외래에서 철 결핍 빈혈로 진단된 남자 환자의 악성 종양 유병률과 연관인자
DC Field | Value | Language |
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dc.contributor.author | 이병현 | - |
dc.contributor.author | 이재중 | - |
dc.contributor.author | 심재겸 | - |
dc.contributor.author | 김정선 | - |
dc.contributor.author | 김대식 | - |
dc.contributor.author | 박세종 | - |
dc.contributor.author | 이세련 | - |
dc.contributor.author | 박용 | - |
dc.contributor.author | 최철원 | - |
dc.contributor.author | 김병수 | - |
dc.date.accessioned | 2021-09-05T15:14:09Z | - |
dc.date.available | 2021-09-05T15:14:09Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 1738-9364 | - |
dc.identifier.issn | 2289-0769 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/100587 | - |
dc.description.abstract | Background/Aims: Despite several reports on clinical aspects of anemia and malignancy, little is known of male patients withiron-deficiency anemia (IDA) and malignancy in Korea. We examined the cause of anemia, prevalence of and factors associatedwith malignancy, and treatment response to iron therapy in male IDA patients. Methods: The results of 202 males with IDA seen from March 2008 to June 2013 were analyzed retrospectively. The patients weredivided into two groups based on the causes of anemia: the cancer group included patients with anemia caused by malignancy andthe non-cancer group included patients with anemia due to other causes. We compared the clinical characteristics and response toiron therapy between the two groups. Results: The most common cause of IDA was bleeding (42.6%). The prevalence of malignancy was 11.9%, with colorectal cancer(58.3%) being the most common. Among the cancer patients (n = 24), 22 patients (91.7%) were age 50 or older. Independent factorsassociated with malignancy were old age (OR, 1.05; p = 0.026) and a positive stool occult blood test (OR, 7.48; p = 0.001). Thetreatment response to iron therapy based on a normalized hemoglobin level was lower in the cancer group (OR, 0.49; p = 0.31), butthe difference did not reach statistical significance. The treatment response based on the mean hemoglobin level was significantlylower in the cancer group (12.6 ± 2.2 vs. 13.8 ± 1.6 g/dL, p = 0.016). Conclusions: Old age and a positive stool occult blood test were independent risk factors for malignancy in male IDA patients. Werecommend screening for malignancy in patients older than 50 years or with a positive stool occult blood test. | - |
dc.format.extent | 8 | - |
dc.language | 한국어 | - |
dc.language.iso | KOR | - |
dc.publisher | 대한내과학회 | - |
dc.title | 외래에서 철 결핍 빈혈로 진단된 남자 환자의 악성 종양 유병률과 연관인자 | - |
dc.title.alternative | Prevalence of and Factors Associated with Malignancy in Males with Iron-Deficiency Anemia | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3904/kjm.2014.87.1.53 | - |
dc.identifier.bibliographicCitation | 대한내과학회지, v.87, no.1, pp 53 - 60 | - |
dc.citation.title | 대한내과학회지 | - |
dc.citation.volume | 87 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 53 | - |
dc.citation.endPage | 60 | - |
dc.identifier.kciid | ART001894957 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | 철 결핍 빈혈 | - |
dc.subject.keywordAuthor | 남자 | - |
dc.subject.keywordAuthor | 악성 종양 | - |
dc.subject.keywordAuthor | 유병률 | - |
dc.subject.keywordAuthor | Anemia | - |
dc.subject.keywordAuthor | Iron-Deficiency | - |
dc.subject.keywordAuthor | Male | - |
dc.subject.keywordAuthor | Neoplasms | - |
dc.subject.keywordAuthor | Prevalence | - |
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