• Title/Summary/Keyword: 병리학적 결과

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MR Imaging of Intracranial Pediatric Meningiomas: Manifestations in 16 Patients (두개강내 소아 수막종 16예의 자기공명영상 소견)

  • Eo, Hong;Kim, Ji-Hye
    • Investigative Magnetic Resonance Imaging
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    • v.12 no.2
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    • pp.188-196
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    • 2008
  • Purpose : To describe the clinical, MR imaging, and pathologic findings of pediatric meningiomas. Materials and Methods : The authors retrospectively reviewed the medical records and MR images of 16 pediatric patients with pathologically proven meningioma. Mean patient age at diagnosis was 14 years (range, 3-18). MR images were reviewed for details of lesion sizes, locations, signal intensity (SI), marginal characteristics, internal architectures, enhancements, and dural and parenchymal changes. The findings of other imaging modalities and of pathological examinations were also analyzed. Results : Mean tumor size was 5.24 cm (range, 1.3-18.1 cm) and locations were supratentorial in 12 and infratentorial in 4. SI of masses were variable, that is, high in 9, iso in 4, and low in 3 on T2 weighted images (T2WI), and low (n=11), iso (n=4), or high (n=1) on T1WI images. All lesions were visualized as well-demarcated enhancing masses. Five of the tumors were heterogeneous with cystic or necrotic components. Dural attachment was observed in 11 patients and adjacent brain edema in 10. Tumors exhibited hyperdense (n=6) or isodense (n=4) on non-enhanced CT scans, and 3 of the 7 angiograms demonstrated blood supply from the internal carotid artery. Pathologic examinations revealed the following subtypes; transitional cell (n=4), meningotheliomatous (n=4), chordoid (n=2), fibrous (n=2), clear cell (n=1), hyalinized (n=1), rhabdoid papillary (n=1), and atypical (n=1). Conclusion : Pediatric meningiomas occur usually in teenagers, have diverse pathological types, and may produce atypical imaging findings, such as, a heterogeneous internal content or findings suggestive of intraaxial tumors.

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Hypertrophy of the Anterior Cruciate Ligament of the Knee (슬관절의 전방 십자 인대의 비후)

  • Cho Sung-Do;Park Tae-Woo;Cho Yong-Sun;Kim Bum-Soo;Lew Sogu;Yang Seoung-Oh;Kim Sung-Sook;Hwang Su-Yeon
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.63-68
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    • 2001
  • Purpose : To propose the diagnosis, 'hypertrophy of the anterior cruciate ligament(ACL)', and its clinical, radiological and pathological characteristics. Materials & Method : Since Dec. 1995, we have experienced 10 patients(12 knees) with hypertrophy of the ACL. There were 2 males and 8 females, and the age of the patients ranged from 35 to 67 years. Characteristics of clinical, radiological and pathological findings were analysed. Results : The chief complaint was insidious onset of dull pain on the knee which became worse with activity. The constant physical finding was painful limitation of full extension of the knee. Sagittal MR images showed diffuse swelling of the ACL, similar finding that could be seen in acute ACL tear. Arthroscopically, noted was a marked enlargement of the ACL causing notch impingement. Biopsies of the hypertrophied ACL showed increased collagenous tissue with variable degree of myxoid degeneration. With partial excision of the hypertrophied ACL with or without notchplasty, the symptoms improved in all. Conclusion : Hypertrophy of the ACL, a newly proposed diagnosis, should be considered be determining the cause of the painful knee, and further study should be done about its pathogenesis.

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Breast Cancer Histopathological Image Classification Based on Deep Neural Network with Pre-Trained Model Architecture (사전훈련된 모델구조를 이용한 심층신경망 기반 유방암 조직병리학적 이미지 분류)

  • Mudeng, Vicky;Lee, Eonjin;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.399-401
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    • 2022
  • A definitive diagnosis to classify the breast malignancy status may be achieved by microscopic analysis using surgical open biopsy. However, this procedure requires experts in the specializing of histopathological image analysis directing to time-consuming and high cost. To overcome these issues, deep learning is considered practically efficient to categorize breast cancer into benign and malignant from histopathological images in order to assist pathologists. This study presents a pre-trained convolutional neural network model architecture with a 100% fine-tuning scheme and Adagrad optimizer to classify the breast cancer histopathological images into benign and malignant using a 40× magnification BreaKHis dataset. The pre-trained architecture was constructed using the InceptionResNetV2 model to generate a modified InceptionResNetV2 by substituting the last layer with dense and dropout layers. The results by demonstrating training loss of 0.25%, training accuracy of 99.96%, validation loss of 3.10%, validation accuracy of 99.41%, test loss of 8.46%, and test accuracy of 98.75% indicated that the modified InceptionResNetV2 model is reliable to predict the breast malignancy type from histopathological images. Future works are necessary to focus on k-fold cross-validation, optimizer, model, hyperparameter optimization, and classification on 100×, 200×, and 400× magnification.

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Histopathologic Observation of the Mediterranean Mussel, Mytilus galloprovincialis (Lamarck, 1819) During a Spawning Season (산란기 지중해담치 Mytilus galloprovincialis의 조직병리학적 변화 관찰)

  • Jeung, Hee-Do;Lee, Jee-Yeon;Limpanont, Yanin;Park, Kyung-Il;Kang, Hyun-Sil;Kim, Chul-Won;Kim, Hyung-Seop;Choi, Kwang-Sik
    • Ocean and Polar Research
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    • v.36 no.2
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    • pp.121-134
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    • 2014
  • Sessile marine bivalves including mussels, oysters and clams are often used as a sentinel species in coastal environmental monitoring since changes in the environmental quality are often well preserved in their tissues and shells. In this study, we investigated overall health condition of the Mediterranean Mussel, Mytilus galloprovincialis on the south coast using histology. Reproductive condition as gonad index (GI), condition index (CI) as a ratio of the tissue weight to the shell weight, digestive gland atrophy (DGA), types of parasites, and pathologic conditions including erosion, necrosis, hemocyte infiltration, and neoplasia were examined from each histological preparation. GI decreased from March to July then increased from July to September and spawning mussel could be observed as early as in April and the activity continued until September. CI also followed the monthly changes in GI, indicating that decrease in CI was associated with the weight loss due to spawning. DGA increased from March to June, decreased in July and increased from July to September. High DGA values observed in June and September were coincided with spawning and high water temperature. Histology also showed high prevalence of erosion in the digestive gland in June (36.0%) and September (56.4%), suggesting that high water temperature and spawning acted as environmental stressors. No parasitic organism was identified during the survey, although some symbiotic copepods were observed. Histology was found to be useful and affordable technique in monitoring the overall health of mussel, providing useful pathologic information of the cells and tissues.

Cytopathologic Diagnosis of Bile Obtained by Percutaneous Biliary Drainage (담즙의 세포병리학적 진단에 관한 연구)

  • Park, In-Ae;Ham, Eui-Keun
    • The Korean Journal of Cytopathology
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    • v.3 no.1
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    • pp.1-11
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    • 1992
  • From the one hundred forty eight patients with evidence of biliary tract obstruction, 275 bile samples were obtained from percutaneously placed biliary drainage catheters. Of the 148 patients, ova of Clonorchis sinensis were demonstrated in 17 patients (11.5%), with the epithelial cells. Among them, one case also demonstrated coexisting adenocarcinoma. In 105 patients, the medical records were available for review and the clinical diagnoses were malignancy in 99 patients and benign lesion in 6 patients. Of the 99 patients in which clinico-radiologic diagnosis were malignant, cytologic results were positive in 23.2%. Dividing the patients Into two groups, the ones with tumor of bile duct origin (group I) and the others with tumors producing extrinsic compression of bile duct, such as periampullary carcinoma, pancreas head carcinoma or metastatic carcinoma in lymph nodes from tumors of adjacent organs (group II), the cytologic results were positive in 37% and 11.6%, respectively. In patients with histologic confirmation, the positive correlation was found in 50% and 20% in group I and group II, respectively, with remarkable difference between two groups. There were no false positives in cytologic diangosis. The overall concordance rate of cytologic diagnosis with diagnosis of clinical investigation in both benign and malignant lesions was 27.6% and the diagnostic specificity was 100%.

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3D morphological analysis of uterine tumor cell (자궁종양 세포의 3차원 형태학적 분석)

  • 최익환;최현주;최흥국
    • Proceedings of the Korea Multimedia Society Conference
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    • 2003.11a
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    • pp.277-280
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    • 2003
  • 본 연구에서는 자궁종양 세포를 정상, 비정상으로 진단하기 위한 세포핵의 특성값 추출 방법으로 3차원 형태학적 분석 방법을 제안한다. 컨포컬 현미경을 이용하여 3차원 볼륭데이터를 획득하고 3차원 연결 성분 레이블링을 적용하였다 레이블링 후, 각각의 세포핵으로부터 3차원 형태학적 특성값을 추출하였으며 정상세포핵과 비정상세포핵의 3차원 형태계측에 대한 차이를 비교하였다. 이는 잘린 단면의 각도나 두께에 따라 서로 다른 분석 결과를 나타내는 2차원 영상분석방법의 한계를 극복할 수 있으며 실체에 가까운 계측으로 보다 객관적이고 정확한 병리진단을 위한 보조도구로써 활용될 수 있다.

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Malignant Small Cell Tumor of the Thoracopulmonary Region - Report of One Case and a Review of the Literature - (흉폐부위에 악성소세포종 -증례 보고-)

  • Choi, Myung-Sun;Chung, Kyoo-Byung
    • Radiation Oncology Journal
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    • v.4 no.1
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    • pp.63-66
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    • 1986
  • The malignant small round cell tumor of the thoracopulmonary region was described by Askin in 1979 and called as Askin Tumor. The Askin tumor is a rare, arises from the soft tissues of the chest wall or peripheral lung which is predominantly in younger generation. Clinical and pathologic appearance were very similar to Ewing's sarcoma and rhabdomyosarcoma but when examined it by electron microscopy, there was some different in morphology. The tumor tended to recur locally and did not seem to disseminated widely but the median survival was only 8 months.

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Changes of the Antioxidant Enzymes and Histopathological Changes of Liver and Kidney According to the Administered Dosage of Bambusae Caulis in Liquamen in Mice (죽력 (Bambusae Caulis in Liquamen)의 투여량에 따른 생쥐의 항산화효소 활성과 간과 신장의 조직병리학적 변화)

  • Kim, Jeong-Sang
    • Applied Microscopy
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    • v.32 no.4
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    • pp.399-410
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    • 2002
  • This study was performed to investigate the effects of Bambusae Caulis in Liquamen (bamboo extract) on the changes of antioxidant enzymes and histopathological changes of liver and kidney in mice when administered in different dosages. The experimental groups were divided into four. For control group, 0.9% NaCl (0.2 ml/25 g B.W.) and for experimental groups, 5% (H1 group), 10% (H2 group), and 20%(H3 group) bamboo extract diluted with 0.9% NaCl, were administered (0.2 ml/25 g B.W.) respectively for 28 days at an interval of 48 hours. MnSOD activities were increased in H1 group (46%, P<0.05), H2 group (40%, P<0.05), and H3 group (34%, P<0.05) as compared to the control group. CuZnSOD activities were increased in H1 group (11%, P<0.05), but were decreased in H3 group (13%, P<0.05). The activities of catalase were decreased in H1 group (39%, P<0.05), H2 group (34%, P<0.05), and H3 group (31%, P<0.05) as compared to the control group. Histopathological observation revealed ballooned hepatocytes in the pericentral and periportal veins of H1 group. More ballooned and injured hepatocytes than in H1 group were observed in the H2 and H3 groups. Detachment of endothelial cells of the central vein was observed in the H2 and H3 groups. These results indicated that bamboo extract developed dose-dependent changes in antioxidant enzyme activities and developed histopathological changes of liver and kidney.

Diagnosis of Tuberculous Cervical Lymphadenitis Using Polymerase Chain Reaction (경부 임파절에서 Polymerase Chain Reaction(PCR)을 이용한 결핵균의 진단에 관한 연구)

  • Kim, Ho-Joong;Hyun, In-Kyu;Lee, Myoung-Koo;Jung, Ki-Suck;Ahn, Hye-Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.1
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    • pp.35-41
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    • 1995
  • Background: Tuberculous cervical lymphadenitis can be diagnosed by clinical findings, chest X-ray, Mantoux test, but confirmed only by excisional biopsy. The polymerase chain reaction(PCR) is now widely applied to test very small amount of pathogen and would be used to detect Mycobacterium tuberculosis in biopsied tissues and fine needle aspirates. Method: We carried out the PCR using IS-1 and IS-2 primers in 16 samples from tuberculous cervical lymphadenitis patients, and 13 samples from non-tuberculous cervical lymphadenopathy patients. Acid fast staining and culture for Mycobacterium were all negative. Results: All of 8 pathologically confirmed tuberculous cervical lymphadenitis samples showed positive PCR results, and of 5/8 clinically diagnosed samples were positive. None of 6 pathologically excluded samples were positive, and among 7 clinically undiagnosed samples 2 showed positive PCR results. Conclusion: In patients with suspected tuberculous cervical lymphadenitis, PCR could be used to detect Mycobacterium tuberculosis using biopsied tissues and even fine needle aspirates with good sensitivity and specificity.

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Canine Renal Failure Caused by Ochratoxin A and Citrinin in the Commercial Dog Food (시판 사료에 오염된 Ochratoxin A와 Citrinin에 의한 개의 신부전)

  • Ahn, So-Jeo;Jeoung, Seok-Young;Lim, Man-Su;Park, Son-Il;Han, Jeong-Hee;Kim, Doo
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.82-87
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    • 2007
  • Five dogs with renal failure were referred to the Veterinary Medical Teaching Hospital at Kangwon National University. These dogs had the common history of consumption of Pedigree dry dog food produced in Thailand plant for over 1 month. The dogs showed anorexia, emaciation, vomiting, and polydipsia/polyuria. And in one severely affected dog, bloody diarrhea and hypothermia were seen. The remarkable clinicopathological signs were high value of BUN and creatinine. In some dogs, GGT, phosphorus and lipase were increased. However, no significant changes of complete blood count were found. In urinalysis, hematuria, low specific gravity urine, proteinuria, and calcium oxalate-like crystals were observed. Two severely affected dogs were died. The remained dogs were recovered gradually after change of dog food and supportive therapy. Pathological findings were seen typically in kidneys. Renal atrophy, congestion of the glomerular capillary, and diffuse degeneration, necrosis, dystrophic calcification and regeneration in the tubular epithelium were seen. Yellowish brown fluorolucent laminated materials or particles were quite often found in the lumina of the necrotizing renal tubules of cortex and medulla. Proliferation of fibrous tissue in the interstitium was also seen. By the mycotoxin analysis of the Pedigree dry dog food, ochratoxin A (OTA) and citrinin were detected as much as the concentration of 372.8 ppb and 8.3 ppb, respectively. The final diagnosis of renal failure caused by OTA and citrinin toxicosis was made on the basis of history takings, clinical signs, clinicopathological and pathological findings, and analysis of mycotoxins.