{"id":49468,"date":"2026-08-13T09:02:04","date_gmt":"2026-08-13T00:02:04","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/08\/13\/49468\/"},"modified":"2026-08-13T09:02:04","modified_gmt":"2026-08-13T00:02:04","slug":"%ec%a2%85%ec%96%91%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ed%86%b5%ed%95%a9%ec%9e%84%ec%83%81%ec%8b%a4%ec%8a%b5-%ec%bc%80%ec%9d%b4%ec%8a%a4-%ec%8a%a4%ed%84%b0%eb%94%94-%eb%a7%8c%ec%84%b1","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/08\/13\/49468\/","title":{"rendered":"\uc885\uc591\uac04\ud638\ud559\uc2e4\uc2b5 \ud1b5\ud569\uc784\uc0c1\uc2e4\uc2b5 \ucf00\uc774\uc2a4 \uc2a4\ud130\ub514 \ub9cc\uc131\ud1b5\uc99d case study \ub300\uc7a5\uc554 colon cancer"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \uae30\ucd08 \uc790\ub8cc \uc218\uc9d1
\n2. \uc8fc\ud638\uc18c
\n3. \ud604\uc7ac \ubcd1\ub825
\n4. \uacfc\uac70 \ubcd1\ub825
\n5. \uc554 \uc704\ud5d8 \uc694\uc778
\n6. \uc790\uac00\uac80\uc9c4\uc744 \ud3ec\ud568\ud55c \uc554 \uac80\uc9c4 \uc5ec\ubd80
\n7. \uc554 \uc9c4\ub2e8
\n8. \uc8fc\uad00\uc801, \uac1d\uad00\uc801 \uc790\ub8cc\uc5d0 \ub300\ud55c \uccb4\uacc4\uc801\uc778 \uace0\ucc30
\n9. \uc2e0\uccb4 \uc0ac\uc815 : \uc554\uc774\ub098 \uc7ac\ubc1c\uc758 \uc99d\uac70
\n10. \uc9c4\ub2e8\uac80\uc0ac \uacb0\uacfc
\n11. \ud22c\uc57d
\n12. \ud2b9\uc218\uce58\ub8cc
\n13. \uac04\ud638\uacfc\uc815
\n14. \uc9c8\ubcd1 \uae30\uc220
\n15. \ucc38\uace0 \ubb38\ud5cc<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

4) \uc785\uc6d0\uc77c\uc2dc&\uc785\uc6d0\ub3d9\uae30
\n\u25aa\uc785\uc6d0\uc77c\uc2dc : 2023.10.31.
\n\u25aa\uc785\uc6d0\ub3d9\uae30 : \uc0c1\ud658 colon cancer\ub85c FOLFIRI #5\uae4c\uc9c0 \uc9c4\ud589\ud55c \ubd84\uc73c\ub85c, \ucee8\ub514\uc158 \uc800\ud558\ub85c 10\/24 \ud56d\uc554 \ubcf4\ub958 \ud6c4 \ud608\uc561\uc885\uc591\ub0b4\uacfc \uc785\uc6d0 \uc608\uc815\uc774\uc5c8\ub358 \ubd84\uc784. \ub0b4\uc6d0 2\uc8fc \uc804\ubd80\ud130 dyspnea \ubc1c\uc0dd \ubc0f \ub0b4\uc6d0 2\uc77c \uc804\ubd80\ud130 poor urine output\uc744 \uc8fc\ud638\uc18c\ub85c ER \ub0b4\uc6d0\ud588\uc74c. \ubb38\uc9c4\uc0c1 \uc7a5\uae30\uac04 poor oral intake, Rt. calf pain \ubc0f sacral pain, DOE, orthopnea\uc640 \ud568\uaed8 AKI on CKD\ub85c \uc778\ud55c volume overload \ubc0f severe metabolic acidosis \uc788\uc73c\uba70 supportive care \uc704\ud574 AMU(\ubd84\ub2f9\uc11c\uc6b8\ub300\ubcd1\uc6d0 \uae09\uc131\uae30 \ub0b4\uacfc \ubcd1\ub3d9) \uc785\uc6d0\ud568.<\/p>\n

<\uc911 \ub7b5><\/p>\n

2) \uac04\ud638\uacfc\uc815
\n\u25aa\uc554\uc138\ud3ec\ub85c \uc778\ud55c \uc9c8\ubcd1 \uacfc\uc815\uacfc \uad00\ub828\ub41c \ub9cc\uc131\ud1b5\uc99d<\/p>\n

[\uc8fc\uad00\uc801 \uc790\ub8cc]
\n\u25aa\u201c\ub2e4\ub9ac\uac00 \ub108\ubb34 \uc800\ub824\uc694.\u201d
\n\u25aa\u201c\ud5c8\ub9ac\uac00 \uacc4\uc18d \uc464\uc154\uc694.\u201d
\n\u25aa\u201c\ub2e4\ub9ac\uac00 \uc544\ud30c\uc11c \ubabb \uc6c0\uc9c1\uc774\uaca0\uc5b4\uc694.\u201d<\/p>\n

[\uac1d\uad00\uc801 \uc790\ub8cc]
\n\u25aa\uc9c4\ub2e8\uba85 : colon cancer, cT4bN3bM1
\n\u25aaAPCT : liver, lymph nodes, peritoneal seeding, bone metastasis
\n\u25aaL-S spine MRI : Disseminated osteolytic and osteosclerotic bone metastasis at covered skeleton – Malignant compression fracture : L4
\n\u25aaRt. calf pain \/ Rt. sacral pain (+)\/(+)
\n\u25aaNRS (11\/21) -> \uc785\uc6d0 \uae30\uac04 \ub3d9\uc548 \ud1b5\uc99d\uc758 \uc545\ud654\uc640 \uc644\ud654 \ubc18\ubcf5
\n\u25aa\ub2e4\ub9ac \ubc0f \ud5c8\ub9ac\uc758 \ud1b5\uc99d\uc73c\ub85c \uce68\uc0c1 \uc548\uc815 \uc911\uc774\uba70, \uc7a5\uae30\uac04 \ud65c\ub3d9\uc774 \uc800\ud558\ub41c \uc0c1\ud0dc\uc784.
\n\u25aa\uccb4\uc911 \uce21\uc815 \uc2dc \uc790\uc138 \ubcc0\ud654\uc5d0 \uc5bc\uad74\uc744 \ucc21\uadf8\ub9ac\uace0 \uc2e0\uc74c\uc18c\ub9ac\ub97c \ub0b4\uba70 \ud1b5\uc99d\uc744 \ud638\uc18c\ud558\ub294 \ubaa8\uc2b5\uc774 \uad00\ucc30\ub428.<\/p>\n

[\uac04\ud638\ubaa9\ud45c]
\n– \uc7a5\uae30\ubaa9\ud45c
\n1. \ub300\uc0c1\uc790\ub294 \ud1f4\uc6d0 \uc2dc\uae4c\uc9c0 NRS \ud1b5\uc99d \ucc99\ub3c4 \uc810\uc218\ub97c 3\uc810 \uc774\ud558\ub85c \uc720\uc9c0\ud560 \uac83\uc774\ub2e4.
\n– \ub2e8\uae30\ubaa9\ud45c
\n1. \ub300\uc0c1\uc790\ub294 \uc911\uc7ac \uc81c\uacf5 \ud6c4 1\uc2dc\uac04 \uc548\uc5d0 NRS \ud1b5\uc99d \ucc99\ub3c4 \uc810\uc218\uac00 3\uc810 \uc774\ud558\ub85c \uac10\uc18c\ud560 \uac83\uc774\ub2e4.
\n2. \ub300\uc0c1\uc790\ub294 24\uc2dc\uac04 \uc774\ub0b4\uc5d0 \ube44\uc57d\ubb3c\uc801 \ud1b5\uc99d\uacbd\uac10\ubc29\ubc95\uc5d0 \ub300\ud574 2\uac00\uc9c0 \uc774\uc0c1 \uc5f4\uac70\ud560 \uac83\uc774\ub2e4.<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \uae30\ucd08 \uc790\ub8cc \uc218\uc9d1 2. \uc8fc\ud638\uc18c 3. \ud604\uc7ac \ubcd1\ub825 4. \uacfc\uac70 \ubcd1\ub825 5. \uc554 \uc704\ud5d8 \uc694\uc778 6. \uc790\uac00\uac80\uc9c4\uc744 \ud3ec\ud568\ud55c \uc554 \uac80\uc9c4 \uc5ec\ubd80 7. \uc554 \uc9c4\ub2e8 8. \uc8fc\uad00\uc801, \uac1d\uad00\uc801 \uc790\ub8cc\uc5d0 \ub300\ud55c \uccb4\uacc4\uc801\uc778 \uace0\ucc30 9. \uc2e0\uccb4 \uc0ac\uc815 : \uc554\uc774\ub098 \uc7ac\ubc1c\uc758 \uc99d\uac70 10. \uc9c4\ub2e8\uac80\uc0ac \uacb0\uacfc 11. \ud22c\uc57d 12. \ud2b9\uc218\uce58\ub8cc 13. \uac04\ud638\uacfc\uc815 14. \uc9c8\ubcd1 \uae30\uc220 15. \ucc38\uace0 \ubb38\ud5cc […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9301,28638,58076,3592,7177,28920,59562,59563],"class_list":["post-49468","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-28638","tag-colon-cancer--","tag-3592","tag-7177","tag-28920","tag-59562","tag-59563"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/49468","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=49468"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/49468\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=49468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=49468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=49468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}