BRONZE
BRONZE ๋“ฑ๊ธ‰์˜ ํŒ๋งค์ž ์ž๋ฃŒ

์ง์žฅ์•”: rectal cancer ์ผฟ’์ด์Šค์Šคํ„ฐ๋””

"์ง์žฅ์•”: rectal cancer ์ผฟ’์ด์Šค์Šคํ„ฐ๋””"์— ๋Œ€ํ•œ ๋‚ด์šฉ์ž…๋‹ˆ๋‹ค.
31 ํŽ˜์ด์งฟ’
ํ•œ์้œ์˜คํ”ผ์Šค
์ตœ์ดˆ๋“ฑ๋ก์ผ 2020.05.22 ์ตœ์ข…์ ฟ’์ž‘์ผ 2019.07
31P ๋ฏธ๋้ฉ๋ณด๊ธฐ
์ง์žฅ์•”: rectal cancer ์ผฟ’์ด์Šค์Šคํ„ฐ๋””
  • ๋ฏธ๋้ฉ๋ณด๊ธฐ

    ๋ชฉ์ฐจ

    1. ์ง„๋‹จ๊ฒ€์‚ฌ
    2. ์•ฝ๋ฌผ
    3. ์ฒ˜์น˜
    4. ์ˆ˜์ˆ ๊ธฐ๋ก์ง€
    5. ๋งˆ์ทจ๊ธฐ๋ก์ง€
    6. ๊ฐ„ํ˜ธ์ง„๋‹จ
    7. ๊ฐ„ํ˜ธ๊ณผ์ •
    8. ์ฐธ๊ณ ๋ฌธํ—Œ

    ๋ณธ๋ๅฉ๋‚ด์šฉ

    14) MRI Rectum
    7/30
    [FINDING]
    3.5cm distal rectal ca. above 4cm anal verge T2NO
    No abnormality in the mesorectal area and pelvic wall
    [CONCLUSION]
    -
    [RECOMMENDATION]
    -

    CT chest
    7/30
    [FINDING]
    cc: rectal ca
    [CONCLUSION]
    1. A noncalcific smooth nodule about 0.6cm in LLL
    R/O single meta
    DDX less likely, granuloma
    2. no definite PTE or matastatic thrombi within pulmonary arteries or cardiac chambers
    3. Cystic irregular lession Rt hepatic dome
    [RECOMMENDATION]
    further regular FU enhanced chest CT

    15) CT abdomen+pelvis
    7/30
    distal rectal ca
    no evidence of definite metastatic lesion
    A 3cm cyst in the Rt hepatic lobe latoral
    segment 7 R/O sereral tiny cysts in the liver and lcidney

    16) PET CT Torso
    7/30
    [FINDING]
    PROCEDURE
    ๊ฒ€์‚ฌ์ง์ „์— ์ธก์ •ํ•œ ํ™˜์ž์˜ ํ˜ˆ๋‹น์น˜๋Š” 98mg/dupl, ์‹ ์žฅ 164cm, ์ฒด์ค‘ 74kg, F-18 FDG 9.3 mcI๋ฅผ left elbow์— ์ •๋งฅ์ฃผ์‚ฌ ํ•˜๊ณ  1์‹œ๊ฐ„ ํ›„์— orbitomeatal line์—์„œ proximal thigh๊นŒ์ง€์˜ ์ „์‹  ์˜์ƒ์„ ์–ป์—ˆ์Šต๋‹ˆ๋‹ค.
    FINDING
    rectumal focal FDG uptake์ด SUV๋Š” 17.232๋กœ ์ธก์ •
    Right upper paratracheal region์— focal FDG uptake์ด ๋ณด์ž…๋‹ˆ๋‹ค.(5.76)

    ์ฐธ๊ณ ์ž๋ฃŒ

    ยท NANDA ๊ฐ„ํ˜ธ์ง„๋‹จ
    ยท ์ œ7ํŒ ์„ฑ์ธ๊ฐ„ํ˜ธํ•™ ์ƒ๊ถŒ/ ํ™ฉ์˜ฅ๋‚จ ์™ธ 8๋ช…/ ํ˜„๋ฌธ์‚ฌ/ 2017/ P423~426
    ยท ์„ฑ์ธ๊ฐ„ํ˜ธํ•™II/ Lewis, Heitkemper,Dirksen, O'Brien, Bucher/ ํ˜„๋ฌธ์‚ฌ/ 2009/ P1563~1565, P1593~1600
    ยท 8th THE LIPPINGCOTT MANUAL NURSING PRACTICE III ์ตœ์‹ ์ž„์ƒ๊ฐ„ํ˜ธ๋ฉ”๋‰ด์–ผ/ ๋ณ‘์›๊ฐ„ํ˜ธ์‚ฌํšŒ/ ํ˜„๋ฌธ์‚ฌ/ 2009
    ยท ์„ฑ์ธ๊ฐ„ํ˜ธํ•™ ๋‚ด๋ถ„๋น„ยทํ”ผ๋ถ€ยท์†Œํ™”๊ธฐ๊ณ„/ ์ตœ์ •์‹  ์™ธ/ ๋„์„œ์ถœํŒ ์ •๋‹ด/ 2000/ P283~286
    ยท ์•ฝํ•™์ •๋ณด์› http://www.health.kr/
  • ์ž๋ฃŒํ›„๊ธฐ

    Ai ๋ฆฌ๋ทฐ
    ์งฟ’์‹ํŒ๋งค์ž์˜ ์ฝ˜ํ…์ธ ๋Š” ๋‹ค์–‘ํ•œ ์ฃผ์ œ๋ฅผ ๊นŠ์ด ์žˆ๊ฒŒ ๋‹ค๋ฃจ๊ณ  ์žˆ์–ด ์ง€๋ฃจํ•  ํ‹ˆ์ด ์—†์Šต๋‹ˆ๋‹ค. ๋งค๋ฒˆ ์ƒˆ๋กœ์šด ์ธ์‚ฌ์ดํŠธ๋ฅผ ์ œ๊ณตํ•ด ์ฃผ์–ด ํ•™์Šต์ด ์ฆ๊ฑฐ์›Œ์ง€๊ณ  ์žˆ์Šต๋‹ˆ๋‹ค. ํ•™์Šต ํ›„ ์‹ค์ œ๋กœ ๊ณผ์ œ๋‚˜ ๋ ˆํฌํŠธ์— ํ™œ์šฉํ•  ์ˆ˜ ์žˆ์–ด ๋งค์šฐ ๋งŒ์กฑ์Šค๋Ÿฝ์Šต๋‹ˆ๋‹ค. ์•ž์œผ๋กœ๋„ ๊ณ„์†ํ•ด์„œ ์ด์šฉํ•  ์˜ˆ์ •์ž…๋‹ˆ๋‹ค!
    • ์ž์ฃผ๋ฌป๋Š”์งˆ๋ๅฉ์˜ ๋‹ต๋ณ€์„ ํ™•์ธํ•ด ์ฃผ์„ธ์š”

      ํ•ดํ”ผ์บ ํผ์Šค FAQ ๋”๋ต–๊ธฐ

      ๊ผญ ์•Œ์•„์ฃผ์„ธ์š”

      • ์ž๋ฃŒ์˜ ์ •๋ณด ๋ฐ ๋‚ด์šฉ์˜ ์ง„์‹ค์„ฑ์— ๋Œ€ํ•˜์—ฌ ํ•ดํ”ผ์บ ํผ์Šค๋Š” ๋ณด์ฆํ•˜์ง€ ์•Š์œผ๋ฉฐ, ํ•ด๋‹น ์ •๋ณด ๋ฐ ๊ฒŒ์‹œ๋ฌผ ์ €์ž‘๊ถŒ๊ณผ ๊ธฐํƒ€ ๋ฒ•์  ์ฑ…์ž„์€ ์ž๋ฃŒ ๋“ฑ๋ก์ž์—๊ฒŒ ์žˆ์Šต๋‹ˆ๋‹ค.
        ์ž๋ฃŒ ๋ฐ ๊ฒŒ์‹œ๋ฌผ ๋‚ด์šฉ์˜ ๋ถˆ๋ฒ•์  ์ด์šฉ, ๋ฌด๋‹จ ์ „์žฌโˆ™๋ฐฐํฌ๋Š” ๊ธˆ์ง€๋˜์–ด ์žˆ์Šต๋‹ˆ๋‹ค.
        ์ €์ž‘๊ถŒ์นจํ•ด, ๋ช…์˜ˆํ›ผ์† ๋“ฑ ๋ถ„์Ÿ ์š”์†Œ ๋ฐœ๊ฒฌ ์‹œ ๊ณ ๊ฐ๋น„๋ฐ”์นด์ง€๋…ธ Viva์˜ ์ €์ž‘๊ถŒ์นจํ•ด ์‹ ๊ณ ๋น„๋ฐ”์นด์ง€๋…ธ Viva๋ฅผ ์ด์šฉํ•ด ์ฃผ์‹œ๊ธฐ ๋ฐ”๋ž๋‹ˆ๋‹ค.
      • ํ•ดํ”ผ์บ ํผ์Šค๋Š” ๊ตฌ๋งค์ž์™ฟ’ ํŒ๋งค์ž ๋ชจ๋‘๊ฐ€ ๋งŒ์กฑํ•˜๋Š” ์„œ๋น„์Šค๊ฐ€ ๋˜๋„๋ก ๋…ธ๋ ฅํ•˜๊ณ  ์žˆ์œผ๋ฉฐ, ์•„๋ž˜์˜ 4๊ฐ€์ง€ ์ž๋ฃŒํ™˜๋ถˆ ์กฐ๊ฑด์„ ๊ผญ ํ™•์ธํ•ด์ฃผ์‹œ๊ธฐ ๋ฐ”๋ž๋‹ˆ๋‹ค.
        ํŒŒ์ผ์˜ค๋ฅ˜ ์ค‘๋ณต์ž๋ฃŒ ์ €์ž‘๊ถŒ ์—†์Œ ์„ค๋ช…๊ณผ ์‹ค์ œ ๋‚ด์šฉ ๋ถˆ์ผ์น˜
        ํŒŒ์ผ์˜ ๋‹ค์šด๋กœ๋“œ๊ฐ€ ์ œ๋Œ€๋กœ ๋˜์ง€ ์•Š๊ฑฐ๋‚˜ ํŒŒ์ผํ˜•์‹์— ๋งž๋Š” ํ”„๋กœ๊ทธ๋žจ์œผ๋กœ ์ •์ƒ ์ž‘๋™ํ•˜์ง€ ์•Š๋Š” ๊ฒฝ์šฐ ๋‹ค๋ฅธ ์ž๋ฃŒ์™ฟ’ 70% ์ด์ƒ ๋‚ด์šฉ์ด ์ผ์น˜ํ•˜๋Š” ๊ฒฝ์šฐ (์ค‘๋ณต์ž„์„ ํ™•์ธํ•  ์ˆ˜ ์žˆ๋Š” ๊ทผ๊ฑฐ ํ•„์š”ํ•จ) ์ธํ„ฐ๋„ท์˜ ๋‹ค๋ฅธ ์‚ฌ์ดํŠธ, ์—ฐ๊ตฌ๊ธฐ๊ด€, ํ•™๊ป“, ์„œ์  ๋“ฑ์˜ ์ž๋ฃŒ๋ฅผ ๋„์šฉํ•œ ๊ฒฝ์šฐ ์ž๋ฃŒ์˜ ์„ค๋ช…๊ณผ ์‹ค์ œ ์ž๋ฃŒ์˜ ๋‚ด์šฉ์ด ์ผ์น˜ํ•˜์ง€ ์•Š๋Š” ๊ฒฝ์šฐ

    ์ฐพ์œผ์‹œ๋˜ ์ž๋ฃŒ๊ฐ€ ์•„๋‹Œ๊ฐ€์š”?

    ์ง€๊ธˆ ๋ณด๋Š” ์ž๋ฃŒ์™ฟ’ ์—ฐ๊ด€๋˜์–ด ์žˆ์–ด์š”!
    ์™ผ์ชฝ ํ™”์‚ดํ‘œ
    ์˜ค๋ฅธ์ชฝ ํ™”์‚ดํ‘œ
    ๋ฌธ์„œ ์ดˆ์•ˆ์„ ์ƒ์„ฑํ•ด์ฃผ๋Š” EasyAI
    ์•ˆ๋…•ํ•˜์„ธ์š”. ํ•ดํ”ผ์บ ํผ์Šค์˜ ๋ฐฉ๋Œ€ํ•œ ์ž๋ฃŒ ์ค‘์—์„œ ์„ ๋ณ„ํ•˜์—ฌ ๋‹น์‹ ๋งŒ์˜ ์ดˆ์•ˆ์„ ๋งŒ๋“ค์–ด์ฃผ๋Š” EasyAI ์ž…๋‹ˆ๋‹ค.
    ์ €๋Š” ์•„๋ž˜์™ฟ’ ๊ฐ™์ด ์ž‘์—…์„ ๋„์™ฟ’๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์ฃผ์ œ๋งŒ ์ž…๋ ฅํ•˜๋ฉด ๋ชฉ์ฐจ๋ถ€ํ„ฐ ๋ณธ๋ๅฉ๋‚ด์šฉ๊นŒ์ง€ ์ž๋™ ์ƒ์„ฑํ•ด ๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์žฅ๋ฌธ์˜ ์ฝ˜ํ…์ธ ๋ฅผ ์‰ฝ๊ณ  ๋น ๋ฅด๊ฒŒ ์ž‘์„ฑํ•ด ๋“œ๋ฆฝ๋‹ˆ๋‹ค.
    - ์Šคํ† ์–ด์—์„œ ๋ฌด๋ฃŒ ์บ์‹œ๋ฅผ ๊ณ„์ •๋ณ„๋กœ 1ํšŒ ๋ฐœ๊ธ‰ ๋ฐ›์„ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ง€๊ธˆ ๋ฐ”๋กœ ์ฒดํ—˜ํ•ด ๋ณด์„ธ์š”!
    ์ด๋Ÿฐ ์ฃผ์ œ๋“ค์„ ์ž…๋ ฅํ•ด ๋ณด์„ธ์š”.
    - ์œ ์•„์—๊ฒŒ ์ ํ•ฉํ•œ ๋ฌธํ•™์ž‘ํ’ˆ์˜ ๊ธฐ์ค€๊ณผ ํŠน์„ฑ
    - ํ•œ๊ตญ์ธ์˜ ๊ฐ€์น˜๊ด€ ์ค‘์—์„œ ์ •์‹ ์  ๊ฐ€์น˜๊ด€์„ ์ด๋ฃจ๋Š” ๊ฒƒ๋“ค์„ ๋ฌธํ™”์  ๋ฌธ๋ฒ•์œผ๋กœ ์ •๋ฆฌํ•˜๊ณ , ํ˜„๋Œ€ํ•œ๊ตญ์‚ฌํšŒ์—์„œ ์ผ์–ด๋‚˜๋Š” ์‚ฌ๊ฑด๊ณผ ์‚ฌ๊ณ ๋ฅผ ๋น„๊ตํ•˜์—ฌ ์ž์‹ ์˜ ์˜๊ฒฌ์œผ๋กœ ๊ธฐ์ˆ ํ•˜์„ธ์š”
    - ์ž‘๋ณ„์ธ์‚ฌ ๋…ํ›„๊ฐ
    ํ•ด์บ  AI ์ฑ—๋ด‡๊ณผ ๋Œ€ํ™”ํ•˜๊ธฐ
    ์ฑ—๋ด‡์œผ๋กœ ๊ฐ„ํŽธํ•˜๊ฒŒ ์ƒ๋‹ดํ•ด๋ณด์„ธ์š”.
    2025๋…„ 06์›” 09์ผ ์›”์š”์ผ
    AI ์ฑ—๋ด‡
    ์•ˆ๋…•ํ•˜์„ธ์š”. ํ•ดํ”ผ์บ ํผ์Šค AI ์ฑ—๋ด‡์ž…๋‹ˆ๋‹ค. ๋ฌด์—‡์ด ๊ถ๊ธˆํ•˜์‹ ๊ฐ€์š”?
    8:49 ์˜คํ›„