• 제목/요약/키워드: Low grade

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타액선의 다형성 선종에서 발견한 암종의 세침흡인 세포학적 소견 -5 예 보고- (Fine Needle Aspiration Cytology of Carcinoma ex Pleomorphic Adenoma of Salivary Gland - Report of five cases -)

  • 최현주;김활웅;함의근;박인애
    • 대한세포병리학회지
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    • 제12권2호
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    • pp.97-103
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    • 2001
  • Carcinoma ex pleomorphic adenoma(CXPA) is a rare malignant tumor of the salivary gland, fine needle aspiration cytology(FNAC) of which are rarely reported. We retrospectively reviewed FNAC of five cases of histologically proven CXPA of the salivary glands diagnosed in Seoul National University Hospital to evaluate their cytologic characteristics. Histologically, the carcinoma components were low-grade in three cases and high-grade in two cases. The cytologic diagnosis were malignancy in two cases(40%), suspicious for malignancy in one(20%), and benign(pleomorphic adenoma) in two(40%). All of the high-grade carcinomas were correctly diagnosed by FNAC, however, 2 cases of low-grade carcinomas were diagnosed as benign by FNAC. The low sensitivity in cytologic diagnosis is due to interpretative difficulties in low-grade tumors. The characteristic cytologic features of CXPA were high cellularity, necrotic, bloody, and inflammatory background, marked nuclear overlapping, coarsely granular chromatin, prominent macronucleoli, and atypical mitosis in epithelial component in addition to the typical biphasic pattern of pleomorphic adenoma consisting of epithelial cells admired with spindle-shaped cells and chondromyxoid stroma. Even though low-grade tumors show mild pleomorphism, the cytologic findings of necrotic background, moderate to high cellularity, and nuclear overlapping could lead to an accurate cytodiagnosis of CXPA.

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뇌반구에 위치한 양성신경교종의 악성전환에 대한 임상적 연구 (Malignant Transformation of Hemispheric Low-Grade Gliomas : Clinical Analysis and Prognostic Factors)

  • 조근태;곽호신;정희원;백선하;정영섭;김동규;조병규
    • Journal of Korean Neurosurgical Society
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    • 제30권7호
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    • pp.855-860
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    • 2001
  • Introduction : It has been reported that the survival of low-grade glioma patients depends upon the time of malignant transformation. The authors presents the clinical analysis of histologically proven trasformed gliomas. Materials and Method : A total 92 patients who were consecutively treated and histologically confirmed hemispheric low-grade gliomas between 1980 and 1998 were analyzed and followed. All cases meet the criteria of WHO glioma classification of grade II. Results : The mean follow-up period was 73 months. Twenty two among 92 cases(24%) were histologically proven to be transformed into malignant ones. The mean time to transformation was 56 months. The 5-year and 10-year survival rates of the transformed group were 66% and 30% respectively and significantly different from the survival rates of the non-transformed group(p=0.0018). Among clinical factors at presentation, the initial tumor volume had a tendency to be larger in the transformed group than that of the non-transformed group and became significant when it was divided into more than $30cm^3$ or not(p=0.02). Among therapeutic factors, the extent of removal had no influence on the rate of malignant transformation. But postoperative radiation therapy were more frequently given to the pre-transformed group than the non-transformed group and the frequency was significantly different(p=0.02). Conclusions : The authors had found that the initial tumor volume and radiation therapy could be clinical prognostic factors for the malignant transformation of low-grade gliomas.

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Intrinsic Tumour Factors Affecting Recurrence in Non Muscle Invasive Bladder Cancer: a Hospital Based Study from India

  • Mehta, Nisarg;Rathore, Ranjeet Singh;Pillai, Biju S;Sam, Mohan P;Moorthy, Krishna
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2675-2677
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    • 2015
  • Background: Depending on various pathological factors, non muscle invasive bladder cancer (NMIBC) shows varying degrees of recurrence. The aim of this study was to determine the incidence of recurrence of NMIBS in our centre, study the influence of intrinsic tumour characteristics like grade, stage, size and number, and compare our results with data in the published literature. Materials and Methods: A hospital based retrospective study was conducted on patients who underwent treatment for NMIBC from 2011 to 2014. The factors studied were number, size, grade, stage and site for correlation with recurrence. Statistical analysis was performed using Medcalc version 12, using Pearson's Chi square test to ascertain associations between variables. Results: A total of 73 patients with NMIBC were studied of which 48 (65.8%) had low grade and 25 (34.2%) had high grade tumours. Some 38 patients (52.1%) had Ta tumours, 34 (46.6%) had T1 and one had CIS. Mean follow up was 34.3 months. Recurrence rates were found to be 33.3% in low grade and 52.0% in high grade tumours. The overall recurrence rate in our centre was 39.7%. Significant correlations were seen between stage and recurrence, with a rate of 15% for Ta and 63.3% for T1 tumours. Fourteen out of 21 bladder cancers (66.6%) with multiple tumours demonstrated recurrence (p=0.006). Grade, size and site had no influence. Conclusions: In our study, recurrence of NMIBC was found to be directly proportional to stage and number of primary tumours, but not grade, size and site. The incidence of recurrence of NMIBC both stage wise and grade wise in our centre was also low compared to the data in the published literature.

흉쇄유돌근에서 기인한 Low-Grade Myofibroblastic Sarcoma 1예 (Low Grade Myofibroblastic Sarcoma of the Sternocleidomastoid Muscle)

  • 심남석;홍현준;송기재;최성은;서연석;이은정
    • 대한두경부종양학회지
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    • 제30권1호
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    • pp.23-27
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    • 2014
  • Low-grade myofibroblastic sarcoma is a rare disorder of malignant soft tissue tumor and is usually occurred various regions that often manifests in the head and neck region. The most common clinical presentation of this entity is non-tender cervical lymphadenopathy. This disease usually presents high possibility of local recurrence and low possibility of distant metastasis. We report a rare case of low-grade myofibroblastic sarcoma occurring in the sternocleidomastoid muscle and invading to the mastoid tip. A 56-year-old male visited the clinic with a complaint of slowly growing postauricular mass for 6 months. Mass originating from sternomastoid muscle and invasion to mastoid tip was observed by imaging studies. Surgical complete excision with simple mastoidectomy was performed via modified facelift approach. The histopathologic findings revealed malignant spindle cell tumor with positive staining with smooth muscle actin. The patient has no recurrence for 2years without any complication.

저급 수리미의 젤 강도 증강을 위한 첨가물의 최적화 (Optimization of Ingredients Formulation in tow Grades Surimi for Improvement of Gel Strength)

  • 최영준;이호수;조영제
    • 한국수산과학회지
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    • 제32권5호
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    • pp.556-562
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    • 1999
  • 전분은 종류에 관계없이 첨가량을 증가시킴에 따라 gel 강도는 저하하였으며, RA급 냉동 surimi은 전분의 종류에 큰 영향을 받지 않은 반면, A급은 감자전분 및 수식 옥수수전분이 농도 증가에 따른 gel 강도 감소에 가장 적은 영향을 미치는 것으로 나타났다. WPC, DEW 및 SPI는 첨가량이 증가함에 따라 gel 강도는 감소하였으나, BPP는 gel 강도를 증가시키는 것으로 나타났으며, 이 같은 효과는 RA급에서 현저하였다. BPP의 gel 강도 증가 효과는 낮은 변성온도와 열 변성에 따른 구조 변화가 어육 gel의 matrix 강화에 영향을 미치는 것으로 판단된다. RA급을 이용한 어육 gel 제조시 백색도에 큰 영향을 미치지 않는 $2\%$ 범위 내에서 gel 강도 강화를 위해 사용할 수 있는 것으로 나타났다. Gel 강도 1000$\times$g를 제한 인자로 하였을 때, 냉동 surimi의 소모량이 가장 적은 formulation은 A급에서는 A급 surimi $37.8\%$ DEW $6.6\%$, 전분 $3.4\%$ 였으며, RA급에서는 RA급 surimi $40.9\%$, DEW $9.1\%$, 전분 $0.9\%$이었다.

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가압 마이크로 수송관을 이용한 저급탄의 건조 특성 연구 (Study of Drying Characteristics of Low Rank Coal in a Pressurized Micro-riser)

  • 곽인섭;곽유라;김예빈;이시훈
    • 공업화학
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    • 제28권3호
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    • pp.313-317
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    • 2017
  • 지속적인 에너지 수요의 증가로 인하여 저등급 석탄이 새로운 에너지 자원으로서 인정받고 있다. 그러나 저등급 석탄의 높은 수분 함량으로 인하여 저등급 석탄의 이용 효율은 기존의 석탄 이용 플랜트들에서 이용하기에 부족하다. 따라서 저등급 석탄의 수분 함량을 낮추는 건조 공정이 요구되고 있다. 비록 다양한 건조 실험들이 진행되었으나, 고압조건에서의 건조 특성은 크게 연구되지 않았다. 이에 본 연구에서는 높은 수분 함량을 지닌 저등급 석탄(수분 함량: 21.5 wt%)의 급속 건조 특성을 가압 마이크로 상승관을 이용하여 고찰하였다. 압력(1-40 bar), 건조 온도($200-600^{\circ}C$), 마이크로 상승관 길이(2-6 m) 등의 운전 조건 변화에 따른 저등급 석탄의 건조 특성을 분석하였다.

시멘트와 메타카올린 혼합물의 미세구조 관찰 (Microstructural Observation of Cement and Metakaolin Mixture)

  • 공경록;정현석;강헌찬
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2006년도 춘계 학술발표회 논문집(II)
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    • pp.449-452
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    • 2006
  • This study inhence the strength of concrete by using domestic low grade kaolin. In conclusion, we confirmed to inhence the strength of concrete when added the low grade kaolin(heated in $800^{\circ}C$) about 10%.

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골육종의 조직학적 등급에 따른 CXCR4 발현 및 예후로서의 의미 (Differential Expression of CXCR4 in Conventional High-grade and Low-grade Central Osteosarcoma and Its Prognostic Implications)

  • 박혜림;서진원;;;박용구
    • 대한골관절종양학회지
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    • 제18권1호
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    • pp.20-27
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    • 2012
  • 목적: 케모카인 수용체인 CXCR4는 암에서 발현되며 암의 전이에 관여한다고 알려져 있다. 저자들은 통상적인 조직학적으로 고등급인 골육종과 저등급 중심부 골육종에서 CXCR4 발현을 비교하고 CXCR4 발현과 예후 간에 연관성이 있는지 살펴보았다. 대상 및 방법: 총 63명의 골육종 환자에서 CXCR4에 대한 면역조직화학검사를 시행하였고 임상적, 병리학적 인자 및 전체적인 생존율과의 연관성을 살펴보았다. 결과: CXCR4는 통상적인 고등급(조직학적 등급 3 및 4) 골육종의 76.3%에서 발현된 반면 저등급(조직학적 등급 1 및 2) 중심부 골육종의 36%에서 발현되었다. 또한 고등급 골육종의 47.4%에서 미만성으로 발현된 반면 모든 저등급 골육종은 병소에 국한되어 발현되었다. CXCR4 발현은 조직학적 등급과 통계학적으로 유의한 상관관계를 나타내었다(p<0.0001). 전체적인 생존률은 CXCR4 발현 증가(p=0.0058), 고등급의 조직학적 등급(p<0.0001), 어린 연령(p=0.0140)에 따라 유의하게 감소하였지만, 성별, 종양 크기, AJCC 병기와는 연관성이 뚜렷하지 않았다. 결론: CXCR4 발현은 골육종에서 고도의 조직학적 분화도가 나쁜 등급 및 불량한 예후와 연관된다.

자기주도적 학습과 일제학습에서의 수학불안에 대한 분석 (Analysis of Mathematical Anxiety raised from Self-Directed-Learning and Learning in a Body)

  • 김동복;김인수
    • 대한수학교육학회지:수학교육학연구
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    • 제9권2호
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    • pp.439-457
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    • 1999
  • In this paper, we tried to find out what makes the students feel anxious to mathematics and the ways to decrease their anxiety by comparing two learning types, self-directed-learning and learning in a body, by means of continuous observation and interviews. To perform this study, two classes of self-directed-learning and other two classes of learning-in a body were chosen from the third year-students in Wando Middle School in Chollanamdo. In this study, we obtained the following results: 1. In high group in math grade, students in self-directed-learning are less anxious than students in learning-in a body. 2. In average group in math grade, students in self-directed-learning are much more anxious than students in learning-in a body. 3. In low group in math grade, both students in self-directed-learning and students in teaming-in a body feel anxious about math and there is no difference between them. 4. Anxiety about math hove positive influence on high group in math grade. 5. Anxiety about math have negative influence on average and low groups in math grade. Especially, low group students had no interests about mathematics because of their math anxiety. We observed that some students got over the math anxiety to some meaningful extent by means of interviews or appropriate advices, and became to have confidence and interests in mathematics.

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Intracranial Metastases of Cervical Intramedullary Low-Grade Astrocytoma without Malignant Transformation in Adult

  • Jang, Se-Youn;Kong, Min-Ho;Song, Kwan-Young;Frazee, John G.
    • Journal of Korean Neurosurgical Society
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    • 제45권6호
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    • pp.381-385
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    • 2009
  • The first case of intracranial metastases of a cervical intramedullary low-grade astrocytoma without malignant transformation in adult is presented in this report. Seven years ago, a 45 year-old male patient underwent biopsy to confirm pathologic characteristics and received craniocervical radiation and chemotherapy for a grade II astrocytoma in the cervical spinal cord. Two years later, posterior fusion was necessary for progressive kyphosis in the cervical spine. He was well for approximately 7 years after the primary surgery. Two months ago, he presented with partial weakness and incoordination with gait difficulty. MRI Scan demonstrated multiple small lesions in the cerebellar vermis and left hemisphere. After suboccipital craniectomy and posterior cervical exposure, the small masses in the cerebellar vermis and hemispheres were excised to a large extent by guidance of an intraoperative navigation system. The tumor at the cervical and brain lesions was classified as an astrocytoma (WHO grade II). When a patient with low-grade astrocytoma in the spinal cord has new cranial symptoms after surgery, radiaton, and chemotherapy, the possibility of its metastasis should be suspected because it can spread to the intracranial cavity even without malignant transformation as shown in this case.