• Title/Summary/Keyword: 조직학적 분화도

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Adenoid Cystic Carcinoma of the Parotid and Submandibular Glands: A Comparative Study (이하선과 악하선에 생긴 선양낭암의 비교)

  • Lee S.S.;Park J.S.;Luna Mario A.;El-Naggar Adel;Batsakis John G.
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.2
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    • pp.104-113
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    • 1991
  • 선양낭암은 타액선종양중 비교적 드문 악성종양으로 병리조직학적 및 임상적으로 독특한 양상을 보인다. 병리조직학상 종양세포가 신경주변으로 침범하여 수술당시 적절한 수술연을 얻기 어렵고 이에 따른 국소재발이 거듭되고 임파선전이 및 예측치 않는 원격전이가 생기기도 한다. 지금까지 선양낭암환자의 예후에 영향을 미치는 여러 요인들에 대한 연구들이 이루워지고 있는데 그중 조직학적 분화도, 원발부위, 종양의 크기, 수술연의 상태와 임상적 병기들이 중요시되고 있다. 이에 저자들은 1960년부터 1980년 까지 텍사스대학 M.D. Anderson 암센터에서 치료받은 이하선 및 악하선 선양낭암 각각 13례와 26례를 대상으로 원발부위가 환자의 생존 및 치료에 미치는 영향을 알고자 다른 예후인자로 알려진 조직병리학적 소견들과 함께 통계학적 분석을 실시하였다. 이하선과 악하선에 생긴 선양낭암을 비교한 결과 이하선에 생긴 경우 조직학적 분화도가 더 낮았고 악하선 종양에서 수술연에 종양침범율이 더 적었다. 경부 임파절 전이는 악하선 종양에서 많았으나 반면 원격전이는 이하선 종양에서 더 많이 발생하였다. 그러나 종양의 크기, 선경주위침범 유무, 국소재발과 환자의 생존율사이에는 의의있는 상관 관계는 없었다. 이하선과 악하선에 생긴 선양낭암의 여러 특성들과 생존률간의 univariate 분석결과 악하선에 생긴 선양낭암 환자에서 종양이 크거나 조직학상 분화가 나쁘거나(solid pattern), 경부임파절 전이와 원격전이가 생기면 예후에 나쁜 영향을 끼침이 밝혀졌다. 그러나 이하선에 생긴 경우 분석례가 너무 적어 결론을 내리기에 불충분하였다. 원발부위에 따른 선양낭암 환자들의 특성을 chi-square 검정법을 이용하여 통계학적으로 분석한 결과 이 두군간에는 의의있는 통계학적 차이는 발견할 수 없었다.

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TGF-$\alpha$로 분화 유도된 인간 배아줄기세포 이식에 따른 파킨슨 동물 모델 생쥐의 행동 개선

  • 이금실;김용식;신현아;조황윤;김은영;이원돈;박세필;임진호
    • Proceedings of the KSAR Conference
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    • 2004.06a
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    • pp.271-271
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    • 2004
  • 본 실험은 TGF-a를 처리하여 분화가 유도된 인간배아 줄기세포를 파킨슨 동물모델에 이식하여 숙주세포에서의 생존 및 이식효과를 검토하고자 실시하였다. TGF-a로 분화된 세포의 이식효과를 판정하고자 배양시 TGF-a처리군과 처리하지 않은 군으로 나누어 분화를 유도한 인간배아 줄기세포를 hoechst33342로 표지 하여 병변 유발과 동일한 방법으로 동측 선조체내에 4×10⁴개/2ul가 되도록 이식하고(이식 위치: AP 0.7, ML 2.0, DV3.4) 이식 후 2, 4주에서 행동학적 변화를 관찰하고 4주에 동물을 희생시켜 4% PFA를 이용하여 뇌 조직을 고정하고 뇌 조직은 40㎛ 두께로 동결 절편을 만들어 면역조직화학염색을 시행하여 신경세포로의 분화 및 TH 발현 여부를 관찰하였고 분화의 표지물질로 nestin, NF200, GFAP, TH를 사용하여 형태학적 변화를 관찰하였다. (중략)

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A Case of Huge Liposarcoma in Thigh (사지에 발생한 거대 지방육종)

  • Kang, Shin-Taek;Hwang, Tae-Hyok;Park, Boem-Soek;Kim, Tae-Jung;Shin, Hwang-Mi
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.192-197
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    • 2008
  • It is well understood that liposarcoma is most common in soft tissue sarcomas. It usually develop proximally in the extremities and most patients are older than 50 years. We report a case of huge liposarcoma which develop on left thigh of 67-year-old man. There was no evidence of metastasis and the tumor was successfully removed by marginal resection. Patient's height is 153 cm and weight is 43 kg, but the tumor's size is $34{\times}20{\times}9\;cm$ and weight is 2.82 kg. The Mass is severely huge in compare with patient's height and weight. But, There are few reports regarding the correlation between tumor-size and pathologic differentiation. Pathological examination reveals a well differentiated liposarcoma. The patient is still asymptomatic at 6-months follow up.

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Histopathologic Consideration of Hepatocellular Carcinoma (간세포암에 대한 병리학적 고찰)

  • Nam, Hae-Joo;Kim, Dong-Suk;Choi, Won-Hee;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.351-358
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    • 1992
  • Hepatocellular carcinoma represents approximately 90% of the primary liver cancers. Recently, its incidence tends to be increased. Thirty seven cases from 1986 to 1991 diagnosed as hepatocellular carcinoma by resection were analized to know their histopathologic features and related clinical findings. The average age at the time of resection was 53.1 years, with frequent occurrence in third and fourth decades. Microscopically, the trabecular type was the most frequent growth pattern(35.1%) and classic hepatocyte-like cell type was the most frequent cell type(75.7%). The tumors are mainly moderately differentiated and frequently associated with liver cirrhosis. In comparison of cytologic differentiation with liver cirrhosis, there was a tendency for well-differentiated tumors to arise in cirrhotic livers more often than poorly differentiated tumors, and the tendency was statistically significant. But differentiation and tumor size did not show significant correlation. Also statistically significant correlation were not observed between the level of alpha-fetoprotein and tumor size, and between the level of alpha-fetoprotein and differentiation.

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Histologic and Microstructural Analyses on Postembryonic Development in the Wolf Spider Arctosa kwangreungensis (Araneae: Lycosidae) (광릉늑대거미 (Arctosa kwangreungensis) 배후발생과정의 조직 미세구조 분석)

  • Yang, Sung-Chan;Moon, Myung-Jin
    • Applied Microscopy
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    • v.42 no.1
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    • pp.17-26
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    • 2012
  • Histologic and microstructural changes during the postembryonic development of the wolf spider Arctosa kwangreungensis were studied using light and scanning electron microscopy to examine the relationship between a morphological differentiation and behavioral properties. The postembryo with abdominal yolk sac was stayed inactive in the egg case because its muscular and visual systems were not fully developed to a functional level. The first instar spiderlings, developed from the postembryo by a first molting process, started to exhibit its pigmentation on their body cuticles. In particular, undifferentiated cell clusters of central nervous system (CNS) were densely distributed within the cephalothorax, and highly differentiated abdominal ganglion was observed. They had a characteristic visual system looks more like its adult counterpart, and had segmented appendages looks more like the tiny spiders containing well oriented muscular system. After 3rd instar, spiderlings grew more rapidly with accordance to their consistent growth and periodical molting processes. Thus, the relative area of CNS with respect to cephalothorax was gradually decreased, instead a pair of venom glands, musculature, and connectives occupied the residual area. It has been revealed that the early development of spider can be controled by the feeding condition of larval period, since histologic and microstructural differentiations in both appendages and optic system were completed at the second instar. In particular, behavioral properties of the wandering spiders that depend on vision and their running ability were deeply related to physiological differentiation of the microstructural development.

In vitro Plant Regeneration and Genetic Stability of the Regenerants in Wolly Grass (Imperata cylindrica 'Rubra') (홍띠(Imperata cylindrica 'Rubra') 기내식물체 재생과 재분화 식물체의 유전적 안정성)

  • In-jin Kang;Ye-Jin Lee;Chang-Hyu Bae
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2020.08a
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    • pp.37-37
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    • 2020
  • 홍띠(Imperata cylindrica 'Rubra') 식물자원의 생장점 부위를 기내 배양하여 기내 식물체 재분화와 재분화식물체의 유전적 안정성을 검토하였다. 기내배양은 26±2 ℃, 25 μmol/m2/s, 14h/10h (day/night) 광조건 하의 배양실에서, MS (Murashige and Skoog, 1962) 기본배지에 생장조절물질을 첨가하여 조직절편체로부터 식물체를 유도하였다. 캘러스는 MS기본배지에 0.1 mg/L의 2,4-D와 2 mg/L의 BA를 혼용처리하여 생장점 부위로부터 유도하였다. 캘러스 증식은 MS기본배지에 0.1 mg/L의 2,4-D를 첨가한 배지에서, 이들 캘러스로부터 신초 재분화는 0.01 mg/L의 NAA 및 2 mg/L의 BA를 첨가한 배지에서 유도하였다. 다경줄기 형성(multiple shooting) 후 MS배지에서 4주 동안 배양한 재분화식물체는 멸균한 상토(버미큘라이트)를 포함한 배양병에서 7주간 배양한 다음 점차적으로 배양병 뚜껑을 개방(1/10 정도 1차 개방 1주일, 3/10 정도 2차 개방 2주일)하여 직경 6 cm의 컵포트에 이식하여 활착시켰다. 재분화식물체는 붉은색이 사라지고 녹색을 나타내었으며, 일부개체에서만 잎의 일부분만 붉은색을 나타냈다. 이는 생장점 주변조직에서 유래한 재분화체가 우세함으로써 생장점보다는 생장점 주변의 조직을 구성하는 녹색층에서 주로 식물체가 재생되는 것으로 판단된다. 이에 따라 홍띠 대조구식물체 8개체, 활착한 녹색 재분화 식물체 20개체(실내 재배중인 순화체 10개체, 2020년 6개월간 포장에서 재배중인 순화체 10개체)를 대상으로 ISSR분석을 실시하여 재분화식물체의 유전적 안정성을 검토하였다. 향후 조직학적 측면에서 신초재분화의 기원에 대한 검토가 필요하다고 사료된다.

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Imaging Features of Mucinous Breast Carcinoma (점액암의 영상소견)

  • Han, Hye-Jung;Kim, Sung-Hun;Cha, Eun-Suk;Kim, Hyun-Sook;Kang, Bong-Joo;Choi, Jae-Jung;Lee, Jee-Hye;Lee, Ah-Won
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.1
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    • pp.21-30
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    • 2010
  • Purpose : To examine the imaging findings of mucinous breast carcinoma and to evaluate the difference in these findings based on the histopathologic grade. Materials and Methods : We retrospectively analyzed the imaging features according to BI-RADS in 29 patients with surgically proven mucinous carcinoma. The histopathologic grade was classified as well-differentiated, moderately-differentiated and poorly-differentiated. Based on these criteria, the differences in imaging findings were statistically analyzed. Results : Mammography was available in 20 cases, which contained 17 mass lesions (85%) and 3 cases of normal findings. On ultrasonography (27 cases), mucinous carcinoma was observed as a mass with an oval shape (59.3%), a microlobulated margin (55.6%) or an inhomogeneous isoechogenicity (74.1%). On MRI (21 cases), mucinous carcinoma was commonly observed to have a lobular shape (76%), smooth margin (86%) or heterogeneous contrast-enhancement (61.9%). On the kinetic curve, there was a delayed wash-out pattern (52.3%). There were no significant differences in the imaging findings for each histopathologic grade except that a welldifferentiated tumor had an abrupt interface. Conclusion : A well-differentiated mucinous carcinoma tended to have an abrupt interface on ultrasonography, as compared with the moderately-differentiated one. Mucinous carcinoma showed a heterogeneous enhancement and a delayed washout kinetic curve pattern on dynamic MRI.

Metastatic Tumors in Supraclavicular Lymph Node - Pathologic Analysis of 125 Cases - (쇄골상부 림프절의 전이성 종양 - 125예에 대한 병리조직학적 분석 -)

  • Kim, Dong-Sug;Nam, Hae-Joo;Choi, Won-Hee;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.8 no.2
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    • pp.70-75
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    • 1991
  • Supraclavicular lymph nodes are unique in that they can attract metastases from almost anywhere in the body and most common sites of metastasis from an unknown primary source. 125 cases which had been diagnosed as metastatic supraclavicular lymph node during the period between May 1983 and August 1991, were analysed pathologically, and the following distinctive characteristics could be outlined : 1) The most frequent sites of metastasis from primary lesions are lunge(43%), stomach(23%), lymphoreticular(6%), biliary(5%), esophagus(2%), and pancreas(2%). 2) Histologic examination of metastatic supraclavicular lymph node revealed adenocarcinoma(57%), squamous cell carcinoma(12%), undifferentiated carcinoma(9%), small cell carcinoma(7%), malignant lymphoma(6%), malignant melanoma(1%) and undetermined carcinoma(8%). 3) In cases that histologic type was adenocarcinoma, the most frequent primary sites were stomach(38%), lung(27%) and biliary(8%). 4) In cases that histologic types were squamous cell caricinoma, undifferentiated carcinoma, small cell carcinoma and undetermined carcinoma, the most frequent primary site was lung.

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Clinical Significance of the Expression of Oncosuppressor Gene Protein and Epidermal Growth Factor Receptor in Squamous Cell Carcinomas of Larynx (후두 편평세포암에서 암억제유전자 단백 및 상피성장인자 수용체 발현의 임상적 의의)

  • 정광윤;최종욱
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.85-85
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    • 1993
  • The clinical staging system for laryngeal cancers is not sufficient for prognosticator due to different biologic characteristics and their microenvironment according to primary sites. For determining the prognosticators, the authors peformed immunohistochemical staining to EGFR, p53 protein, and pRB in 40 cases of surgically treated squamous cell carcinomas of larynx in our institute during the past 5 years. The results are as followings; 1. The positive expression rate of p53 protein and negative expression rate of pRB showed correlations with clinical parameters. 2. The three-year survival rate for p53 protein positive cases was worse than the p53 protein negative cases. 3. Expression rate of EGFR was not correlated with the clinical parameters. As a conclusion, expression rates of p53 protein and pRB not only reflect well the biologic behavior of laryngeal cancer, but correlate closely with the tumor factors. Therefore they may be useful as the prognosticator to predict the malignant potency of laryngeal squamous cell carcinomas.

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