• 제목/요약/키워드: Adrenal Gland

검색결과 231건 처리시간 0.032초

소아 기형종의 분포 및 예후 (A Clinical Analysis of Pediatric Teratoma)

  • 남소현;김대연;김성철;김인구
    • Advances in pediatric surgery
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    • 제13권2호
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    • pp.169-178
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    • 2007
  • Teratomas arising from totipotential primitive germ cell are composed of 2 or 3 germ cell layers. We reviewed the records of 166 children who underwent the operation for teratoma from Jan, 1990 through April, 2007. There were 40 boys and 126 girls (average age $6.93{\pm}5.83$ years). Primary sites were ovary (n = 88), sacrococcygeum (n = 24), testis (n = 16), retroperitoneum (n = 16), mediastinum (n = 8), brain (n = 4), thymus (n = 3) and a single tumor involved the adrenal gland, neck, middle ear, oropharynx, stomach, pelvis, omentum, chest wall and scalp. Teratomas were mature in 141 patients, and immature in 25. Six patients who had ovarian immature teratomas grade 2 or 3 with peritoneal gliomatosis underwent adjuvant chemotherapy. During follow up period, 6 mature teratomas recurred at sacrococcygeal area (n = 1) and contralateral ovary (n = 5). Five patients of them underwent reoperation and diagnosed as a mature teratoma, but one who had underwent a left salpingooophrectomy with right ovary cystectomy at initial operation was observed carefully. Teratomas were dominant in female patients and developed at various organs. Complete excision was needed for good prognosis. In case of immature teratoma, complete excision and appropriate chemotherapy according to grading can contribute to favorable results.

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시베리아 호랑이에서 발생한 악성후복막부신경절종 증례 (Malignant Retroperitoneal Paraganglioma in a Siberian Tiger)

  • 신상경;박병민;염소영;김태왕;나기정;안병우
    • 한국임상수의학회지
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    • 제28권5호
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    • pp.522-525
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    • 2011
  • 조직병리소견과 면역염색결과를 바탕으로 14년령 암컷 시베리아 호랑이의 복막뒤공간에서 발생한 악성부신경절종을 보고하였다. 부신경절종은 동물에서 드물게 발생하는 신경내분비종양으로 주로 자율신경계의 부신외신경절 세포로부터 발생한다. 원발종괴는 복막뒤공간에 요추의 배쪽면을 따라 장방향으로 부착되어 있었고, 장간막림프절, 신장, 자궁, 부신, 폐, 흉선으로 전이되었다. 종양세포는 다각형의 통통한 형태에 과립상의 호산성 세포질을 갖고 있었으며, 섬유혈관 기질에 의해 구획되어 집락(cluster) 또는 둥지(nest) 모양으로 배열된 전형적인 Zell-ballen 형태를 나타냈다. 면역염색에서 synaptophysin, chromogranin A, neuron-specific enolase에 특이적인 양성반응을 보였다. 본 증례는 시베리아 호랑이에서 발생한 악성후복막부신경절종이 전신으로 전이된 최초보고이다.

1,4-Dichlorobutane의 랫드 2주 반복경구투여독성시험 (2-Week repeated oral dose toxicity study of 1,4-dichlorobutane in rats)

  • 김종규;이인철;김성환;백형선;배진숙;송시환;김종춘;정용현
    • 한국산업보건학회지
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    • 제23권1호
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    • pp.1-10
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    • 2013
  • Objectives: The present study investigated the potential subacute toxicity of 1,4-dichlorobutane (1,4-DCB) by a 2-week repeated oral dose in male Sprague-Dawley rats. Materials and Methods: The test chemical was administered once daily by gavage to male rats at dose levels of 0, 74, 222, 667, and 2000 mg/kg/day for 2 weeks. All rats were sacrificed at the end of treatment period. During the test period, clinical signs, mortality, body weights, food and water consumption, urinalysis, hematology, serum biochemistry, gross findings, and organ weights were examined. Results: At 2000 mg/kg/day, treatment-related clinical signs, as evidenced by hypothermia, decreased locomotor activity, piloerection, lying on side, and prone position were observed. All the rats were found dead on test day 2. At 667 mg/kg/day, polyuria, suppressed body weight gain, food consumption, and spleen and thymus weights, and increased adrenal gland and liver weights were observed.Hematological and serum biochemical investigations revealed increases in the alanine aminotransferase, alkaline phosphataseand total bilirubinand decreases in the serum $Na^+$ level, white blood cell count and lymphocyte ratio. There were no treatment-related adverse effects in the 74 and 222 mg/kg/day groups. Conclusions: In the present experimental conditions, target organs were determined to be spleen, thymus,and liver. The no-observed-adverse-effect level was considered to be 222 mg/kg/day in male rats.

The effect of seamustard on blood lipid profiles and glucose level of rats fed diet with different energy composition

  • Shin, Dong-Soon
    • Nutrition Research and Practice
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    • 제3권1호
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    • pp.31-37
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    • 2009
  • Recently, Korean people are consuming seaweeds almost 3.5 times more now than three decades ago. It is well known that seaweeds contain lots of soluble dietary fiber in addition to micronutrients such as ${\beta}$-carotene, iodine and some bioactive components. Seaweeds are considered to be effective for preventing chronic diseases including obesity, diabetes mellitus, atherosclerosis, cancer or constipation. This study was conducted to investigate the effect of seamustard intake on body weight gain, blood glucose level and lipid profiles in rats fed diets with different energy nutrient composition. Male Sprague-Dawley rats (average initial weight 103.7g) were divided into groups for two experiments as follows; Control, M2.5 & M5 groups (Exp. I) and M5, M10, HCM5, HCM10, HFM5 & HFM10 groups (Exp. II). The rats were fed diet and water ad libitum for 4 weeks. In general, there was no significant difference in blood glucose and triglyceride concentration among groups. In Exp. I, serum LDL-cholesterol level of rats fed diet with 5% seamustard powder (M5) was significantly lower than that of control group, while HDL-cholesterol level, TC/LDL ratio and weight of adrenal gland were higher. In Exp. II, food intake, body weight gain and EER of high fat diet with 10% seamustard group (HFM10) were the lowest among groups. Except gastrocnemius muscle, all organ weights of HFM10 group were the lowest. Fecal cholesterol excretion and serum LDL-cholesterol concentration of HFM10 group were the highest, while serum HDL-cholesterol level was the lowest among groups. Interestingly, HDL-cholesterol concentration was the highest in HCM5 group among groups. From these results, it was suggested that seamustard intake might be more effective for body weight control, but not for improving blood lipid profiles in high fat diet than in high carbohydrate diet.

Assessment of Abdominal Organs Movement by Respiration Using Computed Tomography in Dogs: A Pitfall for Radiation Therapy

  • Ah Reum Kim;Soyon An;Gunha Hwang;Moonyeong Choi;Tae Sung Hwang;Hee Chun Lee
    • 한국임상수의학회지
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    • 제40권2호
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    • pp.104-112
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    • 2023
  • The change in the position of the abdominal organs due to movement by respiration is one of the reasons behind inaccurate irradiation of organs during radiotherapy (RT). Although studies in human medicine have revealed on the respiratory movements of abdominal organs, there is little information and no reference data for dogs. The purpose of this study was to establish the reference values of abdominal organs movement in various postures using computed tomography (CT), and to compare the movements of organs between dorsal recumbency and ventral, right and left lateral recumbency during respiration. CT images for kidney, adrenal gland, medial iliac lymph node, urinary bladder, gallbladder, liver, stomach, and thoracic and lumbar vertebral body of five beagle dogs were acquired. The movements of organs were evaluated by comparing the end-expiratory and end-inspiratory images. Movements of the organs were evaluated by dividing it into right-to-left, dorsal-to-ventral, and cranial-to-caudal directions. The movements of abdominal organs according to the change in postures and respiration were establish. The movement of the bilateral organs was the least when the organs were in the downward position (p < 0.017). The movement of cranial-to-caudal direction was greater than the movement of the other directions in most of the organs. Data obtained in this study may be useful in selecting the appropriate posture that can reduce the movements of organs to be treated with RT, and the data could be useful for setting the planning target volume to consider the movements of the abdominal organs by respiration.

Guanabenz 투여에 의한 흰쥐의 배뇨반사억제작용에 미치는 내인성 Catecholamines의 영향 (Influence of Endogenous Catecholamines on Guanabenz- lnduced Inhibition of Micturition Reflex in Rats)

  • 박상열;손의동;김중영
    • 대한약리학회지
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    • 제25권1호
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    • pp.67-74
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    • 1989
  • 배뇨반사수축에 미치는 ${\alpha}$-수용체 및 내인성 catecholamine의 영향을 검토하기 위하여 체중 $190{\sim}220g$의 암컷흰쥐를 사용하여 부신절제 및 6-OHDA, yohimbine, prazosin 그리고 hexamethoium 처치시의 guanabenz에 의한 배뇨반사 수축을 비교 관찰하였든 바 그 결과는 다음과 같다. Guanabenz 3, 10 및 $30\;{\mu}g/kg$를 정맥주사하였을 때 용량증가에 따라 배뇨 반사수축의 크기와 횟수가 감소되었으며 $100\;{\mu}g/kg$투여시에는 완전히 억제되었다. 국소적용시에는 약하였고, 측뇌 실내투여시에는 거의 나타나지 아니하였다. 그리고 phenylephrine은 배뇨반사수축에 아무런 영향을 주지 않았다. 6-OHDA를 처치시 방광최고내압과 수축크기가 유의성있게 증가 되었으나, 부신절제나 yohimbine, prazosin, hexamethonium 투여로는 방광수축에 거의 변화가 없었다. Guanabenz의 배뇨반사수측의 크기와 횟수의 억제에 대한 용량반응곡선이 hexamethonium, 부신절제, 6-OHDA-, yohimbine 처치시 오른쪽으로 이동하였다. Guanabenz에 의한 억제작용이 yohimbine 처치>6-OHDA>부신절제>hexamethonium순으로 약화되었으나 prazosin처치로는 약화되지 아니하였다. 이상과 같은 결과로 미루어 guanabenz에 의한 배뇨만사수축의 억제작용은 ${\alpha}_1$-수용체와는 관계없이 ${\alpha}_2$-수용체흥분작용에 기인되며, 이 억제작용은 부신수질 및 교감신경말단에서 유리되는 catecholamines이 관여된 것으로 사료된다.

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황체기능의 내분비 제어 (The Endocrine Control of Corpus Luteum Function)

  • 성환후
    • 한국가축번식학회지
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    • 제19권4호
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    • pp.307-322
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    • 1996
  • The corpus luteum (CL) is formed by the action of a surge of luteinizing hormone (LH) on the pre-ovulatory follicle. Luteal cells derived from granulosa and theca interna cells continue to secrete progesterone for about two weeks. LH in domestic animals is essential for the normal secretion of progesterone at all stages of the luteal phase. For this process in the rodents, 20$\alpha$-hydroxysteroid dehydrogenase (20$\alpha$-HSD) is indispensable. 20$\alpha$-HSD is an enzyme to be a biologically inactive steroid. This enzyme plays a critical role in the regulation of the rat luteal function and reported to be present in steroid-producing tissues such as the testis and adrenal gland. We have purified 20$\alpha$-HSD and found two distinct 20$\alpha$-HSD molecules (HSD-1 and HSD-2). Their molecular weights are both estimated to be 33kd.The amino acid compositions of HSD-1 and HSD-2 are mostly similar, but there is a slight difference in the content of lysine. We demonstrated that 1) CL of previous generations contribute more to whole ovarian 20$\alpha$-HSD activity, 2) newly formed corpora lutea contain only 20$\alpha$-HSD-1 activity, and 3) old CL express activities of each HSD isozyme as shown in the luteal tissue of cycling rats on the day of diestrus where only degenerating old CL exist. The increase in 20$\alpha$-HSD activity identified seems to be related to the increase in the numbers of 20$\alpha$-HSD-positive cells. Interestingly, 20$\alpha$-HSD-1 activities were strongly found in the follicle fluids and theca interna cells by immunohistochemical study. Thus, the activity of 20$\alpha$-HSD may be related to a survival mechanism of those luteal cells and follicles remaining in the ovaries. Luteal cells arise from two sources. The small luteal cells are all of theca cell origin, while the large luteal cells are mainly of granulosa cell origin. CL of Korean Native Cattle, as those of other animal species, contains two morphologycally and functionally distinct luteal cell populations, such as small and large luteal cells as well as nonluteal cells. In all reproductive states except in the late luteal phase, the bovine CL also contained more small luteal cells than large luteal cells. Luteal tissue secretes a variety of growth factors (proteins) and the pattern of secretion changes during all stages of the luteal phase. These growth factors could be important in regulating the function of the bovine corpus luteum and may act in a potential endocrine autocrine and paracrine mechanisms. Therefore, further work has to be done to elucidate the role of growth factors in the ovary, especially in the corpus luterum. Interest should be focussed on interaction of these growth factors in the regulation of luteal cell and the localization of cytokine synthesis in differnet luteal cells.

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소아에서 갈색세포종과 복강내 부교감신경절종의 악성화 예측인자 (Risk Factors for Malignancy of Pheochromocytoma and Abdominal Paraganglioma in Children: Clinicopathologic Perspectives)

  • 장지훈;김수홍;민혜숙;김현영;정성은;박귀원;이성철
    • Advances in pediatric surgery
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    • 제19권2호
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    • pp.108-121
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    • 2013
  • 목적 Pheochromocytoma of the Adrenal gland Scaled Score (PASS) 시스템과 면역화학염색 등을 통한 갈색세포종 및 부교감신경절종의 악성화 예측인자가 제시되고 있으나 명확한 병리학적 또는 분자생물학적 예측인자는 밝혀진 바 없다. 본 연구에서는 임상적, 병리학적 분석을 통해 갈색세포종 및 복강내 부교감신경절종의 악성화 예측인자를 확인하고자 하였다. 대상 및 방법 1990년 1월부터 2010년 12월까지 서울대학교어린이병원에서 수술적 절제 후 병리학적으로 갈색세포종 및 복강내 부교감신경절종으로 확진된 20명의 18세 이하 소아 환자를 대상으로 임상적 특징을 분석하였고, PASS 시스템에 따른 병리 슬라이드 판독하였다. 세포활성도를 반영한다고 알려진 유전자에 대한 항체 중 Ki-67, p53, bcl-2, mdm-2, cycline D1, p21, p27을 이용해 면역 화학검사를 한 후 결과를 확인하였다. 결과 20명의 환자 중 갈색세포종은 14명, 복강내 부교감신경절종은 6명이었다. 악성화는 각각 4명, 3명에서 관찰되었다. 혈관 침범, 주변부 지방조직 침습, 세포분열 증가가 통계적으로 유의한 악성화 예측인자였으며(각각 p=.007, .031, .031), 갈색세포종만 분석하였을 때도 통계적으로 유의하였다(각각 p=.033, .003, .019). PASS 시스템은 악성화를 예측하는데 있어 통계적으로 유의하지 않았으며, 혈관 침범, 주변부 지방조직 침습, 세포분열 증가를 항목으로 하여 새롭게 만든 병리 스코어 시스템은 악성 환자군과 양성 환자군 사이에 통계적으로 유의한 차이를 보였다(p< .001). 악성과 양성 질환 사이의 면역화학염색 결과에서 유의한 차이는 없었다. 결론 소아에서 갈색세포종 및 복강내 부교감신경절종의 악성화 예측인자로 혈관 침범, 주변부 지방조직 침습, 세포분열 증가를 이용할 수 있다. 소아에서 PASS시스템으로 악성화를 예측할 수 없었으나, 새로운 병리스코어 시스템으로 악성 환자군을 예측할 수 있었다. 면역화학검사 결과 세포 활성도를 반영하는 인자들은 악성화를 예측할 수 없었다.

치은으로 전이된 소세포 폐암 1예 (A Case of Small Cell Lung Cancer Metastasis to the Gingiva)

  • 이규승;이연선;권선중;안진영;김명훈;박희선;강동원;김근화;정성수;송규상;김주옥;김선영
    • Tuberculosis and Respiratory Diseases
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    • 제51권1호
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    • pp.65-69
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    • 2001
  • 폐암의 치은에의 전이는 매우 드물게 발생되는 질환으로 아직 국내보고는 없었다. 흉부 전산화단층촬영 및 조직검사를 통하여 치은으로 전이된 소세포 폐암으로 진단되어 항암화학요법과 방사선 치료를 받았으나 1년 후 사망한 증례를 경험하였기에 보고하는 바이다.

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5-Day Repeated Intravenous Dose Toxicity Study of a New Camptothecin Anticancer Agent CKD-602 in Rats

  • Kim, Jong-Choon;Shin, Dong-Ho;Kim, Sung-Ho;Bae, Chun-Sik;Kim, Joon-Kyum;Cha, Shin-Woo;Han, Jung-Hee;Lee, Hyun-Sook;Chung, Moon-Koo
    • Toxicological Research
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    • 제20권1호
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    • pp.83-88
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    • 2004
  • The present study was carried out to investigate the potential adverse effects of CKD-602 by a 5-day repeated intravenous dose in Sprague-Dawley rats. The test article, CKD-602, was administered intravenously to male and female rats at dose levels of 0.07, 0.22, 0.67, 2.0 and 6.0 mg/kg/day for 5 days consecutively. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period after cessation of the administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem examinations were performed. There were 2 and 5 treatment related deaths in the 0.67 and 2.0 mg/kg/day dose groups of both genders, respectively. Treatment related clinical signs, including hair loss, skin paleness, decreased locomotor activity, emaciation, and changes in stool were observed in a dose-dependent manner from the third day after initiation of the injection. Decrease or suppression of body weight was also observed dose-dependently in males and females of the treated groups. Gross postmortem examinations revealed a dose-dependent increase in the incidence and severity of atrophy or hypertrophy and white membrane formation in the spleen, atrophy of the thymus, diffuse white spots and paleness of the liver, paleness of the lung, kidney and adrenal gland, and dark red discoloration and dark red contents in the alimentary tract. Based on these results, it was concluded that the 5-repeated intravenous injection of CKD-602 to male and female rats resulted in increased incidence of abnormal clinical signs and death, decreased or suppressed body weight, and increased incidence of abnormal gross findings. In the present experimental conditions, the $LD_{50}$ value was 2.07 (95% confidence limit not specified) mg/kg/day in both genders and the $LD_{10}$ value was 1.72 (95% confidence limit not specified) mg/kg/day in both genders.