postoperative radiation therapy improves survival. Patterns of failure and prognostic factors were also analysed. The 5 year overall and disease free survival rate were 40.5%, 43.4% and median survival 30 months. The 5 year actuarial survival rates by stage II and IIIA were 53.9% and 36.2%. Loco-regional failure rate was 14.7% and distant metastasis rate was 33.3% and both 4%. Statistically significant prognostic factor affecting survival was presence of mediastinal lymph node metastasis[N2]. This retrospective study suggests that postoperative radiation therapy in resected stage II and IIIA non-small cell lung cancer can reduce loco-regional recurrence and may improve survival rate as compared with other studies which were treated by surgery alone.

• Journal of Chest Surgery
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• 제33권1호
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• pp.68-72
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• 2000

Background: The resection of recurrent non-small cell lung cancer can be performed very rarely. There has been many arguments for longterm result and therapeutic role in surgical management of recurrent non-small cell lung cancer(NSCLC). We analyze our result of surgical re-resection of recurrent NSCLC for 10 years retrospectively. Material and Method: In the period from 1987 to 1997, 702 patients who had been confirmed for NSCLC had undergone complete resection in Seoul National University Hospital. As December 1997, 22 of these patients have been operated on the diagnosis of recurrent lung cancer. In these patients one has revealed for benign nodule at postoperative pathologic pathologic was unresectable. and two had revealed other cell type on postoperative pathologic examination. Analysis about postoperative survival rate and the factors that influence postoperative survival rate - sex, age, pathologic stage, cell type, operation adjuvant therapy after first and second operation location of recurrence disease free survival-was 59.1$\pm$10.9 year. There were 14 men and 3 women. Four patients was received radiation therpy after first opration and two patients was received postoperative chemotherapy. At first operation 2 patients was stage Ia, 8 was stage Ib, 1 was stage IIa 6 was stage IIb. Eleven patients had squamous. cell carcinoma at postoperatrive pathologic examination five had adenocarcinoma and one had bronchioalveolar carcinoma. In second operation 8 patients were received limited resection. 9 were received lobectomy or pneumonectomy. One-year survival rate was 82.4% and five-year survival rate was 58.2% Non-adjuvant therapy group after initial operation was more survived than adjuvant therapy group statistically. Conclusion: operation was more survived than adjuvant therapy group statistically. Conclusion : Operation was feasible treatment modality for re-resectable non-small cell lung cancer. But we cannot rule out possibility of double primary lung cancer for them. Postoperative prognostic factor was adjuvant therapy or nor after first oepration but further study of large scale is needed for stastically more valuable result.

• 동국한의학연구소논문집
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• 제9권
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• pp.139-154
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• 2000

한약재(韓藥材)의 암치료(癌治療)에 응용(應用) 가능성(可能性)을 연구(硏究)한 23종(種)의 논문(論文)을 대상(對象)으로 하여 문헌적(文獻的)으로 고찰(考察)한 바, 한의학(韓醫學)에서는 청열해독(淸熱解毒), 소종지혈(消腫止血), 활혈화어(活血化瘀), 이기보비양혈(理氣補脾養血), 화담연견(化痰軟堅), 건비화습(健脾化濕), 이기산결(理氣散結)하는 한약재(韓藥材)를 이용하여 부정법(扶正法), 거사법(祛邪法), 부정거사법(扶正祛邪法)으로써 암치료(癌治療)에 응용(應用)하고 있으며, 실험(實驗)에 사용(使用)된 약물(藥物)은 총(總) 103종(種)으로 이 중(中)에서 어성초(魚腥草), 저령, 천산갑(穿山甲), 오수유(吳茱萸), 목향(木香), 흑축(黑丑) 등의 항암효과(抗癌效果)가 우수(憂愁)한 것으로 나타났는데, 특히 어성초(魚腥草)는 암세포주(癌細胞柱)에 대한 감수성(感受性)도 높게 나타났지만 정상세포(正常細胞)에 대한 억제효과(抑制效果)는 낮게 나타났고, 오수유(吳茱萸), 목향(木香), 흑축(黑丑)은 20여종의 암세포주(癌細胞柱)에 모두 높은 세포독성(細胞毒性)이 나타났으며, 삼백초(三白草)는 HT-29, melanoma, SK-MEL-5에, 지모(知母)는 난소암(卵巢癌) 세포주(細胞柱)에, 형개(荊芥)는 HT-29 세포주(細胞柱)에 특히 높은 활성(活性)을 보였다. 또한 실험(實驗)에 사용된 암세포주(癌細胞柱) 중에서 생쥐 유래의 P815, Yac-1 세포주(細胞柱)와 사람의 Sarcoma 180, K562, SNU-1 세포주(細胞柱)가 가장 다용(多用)되었다.

• Radiation Oncology Journal
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• 제3권1호
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• pp.51-58
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• 1985

외음부에서 발생하는 악성종양은 부인과 영역의 악성종양 중에서는 드물게 발생하는 것으로 알려져 있으며 치료에 있어서도 수술 또는 방사선치료 단독의 경우보다는 수술 후 보조적으로 방사선 치료를 시행하는 것이 더 효과적이고 치료율도 높은 것으로 알려져 있다. 이에 1971년 1월부터 1985년 4월 사이에 연세대학교 의과대학 치료방사선과에서 외음부 악성 종양으로 진단되어 방사선 치료를 받았던 15예에 대하여 후향성 분석을 시행한 바 다음과 같은 결과를 얻었기에 보고하는 바이다. 1. 15예의 외음부 종양 환자 중 4예는 수술요법 시행 후 보조적요법의 방사선 치료를 받았으며, 1예는 수술전 방사선 치료를 받았고, 나머지 10예는 근치적 목적의 방사선 치료를 받았다. 2. 방사선치료만을 시행한 군과 방사선치료 및 수술요법을 병행한 군과의 국소제어율을 비교하여 본 결과, 전 15예의 국소제어율은 $53\%(8/15)$였으며, 단지 방사선 치료만을 시행한 군에서는 $40\%$(4/10), 방사선 치료 및 수술요법을 병행한 군에서는 $80\%(4/5)$의 국소제어율을 보였다. 3. 치료 실패율은(국소적 잔존+국소재발 또는 원격전이) 단지 방사선 치료만을 시행한 군에서는 $70\%(7/10)$, 수술 후 방사선 치료를 시행한 군에서는$40\%(2/5)$의 성적을 보였으며, 치료실패 호발부위는 원발병소(외음부)였다.

• Tuberculosis and Respiratory Diseases
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• 제57권5호
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• pp.465-469
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• 2004

저자들은 패혈증이나 혈액응고장애가 이상이 없는 소방이 형성된 흉막삼출 환자에서 비교적 안전한 것으로 알려진 urokinase의 주입 후에 발생한 혈흉과 이로 인한 hypovolemic shock을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.