Surgical treatment of mucin-producing cholangiocarcinoma arising from intraductal papillary neoplasm of the intrahepatic bile duct: a report of 2 cases

Intraductal papillary neoplasms of the bile duct (IPNB) leads to malignant transformation and mucin production. Herein, we presented two cases of mucin-producing IPNB with obstructive jaundice who underwent resection of the intrahepatic lesions and bypass hepaticojejunostomy. The first case was a 69 year-old male patient with 5-year follow up for gallstone disease. Imaging studies showed mucin-secreting IPNB mainly in the hepatic segment III bile duct (B3) and multiple intrahepatic duct stones for which, segment III resection, intrahepatic stone removal, end-to-side choledochojejunostomy and B3 hepaticojejunostomy were conducted. The second case was a 74 year-old female patient with 11-year follow up for gallstone disease. Imaging studies showed mucin-producing IPNB with dilatation of the segment IV duct (B4) and mural nodules for which, segment IV resection, partial resection of the diaphragm and central hepaticojejunostomy were conducted. Both patients recovered uneventfully from surgery. These cases highlight that in patients with IPNB, abundant production of highly viscous mucin inducing obstructive jaundice may be associated with malignant transformation.

A Study on the Effects of Aroma Inhalation Method using Clarysage Essential Oil on Stress in Middle-Aged Women / 여성건강간호학회지

The purpose of this study was to investigate the effects of Aromatherapy, inhalhtion method using Clarysage essential oil on stress in middle-age women. The study design was a one-group pretest-posttest design. The subject were 44 middle-age women with stress in inhalation method of Clarysage essential oil was 2 drops of oil on tissue at 10, 14, 18, before bed for 2 weeks. The study was carried out from August 1 to September 20, 2002. The scale used in the study was the stress scale of Park, Sun Young(1999). The study data was analyzed by frepuency, percentage and t-test using SPSS Win 10.0 program. Result were as follows : 1.The score of physical stress scale was significantly decresed after use of inhalation of Clarysage essential oil. 2. The score of psychological stress scale was significantly decresed after use of inhalation of Clarysage essential oil. In conclusion, the results of this study suggest that inlalation method using Clarysage essential oil is positively supported in stress reduction in middle-aged women.