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A Giant Sebaceous Epithelioma on the Scalp: A Case Report (두피에 발생한 거대 피지샘 상피종 1례)

  • Kim, Eun Yeon;Kim, Sun Goo;Kim, Yu Jin;Lee, Se Il
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.76-79
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    • 2012
  • Purpose: Sebaceous epithelioma (sebaceoma) is a benign tumor with sebaceous differentiation. It presents primarily as a yellowish papule or nodule on the face and scalp. It must be differentiated from basal cell carcinoma and other appendageal tumors. We report a giant sebaceous epithelioma on the scalp and describe the immunohistochemical character of the cells in sebaceous epithelioma to epithelial membrane antigen (EMA). Methods: A 55-year-old-man who presented with 5-cm-diameter 2-cm-height, round shape exophytic ulcerated tumor on his head presented for treatment. The patient had noticed the lesion 40 years prior as a small yellowish plaque and 18 months ago, the plaque started to grow progressively larger. We excised the lesion with 1 cm resection margin, considering the possibility of malignancy because this lesion grossly resembled basal cell carcinoma (BCC). The defect was repaired with the use of a splitthickness skin graft. Results: When we excised the lesion, the margin was clear. Histology showed nodules that consisted of an admixture of basaloid cells and mature adipocytes lacking an organized lobular architecture. Strong expression of EMA on mature adipose cells confirmed the differential diagnosis from BCC with sebaceous differentiation because of the absence of a nuclear palisade pattern and cleft-like spaces on the hematoxylin and eosin (H&E) section. Conclusion: We treated the giant sebaceous epithelioma on the scalp with surgical excision and a split-thickness skin graft. It is important to know that the diagnosis of sebaceous epithelioma should be made based on the histologic pattern of the H&E section. Immunohistochemistry with EMA can help to confirm the differential diagnosis between sebaceous epithelioma and BCC.

Immunohistochemical Study on the Inhibition of T lymphocytic Differentiation and Secretion of IL-2 in Mouse Thymus by Chronic Alcohol administration (장기간 알콜 투여가 생쥐 가슴샘에서 T 림프구의 분화와 IL-2 분비 저해에 미치는 면역조직화학적 연구)

  • Kim, Jin Taek;Park, In Sick;Ahn, Sang Hyun
    • The Journal of Dong Guk Oriental Medicine
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    • v.5
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    • pp.187-196
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    • 1996
  • Alcohol is a major risk factor for several diseases and especially excessive, long-term alcohol consumption are caues the damage of immunity such as the inhibiton of secretion of lymphokine and proliferation of immune component cell. This study observed that the inhibition of T lymphocytic differentiation and secretion of interleukin 2(IL-2) induced in thymus of ICR mouse by chronic alcohol administration. After 8% alcohol voluntary administered for 120 days, the thymic tissue immunohistochemically stained by following ABC method that used monoclonal antibody including L3T4(CD4), Ly-2(CD8), and IL-2 receptor(CD25R) after embedding with paraffin. The results were as follows. 1. The size of thymic medulla in test group reduced than control group. 2. The number of helper T lymphocyte, cytotoxic T lymphocyte, and IL-2 receptor were decreased in thymic medulla and cortico-medullary junction of test group and the degree of CD4, CD8, and CD25R positive reaction were soften in test group. These results indicated that the secretion of IL-2 in thymus was inhibited by chronic alcohol administration and subsequently prevent to differentiate from thymocytes to T lymphocytes. As this view, cell mediated immunity were reduced by chronic alcohol administration.

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Estimations of Spatial Variability of Cone Resistance Using Geostatistical Method (지구통계학적 기법을 이용한 콘저항치의 공간적 변화의 평가)

  • ;Michael, W. O'Neill
    • Geotechnical Engineering
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    • v.13 no.1
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    • pp.19-34
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    • 1997
  • Applications of geostatistical method to cone penetrometer data have been performed at the overconsolidated clay site. Randomlylocated 28 electronic CPT soundings (Location A) and consistently-located 38 CPT soundings(Location B) are investigated geostatistically. Variograms for Locations A and B have been developed for q, from the CPT data by using "kriging" principles, which establish the horizontal and vertical correlation distrances at this site. These vertical and horizontal correlation distances can be used to optimal sampling design, where, if one needs to compare two test results, sampling must be made within these vertical and horizontal correlation distances. Analysis of the variograms indicated that the geological formation between two locations are not very different in both vertical direction and horizontal direction.direction.

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Ultrastructure of the Submandibular Gland in the Korean Spider Shrew, Sorex caecutiens (뒤쥐, Sorex caecutiens 악하선의 미세구조)

  • Jeong, Soon-Jeong;Yoo, Ji-Yun;Jeong, Moon-Jin
    • Applied Microscopy
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    • v.37 no.2
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    • pp.103-109
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    • 2007
  • The ultrastructure of submandibular gland was examined in the Korean spider shrew, Sorex caecutiens. The submandibular gland wat composed of acini and salivary ducts. A submadibular acinus was a mixed gland having serous demilune cells and mucous cells that were filled with well developed rER, mitochondria and large amount of dense secretory granules. Serous acinar granules were oval shape without distinct limiting membrane on the border and it had only coarse specks with various density. Mucous acinar granules were oval shape without distinct limiting membrane and had a variety pattern with several thin or transparent bands into the homogeneous dense matrix. Thus submandibular acinar granules of S. caecutiens belonging to subfamily Soricinae were distinct from the other mammalian species including Crocidurinae, because of the absence of limiting membrane of acinar granules and specific pattern of mucous acinar granules. Granular duct cells had large amount of small granular vesicles and several characteristic structures of granule which were revered with stratified limiting membranes and filled with coarse serous-like granule or homogeneous matrix.

Fine Needle Aspiration Cytology of Extranodal Marginal Zone B cell Lymphoma with Abundant Plasma Cells and Eosinophilic Histiocytes in Parotid Gland (귀밑샘의 형질세포와 호산성 조직구를 다량 함유한 림프절외 변연부 B-세포 림프종의 세침흡인 세포검사 소견 -1예 보고-)

  • Lee, Young-Seok;An, Jung-Suk;Chae, Yang-Seok;Yeom, Bom-Woo;Choi, Jong-Sang;Kim, Chul-Hwan
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.165-169
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    • 2007
  • The authors present the fine needle aspiration cytology (FNAC) cytologic findings of a case of extranodal marginal zone B cell lymphoma (MZBCL), which featured abundant plasma cells and eosinophilic histiocytes arising in both parotid glands. A 49-year-old female presented with palpable masses in both parotid glands. She had been suffering from systemic lupus erythematosus and rheumatoid arthritis. The lesions were evaluated by FNAC and smears showed a small number of clusters of oncocytic cells with abundant eosinophilic granular cytoplasm and small nuclei, intermixed with small to medium-sized lymphoid cells containing round to lobulated nuclei, which suggested Warthin's tumor. Some of lymphoid cells had a plasmacytoid appearance, and some scattered large cells contained a large amount of eosinophilic cytoplasm. Bilateral superficial parotidectomy was performed and a histopathologic study indicated MZBCL with abundant plasma cells, intermixed with eosinophilic histiocytes. The presence of oncocytic cells and a mixture of lymphoid and plasma cells indicates Warthin's tumor, but the cytologic features of a relatively monotonous small to medium-sized lymphoid infiltrate suggest the possibility of MZBCL in the clinical setting of an FNAC study performed on a patient suffering from a connective tissue disease.

Development of LNG Terminal Flow Rate Data Reconciliation Method (LNG 터미널 유량 보정 방법 개발)

  • Lee, Sang-Ho;Lee, Chul-Jin;Lim, Young-Sub;Park, Chan-Saem;Han, Chong-Hun
    • Journal of the Korean Institute of Gas
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    • v.14 no.6
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    • pp.21-26
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    • 2010
  • Especially in Korea, LNG terminals commonly have huge scale because of the high demand of natural gas, and for the safe operation of terminal wide observation on temperature is necessary. That is the reason why the terminal has thermometer all over the facility but another information, flow rate, is insufficient. By the way, in pipeline, temperature difference is highly related with flow rate and with some simple assumptions, we can estimate flow rate. And through the steady state data reconciliation, the flow rate data become more reliable. In this research, we will study about flow rate data reconciliation method for LNG terminal and case study.

The Case Report of Malignant Lymphoma on the Submandibular Gland (턱밑샘에 발생한 악성 림프종의 치험례)

  • Bea, Chung Sang;Lee, Nae Ho;Yang, Kyung Moo
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.261-264
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    • 2007
  • Purpose: Extranodal marginal zone B cell lymphoma of MALT type represents approximately 8% of non-Hodgkin's lymphomas and this lymphoma is present in extranodal sites. Although the presentation of this lymphomain in stomach is usually associated with H. pylori infection in 95% of cases, MALT lymphoma found in soft tissue has been reported very rarely in the field of plastic surgery. We report a case of MALT lymphoma in the submandibular gland without any involvement of other organs such as the stomach. Methods: A 49-year-old man complained of a huge neck mass sized about $10{\times}12cm$. It started about 2 years ago and grew rapidly for the late 6 months. It was of hard nature with erythematous skin overlying it. Under the diagnosis of possible malignant lymphoma or sarcoma, radical resection was performed and the defect was reconstructed using transverse rectus abdominis musculocutaneous free flap. Results: The mass was well demarcated from the normal tissue, $11{\times}10.5{\times}10cm$ in size and whitish-gray color. Immunohistochemical analysis demonstrated that the tumor cells were LCA(+), CD20(+), CD3(-) and CD5(-). The tumor was diagnosed as extranodal marginal zone B cell lymphoma. The patient was treated with prophylactic radiation therapy after surgery, there was no complication for 1 year. Conclusion: We reported that very rare form of MALT lymphoma in 49-year-old male patient was experienced with clinical characteristics, histologic features and references.

Epithelial-Myoepithelial Carcinoma of the Parotid Gland: A Case Report (귀밑샘의 상피세포-근상피세포 암종 치험례)

  • Pae, Woo-Sik;Roh, Si-Gyun;Lee, Nae-Ho;Yang, Kyung-Moo;Kang, Myoung-Jae
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.501-504
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    • 2011
  • Purpose: Epithelial-myoepithelial carcinoma (EMC) represents about the 1% of the malignant neoplasms in the salivary glands and clinically most commonly found localized, well defined and sometimes presents orofacial pain. Treatment of choice is surgical excision. Postoperative radiotherapy can be used when surgical margins are doubtful. We report our experience of EMC of the parotid gland. Methods: A 78-year-old man presented with a three-year history of a localized, painless, $7{\times}6cm$ sized recurred tumor in his right preauricular area. He was diagnosed as EMC of the right parotid gland. So a total parotidectomy was performed. In his old medical history, he had a mass in the same area 5 years ago. The diagnosis of pleomorphic adenoma was made and the mass excision was performed at the local clinic without further evaluation. Results: It was unable to visually discriminate between the tumor and the normal tissue. So a total parotidectomy was performed. The patient was got post-operative radiotherapy and was followed up for 9 months. There was no specific evidence of recurrence. Conclusion: We present a case of EMC of the parotid gland in right preauricular area, which is uncommon. So we report a uncommon case of EMC to discuss about our experience with relevant journal discussion.

The Effect of a Group Program Using Theraplay on Prosocial Behavior of 2-year-old Infants and Process of Infants' Prosocial Behavior Change (치료놀이를 활용한 집단프로그램이 만 2세 영아의 친사회적 행동에 미치는 영향과 영아의 친사회적 행동 변화 과정)

  • Kim, Tae Eun;Jeon, A Jeong
    • Korean Journal of Child Education & Care
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    • v.19 no.3
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    • pp.183-197
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    • 2019
  • Objective: The purpose of this study was to examine the effect of a group program using theraplay on 2-year-olds' prosocial behavior. The changes of prosocial behavior in the process of program were also examined. Methods: Subjects were 12 infants who attended a child care center in W city. Subjects were attached to the experimental or control group. The experimental group participated in 11 group theraplay sessions twice a week. The adaptive social behavior inventory (Hogan et al., 1992) was used for pre and post tests. Wilcoxon rank-sum test was performed to verify the effectiveness of a group theraplay program. Every sessions was video-taped and recorded verbatim. The verbatim were analyzed using the Padgett (2001)'s qualitative data analysis method. Results: Infants who assigned to the experimental group demonstrated significant improvement in prosocial behavior. Their expressive behavior and compliant behavior gradually increased over the sessions. Conclusion/Implications: The present study showed that the use of group program utilizing theraplay was an effective strategy for improving prosocial behavior of 2-year-old infants.

Effects of Akebia quinata extract on alcohol-induced damage of liver, spleen and thymus in rats (목통(木通)이 알코올 투여로 유발된 흰쥐의 간, 비장 및 가슴샘의 손상에 미치는 영향)

  • Lee, Ji Hye;Seo, Bu-Il
    • The Korea Journal of Herbology
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    • v.36 no.2
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    • pp.11-17
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    • 2021
  • Objective : This study was conducted to investigate the effects of Effects of Akebia quinata (AQ) extract on alcohol-induced damage of liver, spleen and thymus in rats. Method : Experimental animals were divided in to 4 groups; Normal group, Alcohol group, AQ50 group and AQ200 group. All rats, except for Normal group, were fed 25 % ethanol for 55 days. During experimental period, Normal group and Alcohol group were administrated saline, and AQ50 group and AQ200 group were administrated AQ extract at dose of 50 and 200 mg/kg/day, respectively. We measured organ weight, liver triglyceride contents, and alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and triglycerid levels in serum. Also, we conducted histomorphometry and histopathological observation of liver, spleen and thymus. Results : AQ significantly decreased the level of AST, ALT and triglyceride in serum and the liver triglyceride contents induced by ethanol. Also, AQ significantly inhibited lipid droplets accumulation in hepatocytes. The decreased relative organ weight of spleen and thymus by ethanol were increased by AQ administration. In histopathological analysis of spleen, the rats administrated AQ 200 mg/kg presented significantly increased mean diameters of white pulps, numbers of white pulps and splenic thicknesses. The administration of 200 mg/kg AQ improved decreased lobular thickness and cortex thickness of thymus, which were decreased by ethanol. Conclusions : The results of present study indicated that AQ has an ameliorating effect for fatty degeneration of liver and damage of spleen and thymus.