• Title/Summary/Keyword: 조직병리학

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Comparison of Fine Needle Aspiration Cytologic Diagnoses and Histologic Diagnoses in 256 Breast Lesions (유방 병변 256례의 세침흡인 세포학적 진단 및 조직학적 진단과의 비교연구)

  • Kang, Mi-Seon;Jung, Soo-Jin;Yoon, Hye-Kyoung
    • The Korean Journal of Cytopathology
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    • v.8 no.2
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    • pp.120-128
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    • 1997
  • Fine needle aspiration cytology of breast lesion is well known as a simple, economic and effective diagnostic modality. For the evaluation of cytohistologic correlation, 256 cases of cytologic smears and subsequent histologic sections during 2-year period from Jan. 1995 to Dec. 1996 were reviewed. 1. Fifteen cases(5.9%) were proven as insufficient for evaluation, and 13 of them were fibrocystic change histologically. One case of carcinoma exhibiting sufficient amount of aspirates with no malignant cells on smear was regarded as inadequate. 2. Cytohistologic correlation of 240 cases revealed sensitivity 87.0%, specificity 100.0%, positive predictive value 100.0%, negative predictive value 97.0%, false positive rate 0.0% and false negative rate 13.0%. Total diagnostic accuracy is 95.7%. 3. Total 6 cases of negative were due to small amount of aspirates containing scantiness of malignant cells in two and underestimation in four. 4. Diagnostic concordance rates of fibrocystic change and fibroadenoma were 95.5% and 80.0%, respectively. Diagnostic discrepancies were noted in 7 cases of fibrocystic change and 6 cases of fibroadenoma, however, cytologic discrimination of two entities was not easy in seven of them. 5. In a case of phyllodes tumor and a case of duct ectasia, the discrepancy was due to targeting error. Other three cases(lymphoma, adenomyoepithelioma and granulomatous mastitis) were misinterpreted because of poor acquaintance with those entities. Diagnostic accuracy of fine needle aspiration cytology of breast lesions are relatively high. However, good technique on aspiration and adequate interpretation are necessary to reduce the false negative rate and the discrepancy between cytologic and histologic diagnoses.

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Diagnostic Correlation and Accuracy Between Fine Needle Aspiration Cytology and Histopathologic Examination (세침흡인 세포검사와 조직검사의 진단 일치율 및 정확도에 대한 조사)

  • Sohn, Jin-Hee;Chae, Seoung-Wan;Cho, Eun-Yoon;Kim, Eo-Jin
    • The Korean Journal of Cytopathology
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    • v.14 no.2
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    • pp.53-59
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    • 2003
  • Fine needle aspiration cytology (FNAC) has been known as a very sensitive and effective method for preoperative diagnosis. We studied cases preoperatively diagnosed by FNAC and confirmed by the histopathologic examination to define the effectiveness of FNAC. A total of 567 cases including breast, thyroid gland, lymph node, and soft tissue confirmed histologically after FNAC were enrolled, among 2,844 FNAC cases from January 1996 to March 2000. Overall sensitivity and specificity of FNAC were 93% and 100%, respectively. Sensitivity and specificity of FNAC by sites or organs were 91% and 100% in breast, 100% and 100% in thyroid, 97% and 100% in lymph node, and 71% and 100% in soft tissue, respectively. Nine cases showed diagnostic discrepancy; eight cases of sampling error and one case of interpretation error. Five cases, diagnosed as fibrocystic change at FNAC but invasive ductal carcinoma after the histopathologic examination, were categorized as sampling error due to the presence of diffuse fibrosis or deep seated location. One case of breast, diagnosed descriptively as atypical ductal and stromal cells suggesting invasive ductal carcinoma at FNAC but malignant phyllodes tumor histologically, was categorized as interpretation error. Other cases of sampling errors were two cases of soft tissue, a case of lymph node, and a case of salivary gland.

Comparison of Curriculums of Dental Hygiene Education Programs for B. S Degree (학사치과위생사 양성을 위한 교육과정 비교연구)

  • Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.251-258
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    • 2005
  • The objective of this research was to analyze curriculum of dental hygiene education program for B.S degree in US and compare with Korea and Japan. The curriculum was classified six domain based on job classification and National Board Examination in Korea. Oral biology content included oral anatomy,dental anatomy,oral histology,oral pathology. Oral physiology was excluded. Clinical dentistry content included only oral radiology, periodontics, dental material,pain control. Most program integrated clinical dental hygiene courses. Most program provided dental practice management content and dental hygiene research courses. Diverse program such as A.S degree,B.S degree,degree completion,distance education programs enabled students to develop their career effectively.

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Cytologic Findings of Breast Carcinoma in Fine Needle Aspiration - Comparison with Histologic Findings, Stage and Lymph Node Metastasis - (유방암 세침흡인의 세포학적 소견 - 세포학적 소견과 조직학적 소견, 병기 및 림프절 전이 상태와의 비교 -)

  • Chang, Hee-Jin;Kim, Duck-Hwan;Paeng, Sung-Sook;Yang, Sung-Eun;Sohn, Jin-Hee;Suh, Jung-Il;Park, Hyo-Sook
    • The Korean Journal of Cytopathology
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    • v.6 no.1
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    • pp.18-26
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    • 1995
  • In order to compare cytologic findings ol breast carcinoma in fine needle aspiration cytology (FANC) with histologic findings and prognostic factors including histologic grading, lymph node metastasis and stage, 79 cases of infiltrating ductal carcinoma diagnosed by FANC and confirmed by histology were analysed. We especially attempted to col relate nuclear grade, cellularity and smear pattern with histologic grade, type, status of lymph node metastasis and stage. The results are as fellows. 1. High nuclear grade was correlated with high histologic grade, lymph node metastasis and advanced stage. 2. Individual cell pattern was more frequently identified in high histologic grade and scirrhous or solid-tubular type than in low histolgic grade and papillotubular type. 3. Cellularity increased with higher histologic grade and lymph node metastsis. However cellularity was low in scirrhous type. 4. There is no relationship between nuclear grade and histologic type, between smear pattern and lymph node metastasis or stage, and between cellularity and stage. These results suggest that cytologic findings of breast carcinoma such as nuclear grade, cellularity and smear pattern are indicative of histologic findings in relation to histolgic grade and type. Especially, nuclear grade of FANC may yield valuable prognostic information.

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Comparison of Qualified Diagnosis of "Atypical Squamous Cells of Undetermined Significance" with Subsequent Biopsy ("Atypical Squamous Cells of Undetermined Significance"의 질적 분류와 조직 소견과의 비교)

  • Koh, Jae-Soo;Chung, Jin-Haeng;Lee, Seung-Sook;Cho, Kyung-Ja
    • The Korean Journal of Cytopathology
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    • v.10 no.1
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    • pp.1-5
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    • 1999
  • To evaluate whether different qualifications of a cytologic diagnosis of "atypical squamous cells of undetermined significance(ASCUS)" predict a greater or lesser likelihood of tissue diagnosis of uterine cervix, we compared different cytologic qualifications of ASCUS with the tissue diagnosis. One hundred twenty-two consecutive Papanicolaou smears showing ASCUS in women who had undergone cervical biopsy within nearest 30 days were collected. The 122 smears were qualified as "favor reactive"(25%), "favor low grade squamous intraepithelial lesion (LSIL)"(24%), "favor squamous intraepithelial lesion(SIL)"(16%), "favor high grade squamous intraepithelial lesion(HSIL)"(16%), and "not otherwise specified"(19%). Squamous intraepithelial or invasive lesion was pathologically confirmed by cervical biopsy in 13%, of the "favor reactive", 27% in "favor LSIL", 70% in "favor SIL", 75%, in "favor HSIL", and 35% in "not otherwise specified" smears. There were significant associations between the favor reactive smear and the benign biopsy finding and between the favor SIL smear and the biopsy shewing a squamous intraepithelial or more severe lesion. Nevertheless, most of favor LSIL smears exhibit reactive process in tissue biopsy. Conclusively, qualified ASCUS stratifies women Into different risk groups for SIL. The cytopathologist should make the cytologic diagnosis of "ASCUS, favor LSIL" circumspectly.

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Preventive Effects on Transmissible Gastroenteritis Using by TGEV Antiserum II. Clinical Sign, Histopathological and Immunohistochemical Findings (항혈청 투여에 의한 돼지 전염성 위장염의 예방효과 II.임상검사, 병리조직학적 검사, 면역조직화학적 검사)

  • Chi, Yong-Zhe;Han, Jeong-Hee;Kwon, Hyuk-Moo;Jeong, Hyun-Kyu
    • Korean Journal of Veterinary Pathology
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    • v.7 no.1
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    • pp.43-54
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    • 2003
  • The purpose of this study was to investigate protective effects against transmissible gastroenteritis virus (TGEV) infection in piglets by administration of the TGEV antiserum orally at 2hrs, 24hrs and 36hrs after birth. Five piglets administered with the TGEV antiserum were experimentally challenged with TGEV at four-day-old. Control group was four piglets challenged with TGEV only. Clinical signs and gross, histopathological and immunohistochemical findings were examined. In clinical signs, piglets of the control group appeared the typical signs such as severe watery diarrhea, depression and anorexia but piglets of the TGEV antiserum adminstered group recovered progressively. In clinical signs, piglets of the control group appeared the typical signs such as severe watery diarrhea, depression and anorexia but piglets of the TGEV antiserum adminstered group recovered progressively. In mortality, control group showed 75%, but TGEV antiserum adminstered group showed 20.0 %, respectively. In gross findings, piglets of the control group appeared the typical findings of congestion, distension of lumen, contaning curdes of undigested milk in stomach. But gross findings of piglets of the TGEV antiserum adminstered group appeared milder than them of control group. In histopathological findings, piglets of the control group appeared the typical findings of villous atrophy and fusion, congesion, exfoliation, vacuolation, squamation, loss of cilia and proliferation of crypt. But histopathological findings of piglets of the TGEV antiserum adminstered group appeared milder than them of control group. In immunohistochemical findings, piglets of the TGEV antiserum adminstered group showed more intensive in reaction for IgA and IgG than them of control group. The recation for IgA was stronger than that of IgG. It was concluded that oral administration of TGEV antiserum to piglets was effective to prevent TGEV infection and reduce their mortality.

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The Effects of Kamihaepyoijin-tang on the Respiratory Patterns and Tracheal Tissues in Allergic Asthma (가미해표이진탕이 알레르기 천식 백서의 호흡 양상과 기관조직에 미치는 영향)

  • Kim Min Sue;Pack Dong Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.3
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    • pp.557-562
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    • 2002
  • The present study was made with the aim of finding out the Kamihaepyoijin-tang's effect on the allergic asthma using the Egg-White Implant(EWI) method model recommended by de Siqueira et al. Kamihaepyoijin-tang has widely been prescribed and used in Oriental Medicine for controlling and curing of cough, asthma, nasal obstruction. Previous studies have demonstrated that Kamihaepyoijin-tang had analgesic, anticonvulsive effects. But it is uncertain whether Kamihaepyoijin-tang could inhibit the allergic reaction of rats with experimentally induced allergic asthma using EWI method. With such aim. the respiratory patterns and eosinophil infiltration in the tracheal mucosa of the rats were mainly observed. The results were summerized as follows ; 1. The frequency of malformed respiratory patterns in Kamihaepyoijin-tang treated groups were decreased as compared with the control group. 2. The Ratio of malformed respiratory patterns in Kamihaepyoijin-tang treated groups were significantly decreased as compared with the control group(p<0.02). 3. The eosinophil infiltration in Kamihaepyoijin-tang treated groups were decreased as compared with the control group. 4. The eosinophil infiltration that inside of trachea tissue in Kamihaepyoijin-tang treated groups were significantly decreased as compared with the control group(p<0.05). Depending upon above results, it is considered that Kamihaepyoijin-tang has the inhibitory effects on the allergic asthma of rats and suggested that it could be used in relieving patients of the symptoms which are caused by allergic asthma.

Effects of Siegesbeckiae Herba on rheumatoid arthritis induced by collagen in MRL/MpJ-Ipr-Ipr Mice (희첨이 RA 병태 모델에서 관련인자 및 조직학적 변화에 미치는 영향)

  • Jo Young Ju;Kim Sung Hoon;Park Jong Ho;Kim Dong Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.2
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    • pp.403-411
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    • 2003
  • For evaluating the effect of Siegesbeckiae Herba (here after abbreviated as SBH) on rheumatoid arthritis, the experiment was carried out; Incidence of rheumatoid arthritis, IRA(indices of rheumatoid arthritis), immunophenotypes by flow cytometer and histopathological changes in MRL/MpJ-Ipr-Ipr Mice in vivo were studied. The results were obtained as follows: 1. Incidence of RA in MRL/Ipr mice was suppressed to 60% of control by SBH. 2. IRA was significantly reduced for IgG3 and IgM at 20 weeks of age and for IgG2b at 12 and 20 weeks of age in mice by SBH compared with control. 3. Immunophenotypes such as CD4/sup +//CD25/sup +/, CD8/sup +//CD3e/sup +/, CD69/sup +//B220/sup +/, NK/sup +//CD3e/sup +/ were significantly increased by SBH compared with control. 4. In histopathological analysis, SBH suppressed the progression of PMN(polymorphonuciear leukocyte), leukocyte and fibroblast infiltration, and subsynovial soft tissue edema frequently showing in the early stage of the arthritis, and also effectively reduced the degeneration of cartilages and degenerative bone symptoms. These results suggest Siegesbeckiae Herba can be effectively applied to the treatment of rheumatoid arthritis and it is still necessary to isolate effective compound from Siegesbeckiae Herba in the near future.

Anthracnose of Cyclamen Caused by Colletotrichum gloeosporioides Penz. (Colletotrichum gloeosporioides Penz.에 의한 시클라멘 탄저병)

  • Kim, Ju-Hee;Choi, Jong-Sik;Choi, In-Young;Chong, Song-Hee;Lee, Wang-Hyu
    • Korean Journal Plant Pathology
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    • v.13 no.4
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    • pp.195-199
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    • 1997
  • Anthracnose symptoms were observed on the commercially cultivating ultivating cyclamen in Chonbuk province in 1995. The symptoms of infected flowers were small, circular and dark brown ring-spots or water-soaked lesions and gradually changed to lack blight. Mycelial colony of the isolates was light or whitish gray to dark gray on potato dextrose agar. Conidia were straight cylindrical and obtuse at the apex and measured 8.3~15.0${\times}$2.5~6.3 ${\mu}m$ in size. Appressoria were brown to dark brown and clavate, but most of them were irregular. Acervuli on lesions were brown, rounded and measured 50~140${\times}$32.5~90 ${\mu}m$ in size. The optimum temperatures for mycelial growth and conidial sporulation were ranged from 25 to 30$^{\circ}C$. Thus, based on mycological characteristics of the fungus, the causal agent of cyclamen anthracnose was identified as Colletotrichum gloeosporioides Penz.

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Transmission and Histochemical Detection of Mulberry Dwarf Mycoplasma in Several Herbaceous Plants (뽕나무 오갈병 마이코플라스마의 몇가지 초본식물에의 전염과 조직화학적 검정)

  • Kim Young Ho;La Yong Joon;Kim Young Taek
    • Korean Journal Plant Pathology
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    • v.1 no.3
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    • pp.184-189
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    • 1985
  • Transmission of mulberry dwarf mycoplasma (MDM) from diseased mulberry to 5 herbaceous plants (periwinkle, white clover, Ladino clover, red clover, and Chinese milk vetch) through insect vector, Hishimonus sellatus, was confirmed by symptom expression and microscopic evidences. The earliest symptom appearance was noticed on periwinkle in which incubation period was 25-30 days, while it ranged 35-40 days in the other plant species. The common symptoms of MDM infected plants were characterized by poor plant growth with accompanying discolorations of leaves (chlorosis with vein clearing in periwinkle, reddish in red clover, brownish in white and Ladino clovers, and yellowish in Chinese milk vetch). Mycoplasmal infections were diagnosed light microscopically by Dienes' and toluidine blue staining of hand-cut and Epon-embedded sections, respectively. In Dienes' stain, all the plants infected with MDM showed specific staining reaction in phloems. In toluidine blue stain, mycoplasmal existence was noted by granular appearance in sieve tubes which were confirmed to be mycoplasma-like organisms under an electron microscope.

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