| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
|---|---|---|---|
| 설명 | 자궁이란 태아가 수태되어서 분만전까지 발육하고 성장하는 공간이다. 자궁속에 병변이 있어 임신이 계속될 수 없거나 아니면 다른 이유로 임신되어 있는 태아를 제거하고자 할 경우에 사용되는 방법이다. 여기서 긁어내기 위하여는 우선 자궁의 입구에 해당하는 자궁목을 확장시켜야 한다. 여기에는 급속히 확장을 시도하는 법과 서서히 확장을 시도하는 2가지 방법이 있다. 자궁목을 급속히 확장할 때는 헤가르 목관확장기(Hegar's dilatator)를 사용한다. 이것은 작은 금속막대로 작은 크기부터 큰 크기까지 다양한 크기가 있어서 우선 작은 막대로 시작하여 점점 큰 크기의 막대를 자궁목에 넣어서 자궁목을 확장시킨다. 서서히 확장시킬 때는 Laminaria tent를 목관에 삽입하는 방법을 사용한다. Laminaria tent란 해초로 만든 작은 막대로 수분을 흡수하면 점점 늘어나는 성질이 있다. 이것을 자궁의 목에 넣으면 이것이 수분을 흡수하여 늘어나므로 천천히 자궁의 목이 늘어난다. 자궁목이 충분히 늘어나면 그 속으로 끝이 숟가락처럼 생긴 기구를 넣어서 자궁속의 병변이나 임신된 태아를 긁어내는데 여기에 사용되는 숟가락처럼 생긴 기구를 큐렛이라고 한다. 초기 임신중절 즉 유산과 같은 임신과 관련된 경우뿐만 아니라, 비임신 자궁의 자궁내막조직의 채취 및 제거를 위해서도 행해지는 수기이다. 이는 원칙적으로 마취하에 실시되는 것으로 자궁목관을 확장하고 기구로 자궁 내용물을 제거하고 큐렛으로 자궁내벽을 깨끗이 한다. 자궁천공이나 자궁목의 파열 등의 위험이 따르며, 수술후 감염 또는 출혈 등에 대한 주의가 필요하다. |
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| 영문 | TNM staging system | 한글 | 종양병기분류계통 |
|---|---|---|---|
| 설명 | 종양의 병기(stage)를 결정하는 한 방법. T는 Tumor(종양)를 뜻하며 원발병터의 크기, 주위조직으로의 침윤정도 등에 따라 T1, T2, T3, T4(숫자가 높을 수록 주위로 침윤이 많다) 등으로 나눈다. N은 Node(림프절)를 뜻하며 침범된 림프절의 갯수, 크기, 위치 등에 따라 N1, N2, N3 등으로 나눈다. M은 Metastasis(전이)를 뜻하며 원격전이의 유무에 따라 M0, M1 등으로 나눈다. 이상의 방법으로 T, N, M이 결정되면 이들을 조합하여 최종적인 병기를 결정한다. 이렇게 결정된 병기는 치료 방침 결정과 예후 판단에 매우 중요하다. |
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| 영문 | staging of tumors | 한글 | 종양의 병기 |
|---|---|---|---|
| 설명 | 병기는 종양의 파급정도 및 위험성을 일정한 기준에 의해 표시하는 방법으로서 임상적, 외과적, 병리학적인 방법에 의해 실시하여 평가한다. 병기의 구체적 목적은 치료의 계획을 세우는데 도움이 되고, 예후에 대한 지침을 제시하는 데 있다. 또한, 치료의 결과를 평가하는데 도움이 되어서, 치료후 서로 정보교환을 용이하게 하여 보다 나은 치료계획수립에 중요하다. 1)해부학적 병기(anatomic stage): 일반적으로 TMN분류를 사용한다. 질병의 침범 범위를 세 부분으로 표시함. T항목: 종양의 일차성 침범 범위를 표시하며 흔히 종양의 크기, 침범의 깊이, 표면 전파 등의 세 가지 형태에 기초를 둠. N항목: 종양의 이차성 또는 림프절 침범 범위를 표시하며 림프절의 크기, 경도, 숫자 등에 기초를 둠. M항목: 종양의 전이, 즉 혈관성 침범 범위를 표시하며 일반적으로 중요한 것은 전이의 정도가 아니라 전이의 유무임. 2) 조직학적 분류: 현미경적 소견에 의해 암세포의 악성 정도를 표시하며 특히 연조직육종의 예후에 중요함. 또 난소, 고환 종양 등은 병리조직학적 분류에 따라 치료방법이 다르며 호지킨병과 비호지킨림프종의 구분에도 중요함. |
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| TNM staging System | standard Tumor, NOde & Metastasis staging system |
|---|---|
| SCII | Strong-Campbell Interest Inventory |
| pTNM | TNM staging of tumors as determined by correlation of clinical, pathologic, and residual findings |
| ISS | International Staging System |
| AJCCS | American Joint Committee on Cancer Staging |
| INSS | International Neuroblastoma Staging System |
|---|---|
| SAX | Strong anion-exchange |
| SCX | Strong cation-exchange |
| SID | strong ions difference |
acute angle
| Jewett and Strong staging | Staging of bladder carcinoma: O, noninvasive; A, with submucosal invasion; B, with muscle invasion; C, with invasion of perivascular fat; D, with lymph node metastasis. (05 Mar 2000) |
|---|
| Jewett, Hugh | <person> U.S. Urologist, 1903-1990. See: Jewett sound, Jewett and Strong staging. (05 Mar 2000) |
|---|---|
| Jewett sound | A short straight sound for dilating the anterior urethra. (05 Mar 2000) |
| strong | 1. Having active physical power, or great physical power to act; having a power of exerting great bodily force; vigorous. "That our oxen may be strong to labour." (Ps. Cxliv. 14) "Orses the strong to greater strength must yield." (Dryden) 2. Having passive physical power; having ability to bear or endure; firm; hale; sound; robust; as, a strong constitution; strong health. 3. Solid; tough; not easily broken or injured; able to withstand violence; able to sustain attacks; not easily subdued or taken; as, a strong beam; a strong rock; a strong fortress or town. 4. Having great military or naval force; powerful; as, a strong army or fleet; a nation strong at sea. 5. Having great wealth, means, or resources; as, a strong house, or company of merchants. 6. Reaching a certain degree or limit in respect to strength or numbers; as, an army ten thousand strong. 7. Moving with rapidity or force; violent; forcible; impetuous; as, a strong current of water or wind; the wind was strong from the northeast; a strong tide. 8. Adapted to make a deep or effectual impression on the mind or imagination; striking or superior of the kind; powerful; forcible; cogent; as, a strong argument; strong reasons; strong evidence; a strong example; strong language. 9. Ardent; eager; zealous; earnestly engaged; as, a strong partisan; a strong Whig or Tory. "Her mother, ever strong against that match." (Shak) 10. Having virtues of great efficacy; or, having a particular quality in a great degree; as, a strong powder or tincture; a strong decoction; strong tea or coffee. 11. Full of spirit; containing a large proportion of alcohol; intoxicating; as, strong liquors. 12. Affecting any sense powerfully; as, strong light, colours, etc.; a strong flavor of onions; a strong scent. 13. Solid; nourishing; as, strong meat. 14. Well established; firm; not easily overthrown or altered; as, a strong custom; a strong belief. 15. Violent; vehement; earnest; ardent. "He had offered up prayers and supplications with strong crying and tears." (Heb. V. 7) 16. Having great force, vigor, power, or the like, as the mind, intellect, or any faculty; as, a man of a strong mind, memory, judgment, or imagination. "I was stronger in prophecy than in criticism." (Dryden) 17. Vigorous; effective; forcible; powerful. "Like her sweet voice is thy harmonious song, As high, as sweet, as easy, and as strong." (E. Smith) 18. Tending to higher prices; rising; as, a strong market. 19. Pertaining to, or designating, a verb which forms its preterit (imperfect) by a variation in the root vowel, and the past participle (usually) by the addition of -en (with or without a change of the root vowel); as in the verbs strive, strove, striven; break, broke, broken; drink, drank, drunk. Opposed to weak, or regular. See Weak. Applied to forms in Anglo-Saxon, etc, which retain the old declensional endings. In the Teutonic languages the vowel stems have held the original endings most firmly, and are called strong; the stems in -n are called weak other constant stems conform, or are irregular. Strong conjugation, the conjugation of a strong verb; called also old, or irregular, conjugation, and distinguished from the weak, or regular, conjugation. Strong is often used in the formation of self-explaining compounds; as, strong-backed, strong-based, strong-bodied, strong-coloured, strong-fisted, strong-handed, strong-ribbed, strong-smelling, strong-voiced, etc. Synonym: Vigorous, powerful, stout, solid, firm, hardy, muscular, forcible, cogent, valid. See Robust. Origin: AS. Strang, strong; akin to D. & G. Streng strict, rigorous, OHG. Strengi strong, brave, harsh, Icel. Strangr strong, severe, Dan. Streng, Sw. Strang strict, severe. Cf. Strength, Stretch, String. Source: Websters Dictionary (01 Mar 1998) |
| Strong, Edward K Jr | <person> U.S. Psychologist, *1884. See: Strong vocational interest test. (05 Mar 2000) |
| strong silver protein | A compound of sil'ver and protein containing not less than 7.5 and not more than 8.5% of sil'ver; used externally as an antiseptic, devoid of astringent and nearly so of irritant properties. (05 Mar 2000) |
| Strong vocational interest test | A test that matches an individual's specific likes, dislikes, and interests to those characteristic of persons working in each of a number of vocations. (05 Mar 2000) |
| strong-water | 1. An acid. 2. Distilled or ardent spirits; intoxicating liquor. Source: Websters Dictionary (01 Mar 1998) |
| avascular necrosis staging | <radiology> Stage CT/X-ray bone scan I - cold/hot spot II sclerotic focus with osteopenic ring III crescent sign (subchondral lucency) IV articular collapse flattening of femoral head sensitivity 86% 78% specificity 79% 75% see also: avascular necrosis (AVN) (12 Dec 1998) |
| malignant melanoma: staging | <radiology> Clark staging: level I: all tumour cells above basement membrane (in situ), level II: tumour extends to papillary dermis, level III: tumour extends to interface between papillary and reticular dermis, level IV: tumour extends between bundles of collagen of reticular dermis, level V: tumour invasion of sucutaneous tissue (87% metastases) Breslow staging: thin: less than 0.75 mm depth of invasion, intermediate: 0.76 - 3.99 mm depth of invasion, thick: greater than 4 mm depth of invasion see: malignant melanoma (12 Dec 1998) |
| renal adenocarcinoma: staging | <radiology> Typical presentation: Haematuria . . . . . 70% Fever . . . . . . . 16% Pain . . . . . . . . 50% Polycythemia . . . . 3% Palpable mass . . . 20% Anatomic staging (TNM): T1 Small tumour, kidney not enlarged T2 Large tumour, contained within renal capsule T3 Extension into perinephric fat or renal vein T4 Invasion of adjacent organs (12 Dec 1998) |
| staging | Staging of breast cancer is based on the TNM Classification which classifies the size, site and spread of the disease.Therapeutic decisions are formulated in part according to staging (they are formulated primarily according to lymph node status and ER and PR receptor levels in the tumourous tissue, refer definition of ER and PR in this dictionary). The numbers I, II, III and IV are used to denote the stages and each number refers to a possible combination of TNM factors. For example: a Stage I breast cancer is defined by the TMN group: T1, N0, M0 which mean:T1 - Tumour is 2cm or less in diameter, N0 - No regional lymph node metastasis, M0 - No distant metastasis. A complete outline of TMN and Staging is available from PDQ, for which refer to the resource centre's listing of information services. (16 Dec 1997) |
| neoplasm staging | Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. (12 Dec 1998) |
| TNM staging | A system of clinicopathologic evaluation of tumours based on the extent of tumour involvement at the primary site (T, followed by a number indicating size and depth of invasion), and lymph node involvement (N) and metastasis (M) each followed by a number starting at 0 for no evident metastasis; numbers used depend on the organ involved and influence the prognosis and choice of treatment. (05 Mar 2000) |
| abstracting and indexing | Shortening or summarizing of documents; assigning of descriptors for referencing documents. (12 Dec 1998) |
| academies and institutes | Organizations representing specialised fields which are accepted as authoritative; may be non-governmental, university or an independent research organization, e.g., national academy of sciences, brookings institution, etc. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|