• 대한두경부종양학회지
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• 제29권2호
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• pp.48-50
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• 2013

Angiomyoma is a rare, benign smooth muscle cell tumor. These tumors may be found anywhere in the body. They frequently occur in the lower extremities except venous type. Angiomyoma in the head and neck area is very rare, and only a few cases have been reported. A 63 year-old male patient visited to outpatient clinic due to size-growing nodule-like lesion in the Lt. alar area. Excisional biopsy was done for diagnosis. The lesion was totally excised with 2 mm safety margin. Frozen biopsy of the lesion was requested, and all resection margins were proved negative. To cover the raw surface, full thickness skin grafting was performed. The graft was harvested from Rt. posterior auricular area. Tie over dressing was applyed on Lt. alar area. The graft was well taken and healed without any complication in both short term and long term follow up periods of 2 weeks, 1 month, 2 months, and 6 months. Donor site completed healed without any complications. The leiomyoma is benign tumor originated from smooth muscle, and it can be classified into solid leiomyoma, angiomyoma, and epithelioid leiomyoma. Especially, the angiomyoma consists of smooth muscle cell and blood vessel, and it is originated from the tunica media of blood vessel. Angiomyoma alone frequently occurs in the lower extremities as solitary painless subcutaneous tumor. Venous type of angiomyoma in the oral cavity was reported in other references, but on the facial surface it may be the first case reported as paper. So this report can be very meaningful.

• Tuberculosis and Respiratory Diseases
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• 제53권2호
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• pp.227-233
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• 2002

저자들은 객혈을 주소로 내원한 62세 여자환자에서 굴곡성 기관지내시경 조직검사상 확진된 기관지 유두종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제41권6호
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• pp.644-650
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• 1994

어머니가 Stage 2 폐유육종증으로 진단 받고 치료된 후 4년만에 친 딸에서 X선상 폐문종대와 전방 포도막염이 발생하여, 기관지 폐생검 및 종격동경으로 실시한 종격동 임파선 생검으로 유육종증으로 진단된 가족형 유육종증이 우리나라에서는 처음 발견되어 문헌 고찰과 함께 보고하는 바이다.

• 대한세포병리학회지
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• 제19권1호
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• pp.27-33
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• 2008

Although subacute granulomatous thyroiditis(SGT) is usually diagnosed clinically, papillary carcinoma or other thyroid conditions must be considered in the differential diagnosis. We retrospectively reviewed the clinical and fine-needle aspiration(FNA) cytologic findings seen in 10 SGT cases to decide what are the most reliable cytologic findings and the most helpful molecular tools for reaching a confident cytologic diagnosis. The most representative smear slides were retrieved to perform immunocytochemistry for cytokeratin 19(CK19) and Ret protein. Five papillary carcinomas(PTCs) were included as controls. The constant and typical cytologic findings of SGT were multinucleated giant cells(MGCs) (100%), epithelioid granulomas(90%), an inflammatory dirty background(90%) and plump transformed follicular cells(80%) without fire-flare cells, oncocytic cells or transformed lymphocytes. The immunoreactivities for CK19(37.5%) and Ret(10%) of the follicular cells of SGT were less than those(CK19 and Ret:100%) of PTC. CK19 immunoreactivity of the MGCs was seen in only one case of PTC. There was no significant difference between CK19 and Ret immunocytochemical staining for the MGCs of both SGT and PTC. The results of this study demonstrate that the cytological diagnosis of SGT can be improved by employing a combination of the typical and constant diagnostic cytological features and immunocytochemical results.

• 대한예방한의학회지
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• 제5권1호
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• pp.144-150
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• 2001

The cytotoxic activity of Cratalariae sessiliflorae on cultured NIH 3T3 fibroblasts and human oral epithelioid carcinoma cells (KB) were evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazoliumbromide (MTT) colorimetric method These fractions of methanol extract of Cratalariae sessiliflorae showed inhibitory effect in vitro in the milligram range against KB cell lines. In general, the antitumor activities of these fractions were does-dependent over the milligram range. The comparison of IC50 values of these fractions in tumor cell lines showed that their susceptibility to these fractions decrease in the following order: Fr. 4> Fr. 6> Fr. 10> Fr. 2> Fr. 11> Fr. 3> Fr. 8> Fr. 7> Fr. 9> Fr. 1> Fr. 5 by the MTT assay. These fractions were tested for their cytotoxic effects on NIH 3T3 fibroblasts using MTT assay. They exhibited potent cytotoxic activities in vitro in the milligram range against NIH 3T3 fibroblasts. In general, the cytotoxic activities of these fractions were does-dependent over the milligram range. The comparison of CD50 values of these fractions in NIH 313 fibroblasts shows that their susceptibility to these fractions in decrease the following order: Fr. 10> Fr. 9> Fr. 2 = Fr. 4> Fr. 8> Fr. 11> Fr. 1 = Fr. 7> Fr. 3> Fr. 5 = Fr. 6 by the MTT assay. These results suggests that fraction 5 has the most growth - inhibitory activity against KB cell lines.

• Tuberculosis and Respiratory Diseases
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• 제41권3호
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• pp.248-261
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• 1994

연구배경 : Lectin은 탄수화물의 특정한 당잔기에 높은 친화성과 특이성을 가지므로 이러한 lectin-sugar 상호작용을 이용하여 사람 폐결핵결절에서 이를 구성하는 주된 성분인 건락성 괴사 상피양세포, 림프구 및 섬유층에 존재하는 탄수화물의 종류와 분포에 대해 알아보고자, 본 연구를 실시하였다. 방법 : 사람 폐결핵 절제 조직에서, 13종의 lectin을 사용하여 조직화학염색을 시행하였다. 결과: 1) 건락성 괴사부에서 BS $I-B_4$는 모든 구성성분에서, BS I는 변연부에 있는 일부의 세포성분을 제외하고 나머지 구성성분 모두에서 음성반응을 나타내었다. 그러나 나머지 lectin들은 건락성 괴사부에서 다양한 형태의 렉틴결합반응을 나타내었다. 2) 상피양세포들은 세포질에서의 반응 양상에 따라 크게 세 군으로 나눌 수 있었다. 첫째, DBA, UEA I 및 LCA는 대부분 중등도 이상의 강한 양성반응을 나타내었다. 둘째, WGA, s-WGA, PNA, SBA, VVL, ECL, PHA-L 및 PHA-E는 세포에 따라 다양한 형태의 반응양상을 나타내었다. 셋째, BS I 및 BS $I-B_4$는 음성반응을 나타내었다. 상피양세포의 세포막에 대한 결합반응을 살펴보았을 때, 첫째, ECL, PHA-L 및 PHA-E는 대부분 강한 양성반응을 보여주었다. 둘째, WGA, s-WGA 및 PNA는 세포에 따라 양성 및 음성반응이 혼재하는 양상을 나타내었다. 셋째, BS I, BS $I-B_4$, UEA I, DBA 및 VVL은 음성반응을 나타내었다. 3) 상피양세포사이물질들은 건락성 괴사부의 세포사이물질에 대한 lectin 결합 양상과 유사한 반응 양상을 나타내었다. 4) WGA, ECL, PHA-L, PHA-E 및 LCA들은 림프구에 강한 양성반응을 나타내었다. 5) SBA는 건락성 괴사부를 둘러싸는 섬유층의 외측에 위치하는 혈관 내피층에서 대체로 양성반응을 보였으나, 섬유층내의 혈관 내피층에서는 대체로 음성반응을 나타내었다. 6) PNA는 섬유층의 외측지역에서 양성반응을 나타내었지만 그와는 대조적으로 내측지역의 세포사이물질에서 음성반응을 나타내었다. 결론 : 이상의 결과와 같이, 렉틴결합특성을 이용한 조직화학적 연구는 사람 폐결핵 결절의 여러 성분들에 존재하는 복합당질의 종류, 특성 및 분포, 그리고 연결핵결절 형성과정 동안에 일어나는 복합당질 조성의 변화에 관한 유용한 정보를 제공해 주었으며, 이러한 결과들은 결핵결절의 병리학적 연구에 도움이 될 것으로 사료된다.

• Radiation Oncology Journal
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• 제37권2호
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• pp.101-109
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• 2019

Purpose: The purpose of this study is to evaluate the safety and efficacy of the multimodality treatment with neoadjuvant intensity-modulated radiotherapy (IMRT) for resectable clinical T1-3N0-1M0 malignant pleural mesothelioma (MPM). Materials and Methods: A total of eleven patients who received neoadjuvant chemotherapy and radiotherapy between March 2016 and June 2018 were reviewed. Patients received 25 Gy in 5 fractions to entire ipsilateral hemithorax with helical tomotherapy. Results: All of patients were men with a median age of 56 years. Epithelioid subtype was found in 10 patients. All patients received neoadjuvant chemotherapy with pemetrexed-cisplatin regimen. Ten patients (90.9%) completed 25 Gy/5 fractions and one (9.0%) completed 20 Gy/4 fractions of radiotherapy. IMRT was well tolerated with only one acute grade 3 radiation pneumonitis. Surgery was performed 1 week (median, 8 days; range, 1 to 15 days) after completing IMRT. Extrapleural pneumonectomy was performed in 4 patients (36.3%), extended pleurectomy/decortication in 2 (18.2%) and pleurectomy/decortications in 5 (63.6%). There was no grade 3+ surgical complication except two deaths after EPP in 1 month. Based on operative findings and pathologic staging, adjuvant chemotherapy was delivered in 7 patients (63.6%), and 2 (18.2%) were decided to add adjuvant radiotherapy. After a median follow-up of 14.6 months (range, 2.8 to 30 months), there were 3 local recurrence (33.3%) and 1 distant metastasis (11.1%). Conclusion: Neoadjuvant entire pleural IMRT can be delivered with a favorable radiation complication. An optimal strategy has to be made in resectable MPM patients who would benefit from neoadjuvant radiation and surgery. Further studies are needed to look at long-term outcomes.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.249-253
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• 2013

Background: Malignant mesothelioma (MM) is an aggressive tumor of mesothelial surfaces. Previous studies have observed an association between ABO blood groups and risk of certain malignancies, including pancreatic and gastric cancer; however, no information on any association with MM risk is available. The aim of this study was to investigate possible associations amoong MM clinicopathological features and ABO blood groups and Rh factor. Materials and Methods: In 252 patients with MM, the ABO blood group and Rh factor were examined and compared with the control group of 3,022,883 healthy volunteer blood donors of Turkish Red Crescent between 2004 and 2011. The relationship of blood groups with various clinicopathological features were also evaluated in the patient group. Results: The median age was 55 (range: 27-86) and 61.5% of patients were male. While 82.8% of patients had a history of exposure to asbestos, 60.7% of patients had a smoking history. Epithelioid (65.1%) was the most common histology and 18.7% of patients had mixed histology. Overall, the ABO blood group distribution of the 252 patients with MM was comparable with the general population. The median overall survival (OS) was 14 months (95% confidence interval, 11.3-16.6 months). The median OS for A, B, AB, and O were 11, 15, 16, and 15 months respectively (p=0.396). First line chemotherapy was administered to 118 patients. The median OS of patients on pemetrexed or gemcitabine was longer than patient who was not administered chemotherapy [17 months (95%CI, 11.7-22.2) vs. 9 months (95%CI, 6.9-11.0); p<0.001]. Conclusions: The results of this study suggest that patients with MM can benefit from treatment with pemetrexed or gemcitabine in combination with cisplatin. We did not observe a statistically significant association between ABO blood group and risk of MM.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제8권2호
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• pp.238-242
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• 2005

복부 팽만과 복수, 복부 종괴 및 혈청 CA-125가 상승하는 경우 반드시 복막 결핵을 의심해야 하며 보다 정확하고 빠른 진단을 위해 복막 천자를 통한 염색 및 균 배양뿐 아니라 ADA, 중합 효소 연쇄 반응 및 진단적 복강경 검사 등이 필요하다. 저자들은 난소 종양의 임상 양상을 보인 5세 여아에서 복막 결핵을 진단한 예가 있어 문헌 고찰과 함께 보고하는 바이다.

• 대한두경부종양학회지
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• 제21권2호
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• pp.201-207
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• 2005

Purpose: Submandibular gland tumor is rare, less than 6% of head and neck tumor. The purpose of this article is to analysis the clinical experience and treatment outcomes of malignant submandibular gland tumor, suggesting a guideline of management. Methods: We retrospectively evaluated 26 patients who underwent operation for malignant submandibular gland tumor at Severence hospital between 1986 and 2004. Statistical analysis was performed by Kaplan-Meier method, log rank test, Chi-square test, Fisher's exact test using SPSS v12.0 for Windows. Results: They consisted of 18 males and 8 females whose median age was 47 years(range: 20-71). 10 cases of adenocystic carcinoma, 8 cases of carcinoma ex pleomorphic adenoma, 4 cases of mucoepidermoid carcinoma, 1 case each for acinic cell carcinoma, undifferentiated carcinoma, adeno carcinoma, epithelioid hemangioendothelioma. Sialoadenectomy only was performed in 10 cases(36.5%) and sialoadenectomy with neck node dissection was performed in 16 cases(63.5%). Adjuvant radiotherapy was done in 22 cases(84.6%). 10 year disease free survival rate for malignant submandibular gland tumor was 63.1 % and 10 year overall survival rate for malignant submandibular gland tumor was 70.1%. In univariate analysis, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. Conclusion: In this study, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. To prevent recurrence and to improve survival, early diagnosis and aggressive surgery must be considered.