• Title/Summary/Keyword: pathological findings

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Surgical Treatment of Foramen Magnum & High Cervical Spinal Cord Tumor (대공부와 상위경추부 종양에 대한 수술적 치료)

  • Yoon, Do Heum;Oh, Sung Han;Cho, Young Eun;Jin, Byung Ho;Jin, Dong Kyu;Kim, Young Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.463-471
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    • 2001
  • Objective : The authors reviewed 51 patients of spinal cord tumor located at the craniovertebral junction and high cervical area to determine which factors influenced resectability, complications, and postoperative outcomes. Methods : Radiological examinations, clinical data, and operation notes were evaluated, and additional follow-up information was obtained from outpatient examinations. The mean follow-up period was 3.5 years Results : The most common neurological findings were motor deficit(72.5%) and sensory change(47.1%). There was no clinical finding that is considered as pathognomic. Meningioma(18 cases, 35.3%) was the most common tumor in this region. Total removal was achieved in 45 patients. There was no surgical mortality. Immediate postoperative motor weakness were encounted in 11 cases(21.6%) which improved in long term followup except two patients. Conclusions : The location and relationship of the tumor to surrounding struncture determine its resectability. Postoperative results were related to the preoperative neurological status and pathological findings.

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Multiple Myopericytoma of the Face and Parotid Gland

  • Jung, Yun-Ik;Chung, Yoon-Kyu;Chung, Seum
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.158-161
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    • 2012
  • Myopericytoma is a benign tumor that is composed of myoid-appearing oval to spindle-shaped cells with a concentric perivascular pattern of growth. The tumor is morphologically heterogeneous and can exhibit a broad histologic spectrum. We describe a case of multiple myopericytoma occurring in the head and neck skin region with involvement of the parotid gland where it is known to occur very rarely. A 40-year-old woman noticed multiple enlarging, painless, round-shaped masses on her left cheek. The patient had experienced a similar lesion of the same area 8 years earlier which was completely excised and the pathological diagnosis was spindle cell type myoepithelioma. On a computed tomographic image, one mass involved the superficial parotid gland and was well encapsulated. Excision of the facial masses and superficial parotidectomy with facial nerve preservation were performed. A diagnosis of myopericytoma was established in light of the immunohistochemical pattern with the histopathological findings. Over the 4-year follow-up period, there was no evidence of recurrence. As many perivascular myoid neoplasms share common morphologic features with myopericytoma, we should consider the differential diagnosis, and confirm the histological findings with appropriate immunohistochemical staining. After identifying myopericytoma, it should be treated with wide surgical excision to prevent local recurrence.

Atypical Intramuscular Myxoma of the Lumbosacral Paraspinal Muscle : The First Case Report in Asian

  • Choi, Doo Yong;Kim, Jong Tae;Kim, Jiyoung;Lee, Ho Jin
    • Journal of Korean Neurosurgical Society
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    • v.58 no.6
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    • pp.566-570
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    • 2015
  • Intramuscular myxoma (IM) is a benign neoplasm of mesenchymal origin. We report a rare case of IM which was located in the lumbosacral paraspinal muscles. A 62-year-old female patient presented with progressive low back pain for 2 months, and the radiologic findings showed a large mass ($4.0{\times}3.5{\times}6.5cm$) in the right lumbosacral paraspinal area. Total resection of the tumor was performed and the symptom was nearly resolved after surgery. Although the immuno-histopathological analysis was consistent with IM, there were some different findings from typical pathological characteristics of IM in this case. Firstly, the symptomatic change of the mass took relatively short time (less than 3 months), and this change was accompanied by partial calcification inside the mass. Moreover, iatrogenic interruption of paravertebral muscle by the other previous operation might be the promoting factor of the fibrous dysplasia, which can explain the pathogenesis of IM. To our knowledge, this is the eighth case of the lumbar paraspinal myxoma reported in the literatures and the first case in Asian population.

Study on clinico-pathological and ultrasonographic changes for experimental induced-acute pancreatitis in dogs (개에서 실험적으로 유발시킨 급성 췌장염에 있어서 혈액화학치와 췌장의 초음파학적 변화)

  • Yun, Young-min;Park, Su-jin;Yoon, Jung-hee;Youn, Hwa-young;Choi, Hee-in
    • Korean Journal of Veterinary Research
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    • v.38 no.2
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    • pp.423-435
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    • 1998
  • In acute pancreatitis group, all the dogs are showed increase of amylase and lipase after the 1st day of surgery, and amylase and lipase activity were significantly more increased than those of control group. The methemalbumin was increased significantly after the 2nd day of surgery in the acute pancreatitis group. In pancreatitis group, ultrasonographic findings included thickened duodenal wall and poorly circumscribed hyperechoic lesion of pancreatic mass after the 2nd day of surgery. And the lesion was exacerbated until the 4th day and reduced after the 6th day of surgery. To identify the lesion of pancreas, it is considered that transverse view is more useful Than sagittal view. Gross findings showed increase of pancreatic parenchymal consistency, surface nodule, and extensive pancreatic necrosis. Necrosis of peripancreatic fat tissue was also a prominent feature. The microscopic appearance of the pancreas was characterized by pancreatic acinar cell necrosis, hemorrhage, infiltration of the inflammatory cell and fat necrosis and saponification were also observed.

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Clinico-Hematological Findings for Classical Hodgkin's Lymphoma: an Institutional Experience

  • Sultan, Sadia;Irfan, Syed Mohammed;Parveen, Saira;Ali, Saif
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4009-4011
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    • 2016
  • Background: Classical Hodgkin's lymphoma (cHL) is a B-cell lymphoid neoplasm characterized by a distinctive biological behavior with potentially curable disease characteristics. It is an uncommon hematological malignancy which primarily affects younger individuals. The rationale of this study was to determine its clinico-hematological profile along with stage stratification in Pakistani patients. Materials and Methods: In this descriptive study, adult patients with Hodgkin's lymphoma were enrolled from January 2010 to December 2014. Results: Sixty two histopathologically confirmed cases of cHL were identified. There were 42 males and 20 females, with a male to female ratio of 2: 1. The mean age was $29.7{\pm}13.8$ years with the median age of 30 years. B symptoms were present in 72.5% of patients. Histopathologically, the mixed cellularity type constituted 62.9% of cases, followed by nodular sclerosis in 25.8%, lymphocyte predominant in 9.6% and lymphocyte depleted in 1.6%. Stages I and II were present in 43.5% of patients at disease presentation, with 56.4% in stages III and IV. Conclusions: Our analysis shows that clinico-pathological features of Hodgkin's lymphoma in Pakistan are comparable to published data. Mixed cellularity is the commonest histological variant and advanced stage at presentation are common findings in our patients.

A Case of Bronchial Glomus Tumor (기관지 사구 종양 1례)

  • Lee, Eun-Woo;Kim, Soo-Ok;Oh, In-Jae;Ju, Jin-Young;Cho, Gye-Jung;Kim, Kyu-Sik;Kim, Young-Chul;Park, Kyung-Ok;Na, Kook-Joo;Myung, Jae-Il
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.4
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    • pp.445-449
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    • 2002
  • An 18-year-old female was admitted because of dyspnea at rest. A chest computed tomography (CT) scan and fiberoptic bronchoscopy demonstrated a polypoid tumor in the left main bronchus, 0.5cm distal from the carina. Surgical resection of the tumor was performed, along with. A pathological evaluation and the immunohistochemical findings led to the diagnosis of a glomus tumor, which originated from the bronchus, an area where this type of tumor has rarely been reported.

A Case of Idiopathic Portal Hypertension in a 3-year-old Girl (3세 여아에서 진단된 특발성 문맥 고혈압 1예)

  • Son, Ki-Young;Baek, Seoung-Yon;Chung, Ki-Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.2
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    • pp.221-225
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    • 2007
  • A previously healthy 3-year-old girl was admitted to the Department of Pediatrics in Severance Hospital with sudden symptoms of melena. The vital signs were stable, and splenomegaly was found in a physical examination. The patient had moderate thrombocytopenia. There was no evidence of autoimmune disease. A upper gastrointestinal endoscopy and esophagogram showed a varix on the lower esophagus. Coarse liver parenchymal echoes and increased periportal echogenicity were seen on a Doppler sonogram. The velocity of the portal vein mildly increased. Magnetic-resonance-cholangiopancreatogram (MRCP) demonstrated normal portal structures. A sono-guided liver biopsy was performed, but the pathological findings were unremarkable. Based on these findings, we diagnosed the patient with idiopathic portal hypertension. The patient was discharged and was treated with oral beta blocker. We report a case of idiopathic portal hypertension with a brief review of the literature.

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Experimental Allergic Encephalomyelitis Study of Combined Vaccine (KGCC-95VI) Against Japanese Encephalitis and Hantaan Virus Infection

  • An, Chang-Nam;Shin, Kwang-Soon;Yun, Hyo-In;Park, Jong-Il;Cha, Shin-Woo;Shin, Hyeong-Soon;Kim, Chul-Joong
    • Toxicological Research
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    • v.13 no.4
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    • pp.353-357
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    • 1997
  • The possibility of the allergic encephalomyelitis caused by the combined vaccine (KGCC95VI) for the prophylaxis against Japanese encephalitis and Hantaan virus infection, recently developed by Korea Green Cross Corporation, was investigated in the Hartley guinea pigs. The KGCC-95VI was administered to the guinea pigs subcutaneously to sensitize the animals three times at one month intervals. There were no clinical signs or gross pathological findings. There were no abnormal histopathological findings at cerebrums, cerebellums, brain stems and the spinal cords. The concentration of myelin basic protein was 1.10 ng/dose quantified by ELISA, which met the guide4ine of below 2 ng/ml/dose recommended by American Society of Health -System Pharmacists(AHPS) Drug Information. Accordingly, the KGCC-95VI is considered not to induce any allergic immune responses which may lead to the experimental allergic encephalomyelitis.

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Study for Thirteen Weeks Subacute Toxicity of BDR-29 in Rats (BDR-29의 랫트에 대한 13주 반복투여 독성에 관한 연구)

  • Chang, Bo-Yoon;Kang, Dae-Gill;Lee, Ho-Sub;Kim, Sung-Yeon
    • Korean Journal of Pharmacognosy
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    • v.39 no.1
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    • pp.60-67
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    • 2008
  • The subcronic toxicity of BDR-29, a herbal preparation of Cassiae Semen, Prunellae Spica, Tribuli Fructus, and Uncariae Rhamulus et Uncus, was examined in male and female Sprague-Dawley rats. Rats were treated with the test substance at a dose 5 mg/kg, 50 mg/kg and 500 mg/kg intragastrically for 13 weeks. No death and abnormal clinical signs were observed throughout the administration period. There were not significantly different from control group in net body weight gain, food and water consumption, organ weight, gross pathological findings, and urine analysis among the groups rats treated with different doses of the BDR-29. Hematological findings and biochemical examination revealed no evidence of specific toxicity related to BDR-29. From these results, no observation effect level (NOEL) of BDR-29 is 500 mg/kg/day under the condition employed in this study.

The Correlation between CT Images and Pathological Findings in Metastatic Cervical Lymph Nodes (두경부 악성종양에서 경부임파절전이에 대한 CT Scan의 진단적 의의)

  • Lee Won-Sang;Kim Kwang-Moon;Chung Kwang-Hyun;Chang Hoon-Sang;Kim Jee-Woo;Kim Dong-Ik
    • Korean Journal of Head & Neck Oncology
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    • v.4 no.1
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    • pp.5-11
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    • 1988
  • CT examination has been used in the preoperative examination of patients with head and neck cancer. The accuracy of CT in detecting nodal metastases has not been well established. We studied 35 patients (41 neck specimens) with head and neck cancer who underwent neck dissection. Surgical pathologic findings were compared with preoperative CT scan to establish the diagnostic accuracy for cervical lymph node metastases. The results of physical examination, CT scans of neck and histologic examinations were compared each other. The overall diagnostic accuracy of CT was 83.3%. Comparison with clinical accuracy shows the CT scan to be superior to the clinical examination in spite of careful physical examination, particularly in detecting occult metastases.

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