• 제목/요약/키워드: Pleomorphic

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부갑상샘 암좀의 세포학적 소견 - 2예 보고 - (Cytologic findings of Parathyroid Carcinoma - Report of Two Cases -)

  • 진윤희;김미선;백승삼;장세진;박문향;박용욱
    • 대한세포병리학회지
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    • 제14권1호
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    • pp.1-6
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    • 2003
  • Parathyroid carcinoma is a rare disorder accounting for 0.5% to 5% of parathyroid neoplasia. Diagnosis of parathyroid carcinoma in fine needle aspiration cytology (FNAC) is difficult because ail characteristic features of parathyroid carcinoma can be recognized in parathyroid adenoma or hyperplasia. Cellular atypism cannot be used for the diagnostic criteria of parathyroid carcinoma as malignancies of most other organs. We experienced two cases of cytologic features of parathyroid carcinoma confirmed by histologic examination. The majority of tumor cells formed large cohesive clusters, although individual tumor cells were also present. The tumor cells displayed rather pleomorphic round to oval nuclei, occasional prominent nucleoli, and distinct cytoplasmic margin. Occasionally karyolysis, anuclear cells, and nonepithelial cell clusters were noted. The histologic findings showed a partially lobulated architecture, with admixture of sheets of chief cells, oxyphil cells, and occasional water clear cells. The tumor infiltrated into the thyroid parenchyme and perithyroidal soft tissue. The electron microscopic study of case 1 disclosed typical findings of parathyroid neoplasm; clusters of secretory chief cells with centrally located round to ovoid nuclei, moderately clumped heterochromatins and one or two nucleoli. The tumor cells showed conspicous interdigitation of contiguous ceil membrane and intercellular microvilli.

First Report of Anthracnose Caused by Colletotrichum acutatum on Begonia (Begonia semperflorens Link.) Nurseries

  • Park, Jong-Kyu;Kim, Gyoung-Hee;Min, Gyung-Mi;Park, Hee-Jin;Hur, Jae-Seoun;Kang, Beum-Kwan;Kim, Heung-Tae;Choi, Woo-Bong;Koh, Young-Jin
    • The Plant Pathology Journal
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    • 제22권1호
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    • pp.7-10
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    • 2006
  • Anthracnose severely occurred on begonia (Begonia semperflorens Link.) nurseries in Gyeongju, Gyeongbuk in July, 2004. More than $80\%$ of begonia seedlings were diseased in the greenhouse surveyed and diseased leaves per plant were $12.1\%$ in average. Yellowish spots occurred on the leaves of begonia as initial symptoms, and they coalesced irregularly to form large brown pleomorphic lesions. Severely infected leaves were defoliated, resulting in abnormal growth of the entire plant. Colletotrichum sp. was repeatedly isolated from the diseased plants and was identified as Colletotrichum acutatum on the basis of the mycological characteristics on potato dextrose agar and RAPD analysis. Pathogenicity of the fungus was also confirmed by artificial inoculation on healthy plants. The optimum temperature for mycelial growth of C. acutatum was around $25^{\circ}C$. The fungus was sensitive to azoxystrobin, bitertanol, diethofencarb-carbendazim, difenoconazole and tebuconazole. This is the first report on the anthracnose of begonia caused by C. acutatum in Korea.

악성 섬유성 조직구종의 조직학적 소견에 의한 진단 (Diagnosis of Malignant Fibrous Histiocytoma(MFH) By Histologic Findings)

  • 최일용;김태승;박해인;임병구;고영혜
    • 대한골관절종양학회지
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    • 제1권1호
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    • pp.77-83
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    • 1995
  • 1. 연부 조직과 골 조직사이에서의 악성 섬유성 조직구종의 근본적인 조직학적 차이는 없었다. 2. 악성 섬유성 조직구종은 조직학적 소견이 다양하므로, 확진을 위해서는 다른 종양을 반드시 배제하여야한다. 3. 재발시 다른 형태의 조직 소견을 보여줄 수 있기 때문에 정확한 진단을 위해 환자의 과거력 및 과 거의 조직학적 검토가 필수적이라 사료된다.

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The Clinical Features of Spinal Leptomeningeal Dissemination from Malignant Gliomas

  • Bae, Jung-Sik;Yang, Seung-Ho;Yoon, Woan-Soo;Kang, Seok-Gu;Hong, Yong-Kil;Jeun, Sin-Soo
    • Journal of Korean Neurosurgical Society
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    • 제49권6호
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    • pp.334-338
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    • 2011
  • Objective : The incidence of leptomeningeal dissemination from malignant glioma is rare, so the clinical features of this are not well documented yet We attempted to determine the clinical features of leptomeningeal dissemination from malignant gliomas. Methods : We retrospectively analyzed 11 cases of leptomeningeal dissemination of malignant glioma, who were treated at our institution between 2006 and 2009. We investigated the clinical features of these patients by considering the following factors : tumor locations, the events of ventricular opening during surgery and the cerebrospinal fluid (CSF) profiles, including the cytology. Results : The group was composed of 9 males and 2 females. The histological diagnosis of their initial intracranial tumors were 4 primary glioblastoma, 3 anaplastic astrocytoma, 1 anaplastic oligoastrocytoma, 2 ganglioglioma and 1 pleomorphic xanthoastrocyotma with anaplastic features. The mean age of the patients at the time of the initial presentation was $42.8{\pm}10.3$ years. The mean time between surgery and the diagnosis of spinal dissemination was $12.3{\pm}7.9$ (3-28) months. The mean overall survival after dissemination was $2.7{\pm}1.3$ months. All our patients revealed a history of surgical opening of the ventricles. Elevated protein in the CSF was reported for eight patients who had their CSF profiles checked. Conclusion : We propose that in the malignant gliomas, the surgical opening of ventricles can cause the spinal leptomeningeal dissemination and the elevated protein content of CSF may be a candidate marker of leptomeningeal dissemination.

횡문근육종의 치료 (Treatment of Rhabdomyosarcoma)

  • 이종석;전대근;김석준;이수용;박현수
    • 대한골관절종양학회지
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    • 제1권2호
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    • pp.200-204
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    • 1995
  • Twenty three rhabdomyosarcoma patients who were registered in Korea Cancer Center Hospital from Mar. 1985 to Apr. 1994 were analysed in the aspect of treatment and survival. Thirteen cases were male and 10 female. Average age was 29.5 years(range 1 to 66). Locations of the tumor were as follows: 13 in lower extremity, 6 in upper extremity and 4 in trunk. According to the UICC classification, stage II b was 1 case, stage III a 4, stage III b 10, stage IV a 3 and stage IV b 5. In histological categories, embryonal rhabdomyosarcoma was 7 cases, alveolar 7, pleomorphic 7 and undetermined 2. Average follow up period was 35.3 months(1 tk 7.5 years). Ten cases were continuous disease free, 3 no evidence of disease, 3 alive with disease and 7 died of disease at final follow up. Kaplan-Meier's actuarial 5-year survival rate was 60.3% and 5-year continuous disease free survival rate was 31.4%, Surgical margin was an important factor in local tumor control. Although there was no definite statistical significance, our results suggest chemotherapy and radiation therapy have meaningful roles in reducing local recurrence and improving survival.

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이하선에 생긴 침샘관암의 치험례 (A Case Report of Salivary Duct Carcinoma)

  • 박성욱;강상윤;김태헌;김정헌
    • Archives of Plastic Surgery
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    • 제35권5호
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    • pp.607-610
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    • 2008
  • Purpose: Salivary duct carcinoma(SDC) is uncommon but high grade adenocarcinoma arising in the ductal epithelium of salivary glands. SDC is characterized by distinctive clinical and pathologic features. The most important histologic aspect of this neoplasm is its resemblance to ductal carcinoma of the breast. Clinically SDC is defined by cervical lymph node involvement and distant metastasis with a high rate of recurrence and mortality. We described some of the clinical and pathological features of SDC and the management using case report for our patient. Methods: We present a case of a 40-year-old male with 2-year history of a swelling arising in his left preauricular region. There was a single painless, firm and solid $2{\times}1.5cm$ mass in the left parotid area. Facial nerve function was intact and no cervical lymph node were palpable. In August 2005, we found out $1.7{\times}1.8cm$ sized cystic, nodular lesions that were located in the superficial lobe of left parotid gland through Computed tomography. And then superficial parotidectomy and postoperative radiation therapy were performed in Jan 2007. Results: Pathologically, the specimen were consisted of homogeneous, chondoid to myxoid type of tissues. It was yellow mass that has multiloculated cystic lesions. In postoperative PET(Positiron emission tomography) CT, there was no evidence of uptaking FDG(Fluorodeoxyglucose) into the deep layers of parotid gland and distant metastasis were not seen. Conclusion: Salivary duct carcinoma(SDC) is a rare but high grade adenocarcinoma related to pleomorphic adenocarcinoma. The prognosis of SDC can be different according to the type of tumor such as mucoepidermoid adenocarcinoma, adenoid duct carcinoma and acinar cell carcinoma. So we need to study more carefully for accurate diagnosis in early stage of diagnosis. Although radiotherapy has not yet proven to be a significant factor in overall survival, the combination of parotidectomy and postoperative radiation therapy can lead to more favorable results in treating of SDC.

천골미골부에 발생한 연골양 척삭종의 세침흡인 세포학적 소견 - 1예 보고 - (Fine Needle Aspiration Cytology of Sacrococcygeal Chondroid Chordoma - A Case Report -)

  • 김영실;김경미;김진아;이은정;이안희;심상인
    • 대한세포병리학회지
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    • 제8권2호
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    • pp.199-203
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    • 1997
  • Chordoma is an uncommon neoplasm that accounts for approximately 1% to 4% of all primary bone neoplasms and thought to originate from remnants of the fetal notochordal elements. It usually occurs in adults and has a predilection for the sacrococcygeal and spheno-occipital areas. Chondroid chordoma, first described by Heffelfinger et al, is a rare variant of chordoma; it contains both chordomatous and chondromatous features, and has a considerably better prognosis than either chordoma or chondrosarcoma. The cytologic findings of fine needle aspiration of sacrococcygeal chondroid chordoma in a 57-year-old man are presented. Aspiration cytology showed many sheets and cords of neoplastic cells in a thick amorphous blue-purple mucinous background. The cells had small too medium sized round nuclei with coarse granular chromatin and abundant eosinophilic or bubbly cytoplasm. Some cells had pleomorphic and hyperchomatic nuclei with prominent nucleoli. Cytologic findings were compared to histologic findings. Histologically, areas of chondroid differentiation were noted which were absent in the cytologic smear. Immunohistochemically, both the chondroid and chordoid areas had an epithelial phenotype and stained for cytokeratin, epithelial membrane antigen and S-100 protein. This is the first case of cytologic findings of chondroid chordoma to our knowledge in literature.

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안와종양의 임상경험 (Clinical Experiences of the Orbital Tumors)

  • 이경하;정화선
    • Journal of Yeungnam Medical Science
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    • 제13권1호
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    • pp.78-85
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    • 1996
  • 영남대학교 의과대학 부속병원 안과에서 1984년 3월부터 1994년 8월까지 병리조직검사로 확인된 안와종양 95례를 대상으로 임상적 고찰을 실시하였다. 안와종양의 발생빈도는 성별로는 남자가 46명(48.4%), 여성이 49명(51.6%)으로서 유의한 차이를 보이지 않았으며, 연령분포는 양성종양의 경우 전 연령층에 걸쳐 고루 분포하였고, 악성종양의 경우 10세 미만과 50-60대에 특히 많은 발생을 보였다. 광학 현미경으로 살펴본 병리조직학적 검사상 양성 대 악성의 비율은 82% : 18%로서 다른 연구에서 보다 양성종양의 비율이 높았다. 종류별로는 피부지방종(20례, 21%), 유피낭(11례, 11.6%), 점액류(8례, 8.4%), 지방종(7례, 7.4%), 다형생 선종(5례, 5.3%) 순이었다. 양성종양은 성인의 경우 점액류, 유피낭, 다형성 선종, 해면혈관종 순의 발생빈도를 보였고, 소아의 경우 피부지방종, 유피낭, 지방종, 망막모세포종 순의 발생빈도를 보였다. 악성종양은 망막모세포종 3례, 악성 흑색종 2례, 피지선암 2례, 상악동암 2례 등이었다. 악성종양중 사망한 경우는 17례 중 8례 (47.0%)로서 모두 이차성 혹은 전이성 안와종양이었다.

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Caine Babesia spp. 감염증예 (A Case of Canine Babesia spp. Infection)

  • 채준석;인동철;한재철;김남수;이주묵;최인혁
    • 한국임상수의학회지
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    • 제6권1호
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    • pp.185-191
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    • 1989
  • A dog which was hospitalized to Veterinary Teaching Hospital, College of Veterinary Medicine, Jeonbug National University on December 28, 1988 was revealed severe anemia: hemoglobinuria and weakness. In the inspections, abdominal pain and spleno megaly at the ventral abdomen were detected by palpations. In the examinations of blood, the obtained results were summarized as follows: Babesla spp. was identified on the blood smear stained with Giemsa. The Babesia spp. was assumed to the Babesia gibsoni for the their small size and pleomorphism such as comma form, ring form and dot form. In the blood examinations of the patient, Ht: 22.5%, RBC:354${\times}$10$^4$/${\mu}\ell$, Hb: 8.8g/dl, serum protein: 8g/dl, and WBC count was 21, 425/${\mu}\ell$. In the chemical examinations of serum, the value of AST(GOT) was 30iu and ALT(GPT) was 20iu, respectively. The blood sugar was 60mg/d1. In the urine test, urine protein was 30mg/d1 and the hemoglobin In the urine was the +++ and occult blood reaction(Benzidine test) in the feces was +++. Splenomegaly was confirmed by X-ray examination. To confirm for the Babesia spp. infection, 5ml of the whole blood of the patient(3% of Parasitized erythrocytes) were inoculated into the cephalic vein of the two normal dogs. In the blood of experimental dogs which were inoculated parasitized blood, Babesia spp. was detected in the two doss and pleomorphic parasites were observed, too. In the blood examinations of No. 1 the Ht and RBC were decreased to 6.8% and 52${\times}$10$^4$/${\mu}\ell$, respectively. WBC count was 10.600/${\mu}\ell$ and serum protein was 6.8g/dl. The rates of parasitized erythrocytes were 15% in the experimental dog. Also +++ of the hemoglobin was detected in the urine. In the X-ray examination, splenomegaly was comfirmed and it was confirmed by autopsy of the experimental dog(No. 1).

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Caffeine이 N-bis(2-hydroxypropyl)nitrosamine과 sulfadimethoxine에 의해 유발된 갑상선 피막의 섬유성 증식에 미치는 영향 (Effects of caffeine on capsular fibrous proliferation induced by N-bis(2-hydroxypropyl)nitrosamine and sulfadimethoxine in the thyroid glands)

  • 손화영;윤원기;지영흔;류시윤;김정란;조성환
    • 대한수의학회지
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    • 제43권4호
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    • pp.683-688
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    • 2003
  • Caffeine (1,3,7-trimethylxanthine), a central nervous system stimulant, is contained in various foods, beverages and over-the-counter medications. Sulfadimethoxine (SDM) is one of the anti-thyroid agents and induces proliferation of thyroid capsule in two stage thyroid carcinogenesis model using N-bis(2-hydroxypropyl)nitrosamine (DHPN). In this study, we examined the effect of caffeine on fibrous proliferation of thyroid capsule in DHPN and SDM-treated rats. Five-week-old male F344 rats were given a single subcutaneous injection of DHPN (2,800 mg/kg, body weight). Starting one week thereafter, SDM (1,000 ppm in drinking water) with or without caffeine (1,500 ppm in diet) was administered for 12 weeks. All animals were autopsied and histopathological examination of the thyroid glands was performed. Thyroid follicular proliferative changes were induced in all rats treated with DHPN+SDM. In addition, the proliferation of perithyroidal fibrous tissue and pleomorphic thyroid follicular cells within the capsule were observed in DHPN+SDM treated group. Caffeine would not be related to these lesions in this experimental condition. although pentoxifylline, a methyl xanthine derivative, has an anti fibrotic effects.