• 제목/요약/키워드: Salivary gland

검색결과 482건 처리시간 0.056초

구강암 환자에서 보존적 경부청소술의 효과 (The effect of conservative neck dissection in the patients with oral cancer)

  • 김방신;허다니엘;김경락;양지웅;정연욱;국민석;오희균;유선열;박홍주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권6호
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    • pp.490-496
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    • 2010
  • Introduction: This study examined the effect of a conservative neck dissection in patients with head and neck cancer. Materials and Methods: A total of 24 patients, who underwent a conservative neck dissection for the treatment of oral cancer from January 2002 to December 2007, were included. All procedures were performed by one oral and maxillofacial surgeon. The mean age was 58.2 years (range, 19 to 79 years). The medical recordings, pathologic findings, and radiographic findings were evaluated. The mean follow up period was 41.1 months (range, 4 to 88 months). Results: 1. Oral cancer was more common in men than women with a 3:1 ratio. 2. Histopathologically, squamous cell carcinoma(83%) was the most prevalent oral cancer in this study. 3. The most common primary site was the tongue(6 cases, 25%) followed by the mouth floor (5 cases, 21%), buccal mucosa (3 cases, 13%), lower lip, mandible, palate (2 cases, respectively) and salivary gland, retromolar area, oropharynx, alveolus (1 case, each). 4. Three out of the 24 (13%) subjects had a recurrence at the primary sites. 5. Two out of 24 (8%) subjects had a distant metastasis. 6. All 24 patients survived and there were eleven patients who passed 5 years postoperatively. Conclusion: A conservative neck dissection is a reliable and effective method for controlling neck node metastases in patients with oral cancer of the N0 or N1 neck node without serious complications.

방사선조사가 흰쥐의 악하선에 미치는 영향에 관한 현미경적 연구 (An Microscopic Study of the Irradiation Effect on the Submandibular Glands of the White Rat)

  • 김명수;임청환;김창희
    • 대한방사선기술학회지:방사선기술과학
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    • 제26권3호
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    • pp.41-49
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    • 2003
  • 두 경부 악성종양 치료를 위한 방사선조사가 정상 타액선 조직에 미치는 영향을 관찰하기 위하여 체중 100 gm 내외의 sprague dawley종 암컷흰쥐 42마리를 대조군, 실험 1, 2군으로 분류하고 대조군은 6마리, 실험군은 18마리씩 나누어, CLINAC 2100 C-D 6 MV X-RAY를 사용하여 조사거리 100 cm분당 100 cGy로 실험군 흰쥐의 두 경부에 조사시켜 희생시킨 후 통법에 따라 현미경 표본을 제작 관찰하여 다음과 같은 결론을 얻었다. 1. 악하선의 소포세포의 손상은 분할조사의 양이 증가할수록 심하였으며 12 Gy군은 매우 경미한 손상을 보이는데 비해 24 Gy군은 심한 손상을 야기하였다. 2. 악하선의 소포세포는 핵의 다형태성, 분비과립의 감소와 다형태성, 과립형질내세망의 확장, 사립체의 팽창과 창백, 골지체의 확장 등이 관찰되었다. 3. 방사선감수성이 예민한 순서는 장액세포, 장점액세포, 분비소관세포의 순이었다. 4. 도관상피세포 및 점액세포에는 중요한 변화가 없었다. 5. 모든 실험군을 통하여 미세혈관의 손상 소견이 없어 미세혈관 손상이 타액선에 조기 손상을 유발시키지 않는 것으로 생각된다.

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원발성 이하선 편평상피세포암종 (Primary Squamous Cell Carcinoma of the Parotid Gland)

  • 이상욱;김귀언;박정수;박원;이창걸;금기창;임지훈;양우익;서창옥
    • 대한두경부종양학회지
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    • 제13권2호
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    • pp.228-234
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    • 1997
  • Squamous cell carcinoma originating in the parotid gland has rare occurrence. The primary squamous cell carcinoma of the parotid gland comprise about 0.3% and 9.8% of all parotid malignant tumor. We investigated the clinical behavior and treatment outcome of patients with primary squamous cell carcinoma of the parotid gland. We reviewed all cases of possible primary squamous cell carcinoma of the parotid gland treated at Yonsei Cancer Center, Seoul, Korea, from 1981 through 1995. A total of 128 had primary parotid malignancy. Metastatic squamous cell carcinoma and mucoepidermoid carcinoma were excluded in this study. Ten cases of primary squamous cell carcinoma of the parotid gland were identified. 6 cases of them are men & 4 cases are women. The age of patients ranged from 31 to 68 years with median age of 55 years. On physical examination, 5 cases had palpated cervical neck node and 6 cases had facial nerve palsy. Staging was done according to the current guidelines established by the American Joint Committee on Cancer (1992). Two cases were stage I, 1 in stage III, and 7 in stage IV. Six cases were performed operation and postoperative radiation therapy. Four cases were treated by curative radiation therapy, dose of more than 65 Gy on parotid gland region. The 5 year actual survival rate and the 5 year disease free survival rate were 30.8%, and 40.0%. Initial complete response rate was 70% for all patients. Local failure were occurred 3 of 7 patients with local controlled cases, failure sites were primary site, ipsilateral cervical neck node, contralateral supraclavicular node. Most recurrences developed within 1 year of initial treatment. Distant metastasis was appeared 2 of 3 patients who did not achieved local control. Primary squamous cell carcinoma of the parotid gland occured infrequently. A retrospective study at the Yonsei Cancer Center indicates incidence of 7.8%. At diagnosis, advanced stage, neck node presentation, facial nerve paralysis were associated with a poor prognosis. These results may suggested that radical surgical excision may be treatment of choice and that planned postoperative radiotherapy may be bendicial for reducing locoregional recurrence rates.

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트라스투주맙 치료에 반응을 보인 HER2/neu 양성 전이성 타액관 암종 1예 (Trastuzumab in a Patient with Metastatic Salivary Duct Carcinoma : A Case Report)

  • 공봉한;이지은;최상수;박진희;김연실;김민식;이연수;이지연;홍숙희;강진형
    • 대한두경부종양학회지
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    • 제30권2호
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    • pp.90-94
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    • 2014
  • Salivary duct carcinoma(SDC) is rare malignancy, accounting for approximately 1-3% of all malignant salivary gland tumors. Systemic chemotherapy has been used for stage IV SDC, but there is no consensus on the standard treatment. SDC is histologically similar to ductal carcinoma of breast and often overexpress HER2/neu, hence HER2/neu targeted therapy could be one of treatment options. A 75-year-old Arabian man was diagnosed as SDC of right parotid gland with extensive metastases. He received oral 5-FU as palliative chemotherapy, but he was intolerable to oral chemotherapy due to severe oral mucositis. Considering immunohistochemical stain of tumor tissue showing strong positive for HER2/neu, we decided to administer an anti-HER2/neu antibody, trastuzumab. Follow-up CT scans before the third dose of trastuzumab demonstrated remarkable regression of multiple metastases as well as primary tumor. This case suggests that HER2/neu targeted therapy may be a potential therapeutic option for the SDC patient with overexpression of HER2/neu.

조대술을 시행한 하마종의 치료 (MARSUPIALIZATION OF RANULA)

  • 나혜진;이제호;김성오;송제선;김승혜;최형준;최병재
    • 대한소아치과학회지
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    • 제38권1호
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    • pp.88-94
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    • 2011
  • 하마종은 구강저에 발생하는 점액 낭종으로 타액선 분비도관의 파열로 인하여 점액이 연조직 내에 저류되어 생기는 가성낭종이다. 구강저의 설소대를 중심으로 편측으로 발생하며 무통성이고, 병소의 크기가 증가함에 따라 피막이 얇아져서 청색의 투명한 종창이 되는 것이 특징이다. 병소의 크기가 큰 경우에는 연하 및 발음, 저작시 문제를 야기할 수 있지만 외부로 종창이 생기거나 감염되는 것은 드물다. 하마종의 치료법으로는 자발적으로 치유되는 것을 관찰하는 방법, 단순 절개 배농, 조대술, 절제술 등이 있다. 치료법 중 하나인 조대술은 낭벽의 일부분을 제거하여 구강 점막과 연결시켜주는 술식으로 보존적이며 소아에서 추천되는 방법으로 구강내 조직의 외형을 원형대로 유지할 수 있고, 해부학적 구조물을 손상시킬 위험성이 적은 장점을 가진다. 치료 후에 자주 재발될 수 있으며, 술 후 4개월 이내에 일어난다. 이 증례는 하마종을 주소로 내원한 8세 여아에서 조대술을 시행하고 관찰하였으며 재발소견 없이 정상적인 소견을 보인바 보고하는 바이다.

작은땃쥐 Crocidura suaveolens 악하선의 미세구조 (Ultrastructure of the Submandibular Gland in the Lesser White-Toothed Shrew, Crocidura suaveolens)

  • 정순정;정문진;김도경;국중기;김흥중;윤명희;박주철
    • Applied Microscopy
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    • 제35권2호
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    • pp.65-72
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    • 2005
  • 악하선의 미세구조를 작은땃쥐 Crocidura suaveolens에서 연구하였다. 작은땃쥐의 악하선은 장액선세포와 점액선세포로 구성된 혼합샘이었다. 이 샘포에서 분비된 과립들은 도관을 거쳐 구강으로 분비되었다. 장액선세포와 점액선세포는 잘 발달된 조면소포체와 미토콘드리아 그리고 많은 분비과립을 가지고 있었다. 장액선 분비과립의 경우, 미성숙 분비과립은 무형이면서 전자밀도가 있는 작은 알갱이로만 구성되었고, 성숙 과립은 단일막으로 싸여진 완전한 원형으로 전자밀도가 있는 균질의 중앙부와 전자밀도가 있는 작은 알갱이로 구성된 주변부를 가지고 있었다. 점액선 분비과립의 경우, 미성숙 과립은 원형으로 균질한 기질과 불명확한 경계막을 가지는 반면, 성숙 과립은 균질한 기질 내에 몇 개의 전자밀도가 있는 띠를 가짐으로서 문양의 다양성 가지는 매끈한 원형이었고 명확한 경계막을 가지고 있었다. 즉 작은 땃쥐의 성숙 점액선 분비과립은 문양의 다양성을 가져 다른 포유류와 구분될 뿐만 아니라 매끈한 원형이어서 C. lasiura의 그것과도 구분되었다. 거대한 분비 과립과 미엘린소체가 과립관세포의 세포질과 내강에서 관찰되었다. 3종의 땃쥐류 침샘의 과립관에서 만 보고된 특징적 구조물인 미엘린소체는 분비세포에서 내강으로 분비되었으며 분비과립의 배출방식과 약간의 차이점을 가졌다.

우측 이하선에 발생한 Warthin 종양: 증례보고 (Warthin Tumor on the Parotid Gland: A Case Report)

  • 민성창;윤규호;박관수;정정권;배정호;조규홍;한지훈;오영일;신재명;백지선
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권6호
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    • pp.473-479
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    • 2012
  • Warthintumor (WT), also known as adenolymphoma or papillary cystadenoma lymphomatosum, was described in 1895 for the first time. It is a common benign tumor of the parotid glands and the second most common neoplasm of the salivary gland, accounting for 5% to 14% of all parotid neoplasm. A 63-year-old man visited our clinic with the complaint of swelling on the right parotid gland. Physical examination showed a 3 cm, firm, well-circumscribed, painless mass on the right mandibular angle. Computed tomography imaging showed a $3.5{\times}2.0{\times}1.6$ cm well-defined cystic mass. WT is histologically characterized by bilayered, oncocystic cell, lymphoid stroma, and cystic space. With these typical cytomorphologic characteristics, the fine-needle aspiration cytology was performed as diagnostic tool before the surgery. The lymphocytes and oncocystic cell were not observed. The lesion was completely excised under general anesthesia. We diagnosed the case as WT, from the surgically excised specimen. We report on the case with a review of the literatures.

Effects of 1 year of training on the performance of ultrasonographic image interpretation: A preliminary evaluation using images of Sjogren syndrome patients

  • Kise, Yoshitaka;Moystad, Anne;Bjornland, Tore;Shimizu, Mayumi;Ariji, Yoshiko;Kuwada, Chiaki;Nishiyama, Masako;Funakoshi, Takuma;Yoshiura, Kazunori;Ariji, Eiichiro
    • Imaging Science in Dentistry
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    • 제51권2호
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    • pp.129-136
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    • 2021
  • Purpose: This study investigated the effects of 1 year of training on imaging diagnosis, using static ultrasonography (US) salivary gland images of Sjögren syndrome patients. Materials and Methods: This study involved 3 inexperienced radiologists with different levels of experience, who received training 1 or 2 days a week under the supervision of experienced radiologists. The training program included collecting patient histories and performing physical and imaging examinations for various maxillofacial diseases. The 3 radiologists (observers A, B, and C) evaluated 400 static US images of salivary glands twice at a 1-year interval. To compare their performance, 2 experienced radiologists evaluated the same images. Diagnostic performance was compared between the 2 evaluations using the area under the receiver operating characteristic curve (AUC). Results: Observer A, who was participating in the training program for the second year, exhibited no significant difference in AUC between the first and second evaluations, with results consistently comparable to those of experienced radiologists. After 1 year of training, observer B showed significantly higher AUCs than before training. The diagnostic performance of observer B reached the level of experienced radiologists for parotid gland assessment, but differed for submandibular gland assessment. For observer C, who did not complete the training, there was no significant difference in the AUC between the first and second evaluations, both of which showed significant differences from those of the experienced radiologists. Conclusion: These preliminary results suggest that the training program effectively helped inexperienced radiologists reach the level of experienced radiologists for US examinations.

봉합사를 이용한 점액종의 비외과적 처치 (NON-SURGICAL TREATMENT WITH TYING OF MUCOCELE)

  • 이용석;최병재;최형준;손흥규
    • 대한소아치과학회지
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    • 제29권3호
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    • pp.413-417
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    • 2002
  • 점액종은 외상으로 인해 구강에서 발생하는 흔한 낭성 병변이다. 하순에 흔히 발생하며 구강저와 순측 점막에도 자주 형성된다. 상순이나 경구개, 후구치대에는 거의 발생하지 않으며 발생빈도에 있어 성차는 없다. 점액종의 일반적인 치료는 낭종을 외과적으로 제거하고 이와 관련된 소타액선을 제거하거나 개창술을 시행하지만 재발할 수 있다. 본 증례는 하순의 물집을 주소로 본 치과 병원에 내원한 환아를 봉합사를 이용한 비외과적 술식으로 치료 후 6개월 동안 재발하지 않은 경우로 환아의 나이가 어리고 행동조절에 문제가 있는 경우 점액종을 비외과적인 방법으로 제거하여 양호한 결과를 얻었기에 보고하는 바이다.

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DMBA 매식과 방사선 조사로 유도된 백서 타액선 종양에서 H-ras 암유전자의 활성화 (ACTIVATION OF H-RAS ONCOGENE IN RAT SALIVARY GLAND TUMORS INDUCED BY DMBA AND IRRADIATION)

  • 허기수;최종환;최순철;박태원;유동수
    • 치과방사선
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    • 제28권1호
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    • pp.245-259
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    • 1998
  • Cellular transforming genes have been identified in a number of different tumor cell lines and tumor types. A significant number of these oncogenes belong to the ras gene family. The ras gene family consists of three closely related genes:H-ras, K-ras and N-ras which code for a related 21 kDa protein. Mutations in codon 12, 13 and 61 of one of the three ras genes convert these genes into acute oncogenes. The presence of H-ras gene mutations has important prognostic implications in various tumors. Each genomic DNA was isolated from tumors induced by implantation with DMBA, or by treatment with DMBA -implantation/irradiation. When genome DNA was transfected into NIH 3T3 cells and investigated by two-step PCR-RFLP, the fOllowing results were concluded: 1. Transformation foci developed in two groups when the genome DNA of two experimental groups were transfected into NIH 3T3 cells. 2. Transformation efficiency was 0.01-0.02 foci/㎍DNA in the experimental group with the DMBA-implantation, 0.01-0.03 foci/㎍lgDNA in the experimental group with the DMBA-implantation/irradiation according to results of transfection assay. 3. When the point mutation of H-ras gene was investigated by a two-step PCR-RFLP, there was 13.9% (5/36) in the experimental group with the DMBA implantation, 15.4 % (6/39) in the experimental group with the DMBA -implantation/irradiation. 4. The point mutation in codon 12 and 61 of H-ras was 5.6%(2/36) and 8.3%(3/36) in the experimental group with the DMBA implantation. 5. The point mutation in codon 12 and 61 of H-ras gene was 7.7%(3/39) in the experimental group with the DMBA -implantation/irradiation.

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