Biliary tract cancer (BTC) are highly aggressive and fatal malignancies. As one of the leading cause of death in Republic of Korea, BTC amoung various malignancies has been one of major public health concerns in the country. Although BTCs, including intrahepatic, perihilar, and distal cholangiocarcinoma, are relatively low-incidence malignancies compared to other cancer, but they represent a major health problem in endemic areas like Korea and Asia contries; moreover, the incidence of intrahepatic cholangiocarcinoma is rising globally. Surgery is the only curative treatment. The optimal surgical approach depends on the anatomical site of the primary tumour, and the best outcomes are achieved through management by specialist multidisciplinary team. Unfortunately, most patients present with locally advanced or metastatic disease. Only up to 20% of patients are diagnosed in early-stage, suitable for the curative surgery. Despite the surgery performed with potentially-curative intent, recurrence rates are high, around 60-70% of patients expected to have disease recurrence. In this review, we present an update of the causes, diagnosis, and treatment with a focus on chemotherapy of BTC.

대부분의 다른 종양과 마찬가지로, 담낭암의 영상의학적 평가는, 발견 혹은 감별진단과 그 이후의 병기 결정으로 나누어 볼 수 있다. 담낭암의 진단 및 평가에 사용되는 영상 검사 는 주로 transabdominal US, CT, MRI, PET 그리고 EUS 등이 있다. 이러한 영상학적 검사를 적절하게 사용하면 조기 담낭암의 진단율 및 감별진단에 도움이 된다. 본고에서는 각 형태에 따른 감별진단을 다루고, 다음 단계로 병기 결정에 있어서 영상의 역할과 한계를 고찰하고자 한다.

This study was conducted to Jindo dogsprovide whether Jindo dogs can distinguish cancer cells, early detection. Jindo dogs were trained for cancer detection based on obedience, smell recognition, and tracking. Cancer detection training was designed to enable detection of lung cells (A549), prostate cells (PC 3), or breast cells (MCF7) among 9 pure media. Four Jindo dogs were trained by the same trainer and our different results were obtained (true positive, true negative, false positive, false negative). The accuracy was 85%, 82%, 92%, and 81% for sensitivity and 95%, 89%, 95%, and 93% for specificity. In addition, 4 Jindo dogs can find what is the cancer cell cannot distinguish 3 kinds of (A549, PC3, MCF7). Jindo dogs can detect cancerous cells through human’s breath and urine.

Pancreatic cancer is still one of the most dreadful malignancies with 5-year survival of 5%. The lack of effective diagnostic tools for early detection of pancreatic cancer is the major factor for the poor prognosis of pancreatic cancer. Considering the relatively lower incidence of pancreatic cancer, it seems to be reasonable to find and investigate the high risk group of pancreatic cancer rather than to screen general population. During the last 2 decades, several epidemiologic and genetic high risk groups of pancreatic cancer were found. Especially, western countries including US have been taking care of genetic high risk group and reported several meaningful outcomes. With advances of understanding molecular carcinogenesis and progression of pancreatic cancer, the effort to find specific biomarkers for both detection and treatment of pancreatic cancer has been overwhelmed. Various types of biomarkers including protein, microRNA, exosomes or circulating tumor cells itself have been under investigations. Although there has been no single biomarker which can overcome CA19-9 in serum to date. It will be worthwhile to wait for more potent biomarker which can be used for early diagnosis and treatment of pancreatic cancer in near future.

본 연구는 교모세포종 (Glioblastoma multiform, GBM)에 대한 방사선 진단학적/치료학적 연구에 필수적으로 필요한 악성뇌종양 동물모델을 개발하기 위해 수행되었다. 악성뇌종양 동물모델 개발을 위해 뇌정위 기구(stereotactic instrument)를 이용하여 C6 세포(Glioblastoma cell line)를 SD rat의 우측 선조체 내에 동종이식하였다. 개발된 동물모델의 검증을 위해 MRI와 해부조직학적 검사방법을 이용하였다. 해부조직학적 검사방법으로는 H&E 염색법을 이용하였다. MRI를 이용한 종양 형성 검사에서 C6 세포 이식 7일 후 종양 형성이 확인되었고, 14일 후에는 이식한 우측 뇌의 대부분이 종양으로 변화한 것을 확인하였다. 해부조직학적 검사에서는 과세포 발현 및 다형성 세포에 의해 형태학적 변화가 발생하는 것을 알 수 있었다. 본 연구에서 개발된 악성뇌종양 동물모델은 in vivo level에서 교모세포종에 대한 방사선 진단학적 기술 개발 및 새로운 치료법 개발을 위한 필수적인 도구로서 활용될 수 있을 것이다.