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홍차넷
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티타임
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- 다양한 주제에 대해 자유롭게 글을 작성하는 게시판입니다.
Warning: Use of undefined constant use_formmail - assumed 'use_formmail' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 519
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전체기타일상/생각꿀팁/강좌방송/연예도서/문학영화의료/건강문화/예술경제생활체육과학/기술철학/종교정치요리/음식역사여행육아/가정IT/컴퓨터음악창작게임스포츠사회오프모임
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| Date |
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 53 15/08/18 00:27:29 Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 56 |
| Name | 세상의빛 |
| Subject | 하기 싫은 이야기 |
|
안녕하세요. 오랜만에 글 올립니다. 저번에 검진에 대한 글을 쓰고 기약 없이 시간만 보냈었는데, 이것저것 하느라 바빴습니다. 네. 핑계죠. 게으른 저를 반성합니다. 얼마 전의 일입니다. 64세의 여자 분이고, 우리 병원에서 검진을 받으셨습니다. 요새 몸이 이상이 있는 것 같아 궁금해서 검진을 받게 되었다고 말씀하시는 그 분은 수수한 옷차림이었지만 기품이 있으신 분이었습니다. 평소 주 3회 피트니스 센터에서 운동을 하며, 주말에는 골프를 즐기시는 분으로 평소 건강에는 자신 있었는데 12개월 전 당뇨병을 진단받고 나서는 몸이 이상해졌다고 합니다. 어떤 점이 이상해지셨냐고 여쭤보니 체중이 8Kg 빠지고, 혈당 조절이 잘 안된다고 합니다. 당뇨병이 있으면 체중이 빠지고 혈당 조절도 잘 안 될 수도 있다고 말씀드리니, 그 정도는 이제 본인도 잘 아니까 혹시 다른 원인은 없을까 물어보시더군요. 몇 가지 가능한 원인을 말씀드리고 검사 결과를 보자고 하였습니다. 그 후 일주일이 지나고, 전공의 선생님이 검진 결과 판정을 봐달라고 해서 보던 중 cancer list에 ‘pancreatic cancer(췌장암)’가 쓰여 있던 것을 확인했습니다. 그리고 환자 명을 보니 그 분이더군요. 보통 검진 중 발견되는 암은 대부분 ‘조기 위암’이 대부분이고, 그 다음은 ‘진행성 위암’,‘대장암’, ‘갑상선암’ 등이 뒤를 따르는 편이죠. 물론 검진센터 별로 차이는 있습니다. 하지만 췌장암은 그렇게 흔하지는 않지만 잊을 만하면 튀어나오는 녀석입니다. 그리고 검진하는 의사 입장에서는 가장 골치 아픈 질환이기도 하죠. 건강 검진의 목적 중의 하나는 암의 조기 진단입니다. 빨리 발견하여 치료함으로써 높은 생존율의 향상을 기대하는 것이죠. 조기 암이라는 명칭이 붙으려면 발견된 암에 대하여 적절한 치료를 제공하면 5년 생존율이 적어도 80-90% 정도는 기대되어야 합니다. 근데 췌장암의 5년 생존율은 5% 미만입니다. 또한 현재까지 췌장암에 대한 유일한 치료는 수술적 완전 절제 뿐인데, 수술을 받은 환자도 5년 생존율이 30%을 넘지 못합니다. 조기 위암 혹은 조기 대장암과 같이 좋은 예후를 보이는 조기 췌장암을 임상적으로 정의할 수 없는 문제가 있는 것이죠. 문제는 이 뿐만이 아닙니다. 췌장암을 조기에 진단할 수 있는 적절한 검사방법이 없습니다. 더 정확히 말하면 선별검사(screening test)로 쓰일만한 검사가 없습니다. CT, MRI, MRCP(자기공명 췌담관 조영술), EUS(내시경 초음파) 등 여러 검사 방법이 연구되었지만 아직까지 선별검사에 적합한 검사는 없는 실정입니다. 위암과 대장암에서 내시경이라는 훌륭한 도구가 있는 것과는 정반대의 상황이죠. 다시 환자 분 이야기로 돌아가면, 전화로 검진 결과를 상담하기로 했던 환자 분은 질환이 질환이니만큼 제가 직접 전화 드려서 병원으로 오시라고 말씀드렸습니다. CT와 CA 19-9(췌장암 표지자인데 진단적 가치는 없는 검사입니다) 검사 결과를 설명해드렸습니다. “현재까지 의학으로는 환자 분의 병은 고칠 수 없다.” “죄송하지만 제 능력 밖의 문제라서 이 분야를 전공한 다른 의사를 소개시켜드리겠다.” 언제나 하기 싫은 말이지만, 꼭 드려야 하는 말씀이니까 최대한 충격을 덜 받으시도록 노력했습니다. 환자 분은 말씀이 없으셨습니다. 수분 간의 정적이 흐른 뒤 그 분은 다른 병원에 가서 진단을 다시 받아보겠다고 하시며 일어나셨습니다. 저는 말없이 그 분의 뒷모습을 바라볼 수밖에 없었습니다. 언젠가 국가 암검진에 췌장암이 들어가게 되는 그 날을 기대하면서 글을 마칩니다. Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 133 Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 146 Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 161 0 |
|
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12180 class="iamcmt" style="display:none;"> Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 66
12180 class='vcm '>
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Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 71
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 76
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 117
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 118
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 119
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 120
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 121
12180'> 레이드
Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 133
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 142
15/08/18 00:55
12180>삭제 주소복사
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 150
저희 할아버님도 췌장암이셨기에.. 참 남의 말 같지가 않네요.. 후. 참 뒷맛이 씁쓸합니다.
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
12180>
12180>
