• Title/Summary/Keyword: Lymph Nodes, Pathology

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Matrix Metalloproteinase-13 - A Potential Biomarker for Detection and Prognostic Assessment of Patients with Esophageal Squamous Cell Carcinoma

  • Sedighi, Maryam;Aledavood, Seyed Amir;Abbaszadegan, MR;Memar, Bahram;Montazer, Mehdi;Rajabian, Majid;Gholamin, Mehran
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2781-2785
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    • 2016
  • Background: Matric metalloproteinase (MMP) 13 gene expression is increased in esophageal squamous cell carcinomas (ESCCs) and associated with increasing tumor invasion, lymph node involvement and decreased survival rates. Levels of the circulating enzyme may be elevated and used as a marker of tumor progression. In this study, clinical application of MMP-13 serum levels was evaluated for early detection, prediction of prognosis and survival time of ESCC patients. Materials and Methods: Serum levels of MMP13 were determined by ELISA in 66 ESCC patients prior of any treatment and 54 healthy controls for comparison with clinicopathological data through statistical analysis with Man Whitney U and Log-Rank tests. In addition, clinical value of MMP13 levels for diagnosis was evaluated by receiver operating characteristic (ROC) test. Results: The serum level of MMP-13 in patients (>250 pg/ml) was significantly higher than in the control group (<100 pg/ml) (p value=0.004). Also the results showed a significant correlation between MMP-13 serum levels with tumor stage (p value = 0.003), depth of tumor invasion (p value=0.008), involvement of lymph nodes (p value = 0.011), tumor size (p value = 0.018) and survival time. While there were no significant correlation with grade and location of tumors. ROC analysis showed that MMP-13 level is an accurate diagnostic marker especially to differentiate pre-invasive/ invasive lesions from normal controls (sensitivity and specificity: 100%). Conclusions: These findings indicate a potential clinical significance of serum MMP13 measurement for early detection and prognostic assessment in ESCC patients.

Bronchial Brushing and Bronchial Washing Cytologic Features of Primary Malignant Fibrous Histiocytoma of the Lung - A Case Report - (폐의 원발성 악성 섬유성 조직구종의 기관지솔질과 기관지세척 검사의 세포학적 소견 - 1예 보고 -)

  • Park, Mi-Ok;Ahn, Wook-Su
    • The Korean Journal of Cytopathology
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    • v.10 no.2
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    • pp.151-155
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    • 1999
  • A case of primary malignant fibrous histiocytoma(MFH) of the lung occurring in a 62-year-old man is presented. After preoperative bronchial blushing and washing cytologic diagnosis of poorly differentiated carcinoma, surgical resection and lymph nodes dissection were performed. Subsequent histologic examination revealed a primary MFH. The diagnosis was confirmed by electron microscopic and immunohistochemical examinations. The review of the bronchial brushing and washing cytologic features disclosed many bipolar and a few unipolar spindle tumor cells with a "comel" configuration, mainly single cells, but also forming loose clusters. The nuclei were elongated and hyperchromatic and contained one or more irregular nucleoli. Scattered bizarre, multinucleated tumor giant cells were also present.

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A Case of Epstein Barr Virus-Associated Hemophagocytic Syndrome Confirmed by mRNA In Situ Hybridization and Polymerase Chain Reaction (mRNA In Situ Hybridization으로 확인된 Epstein Barr Virus-Associated Hemophagocytic Syndrome 1례)

  • Kim, Chung Han;Yang, Chang Hyun;Sohn, Young Mo;Kim, Hoguen
    • Pediatric Infection and Vaccine
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    • v.3 no.2
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    • pp.200-206
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    • 1996
  • Virus associated hemophagocytic syndrome(VAHS), a class II histiocytosis syndrome, is characterized by high fever, liver dysfunction, coagulation abnormalities, and generalized histiocytic proliferation with marked hemophagocytosis in bone marrow and lymph nodes. VAHS is associated with several viral infections including Epstein Barr virus which has a relatively high mortality rate. We report a fatal case of Epstein Barr virus associated hemophagocytic syndrome and its diagnosis by mRNA in situ hybridization and polymerase chain reaction. A brief review of related literaure is also presented.

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Hepatic extraskeletal osteosarcoma with systemic metastasis in a dog

  • Johnson, Crystal;Kim, Yongbaek
    • Korean Journal of Veterinary Research
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    • v.53 no.1
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    • pp.61-64
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    • 2013
  • A ten-year-old dog was presented with pancreatitis and increased hepatic enzymes. On necropsy a large firm mass was observed in the liver extending to the gall bladder. Smaller masses with similar texture were found in multiple organs including lung, stomach, pancreas, lymph nodes, omentum, and mesentery. Neoplastic cells were spindle shaped with prominent osteoid production and occasional trabeculae of woven bone. Tumor cell emboli were observed in the blood vessels and lymphatics of the omentum and stomach. Hepatic osteosarcoma with systemic metastasis is very rare and may serve to broaden the diagnostic spectrum of hepatic and pancreatic diseases in dogs.

Systemic Aspergillosis associated with bovine viral diarrhea virus infection in Korean native calves (한우송아지의 BVD바이러스 감염과 Aspergillus fumigatus의 복합감염)

  • Jean, Young Hwa;Kim, Jae Hoon;Kim, Dae Yong;Jeong, Soon Wuk;Moon, Oun Kyong;Cho, Doo Youn
    • Korean Journal of Veterinary Research
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    • v.45 no.1
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    • pp.93-97
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    • 2005
  • Systemic aspergillosis were outbroken of 17 Korean native calves at livestock farm in Kyunggi province. Two 3 months old calves were died after having diarrhea, coughing, dyspnea, nasal discharge, and abdominal breathing. These calves were diagnosed of aspergillosis as multifocal to coalescing pyogranulomatous inflammation with intralesional aspergillus infiltration at liver, kidney, spleen, heart, lymph nodes, lungs, intestine and cerebrum. Aspergillus fumigatus was cultured from the affected tissues. And the small intestine was positive against bovine viral diarrhea (BVD) virus on FA test. We considered that the secondary fungal infections killed the calves after BVD virus infection primarily.

Rosai-Dorfman Disease in Posterior Fossa

  • Shin, Sang-Ha;Pyen, Jhin-Soo;Hu, Chul;Cho, Mee-Yon
    • Journal of Korean Neurosurgical Society
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    • v.39 no.4
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    • pp.303-305
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    • 2006
  • Rosai-Dorfman Disease[RDD] is an idiopathic histiocytic proliferation affecting lymph nodes. Although extranodal involvement has been reported in the skin, orbit, upper respiratory tract, of testes, the isolated intracranical involvement without associated lymphadenopathy is extremely rare. We report our experience with 1 case of an isolated intracranial RDD without associated lymphadenopathy and any other organ involvement. A 61-year-old male presented with an isolated well-circumscribed brain mass in the posterior fossa, preoperatively thought to be a meningioma. But histology and Immunohistochemistry confirmed that the lesion was RDD.

Subcutaneous Sarcoidosis of the Distal Lower Leg in a Middle-Aged Woman Associated with Pulmonary Sarcoidosis: a Case Report

  • Lea, Winnah Wu-in;Hong, Suk-Joo;Kang, Woo-Young;Kang, Eun-Young;Jeon, Tae-Sung
    • Investigative Magnetic Resonance Imaging
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    • v.26 no.1
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    • pp.55-59
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    • 2022
  • Sarcoidosis is a systemic disease of unknown etiology that can involve almost any organ systems, characterized by the presence of non-caseating granulomas in affected organs. Typically, the lungs and mediastinal lymph nodes are the most-affected sites, with cutaneous manifestations being the second. Subcutaneous nodules are a rare manifestation of cutaneous sarcoidosis, and it is even rarer for subcutaneous sarcoidosis to be associated with pulmonary sarcoidosis. Here, we present a case of subcutaneous sarcoidosis of the distal lower leg associated with pulmonary sarcoidosis.

Case of Stage IV Renal Cancer Patient Whose Metastatic Lymph Node and Severe Back Pain Improved after Integrative Treatment (한양방 통합 치료로 통증감소 및 전이 림프절 축소가 관찰된 4기 신장암 환자 1례)

  • Han, Chang-Woo;Kim, Do-Hyung;Park, Seung-Chan;Cho, Min-Kyoung;Kim, So-Yeon;Hong, Jin-Woo;Lee, In;Park, Seong-Ha;Kwon, Jung-Nam;Choi, Jun-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.2
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    • pp.228-233
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    • 2012
  • Two years ago, a 75-year-old female was diagnosed left renal cancer and went on radical nephrectomy. Recently, metastatized lesions on lumbar spine and various lymph nodes including paraaortic lymph node of which diameter was about 5.5 cm was identified. She suffered from extreme low back pain despite using opioid agents of fentanyl patch and oral oxycodone. During about one month, Korean medicine therpies including herbal medicine(Yang-He tang), acupuncture with her conventional medications were co-administered. However her pain didn't improved and gradual cough and dyspnea developed. So she transferred to the hemato-oncology part for 2 weeks under the diagnosis of everolimus-induced noninfectious pneumonitis. After quitting everolimus her pneumonitis was improved and she came back our ward and started another herbal medicine, Ai-Tong-Ning tang for about 2 months. During this period, her pain was well managed without oral opioid agents and her paraaortic lymph node was regressed to about 2.2cm in diameter.

Clear cell odontogenic carcinoma mimicking a cystic lesion: a case of misdiagnosis

  • Kim, Minkyu;Cho, Eunae;Kim, Jae-Young;Kim, Hyun Sil;Nam, Woong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.4
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    • pp.199-203
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    • 2014
  • Clear cell odontogenic carcinoma (CCOC) is a rare jaw tumor that was classified as a malignant tumor of odontogenic origin in 2005 by the World Health Organization because of its aggressive and destructive growth capacity and metastasis to the lungs and lymph nodes. We report a case of a 66-year-old female who had swelling, incision and drainage history and a well-defined unicystic radiolucent lesion that was comparable to a cystic lesion. At first, the patient received decompression, and the lesion size decreased. Three months after decompression, cyst enucleation was performed. The pathologic result indicated that the lesion was CCOC. In this report we emphasize that patients with painful cystic lesions in addition to jaw enlargement and loosening teeth should be considered for the possibility of malignancy.

A Case of Lung with Jejunal Metastasis (공장으로 전이된 원발성 폐암종 1예)

  • Lee, Jung-Yeon;Lee, Won-Yeon;Shin, Pyo-Jin;Kim, Shin-Tae;Kim, Tae-Heon;Cho, Mee-Yon;Ahn, Hae-Ryon;Yong, Suk-Joong;Shin, Kye-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.539-544
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    • 2002
  • Primary lung cancer can metastasize by a direct local extension, hematogenous dessemination, and lymphatic spread. However, it less commonly metastasizes via a transbronchial invasion. Approximately half of all patients with lung cancer have metastases at the initial presentation. Autopsy data showed that there are an average of 4.8 metastatic sites. The most common sites for metastases include the lymph nodes, liver, adrenal gland, bone, and brain. However clinically significant metastases isolated in the small bowel seldom occur. Here we report a case of lung cancer with a small bowel metastasis.