• 제목/요약/키워드: Aggressive Behavior

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간엽성 연골육종 - 3례 보고 - (Mesenchymal Chondrosarcoma - 3 Cases Report -)

  • 구미진;배영경;최준혁;김미진;최원희;신덕섭;서장수
    • Journal of Yeungnam Medical Science
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    • 제17권1호
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    • pp.87-92
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    • 2000
  • 저자들은 영남대학교 의과대학 부속병원에서 간엽성 연골육종으로 진단받은 3례를 대상으로 임상 병리학적 특징을 분석하여 다음과 같은 결과를 얻었다. 환장의 연령은 25세에서 32세였고 평균연령은 28세였다. 종양의 평균 크기는 7.3cm였다. 조직학적으로 종괴는 이형성의 소세포로 구성된 고밀도의 부분과 분화가 좋은 초자양의 연골 조직이 섞여 있었다. 3례에서 종양 세포들은 S-100단백과 NSE에 양성이었고 desmin에 모두 음성이었다.

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신경계 증상을 동반한 부분적으로 자연완화된 소세포폐암 (Partial spontaneous remission of small cell lung carcinoma with neurologic symptom)

  • 윤경현;송성헌;김충현;황찬희;이준호;최재형;김선영
    • Journal of Yeungnam Medical Science
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    • 제34권2호
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    • pp.275-278
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    • 2017
  • Small cell lung carcinoma (SCLC) is a cancer that shows aggressive behavior, early spread to distant sites, and frequent association with distinct paraneoplastic syndromes. Spontaneous remission of cancer, particularly of SCLC, is a rare biological event. Cases involving spontaneous regression of SCLC were reported, and were associated with paraneoplastic syndromes of the nervous system. This article reports on a 78-year-old man with SCLC in remission, with neurological symptoms. The patient visited the hospital because of generalized weakness, and imaging studies revealed a mass in the lower lobe of the left lung, pathological evaluation showed SCLC. The patient refused oncologic treatment and was treated only with conservative care. In follow-up study the diameter of the mass had decreased from initial 32 mm, 9 months after admission to 20 mm, 17 months after admission to 13 mm. The patient kept complaining of generalized weakness, dizziness, and paresthesia of limbs. We assumed that, in this case, the spontaneous remission of lung cancer was related to the immunologic response directed against the tumor, which is believed to be an important factor in the pathogenesis of paraneoplastic neurologic syndromes.

Neurotrophic Artemin Promotes Motility and Invasiveness of MIA PaCa-2 Pancreatic Cancer Cells

  • Meng, Ling-Xin;Chi, Yu-Hua;Wang, Xiang-Xu;Ding, Zhao-Jun;Fei, Li-Cong;Zhang, Hong;Mou, Ling;Cui, Wen;Xue, Ying-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.1793-1797
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    • 2012
  • Objective: To analyze the capacity of neurotrophic artemin to promote the motility and invasiveness of MIA PaCa-2 pancreatic cancer cells. Methods: MIA PaCa-2 was cultured in vitro and studied using transwell chambers for motility and invasiveness on treatment with different concentrations of aArtemin or its receptor $GFR{\alpha}3$ were also determined. Expression of matrix metalloproteinase-2 (MMP-2) and epithelial cadherin (E-cadherin) was quantified using RT-PCR and Western blotting. Results: MIA PaCa-2 pancreatic cancer cell motility and invasiveness was significantly increased with artemin and its receptor $GFR{\alpha}3$ with dose dependence (P<0.01). MMP-2 production was also significantly increased (t = 6.35, t = 7.32), while E-cadherin was significantly lowered (t = 4.27, t = 5.61) (P <0.01). Conclusion: Artemin and its receptor $GFR{\alpha}3$ can promote pancreatic cancer cell motility and invasiveness and contribute to aggressive behavior. The mechanism may be related to increased expression of MMP-2 molecule and down-regulation of E-cadherin expression.

Expression of Matrix Metalloproteinase-2, but not Caspase-3, Facilitates Distinction between Benign and Malignant Thyroid Follicular Neoplasms

  • Sanii, Sanaz;Saffar, Hiva;Tabriz, Hedieh M.;Qorbani, Mostafa;Haghpanah, Vahid;Tavangar, Seyed M.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2175-2178
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    • 2012
  • Purpose: Definite diagnosis of follicular thyroid carcinoma (FTC) is based on the presence of capsular or vascular invasion. To date, no reliable and practical method has been introduced to discriminate this malignant neoplasm from follicular thyroid adenoma (FTA) in fine needle aspiration biopsy material. Matrix metalloproteinase-2 (MMP-2), by degrading extracellular matrix, and caspase-3, by induction of apoptosis, have been shown to play important roles in carcinogenesis and aggressive behavior in many tumor types. The aim of this study was to examine expression of MMP-2 and caspase-3 in thyroid follicular neoplasms and to determine their usefulness for differential diagnosis. Method: Sixty FTAs and 41 FTCs were analysed immunohistochemically for MMP-2 and caspase-3. Result: MMP-2 was positive in 4 FTCs (9.8%), but in none of FTAs, with statistical significance (p= 0.025). Caspase-3 was positive in 30 (50%) of FTAs and in 27 (65.9%) of FTCs. Conclusion: Our results show MMP-2 expression only in FTCs and suggest that this protein may be a useful marker to confirm diagnosis of FTC versus FTA with 100% specificity and 100% predictive value of a positive test. We failed to show any differential diagnostic value for caspase-3 in thyroid follicular neoplasms.

Cyclin D1, Retinoblastoma and p16 Protein Expression in Carcinoma of the Gallbladder

  • Srivastava, Vineeta;Patel, Brijesh;Kumar, Mohan;Shukla, Mridula;Pandey, Manoj
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2711-2715
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    • 2013
  • Background: Cancer of the gallbladder is a relatively rare neoplasm with a poor prognosis. The exact mechanisms of its genesis are not known and very little information is available on molecular events leading to labeling this as an orphan cancer. Materials and Methods: In this prospective case control study we evaluated the expression of p16, pRb and cyclin D1 by immunohistochemistry to study the G1-S cell-cycle check point and its possible role in gallbladder carcinogenesis. A total of 25 patients with gallbladder carcinoma (group I), 25 with cholelithiasis (group II) and 10 normal controls. were enrolled Results: Cyclin D1 expression was seen in 10 (40%) patients each with carcinoma and cholelithiasis while only in 2 (20%) of the normal gallbladders but differences were not statistically significant (p value=0.488). p16 was expressed in 12% patients of carcinoma of the gallbladder and 28% of cholelithiasis, however this difference was not statistically significant (p value=0.095). Retinoblastoma protein was found to be expressed in 50% of normal gallbladders and 6 (24%) of carcinoma and 8 (32%) of gallstones. The present study failed to demonstrate any conclusive role of cyclin D1/RB/ p16 pathway in carcinoma of the gallbladder. Conclusions: The positive relation observed between tumor metastasis and cyclinD1 expression and p16 with nodal metastasis suggested that higher cyclin D1/p16 expression may act as a predictive biomarker for aggressive behavior of gallbladder malignancies.

Clinical Analysis of Intracranial Hemangiopericytoma

  • Park, Byoung-Joo;Kim, Young-Il;Hong, Yong-Kil;Jeun, Sin-Soo;Lee, Kwan-Sung;Lee, Youn-Soo
    • Journal of Korean Neurosurgical Society
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    • 제54권4호
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    • pp.309-316
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    • 2013
  • Objective : Intracranial hemangiopericytomas (HPCs) are rare tumors with aggressive behavior, including local recurrence and distant metastasis. We conducted this retrospective study to evaluate the efficacy of grossly total resection and adjuvant radiotherapy (RT) for these tumors. Methods : A total of 13 patients treated for intracranial HPC from January 1995 through May 2013 were included in this retrospective study. We analyzed the clinical presentations, radiologic appearances, treatment results, and follow-up outcomes, as well as reviewed other studies. Results : The ages of the patients at the time of diagnosis ranged from 26 to 73 years (mean : 48 years). The majority of the patients were male (92.3%), and the majority of the tumors were located in the parasagittal and falx. The ratio of intracranial HPCs to meningiomas was 13 : 598 in same period, or 2.2%. Seven patients (53.8%) had anaplastic HPCs. Nine patients (69.2%) underwent gross total tumor resection in the first operation without mortality. Eleven patients (84.6%) underwent postoperative adjuvant RT. Follow-up period ranged from 13 to 185 months (mean : 54.3 months). The local recurrence rate was 46.2% (6/13), and there were no distant metastases. The 10-year survival rate after initial surgery was 83.9%. The initial mean Karnofsky performance scale (KPS) was 70.8 and the final mean KPS was 64.6. Conclusion : Gross total tumor resection upon initial surgery is very important. We believe that adjuvant RT is helpful even with maximal tumor resection. Molecular biologic analyses and chemotherapy studies are required to achieve better outcomes in recurrent intracranial HPCs.

Meningiomas with Rhabdoid or Papillary Components : Prognosis and Comparison with Anaplastic Meningiomas

  • Kim, Jeong-Kwon;Jung, Tae-Young;Jung, Shin;Lee, Kyung-Hwa;Kim, Seul-Kee;Lee, Eun Jung
    • Journal of Korean Neurosurgical Society
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    • 제59권4호
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    • pp.357-362
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    • 2016
  • Papillary and rhabdoid meningiomas are pathologically World Health Organization (WHO) grade III. Any correlation between clinical prognosis and pathologic component is not clear. We analyzed the prognoses of patients with meningiomas with a rhabdoid or papillary component compared to those of patients with anaplastic meningiomas. From 1994 to June 2013, 14 anaplastic meningiomas, 6 meningiomas with a rhabdoid component, and 5 meningiomas with papillary component were pathologically diagnosed. We analyzed magnetic resonance imaging (MRI) findings, extent of removal, adjuvant treatment, progression-free survival (PFS), overall survival (OS), and pathologic features of 14 anaplastic meningiomas (group A), 5 meningiomas with a predominant (${\geq}50%$) papillary or rhabdoid component (group B1), and 6 meningiomas without a predominant (<50%) rhabdoid or papillary component (group B2). Homogeneous enhancement on MRI was associated with improved PFS compared to heterogeneous enhancement (p=0.025). Depending on pathology, the mean PFS was $134.9{\pm}31.6\;months$ for group A, $46.6{\pm}13.4\;months$ for group B1, and $118.7{\pm}19.2\;months$ for group B2. The mean OS was $138.5{\pm}24.6\;months$ for group A and $59.7{\pm}16.8\;months$ for group B1. All recurrent tumors were of the previously diagnosed pathology, except for one tumor from group B1, which recurred as an atypical meningioma without a papillary component. Group B1 tumors showed a more aggressive behavior than group B2 tumors. In group B2 cases, the pathologic findings of non-rhabdoid/papillary portion could be considered for further adjuvant treatment.

꼬치동자개(Pseudobagrus brevicorpus)의 생태와 초기 생활사 (Ecology and Early Life History of Endangered Freshwater Fish, Pseudobagrus brevicorpus (Pisces: Bagridae))

  • 강언종;양현;이흥헌;조용철;김응오;임상구;방인철
    • 환경생물
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    • 제25권4호
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    • pp.378-384
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    • 2007
  • 멸종위기에 처한 우리나라 고유 담수어인 꼬치동자개 Pseudobagrus brevicorpus의 증식 복원을 위한 연구의 일환으로 생태와 초기생활사에 대해 조사하여 다음과 같은 결과를 얻었다. 꼬치동자개는 특정 조건에 밀집되어 개체군을 형성하며 서식밀도는 1.25개체 $m^{-2}$이었고, 생산력은 200$\sim$250개 마리$^{-1}$ 낮아 멸종위기 상황을 시사하였다. 산란은 자연산란 유도 결과 수초에 산란하는 것으로 추정되며 부화한 치어는 군집생활을 한다. 수정난은 약 50시간만에 부화하였으며, 부화 3일 후 난황이 거의 흡수되었고, 부화 8일 후에는 올챙이형으로 군집하며, 30일경에 어미와 같은 형태를 보이는 치어기로 성장하였다. 이러한 산란 생태와 관련하여 멸종위기에 처한 꼬치동자개의 증식 복원과 보존을 위한 방안들을 고찰하였다.

두경부 편평세포암종에서 p53, p21, EGFR 및 c-erbB-2 발현의 임상적 의의 (Clinical Significance of the Expression of p53, p21, EGFR and c-erbB-2 in Squamous Cell Carcinoma of the Head and Neck)

  • 이준한;도남용;박성용;김건형;조성일
    • 대한두경부종양학회지
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    • 제21권2호
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    • pp.139-145
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    • 2005
  • Background and Objectives: Because of squamous cell carcinoma of the head and neck undergoes a generally poor hospital course, the prognostic significance of the squamous cell carcinomas in head and neck have been evaluated to identify those features associated with aggressive biologic behavior according to the immunologic and histopathologic characteristics. Materials and Method: To assess the significance of EGFR, c-erbB-2, p21 and p53 protein in head and neck tumors and their correlation with prognostic factors, samples from 74 patients with squamous cell carcinomas of larynx, pharynx, and oral cavity were studied immunohistochemically. Results: EGFR, c-erbB-2, p21, and p53 protein were expressed 94.6%, 24.3%, 85.1%, and 55.4% in 74 cases of head and neck squamous cell carcinoma, respectively. The positive expression of EGFR was associated significantly with clinical stage and the negative expressions of p21 was associated significantly with histopathologic differentiation. There were no significant relationships between the reactivity of EGFR, c-erbB-2, p21, and p53 protein. Conclusion: The expression of EGFR, c-erbB-2, p21 and p53 protein could be related to oncogenesis, and the expression of p21 and EGFR protein can be used as a prognosticator in head and neck squamous cell carcinoma under certain limitations, but c-erbB-2 and p53 protein expression alone is not enough for evaluating prognosis of the carcinoma.

대학생의 구강보건행태와 교육요구에 따른 구강보건교육 매체 개발안 (Development proposal of oral health educational media based on the oral health care and educational needs of college students)

  • 임지나;정영란
    • 한국치위생학회지
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    • 제13권2호
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    • pp.323-334
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    • 2013
  • Objectives : The purpose of this study was to examine the oral health care and educational needs of college students in an effort to give some suggestions on the development of oral health educational media. It's basically meant to boost the efficiency of oral health education geared toward college students. Methods : The subjects in this study were 500 students at seven different colleges located in Daejeon and South Choongcheong Province. After a survey was conducted, frequency analysis and ANOVA were utilized to analyze the collected data. And the records of the in-depth interviews of 10 students were analyzed as well. Results : The gender of the students and whether their major was linked to health or not made differences to their knowledge of dental caries. And there was nothing to affect their knowledge of periodontal diseases except whether their major was related to health or not. They didn't have a good knowledge of periodontal diseases, and they just regarded toothbrushing as a means to prevent dental caries and periodontal diseases. They preferred to acquire knowledge over the Internet. Conclusions : College students who don't know well about periodontal diseases should be given an opportunity to learn about periodontal diseases and diverse ways of preventing dental caries and periodontal diseases other than toothbrushing. As the college students preferred to surf the Internet, educational programs should be developed in the form of video clips that can be found over the Internet, and more aggressive publicity is required via SNS, etc.