• Title/Summary/Keyword: neoplastic

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High Rate of Advanced Colorectal Polyps in a 10-Year-Long Retrospective Study in Qazvin, Iran

  • Hajmanoochehri, Fatemeh;Mohammadi, Navid;Rasoli, Bashir;Ebtehaj, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권22호
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    • pp.9649-9654
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    • 2014
  • Background: Polyps are common lesions in the gastrointestinal (GI) tract. Colon cancer is mostly a result of progression from polyps. The present study aimed to evaluate demographic, clinical, and histological characteristics of colorectal polyps in Iran, particularly neoplastic and advanced types. Materials and Methods: Over a period of 10 years, specimens of all colorectal polyps obtained from colonoscopy were studied. The variables subjected to statistical analysis were age, sex, and the chief clinical complaint of the patients who underwent colonoscopy, their motivation, and the site, size, and histological types of detected polyps. The level of significance was set at p value <0.05. Results: Data were obtained from a total of 352 patients. No difference was seen between male and female patients regarding histological types. Only in nine patients was screening the reason for colonoscopy. Almost two-thirds (66.2%) of the polyps were neoplastic. Familial polyposis syndrome and inflammatory bowel disease were seen in 4.3% and 3.0% of the patients with neoplastic polyps, respectively. Sites of polyps were the sigmoid, rectum, and descending colon in 40.1%, 34.5%, and 17% of the cases, respectively. The advanced type made up 58.8% of neoplastic polyps. Only 3.6% of the patients undergoing colonoscopy in the study period had biopsied polyps. Discussion: No difference was observed between male and female patients in terms of overall incidence of polyps, histological and anatomical profiles, and mean age distribution. Anatomical and histological profiles agreed with the studies performed in areas with a low risk of colon cancer. The findings show that colonoscopy was not performed when it was necessary. A meaningful increase in the number polyp biopsy cases and a corresponding decrease in polyp size in the last few years of the study can be associated with the presence of more GI specialist clinicians in hospital centers, and this holds out much hope for the further improvement of the situation in the future.

종양세포식별을 위한 공간주파수영역에서의 화상해석 (Image Analysis for Discrimination of Neoplastic Cellis in Spatial Frequency Domain)

  • 나철훈;김창원;김현재
    • 한국통신학회논문지
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    • 제18권3호
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    • pp.385-396
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    • 1993
  • 본(本) 논문(論文)은 병리학등(病理學等) 기초의학(基礎醫學)에서 요청되는 세포진(細胞診)을 위한 개선된 디지털 화상해석방법(畵像解析方法)을 제안(提案)하였다. 대상화상(對象晝像)은 갑상선세포(甲狀腺細胞)의 현미경화상(顯微鏡畵像)이고 목적은 정상세포(正常細胞)와 악성(惡性)인 유두상(乳頭狀) 종양(腫瘍)과 여포성종양(濾胞性腫瘍)간의 염색질(染色質) 패턴이 상이(相異)함을 화상해석(畵像解析)에 의해 자동식별(自動識別)하는 것이다. 먼저, 화상처리상(畵像處理上) 특징영역(特徵領域)인 세포핵(細胞核)만을 추출(抽出)하기 위해 윤곽추적법(輪廓追跡法)에 의한 영역분할(領域分割) 알고리즘을 제안하였다. 그리고 공간영역(空間領域)의 화상정보(畵像情報)를 이산적(離散적) 2차원 푸리에 변환한 후 1차원 푸리에변환에 의해 특징(特徵)파라미터를 추출(抽出)하였다. 여기서 세포(細胞) 유형별(類型別) 특징표본군(特徵標本群)을 구축하여 임의의 검증세포(檢證細胞)와 식별실험(識別實驗)을 행하였다. 기존의 방법보다 개선된 식별율(識別率)(70-90%)을 얻음으로써 본 방식은 세포진(細胞診)에 있어서 정량성(定量性)과 객관성(客觀性)을 더욱 구체화(具體化)시킬 수 있음을 증명하였다. 또한 본 방식을 그대로 종양세포식별(腫瘍細胞識別)에 즉시 사용가능함을 제시하였다.

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다형성선종에서 연골유래형성단백의 발현 (EXPRESSION OF CARTILAGE DERIVED MORPHOGENIC PROTEIN IN PLEOMORPHIC ADENOMA)

  • 이황재;김철환;김경욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권3호
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    • pp.247-255
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    • 2007
  • The bone morphogenic protein(BMP) can promote migration and growth of mesenchymal cells and initiate process for bone and cartilage formation. Cartilage-derived morphogenic protein(CDMP)-1 and -2 belong to the bone morphogenetic protein family in the transforming growth factor(TGF)-${\beta}$ superfamily. Although pleomorphic adenoma of the salivary glands is an epithelial tumor, it frequently shows ectopic cartilaginous formation with biomolecular studies. The mechanism of pathogenesis in cartilaginous formation is still controversy. We examined the expression and localization of CDMP-1 and -2, in comparison with the localization of cartilaginous matrix proteins, in human normal salivary glands and 20 cases of pleomorphic adenoma using immunohistochemical methods. The results were followed. 1. CMP-1 was immunolocalized in the striated ducts and the intercalated ducts, but not expressed in excretory duct, CDMP-2 was not expressed in the normal salivary glands. 2. CMP-1 was immunolocalized in the ductal cell and cuboidal neoplastic myoepithelial cells around the chondroid areas of the pleomorphic adenomas, whereas these molecules were not localized in the spindle-shaped neoplastic myoepithelial cells of the myxoid element in these tumors. CDMP-2 was expressed neither in normal salivary glands nor in any elements of the pleomorphic adenomas. 3. In transmission electron microscopic view, the tumor cells are composed of modifed myoepithelial cells between hyaline and myxoid stroma. 4. In Immuno-blot analysis, strong overexpression of CDMP-1 was frequently seen in pleomorphic adenomas, but the level of CDMP-2 was expressed minimally in pleomorphic adenoma. From the these results, it should be suggested that undifferentiated neoplastic myoepithelial cells around the chondroid areas expressed CDMP-1 and suggested that this molecule may play a role in the differentiation of neoplastic myoepithelial cells in pleomorphic adenoma, but not CDMP-2.

고환통과 발열을 호소하는 고환암환자의 치험 1례 (A Case of Advanced Non-seminomatous Germ Cell Tumor of the Testis Cancer with Retroperitoneal Lymph Node Metastasis : Neoplastic Pain & Neoplastic Fever Treated by Sasang Constitutional Medical Treatment)

  • 김은희;서영광;김달래;고병희;전성하;어완규;최원철;이수경
    • 사상체질의학회지
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    • 제19권2호
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    • pp.179-186
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    • 2007
  • 1. Objectives In this case report, We report a case of advanced non-seminomatous germ tell tumor(NSGCT) of the testis to retroperitoneal lymph node. We successfully managed with sasang medical treatment. 2. Methods We treated a man with NSGCT of testis with retroperitoneal lymph node metastasis. We evaluated pain grade by VAS(visual analogue scale). and fever grade by body temperature(by axillary thermometer) 3. Results Pain and fever were improved with the Sasang constitutional medicine. 4. Conclusions Cancer pain and fever was markedly improved by Sasang Constitutional management. Further studies are needed to evaluate the cause of the improvement.

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말티즈 개에서 발생한 갑상선수질암 (Medullary Thyroid Carcinoma in a Maltese Dog)

  • 현희진;정수교;김재훈
    • 한국임상수의학회지
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    • 제31권5호
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    • pp.435-438
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    • 2014
  • 11세령, 체중 2.67 kg, 암컷 Maltese의 기관 인근 경부에서 3주 전부터 종괴가 촉진되어 동물병원에 내원하였으며, 방사선 및 초음파 검사 결과 기관 및 미주신경 주위에 불투과성의 종괴가 확인되었다. 외과적으로 절제된 단일한 종괴의 크기는 $3.5{\times}2{\times}0.8cm$였다. 병리조직학적으로 큰 종양 병소가 정상 갑상선 조직과 혼재되어 있었다. 종양 병소는 형질세포와 같은 형태를 보이는 종양세포들이 모여 있는 다양한 크기의 소포로 구성되어 있고, 이 소포들은 미세한 섬유혈관중격에 의해 구획되어 있었다. 종양세포들은 인근 결합조직과 피막으로 침습하는 경향을 나타내었다. 면역조직화학염색을 실시한 결과 종양세포들은 사이토케라틴(AE1/AE3), 크로모그래닌 A, 신경원 특이 에놀라제(NSE)에 대하여 강한 양성 반응을, vimentin에는 음성 반응을 보이고 있었다. 육안병변, 병리조직학적 및 면역조직화학 염색의 특징을 토대로 본 증례는 갑상선수질암으로 진단되었다.

국내 고슴도치에서 발생한 기저세포암종 (Basal Cell Carcinoma in a Domestic Hedgehog)

  • 고규련;홍경화;김재훈
    • 한국임상수의학회지
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    • 제32권6호
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    • pp.548-550
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    • 2015
  • 1세령 암컷 고슴도치의 앞다리 피하에서 종괴가 발견되어 내원하였다. 육안적으로 앞다리 피하종괴는 직경 약 4 cm 크기로 융기되어 있었다. 종괴의 단면상에서 중심 부위는 암적색이었으며, 그 주위에 유백색 결절이 무수히 매몰되어 있었다. 병리조직학적으로 진피층에는 다량의 종양세포들이 불규칙한 줄 또는 시트형태를 이루고 있었다. 대부분의 종양세포들은 기저막에 울타리 모양으로 배열되어 있었으며, 종양세포무리의 중심부에서는 건락괴사를 관찰할 수 있었다. 또한 종양세포들은 주변조직으로의 침습성을 보이고 있었다. 면역조직화학염색을 실시한 결과, 종양세포들은 vimentin에는 음성반응을 보인 반면, pancytokeratin에는 강한 양성반응을 보였다. 이상의 육안적인 특징, 병리조직학적 소견 및 면역조직화학적 검사를 바탕으로 본 증례는 기저세포암종으로 진단하였다.

Differentiation between Glioblastoma and Solitary Metastasis: Morphologic Assessment by Conventional Brain MR Imaging and Diffusion-Weighted Imaging

  • Jung, Bo Young;Lee, Eun Ja;Bae, Jong Myon;Choi, Young Jae;Lee, Eun Kyoung;Kim, Dae Bong
    • Investigative Magnetic Resonance Imaging
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    • 제25권1호
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    • pp.23-34
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    • 2021
  • Purpose: Differentiating between glioblastoma and solitary metastasis is very important for the planning of further workup and treatment. We assessed the ability of various morphological parameters using conventional MRI and diffusion-based techniques to distinguish between glioblastomas and solitary metastases in tumoral and peritumoral regions. Materials and Methods: We included 38 patients with solitary brain tumors (21 glioblastomas, 17 solitary metastases). To find out if there were differences in the morphologic parameters of enhancing tumors, we analyzed their shape, margins, and enhancement patterns on postcontrast T1-weighted images. During analyses of peritumoral regions, we assessed the extent of peritumoral non-enhancing lesion on T2- and postcontrast T1-weighted images. We also aimed to detect peritumoral neoplastic cell infiltration by visual assessment of T2-weighted and diffusion-based images, including DWI, ADC maps, and exponential DWI, and evaluated which sequence depicted peritumoral neoplastic cell infiltration most clearly. Results: The shapes, margins, and enhancement patterns of tumors all significantly differentiated glioblastomas from metastases. Glioblastomas had an irregular shape, ill-defined margins, and a heterogeneous enhancement pattern; on the other hand, metastases had an ovoid or round shape, well-defined margins, and homogeneous enhancement. Metastases had significantly more extensive peritumoral T2 high signal intensity than glioblastomas had. In visual assessment of peritumoral neoplastic cell infiltration using T2-weighted and diffusion-based images, all sequences differed significantly between the two groups. Exponential DWI had the highest sensitivity for the diagnosis of both glioblastoma (100%) and metastasis (70.6%). A combination of exponential DWI and ADC maps was optimal for the depiction of peritumoral neoplastic cell infiltration in glioblastoma. Conclusion: In the differentiation of glioblastoma from solitary metastatic lesions, visual morphologic assessment of tumoral and peritumoral regions using conventional MRI and diffusion-based techniques can also offer diagnostic information.

화학적 간발암모델에서 Bisphenol A가 간암의 전암성 및 종양성 병변에 미치는 영향 (Modifying Effect of Bisphenol A on the Preneoplastic and Neoplastic Lesions of Rat Liver Treated with Diethylnitrosamine Infusion)

  • 박기대;한범석;임국환
    • 한국환경보건학회지
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    • 제32권1호
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    • pp.60-66
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    • 2006
  • Bisphenol A(BPA) was known as an endocrine disrupting chemical. This study was conducted to assess the effect of BPA, weaker estrogen, on the preneoplastic and neoplastic lesions induced by diethylnitrosamine (DEN). One hundred male F344 rats were divided into four groups which were treated with DEN followed by BPA. To make liver tumor early, we conducted that DEN containing osmotic pump implanted into rat abdominal cavity. Then diet containing BPA were fed to the rats. All animals were sacrificed at 10 and 18 weeks. Body weights were significantly decreased in 4000ppm at 18 weeks. Relative Liver weights of 4000 ppm BPA treated group were significantly increased compared to that of DEN alone group at 18 weeks. There were no significant differences of liver tumor incidences. Sum area of GST-P positive foci and BrdU labeling indices of BPA treated group were not significantly different compared to those of control group. These results suggest that BPA have no effects in preneoplastic and neoplastic lesions on DEN-induced hepatocarcinogenesis.

백호에서의 전이성 유선암종 (Metastatic Mammary Gland Adenocarcinoma in a Tiger (Panthera tigris altica))

  • 신남식;권수완;김양범;김방현;오상연;김대용
    • 대한수의학회지
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    • 제42권3호
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    • pp.389-392
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    • 2002
  • A 17-year-old female tiger (Panthera tigris altica) was found dead after suffering from continuously growing mass at the right mammary gland area. At necropsy, a firm tan mass approximately 25 cm in diameter was noted at the ventral abdomen. The mass was not fixed to the adjacent tissue and mottled tan to red on cut sections. Chains of similar nodules ranging from 2 to 5 cm in diameter were also present along the right mammary glands region. Histologically, the neoplastic masses consisted of lobules that were filled with pleomorphic neoplastic cells and separated by fibrious conntective tissue. The neoplastic cells have hyperchromatic nuclei with prominent nucleolus and moderate amount of cytoplasm. The degree of mitosis was high. Multiple areas of necrosis, hemorrhage, mineralization and tumor emboli were also noted. Metastasis to the regional lymph nodes, lung, liver, spleen, kidney, and adrenal gland were observed. Based on the gross and histopathologic examinations, a diagnosis of lobular type metastatic mammary gland carcinoma was made.

다장기 발암모델을 이용한 dimethyl disulfide와 diallyl disulfide의 항발암효과 (A Study of aticarcinogenic effects of dimethyl disulfide and diallyl disulfide in a rat multi-organ carcinogenesis model)

  • 강부현;손화영;하창수;노정구
    • 한국수의병리학회지
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    • 제1권1호
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    • pp.13-25
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    • 1997
  • The anticarcinogenic effects of dimethyl disulfide(DMDS, methyl disulfide)and diallyl disulfide(DADA, allyl disulfide) were studied in a 28 weeks rat multi-organ carcinogenesis model. neoplastic and preneoplastic lesions were observed in the liver kidney thyroid gland esophagus duodenum colon, rectum and adrenal gland. Tesults showed that neoplastic lesions in the kidney liver and thyroid gland were inhibited by DADS but those in the liver and colon were enhanced by DMDS when compared to positive control group. incidence of neoplastic lesions in the other organs were not changed by DMDS or DADS exposure. While GST-p positive foci in the liver were increased by DMDS, DADS had no effect. There was no significant histopathological lesion in DMDS or DADS treated group without pretreatment with carcinogens.

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