• Title/Summary/Keyword: 미분화

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Aspiration Cytology of Insular Carcinoma of Thyroid - A Case Report - (갑상선 미분화 "도암종"의 세침흡인 세포학적 소견 - 1례 보고 -)

  • Yang, Young-Il;Kim, Chan-Hawn;Khang, Shin-Kwang
    • The Korean Journal of Cytopathology
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    • v.5 no.1
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    • pp.46-51
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    • 1994
  • Fine needle aspiration cytologic features of a case of insular carcinoma of the thyroid in a 23-year-old woman who presented a palpable neck mass is described. The aspirate showed cellular smear arranged in trabeculae, solid or loose clusters, and microfillicles in necrotic background. The tumor cells had uniform, small round, hyperchromatic nuclei. The chromatin was finely granular, and nuclear membrane was smooth. Nucleoli were not discernible. Nuclear pleomorphism was minimal. The cytoplasm was usually scanty, pale, poorly outlined, and almostly amphophilic. Sometimes paranuclear cytoplasmic vacuoles were noted. final diagnosis was confirmed by total thyroidectomy as insular carcinoma.

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The Effects of X-Irradiation on the chondrogensis of mesenchymal cells (연골세포 분화에 미치는 X-선의 영향)

  • Ha, Jong-Ryeol
    • Journal of radiological science and technology
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    • v.25 no.2
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    • pp.77-82
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    • 2002
  • It is well known that X-irradiation affects on maturing process of differentiated chondrocytes. Nevertheless, It has been remained elusively whether X-irradiation affects the process of differentiation of mesenchymal cells which differentiate into chondrocyte, fibroblast, or muscle cells. In this study, we examined the effect of X-irradiation (with 1 to 10 Gy) on chondrogenesis using the mesenchymal cells of chick limb bud. Our results show that X-irradiation dose-dependently inhibited chondrogenesis. This result suggests that immature chondroblast-like mesenchymal cells are sensitive to X-irradiation. Moreover, X-irradiation affects not only maturing process of chondrocytes, but also inhibits the chondrogenesis. Taken together, we demonstrate that the whole process of differentiation of mature chondrocytes from mesenchymal cells is affected by X-irradiation and undifferentiated cells were more affected by X-irradiation than mature cells.

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Survival and Compliance with the Use of Radiation Therapy for Anaplastic Thyroid Carcinoma (미분화 갑상선암에서 방사선치료 순응도와 생존기간)

  • Oh, Yoon-Kyeong;Jang, Ji-Young;Chung, Woong-Ki
    • Radiation Oncology Journal
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    • v.26 no.4
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    • pp.229-236
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    • 2008
  • Purpose: The purpose of this study was to evaluate the impact of the use of external radiation therapy (ERT) in terms of survival and compliance in patients with anaplastic thyroid carcinoma. Materials and Methods: The medical records of 17 patients with anaplastic thyroid carcinoma treated with ERT between 1993 and 2002 were retrospectively reviewed. ERT was administered after surgery in 14 patients and after a biopsy in three patients. Among the 14 patients who had undergone surgery, nine underwent a curative resection and five underwent a palliative resection. Six patients had associated well-differentiated thyroid carcinomas and 14 patients were diagnosed with a tumor size exceeding 5 cm. The radiation dose ranged from $6{\sim}70\;Gy$ (median dose, 37.5 Gy). Eleven patients completed the planned course of ERT, whereas six patients did not. The follow-up period ranged from $1{\sim}104$ months (median, 5 months; mean, 20 months). Results: Five patients started the ERT without the presence of a gross mass and all of the patients competed ERT without a re-growth of tumor. Twelve patients (four patients after a curative resection, five patients after a palliative resection and three patients after a biopsy) started ERT with a gross mass present and only six patients were able to complete the planned course of ERT. Among the six patients who completed ERT, two patients showed a marked regression of the tumor mass, whereas two patients showed slight regression and two patients showed no response. The median survival was five months (range, $1{\sim}104$ months) and the mean survival was 21 months. The overall survival was 41% at 1-year, 24% at 2-years and 12% at 5-years. Significant prognostic factors included the number of primary tumors present, tumor size, whether surgery was performed and completion of ERT as planned. Long-term survivors showed a tendency of having smaller sized initial tumors and smaller sized pre-ERT tumors than the short-term survivors. Conclusion: This study suggests that patients with a small initial tumor (${\leq}5\;cm$), which was treated by surgery (curative resection or palliative resection) before ERT, and without rapid re-growth of the mass seen at the surgical site at the beginning of the ERT course, would be the best candidates for postoperative ERT. In contrast, patients with a large initial tumor (>5 cm) and did not undergo surgery before ERT or that rapid re-growth of the mass was observed at the surgical site are likely to have a short survival time, along with the interruption of ERT. In these cases, the role of ERT is very limited and the omission of ERT could be considered.

Treatment Results of Ovarian Dysgerminoma (난소 미분화세포종의 치료 결과)

  • Chung, Eun-Ji;Suh, Chang-Ok;Seong, Jin-Sil;Keum, Ki-Chang;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.14 no.3
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    • pp.221-228
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    • 1996
  • Purpose : We tried to evaluate the clinical characteristics, the treatment methods, the results of treatments, and the Patterns of failure in ovarian dysgerminoma retrospectively According to the results we would like to suggest the proper management guideline of stage la ovarian dysgerminoma patients who want to maintain fertility. Materials and Methods : Between 1975 and 1990, 34 patients with ovarian dysgerminoma were treated at the Yonsei University Hospital. The case records of these patients have been reviewed for presenting symptoms, treatment methods, local control and survival following treatment. Excluded from analysis were five patients with mixed ovarian germ cell tumors and gonadoblastomas (46,XY) Treatment results of the twenty nine patients were analysed by each treatment modality. Twenty one patients were treated with surgery and postoperative adjuvant radiotherapy (group 2). The other eight patients were treated with operation alone (group 2). The median age of twenty-nine patients was 23 years with a range of 8 to 39 years. Presenting symptoms were abdominal mass (20) pelvic discomfort or pain (5) et al. Radiotherapy was performed by 10MV LINAC or Co-60 teletherapy unit. The total radiation dose of the whole abdomen was 20-25 Gy/3weeks, 1-1.5 Gy/fraction with a boost to the whole pelvis 10-15 Gy/l-2weeks 1.8-2.0 Gy/fraction. Advanced stage disease (stage II or stage III) patients received prophylactic mediastinal and supraclavicular irradiation to a dose of 16-26 Gy. Median duration of follow-up of living patients was 80 months (range 13-201 months). Results : All of the twenty one patients of group 1 were alive without disease ($100\%$). Among the eight patients who were not treated with radiotherapy (group 2), six patients developed local recurrence. Four Patients referred with recurrent disease were treated with salvage radiotherapy. Three of four patients were salvaged and one Patient who had recurrent intra-abdominal disease died of progressed carcinomatosis at 11 months after salvage radiotherapy. The other two patients with recurrence were salvaged with chemotherapy (1 patient) or re-operation (1 Patient). Twenty eight patients remained alive without disease at last follow up, so the 5 year local control rate and 5 year overall survival rate for all groups were $96.6\%$ (28/29), respectively. Among thirteen patients with stage la unilateral tumors seven patients were treated with postoperative radiotherapy and the other six patients were treated with unilateral salpingo-oophorectomy alone. Five patients who did not received radiotherapy developed local failure but all of the recurrent ovarian dysgerminomas were salvaged with radiotherapy, chemotherapy or re-operation. So all the 13 patients with stage la ovarian dysgerminoma were free of disease from 20-201 months (median 80 months). Conclusion : The authors consider external irradiation to be an effective treatment as a complement to surgery in ovarian dysgerminoma. For those patients with disease presenting in stage la tumors who wish to maintain fertility, unilateral salpingo-oophorectomy alone may be curative and spare ovarian function considering excellent salvage rate of recurrent ovarian dysgerminoma in present study.

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Experimental studies of 1.0T/D Entrained Flow Coal Gasifier (1.0T/D 가압 분류층 석탄 가스화기 운전 특성)

  • Ra, Howon;Hong, Jaichang;Choi, Youngchan
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.06a
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    • pp.115.1-115.1
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    • 2010
  • 석탄 가스화기술은 기존의 연소 방식에서 발생하는 공해 물질은 줄이면서 발생되어지는 합성가스를 이용하여 직접 사용하거나, IGCC나 CTL 공정등에서 원료로서 사용할 수 있다는 장점을 가지고 있어 석탄의 환경친화적인 이용을 위하여 오래전에 개발된 기술임에도 불구하고 최근 각광받고 있는 기술이다. 분류층 가스화기는 미분화된 석탄을 고온에서 가스화하는 방식으로 용량의 대형화가 가능하여 석탄가스화복합발전(IGCC)용으로 이용되고 있다. 석탄슬러리를 원료로 사용하는 습식 분류층 가스화기는 기술적으로 상당히 안정적이어서 가장 많이 보급되어진 가스화기 형태이다. 본 연구에서는 1.0T/D급 습식 분류상 가스화 장치의 가압 운전 특성 및 가스화 특성, 운전 조건을 파악하기 위하여 실험을 실시하였다. 실험에 사용된 반응기는 운전 압력 30bar로 설계되었으며, Fuel의 공급량은 50~70kg/hr로 공급하였으며, $O_2$/fuel Ratio를 0.7~1.1까지 변경하여 Fuel 주입량에 따른 내부온도 분포와 $O_2$/Fuel 비율에 따른 합성가스의 조성, 탄소 전환율, 냉가스효율 변화 특성을 알아보았다.

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Sinonasal Undifferentiated Carcinoma - A Case Report - (부비동과 비의 미분화 암종 - 1예 보고 -)

  • Shin, Mi-Kyung;Chae, Yang-Seok
    • The Korean Journal of Cytopathology
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    • v.8 no.1
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    • pp.98-102
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    • 1997
  • Sinonasal undifferentiated carcinoma(SNUC) is a distinct, relatively rare neoplasm arising in the nasal cavity and paranasal sinuses composed of undifferentiated epithelial cells and clinically characterized by a fulminant course. We report a case of SNUC in a 56-year old man who have had bilateral neck masses since one month ago before coming to our hospital. The paranasal computed tomography showed soft mass density in the left maxillary sinus and the nasal cavity with bone destruction in the anterior medial and the inferior maxillary sinus wall. This mass was extruded into the left orbital wall. Biopsy of the nasal mass and fine needle aspiration(FNA) of the neck mass were done. FNA revealed medium-sized neoplastic cells forming clusters or individually dispersed. Nuclei were round to oval, slightly to moderately pleomorphic, and hyperchromatic. Chromatin was finely granular, but occasionally was coarsely granular. Nucleoli varied from large to inconspicuous and the cytoplasm was scanty.

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Fine Needle Aspiration Cytology of Anaplastic Carcinoma of the Thyroid with Osteoclast-like Giant Cells - A Case Report - (파골세포모양 거대세포를 동반한 갑상선 미분화 암종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Maeng, Lee-So;Lee, Je-Hoon;Lee, An-Hi;Kang, Chang-Suk;Kim, Kyoung-Mee
    • The Korean Journal of Cytopathology
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    • v.14 no.1
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    • pp.32-35
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    • 2003
  • Multinucleated giant cells of osteoclast-like appearance can be seen in a type of anaplastic carcinoma of thyroid and only a few case reports for fine needle aspiration cytologic findings are found in the literatures. Recently, we experienced a case of anaplastic carcinoma of thyroid with many osteoclast-like giant cells in a 72-year-old woman. The cytologic features and immunohistochemical results are described with special emphasis on differential diagnosis.

Establishment of Embryonic Stem Cell Line from ICR Mouse Blastocyst (ICR 생쥐 배반포로부터 배아주세포계통 확립)

  • 박성은;변태호;김용철;김종수;이상호
    • Journal of Embryo Transfer
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    • v.9 no.3
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    • pp.213-220
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    • 1994
  • 생쥐 배반포로부터 내부세포괴(inner cell mass, ICM)를 outgrowth로 분리하여 증식 시킴으로써 배아주(embryonic stem, ES)세포를 확립하고자 본 실험을 실시하였다. 과배란처리와 교미에 의해 생산된 ICR 생쥐의 3.5일 배반포를 sDMEM내의 배아성 섬유아단흥배양층에 배양하여 ICM세포의 증식을 조사한 결과, 3.5일부터 분리한 ICM세포들은 배양 7, 8일에 각각 1,500 및 3,200세포의 미분화세포로 증식하였다. 이들 세포의 계대배양에 의해 잠정적인 ES세포 colony를 얻었으며 10회의 계대배양후에도 그 형태가 변하지 않았다. 이들 세포는 다능성의 분화능을 보여 전형적인 ES세포 형태를 보였다. 이 같은 결과는 ICR배반포에서 outgrowth로 분리한 ICM으로부터 ES세포 확립이 가능함을 보여준 것이다.

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퇴적된 금속 분체 층을 전파하는 화염의 특성

  • 한우섭
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 2002.11a
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    • pp.154-159
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    • 2002
  • 최근의 공업제품의 제조에는 미분화기술이 많이 이용되고 있다. 전자공업의 발전 및 제품의 고 기능화에 수반되어, 전자제품은 충분한 강도를 가지면서 경량화, 가공 및 재활용의 용이함 등이 요구되고 있다. 개인단말기나 노트북 등의 전자기기 케이스의 재질은, Mg-Al합금이 많이 사용되어지고 있는데, Mg은 가장 가벼운 금속으로 전자파 차단성, 방열성 등에 뛰어난 반면, 발화 등의 반응위험성이 높으므로, Al과의 합금에 의해, 일정한 기계적 강도 및 반응의 안정화를 기하고 있다. 일반적으로 Mg-Al합금은 9:1의 배합비율로 제조되고 있으며, 완전히 불 활성화시키는 것은 Mg의 장점을 살릴 수 없기 때문에 실용상 어렵다. Mg 이외에도, Ta금속 분은 각종 전자기기의 부 재료로서, Zr은 원자력 등의 공업 부 재료로서 사용이 증가하고 있다.(중략)

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Malignant Solitary Fibrous Tumor of the Pleura -one case report- (늑막의 악성 고립성 섬유성 종양 -1례 보고-)

  • 이희성;지현근;홍기우;안현성;박혜림
    • Journal of Chest Surgery
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    • v.34 no.1
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    • pp.97-100
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    • 2001
  • 흉막의 고립성 섬유성 종양은 중피하에 존재하는 미분화 중배엽성 기원의 섬유 세포에서 기원하는 종양으로 알려졌다. 이 종양은 대부분 양성으로 보고되고 있으나 병리학적으로 높은 세포 밀도, 유사분열의 수가 많고(10개의 고배율 시야에서 4개 이상), 핵의 다양성, 출혈, 괴사등이 있으며 악성의 판단기준으로 보고된다. 환자는 62세 여자로 호흡곤란 및 기침을 주소로 본원에 입원하였으며 단순 흉부 방사선 및 전산화 단층 촬영상 우측 흉강내에 거대한 종양소견이 보였다. 이 종양은 23$\times$18$\times$12 cm, 2 kg의 크기와 무게를 가졌으며 우측폐 하엽과 중엽은 압박되어있었으나 종양 절개 후 재 팽창됨을 확인하였다. 또한 횡경막과 심하게 유착되어 박리도중 손상이 동반되어 봉합술이 필요하였다. 병리학적으로 종괴는 세포밀도가 높았고 방추형세포의 다발로 이루어져 있었으며 유사분열의 수가 많이(27 mitosis/10HPF)보였다. 면역 조직 화학 검사상 vimentin과 CD34에 양성 반응을 보였다. 이에 악성 고립성 섬유성 종양으로 확진되었다. 본 교실에서는 흉막에 발생한 악성 고립성 섬유성 종양을 치험하였기에 문헌 고찰과 함께 보고한다.

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