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A Case Report of Rectal Cancer Treated by Sojukjeongwon-san.

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서 론

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(Tel : 051-880-8810, Fax : 051-867-5162, E-mail : shhong@deu.ac.kr)

신원탁

1

, 권오순, 이재준, 홍상훈

2

A Case Report of Rectal Cancer Treated by Sojukjeongwon-san.

Won-tak Shin

1

, O-sun Kwon, Jae-jun Lee, Sang-hoon Hong

2

1

Department of Internal Medicine, Hospital of Samse Oriental Medicine

2

Department of Internal Medicine, College of Korean Medicine, Dongeui University

Objectives : The purpose of this study was to investigate the effect of Sojukjeongwon-san ( SJJWS) on a rectal cancer patient.

Methods : This clinical case was analyzed on a patient who was admitted on August 11th and discharged on September 7th, 2006. We recordedhis abdominal pain, urine, anal pain, bleeding, mucous stools, frequency and hardness and amount of the stools, weight, lab follow-ups and so on.

Results : After the treatment, the chief complaints of the patient, such as rectal pain, bloody excrement, loss of weight, etc., had improved.

Conclusion : In this study we suggest that SJJWS reduced symptoms for a rectal cancer patient and improved the patient's quality of life.

Key Words : Sojukjeongwon-san , QOL

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06 6 - 00 (Fig. 1)

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3 .

: Specimen received in formalin is a piece of endoscopic biopsied tissue, meas- uring 0.2cm in diameter, Entirely embedded.

Section receasls a few atypical glands with more enlarged, vesicular to hyperchromatic nuclei.

These glands are suspicious for adenocarcinoma.

Colon, 10cm from anal verge, colonoscopic biopsy : suspicious for adenocarcinoma

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2 120cc

3 , 30 .

2) : (LI4), (CV12),

(LR3), (ST36), (TE5) 0.25

×40mm ( ) 1 1

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10.

약재

(Table 1)

(g) A. ovata Koidzumi, A. macrocephala Koidz

Massa medicata Fermenta Cyperus rotundus L Ponciruc trifoliata Rafin Corydalis bungeana Turcz.

Eurycoma longifolia Jack Poria cocos

Citrus Aurantium L. subsp, nobilis markino Citrus Reticulatae Viride Pericarpium

Amomum xanthioides Wallich Hordeum vulgre L

Crataegii Fructus Glycyrrhizae Radix Zingiberis Rhizoma

6 6 6 6 6 6 6 4 4 4 4 4 2.8

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Total 68.8

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결 과

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Date 8/13 14 15 16 17 18 19 20 21

Frequency of stools

(times) 6 3 3 4 3 4 3 7 3

Rectal Pain

(VAS) 5 5 5 5 3 3 4 3 3

Bloody Stools

(times) 3 4 1 1 1 1 3 0 0

Mucous Stools

(times) 5 7 5 5 5 3 5 5 3

Amount of Stools

(frequency) *(6) (3) (3) (4) (3) (1)

(3) (3)

(1) (1) (5)

(1) (2)

Weight

(kg) 54.5 54.5 55 55 56 56 56.5 56.5 56.5

Date 22 24 26 28 30 9/1 3 5 7

Frequency of stools

(times) 5 5 2 5 7 4 3 2 3

Rectal Pain

(VAS) 3 3 3 3 3 3 3 3 3

Bloody Stools

(times) 0 0 0 0 0 0 0 0 0

Mucous Stools

(times) 4 5 4 4 4 3 3 4 0

Amount of Stools

(frequency) (2) (1)

(4) (2) (5) (7) (2)

(2) (3) (1)

(1)

(2) (1) Weight

(kg) 56.5 56.5 56.5 56.5 56.5 56.5 56.5 56.5 56.5

* Amount of stool (less than 50cc) (between 50~150cc) (more than 150cc)

(5)

,

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. (Table 2)

1.

복통 및 복부 이물감

.

2.

소변

.

3.

항문통

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0~10 VAS .

5 8

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2006 8 13 9 7

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10cm 2006 6 3

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5 56kg

56.5kg 56.5kg

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5 5 3

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2007 9 11

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, 2007 8 1 colostomy .

결 론

, , Quality of

Life

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CT follow up .

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(8)

참고문헌

1. . .

2004; 10 1 p. 397-401 2. .

. 2003

3. .

proctocol . 2000.

4. Juree Kim, M.D., Seung Chang Sohn, M.D.

. 2002; 23 3

p. 427-34

5. Cohen AM, Mincky BD, Friedman MA.

Rectal cancer. In:Delvita VT, Hellman S, Rosenberg SA, eds. Cancer: Principle and Practice of Oncology. 1993;4th ed.

6. . .

1995.

7. . , ,

1990;p. 558

8. . , ,

1992; p. 88-95

9. . 40 , , . 1981;

p. 191-3

10. Bond JH. Colorectal cancer update(prevention, screening, treatment, and surveillance for high-rick groups). Med Clin North Am 2000;84:p. 1168-81

11. Cunningham C. Dulop MG. Molecular genetic basis of colorectal cancer suspetibility. Br J Surg 1996;83, p. 321-9

12. .

. 2003

13. Wolmark N, Fisher B, Wieand S : The prognostic significance of preoperative carcin- oembryonic antigen levels in colorectal cancer.

Ann Surg 1984; 199:p. 375-8

14. National Institre of Health Consensus Develo- pment Conference. Carcinoembryonic antigen.

Its role as marker in the management of cancer. Ann Inter Med 1981; 94:p. 407-9 15. Summary of an NIH consensus statement.

Carcinoembryonic antigen: Its role as a marker in the management of cancer. Br Med J 1981;

282:p. 373-7

16. . Steps to Internal

Medicine .

2002; p. 150-5

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