• Title/Summary/Keyword: 조직병리검사

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Submandibular Soft Tissue Actinomycosis Diagnosed by Fine Needle Aspiration Cytology - A Case Report - (세침흡인 세포검사로 진단된 턱밑 연조직 방선균증 - 1예 보고 -)

  • Lee, Ho-Jung;Kim, Dong-Hoon;Lee, Won-Mi;Kim, Eun-Kyung;Joo, Jong-Eun
    • The Korean Journal of Cytopathology
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    • v.16 no.1
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    • pp.57-60
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    • 2005
  • A patient with actinomyces infection of the submandibular soft tissue was diagnosed by fine needle aspiration cytology (FNAC). A 38-year-old woman presented with a right submandibular mass which slowly grew in size over one month. Clinically and radiologically, the lesion was considered as tuberculous lymphadenitis or cellulitis. The polymerase chain reaction for tuberculosis was done by aspirated specimen but the result was negative. The smears of aspiration cytology showed characteristic colonies (sulfur granules) of actinomyces in inflammatory background. After antibiotic therapy for eight months, the patient has been well, showing no detectable mass. This patient was simply and rapidly diagnosed by FNAC and can avoid unnecessary surgical biopsy.

Using a 7.0T animal MRI comparison of ADC values and Pathologic Findings (7.0T 동물용 MRI을 이용한 종양의 현성확산계수와 병리학적 소견의 평가)

  • Seong, jae gu;Lim, cheong hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.201-202
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    • 2011
  • 본 연구에는 7.0T 동물용 자기공명영상장치를 이용하여 인간의 췌장암 세포인 CFPAC-1를 이종 이식한 쥐에서 자기공명영상을 획득하여 최적화된 검사 Protocol을 정립하며, 동물 실험에서 밝혀진 종양특성과 확산강조영상과의 비교 분석을 해보고 현성확산계수 영상이 췌장암 이종이식 모형의 종양 세포 내부 구조에 관하여 어떠한 정보를 제공 할 수 있는지 알아보고자 한다. 13마리의 쥐의 26개의 종양을 전형적으로 주입 후에 2~4주 뒤에 직경이 5~10mm가 되었을 때 imaged 하였으며, pathologic specimenm을 위해 sacrificed 하였다. isofluoran gas anesthesia를 이용하여 동물 마취 하였다. 사용된 장비로는 small-animal MR images (7.0-T)를 (Bruker BioSpin GmbH, Rheinstetten, Germany)이용하여 Fast T2-weighted 와 single-shot EPI DW image를 얻었다. 종양은 H&E 염색과 CD31와 VEGF에 대한 면역조직학 염색을 하여 종양의 cellularity와 microvessel density(MVD), 종양 내 괴사 정도를 평가하였다. CFPAC-1의 현성확산계수값은 $0.7327{\pm}0.1075{\pm}10^{-3}mm2/s$이였으며, 현성확산계수는 종양내 괴사 정도와 연관성을 보였다(R = 0.7417, p = 0.0001) 이처럼 현성확산계수는 종양 내 괴사 정도 등의 현미경적구조변화를 반영하는 대리인자로 사용될 수 있음을 확인하였다.

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Surgical Treatment of Esophageal Adenocarcinoma in Barrett's Esophagus - A case report - (바렛 식도에 발생한 식도 선암종의 수술적 치료 - 1예 보고 -)

  • Chung, Won-Sang;Kang, Jeong-Ho;Song, Young-Joo;Kim, Young-Hak;Kim, Hyuck
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.787-790
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    • 2008
  • Barrett's esophagus is precancerous lesion of esophageal adenocarcinoma, but this has been rarely reported in Korea. A 81-year-old man with esophageal adenocarcinoma was admitted to our hospital, and we performed a distal esophagectomy and end-to-end esophagogastrostomy. The microscopic examination of the resected tissue revealed the intestinal metaplasia with goblet cells around the esophageal adenocarcinoma, which indicates this was a Barrett's esophagus. We report here on this case along with a review of the relevant literature.

Isolated Aspergillosis of the Brain in an Immunocompetent Patient: A Case Report (정상 면역을 지닌 환자에서 발견 된 고립된 뇌 아스페르질루스증: 증례 보고)

  • Lim, Ji-He;Chung, Tae-Sub;Kim, Hyun-Ki;Ahn, Jung-Yong;Suh, Sang-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.1
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    • pp.64-68
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    • 2010
  • Brain aspergillosis has been increasing remarkably. They are known to occur commonly in immunocompromised individuals by hematogenous spread from other primary sites or by direct extension from adjacent structures to central nervous system. We report a rare case of a 29-year-old male without any known medical history, who had isolated brain lesion and the pathology from stereotactic biopsy confirmed cerebral aspergillosis.

Cavitating Adenocarcinoma and Soluamous Cell Carcinoma in the Same Lobe of the Lung (동일 폐엽내 발생한 공동화 선암과 펀평세포암)

  • 유지훈;김관민;김진국;심영목;한정호
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.153-156
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    • 2002
  • Synchronous primary lung cancers in the same lobe are rare. Cavitating adenocarcinoma as single lung lesion is unusual. We experienced cavitating adenocarcinoma and squamous cell carcinoma in the same lobe of the lung. The patient was a 74-year-old male with chief complaints of hemoptysis. CT scan showd a central mass in right upper lobar bronchus, obstructive pneumonia, and lung abscess in the right upper lobe. Pathologically, the central mass was a 2.3$\times$1$\times$1 cm sized squamous cell carcinoma, and lung abscess was revealed as a 37272 cm sized adenocarcinoma. The patient was discharged without any specific problem after right peumonectomy.

CLINICAL ANALYSIS OF 34 CASES OF THYROID NODULES (갑상선 결절의 임상적 고찰)

  • 오기수;문보영;길상선;윤용주
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.23.1-23
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    • 1987
  • 1985년 1월부터 1986년 12월까지 전북의대 부속병원 이비인후과에 입원하여 수술치료를 받은 34예의 갑상선 결절을 가진 환자를 대상으로 임상분석을 실시하여 다음과 같은 결과를 얻었다. 1) 34례중 32례(94.1%)가 양성, 그리고 2례(5.9%)가 악성 결절이었다. 2) 성비는 33 : 1로 여성에서 월등히 많았다. 3) 20-40대가 25명(73.5%)였고, 40대가 11명(32.4%)로 가장 많았다. 4) 이병기간은 3개월 이내가 14명(41.1%)으로 가장 많았다. 5) 임상증상에서 결절 촉진 34례(100%), 피로감 6례(18%) 심계항진 5례(15%)순이었다. 6) 발생부위에서는 우엽 21례(62%), 좌엽 10례(29%), 양엽 2례(6%) isthmus 1례(3%)순이었다. 7) $I^{131}$섭취검사에서 73.9%가 정상범위였으며, 갑상선주사소견에서는 cold결절이 91.3%였다. 8) 병리조직학적 분류를 보면 양성에서는 adenema 24례(75%), adenomatous goiter 5례(16%), cyst 3례(9%)순이었고 악성 2례는 papillary earcinoma 였다. 9) 수술방법은 일측성 편엽절제술이 22례(64.7%)로 가장 많았다. 10) 수술후 합병증은 경도의 출혈이 5례(14.7%)였고, 다음이 일시적 사성 3례(8.8%)이었다.

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Fine Needle Aspiration Cytology of Carotid Body Paraganglioma - A Case Report - (부신경절종의 세침 흡인 세포학적 소견 - 1례 보고 -)

  • Kim, Joon-Mee;Chu, Young-Chae
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.77-80
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    • 1993
  • Paraganglioma is a benign tumor arising in the paraganglion system scattered throughout the body, but its cytopathologic findings arenot well known. We experienced a case of paraganglioma of carotid body diagnosed by fine needle aspiration. The patient was a 30 year-old female who suffered from the left neck mass for 3 years. The mass was $3\times3cm$ in size without pulsation or bruit. Cytologically, the smear revealed aggregated and singly scattered tumor cells haying abundant pale cytoplasm and indistinct cell borders. Their nuclei were round to oval, but enlarged nuclei were occasionally observed. The nuclear membrane was smooth with fine clumping of chromatin. Differentiation from metastatic follicular carcinoma of the thyroid gland was difficult.

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Surgical Treatment of Plummer - Vinson Syndrome with Carcinoma in Situ - One case report - (상피내암종으로 발전한 Plummer - Vinson 증후군의 수술적 치험 - 1례 -)

  • 최주원;장운하;박찬필;오태윤
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.495-499
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    • 2002
  • Plummer-Vinson syndrome(Paterson-Kelly syndrome) is characterized by dysphagia due to upper esophageal or hypopharyngeal web, iron deficiency anemia, and atropic oral and glossal mucosa. This syndrome is usually known as precancerous lesion that develops into postcricoid carcinoma. Universally, the clinical manifestations of this syndrome were markedly improved after oral iron replacement therapy or endoscopic balloon or electrocautery treatment. 63 year-old woman was received a short segment, free jejunal transfer to be released from esophageal stricture. After the operation, the stenotic lesion proved to be Plummer-vinson syndrome with carcinoma in situ by pathologic study.

Immunoglobulin G4-Related Disease Involving Various Head and Neck Regions: A Case Report (두경부에 국한된 표현형으로 발생한 면역글로불린 G4와 연관된 질환: 증례 보고)

  • Jun Yong Im;Miok Sunwoo
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.910-917
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    • 2022
  • Immunoglobulin G4 (IgG4) related disease (IgG4-RD) is currently considered an immune-mediated condition and is recognized as a disorder group with common pathological, hematological, and clinical characteristics. This disease may involve diverse organs of the head and neck, and include mainly the lacrimal gland, orbit, thyroid gland, pituitary gland, and the meninges. Here, we report a case of IgG4-RD in a 65-year-old female showing head- and neck-limited but synchronously and mainly manifesting as otalgia and facial neuritis.

Imaging Findings of Primary Adrenal Leiomyosarcoma: A Case Report (부신의 원발성 평활근육종의 영상 소견: 증례 보고)

  • Hye Ran Yoon;Dong Hee Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.459-464
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    • 2020
  • Leiomyosarcoma is a malignant tumor that typically originates from either the uterus or the retroperitoneum. Furthermore, primary adrenal leiomyosarcoma is an extremely rare condition. Owing to its radiological non-specificity, differentiating leiomyosarcoma from other tumor types in the adrenal gland is difficult. We report the imaging findings of a primary adrenal leiomyosarcoma in a patient who presented with left upper quadrant abdominal pain, which increased by more than 1 cm in diameter in two years. Primary adrenal leiomyosarcoma was diagnosed considering the subsequent surgical and histopathologic findings.