• Title/Summary/Keyword: 과증식증

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Lesion Localization in Patients with Hyperparathyroidism Using Double-phase Tc-99m MIBI Parathyroid Scintigraphy (부갑상선기능항진증 환자에서 Tc-99m MIBI 부갑상선 신티그라피를 이용한 병소 국소화)

  • Shin, Jung-Woo;Ryu, Jin-Sook;Kim, Jae-Seung;Moon, Dae-Hyuk;Hong, Seung-Mo;Gong, Gyung-Yub;Hong, Suk-Joon;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.2
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    • pp.120-130
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    • 1999
  • Purpose: This study was performed to evaluate the diagnostic usefulness of double-phase Tc-99m MIBI parathyroid scintigraphy with single photon emission computed tomography (SPECT) in patients with hyper-parathyroidism. We also evaluated the relationship between Tc-99m MIBI uptake and oxyphil cell contents in parathyroid glands. Materials and Methods: The subjects were 28 parathyroid glands of 10 patients who underwent Tc-99m MIBI parathyroid scintigraphy and parathyroidectomy for clinically suspected hyper-parathyroidism. Early and delayed pinhole images were obtained at 15 minutes and 2 hours after injection of Tc-99m MIBI, and SPECT images were followed. The weight and oxyphil cell contents of parathyroid tissue were obtained from pathologic specimen, and the scintigraphic findings were compared with histopathology. Results: In surgical histopathology, 6 parathyroid adenomas and 9 parathyroid hyperplasias were confirmed. The sensitivity, specificity, and positive predictive value of early and delayed images were 46.7% (7/15), 76.9% (10/13), 70% (7/10) and 66.7% (10/15), 92.3% (12/13), 90.9% (10/11), respectively. SPECT image detected an additional small hyperplasia.. The sensitivity, specificity, and positive predictive value of combined interpretation of early and delayed images with SPECT were 73.3% (11/15), 100% (13/13), 100% (11/11). The sensitivity was 100% (6/6) for adenoma, whereas that was 55.5% (5/9) for hyperplasia. Both adenomas and hyperplasias showed significantly increased oxyphil cell contents compared with normal parathyroid glands (p<0.0001), but the oxyphil cell content and weight were not significantly different between adenomas and hyperplasias. Conclusion: Double-phase Tc-99m MIBI parathyroid scintigraphy with SPECT is useful for lesion localization in patients with hyperparathyroidism. Although both adenoma and hyperplasia have increased oxyphil cell content, the sensitivity is high in adenoma, but low in hyperplasia.

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Effect of bee venom on cell proliferation and cyclooxygenase 2 expression in the dentate gyrus of mice with acetic acid induced hyperalgesia (세포 증식과 COX 2 발현에 미치는 봉독의 효과)

  • Lyoo, Eun-kyoung;Choi, Do-young;Lee, Jae-dong
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.112-122
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    • 2003
  • 연구 배경 및 목적 : 봉독은 항염증 등의 효과를 가지고 있다고 알려져 있지만 세포 증식과 관련된 봉독의 효과에 대한 고찰을 위해 본 연구(硏究)에서는, 봉독(蜂毒) 약침(藥鍼) 자극(刺戟)이 아세트산 유발(誘發) 통각(痛覺) 과민증(過敏症)을 가진 쥐의 치상회(齒狀回)에서의 세포(細胞) 증식(增植)과 COX2 발현(發現)에 미치는 영향(影響)에 대해 알아보고자 하였다. 실험방법 : 대조군, 아세트산 처치군, 아세트산 0.1mg/kg 봉독 처치군, 아세트산 1mg/kg 봉독처치군(n=5 in each group)의 네 군으로 나누고 해당 군에 일벌 봉독(蜂毒)(Sigma Chemical Co., St. Louis, MO, USA)을 양측 족삼리 경혈(ST36)에 주입시키고 30분 후 아세트산(100% acetic acid 1% 용액의 0.5ml)을 복강내로 주입하여 복부 긴장 회수를 세었으며, BrdU 양성, COX 2 양성 세포수를 면역 화학 조직법을 수행하여 세어 보았다. 결과 : 아세트산 처치군에서는 대조군에 비해 5 bromo 2' deoxyuridine 양성 세포의 수는 감소(減少)되며, 치상회(齒狀回)에서의 COX 2의 발현(發現)은 증강(增强)되는 것으로 보여졌다. 봉독(蜂毒) 주입(注入)은 아세트산 유발(誘發) 복부(腹部) 긴장(緊張) 횟수와 치상회(齒狀回)에서의 COX2 발현(發現)을 억제(抑制)하여, 치상회(齒狀回)에서의 세포(細胞) 증식(增植)을 증가(增加)시켰다. 결론 : 이번 결과(結果)에서 보면, 치상회(齒狀回)에서의 COX 2의 발현(發現)은 세포(細胞) 증식(增植) 억제(抑制)와 관련(關聯)되며 봉독(蜂毒)은 COX 2 발현(發現) 억제(抑制)를 통해 치상회(齒狀回)에서의 새로운 세포(細胞) 형성(形成)을 증가(增加)시킨다는 것을 알 수 있다.

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A case of true thymic hyperplasia in the mediastinum with ectopic thymus in the neck (종격동 진성 흉선 증식증에 동반된 경부 이소 흉선 1례)

  • Kim, Hyun-Jung;Jang, Sun-Hwa;Park, Ji-Sook;Park, Eun-Sil;Seo, Ji-Hyun;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.49 no.9
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    • pp.996-999
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    • 2006
  • True thymic hyperplasia and ectopic thymus are very rare in children. In embryologic aspect, thymus is distributed around cervical area and ends up in mediastinum. This case is simultaneous thymic hyperplasia of neck and mediastinum. Ectopic thymus in the neck and thymic hyperplasia in the mediastinum in children were reported 2 and 7 cases respectively in Korea. In Clinical aspects, these thymic hyperplasia were presented by mass. So we should suspect these benign condition to avoid unnecessary operation or biopsy. We report a case of true thymic hyperplasia in the mediastinum with ectopic thymus in the neck in a 4-month-old male infant and review the relevant literature. We believe this is the first reported case in the world of true thymus hyperplasia in the mediastinum with cervical ectopic thymus in the neck.

Radiologic and Pathologic Findings of Atypical Ductal Hyperplasia in the Male Breast: Case Report and Literature Review (남성 유방에서의 비정형유관증식증의 영상 및 병리 소견에 대한 고찰: 증례 보고 및 문헌고찰)

  • Ara Ko;Hye Shin Ahn;Seungho Lee;Su Min Ha;Min Kyoon Kim;Hee Sung Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1504-1510
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    • 2020
  • In this case report, we present the radiologic and pathologic findings of atypical ductal hyperplasia (ADH) in the male breast. It is well known that a high-risk lesion such as ADH is a precursor of breast cancer in females. However, the clinical significance of these lesions in the male breast is still uncertain because male breasts mainly consist of ducts without lobule formation, unlike the female breast. To our knowledge, imaging findings of ADH in the male breast have not been reported previously, except for a few studies on the pathologic findings of these lesions. Through this paper, we would like to present the possible imaging features of this high-risk lesion in the male breast and review the related literature.

Anti-inflammatory and Cellular Proliferation Effects of Ethanol Extracts from 5 Kinds of Oriental Medical Plants (5종의 한약재 에탄올 추출물의 항염증 및 표피세포 증식 활성)

  • Jung, Min-Hwa
    • Journal of Life Science
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    • v.28 no.9
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    • pp.1022-1029
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    • 2018
  • This study was carried out to search for the anti-inflammatory activities of ethanol extracts obtained from 5 kinds of oriental medical plant; Pleuropterus multiflorus extract (PME), Acorus calamus L. extract (ACE), Lithospermum erythrorhizon Siebold & Zucc. extract (LEE), Xanthium strumarium L. extract (XSE), Lonicera japonica extract (LJE), which have traditionally been used as a drug in oriental medical plants in Korea. XSE showed cytotoxicity at 100, $200{\mu}g/ml$ concentration in RAW264.7 cells (p<0.05) and ACE showed cytotoxicity at $200{\mu}g/ml$ concentration in RAW264.7 cells (p<0.05). But other oriental medical plants did not showed cytotoxicity was observed in RAW264.7 cells below $200{\mu}g/ml$ concentration. These extracts at non-toxic concentrations showed anti-inflammatory effects. PME, ACE, XSE and LJE showed a concentration-dependent inhibitory effect on NO production and $PGE_2$ production in LPS-induced RAW264.7 cells. In particular, XSE showed the highest NO production inhibition ($52.9{\mu}g/ml$, $IC_{50}$) as well as the highest $PGE_2$ production inhibition at $50{\mu}g/ml$ (73.6%). ACE and LEE showed cell proliferation effects on HaCaT keratinocyte cells. Especially, LEE showed 21.1, 53.5 and 99.6% proliferative activity by incubation for 1, 3, 5days at $100{\mu}g/ml$ concentration. ACE also showed 11.2, 26.0% proliferative activity for 1day and 3days at $10{\mu}g/ml$ concentration. As a result of this study, ethanol extracts obtained from 5 kinds of oriental medical plant showed anti-inflammatory activity and HaCaT cell regeneration effect.

The Effects of Fluconazole on Chronic Oral Candidiasis Refractory to Nystatin: Case Report (Nystatin에 반응하지 않는 만성 구강 캔디다증 증례에서 Fluconazole의 효과에 관한 보고)

  • Lee, Eun-Jin;Park, Won-Kyu;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.33 no.1
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    • pp.27-33
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    • 2008
  • Candidiasis, an opportunistic infectious condition caused by the genus Candida, is the most common oral fungal infection in humans. The diagnosis of oral candidiasis can often be made based on recognition of its clinical pattern, but at times there is difficulty in making a clinical diagnosis because of its various manifestations. Several antifungal medications have been developed for managing fungal infections. Despite the availability of several effective antimycotics for the treatment of oral candidiasis, failure of therapy is not uncommon due to the unique environment of the oral cavity, where the flushing effect of saliva and the cleaning action of the oral musculature tend to reduce the drug concentration to sub-therapeutic levels. In this case report, we present two patients diagnosed with chronic hyperplastic candidiasis and median rhomboid glossitis, which are known as rare forms of candidiasis. In both cases, there was a significant reduction of clinical signs and symptoms when fluconazole was prescribed after the failure of initial nystatin therapy.

Fibrous Dysplasia of the Temporal Bone (측두골섬유성리형성증)

  • 김종선;우훈영;백만기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.5.1-5
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    • 1979
  • Fibrous dysplasia of the temporal bone is a extremely rare condition in otological field with a total of 11 cases in the English literature so far. Authors experienced a case in 18 year old boy with complete obliteration of the external auditory canal and long standing keratosis obturance. The purpose of this paper is to discuss principles and methods of canalplasty and meatoplasty with literature review and presentation of authors case.

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Characteristics of Seed Germination and Vegetative Propagation in Zanthoxylum schinifolium Siebold & Zucc. (산초나무의 종자발아 및 무성증식 특성)

  • Young Ki Kim;Jiae Seo;Mun Seop Kim;Hanna Shin;Jeong Ho Song
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2020.08a
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    • pp.25-25
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    • 2020
  • 산초나무(Zanthoxylum schinifolium Siebold & Zucc.)는 운향과(Rutaceae)에 속하는 낙엽활엽관목으로 주로 열매, 잎, 줄기는 식·약용으로 이용한다. 최근 산초나무 부위별 추출물에서 항산화활성, 항염증효과, 미백효과 등에 관한 연구가 이루어지면서 산초나무의 가치가 더욱 증가하고 있다. 본 연구는 산초나무의 효율적인 유·무성 증식법을 구명하기 위해 종자 처리에 따른 발아특성, 생장조절물질 처리에 따른 가지삽목과 뿌리삽목의 발근특성을 조사하였다. 산초나무 종자는 3개월간 저온습사저장(종자:모래=1:1, -4℃)을 실시할 경우 약 64.0%가 발아하였다. 습사저장된 종자를 파종 직전에 GA3를 이용하여 0, 500, 1,000 및 2,000ppm 농도에서 처리한 결과 각 처리구별 발아율은 유의한 차이를 나타내지 않았다(F=1.556, p=0.260). 다만, 500ppm 농도에서 72.0%가 발아하여 가장 높은 발아율을 보였으며 1,000ppm 이상 처리구에서는 발아율이 다소 감소하는 경향을 나타냈다. 무성증식 방법은 2월 중순에 산초나무 가지삽수와 뿌리삽수를 채취한 후 IBA와 NAA를 각각 0, 500, 1,000 및 2,000ppm 농도로 처리하였다. 가지삽목을 실시한 대부분의 삽수에서 신초가 발생했으나, 발근율은 1.3~6.3%로 현저히 낮았다. 반면, 뿌리삽목은 3개월 후 부정아 발생율이 처리에 따라 58.3~83.3%로 조사되었으며, 발근율은 0~66.7%를 나타나 처리구별 발근율에 유의한 차이가 있었다(F=3.744, p=0.020). IBA 처리가 근삽수의 발근에는 효과적이었으며, 특히 IBA 2,000ppm 처리에서 66.7%의 발근율을 보여 가장 효과적임을 알 수 있었다. 결론적으로, 산초나무의 효율적인 유성증식을 위해서는 종자를 3개월간 저온습사저장하는 것이 효과적이며, 무성증식 방법으로는 가지삽목보다 뿌리삽목을 이용하는 것이 더 효과적인 것으로 판단된다.

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The Significance of Interleukin-6 in $Henoch-Sch\"{o}nlein$ Purpura Nephritis in Children ($Henoch-Sch\"{o}nlein$ Purpura 신염에서 Interleukin-6의 의의)

  • Lee Jae-Seung;Kwon Min-Joong
    • Childhood Kidney Diseases
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    • v.1 no.2
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    • pp.130-135
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    • 1997
  • Purpose : Interleukin-6(IL-6), a multifunctional cytokine, has been found to have growth and differentiation activities on a wide variety of tissues and cells, including mesangial cells. It has been known that IL-6 is an autocrine growth factor for the proliferation of mesangial cells. Several studies have been performed for revealing the clinical significance of IL-6 in mesangial proliferative glomerulonephritis. Methods : The author measured serum and urinary IL-6 in 30 patients with $Henoch-Sch\"{o}nlein$ purpura (HSP), 18 patients with HSP nephritis, and 10 normal children as a control group. Results : The serum level of IL-6 was increased significantly in the patients with HSP and HSP nephritis compared to normal control. The level of urinary IL-6 was increased significantly in the patients with HSP nephritis compared to both HSP and normal control groups. The level of urinary IL-6 was not correlated with the level of serum. Conclusion : IL-6 was correlated with the amount of proteinuria. These data suggest that IL-6 may be involved in the pathological proliferation of mesangial cell in HSP nephritis.

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