• 한국간담췌외과학회지
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• 제27권1호
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• pp.107-113
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• 2023

Mixed adenoneuroendocrine carcinoma is defined as a tumor with a mixture of adenocarcinoma components and neuroendocrine neoplasm components. Each of these two components of mixed adenoneuroendocrine carcinoma accounts for at least 30% of all tumors. Mixed adenoneuroendocrine carcinoma might be located in the ampulla of Vater, a very rare location compared to other organs. Thus, its treatment and prognosis plans have not been established yet. We report three cases of mixed adenoneuroendocrine carcinoma occurring in the ampulla of Vater. Each patient had a different clinical course. In general, difficulty in preoperative diagnosis, risk of early recurrence, and poor disease course were main hallmarks of mixed adenoneuroendocrine carcinoma arising from the ampulla of Vater. However, one patient in this case report survived although she did not receive adjuvant chemotherapy due to her old age. Therefore, it is important to establish a careful treatment strategy for mixed adenoneuroendocrine carcinoma arising from the ampulla of Vater.

• Investigative Magnetic Resonance Imaging
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• 제22권2호
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• pp.123-130
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• 2018

An ampulla of Vater neuroendocrine tumor (AOV-NET) is a rare subset of gastroenteropancreatic neuroendocrine tumors (GEP-NETs). Very few studies have been undertaken regarding MRI findings of an AOV-NET. We report on a case of a 59-year-old woman diagnosed with an AOV-NET with liver and lymph node metastasis, with an emphasis on the MRI findings. This case shows rare and precious typical MRI findings of an AOV-NET. The MRI visualized the AOV-NET very well and is helpful for the differentiation of an AOV-NET from other tumors in the ampullary area as well as with treatment planning.

• 한국가축번식학회지
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• 제8권1호
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• pp.10-15
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• 1984

This experiment was carried out to study the egg transports and distribution patterns in the oviducts of superovulated rabbits by administrations of PGF2$\alpha$. Group I (3 does) and Group II (3 does) were killed at 24 hours, 48 hours after mating, respectively. Group III (6 does0 received a single injection of 5mg/Kg of body weight of PGF2$\alpha$ at 24 hours after mating and killed at 4 hours after PGF2$\alpha$ administration. The oviducts were frozen in LN-gas, thawed using Howe's method, and cleared in Benzyl-Benzoate sol. using Orsini's technique. The location of the eggs and the AIJ. were identified using transmitted light from a dissecting microscope. The results obtained were as follows: 1. The average numbers of detected eggs from the oviduct were 28.6 (26-32), 26.0 (24-29), and 27.1 (22-34) in Group I, II, and III, respectively. 2. Detection rate was 88.7%, 76.4%, and 84.9% in Group I, II, and III, respectively. 3. The positionof all AIJ. was 44.2% to 55.0%(av. 49.5%) of the distance from the fimbriae to the UTJ.(Utero-Tubal Junction). 4. The changes of egg distribution patterns were as follows: Group I Ampulla : 52.3%, Isthmus : 47.7%, Group II Ampulla : 8.9%, Isthmus : 91.1% Group III Ampulla : 8.0% Isthmus : 92.0%.

• Korean Journal of Radiology
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• 제1권2호
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• pp.65-72
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• 2000

Objective: To compare the efficacy of suprapapillary and transpapillary methods of transhepatic biliary metallic stent placement in malignant biliary strictures and to specify the indications of each method applied. Materials and Methods: Stents were placed in 59 patients. Strictures were categorized as type A (within 3 cm of the ampulla, n = 27), type B (over 3 cm from ampulla, n = 7), type C (within 3 cm of the bending portion, n = 9), or type D (over 3 cm above the bending portion, n=16). The stenting method was suprapapillary in 34 cases and transpapillary in 25. The rates of initial and long-term patency and of early recurrence were compared. Results: Initial patency rates for the suprapapillary and transpapillary methods were 1/7 (14.3%) and 20/20 (100%) respectively for type A (p < 0.0001), 4/5 (80.0%) and 2/2 for type B, 3/7 (42.9%) and 2/2 for type C, and 15/16 (93.8%) and 0/0 for type D. Early recurrence rates were 7/30 (23.3%) using the suprapapillary method and 4/29 (13.8%) using the transpapillary method (p = 0.51). The long-term patency rate did not differ significantly according to either type (p = 0.37) or method (p = 0.62). Conclusion: For good initial patency, the transpapillary method is recommended for strictures of the distal extrahepatic duct near the ampulla and just above the bending portion. Long-term patency is not influenced by the stenting method employed.

• Animal cells and systems
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• 제2권4호
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• pp.513-520
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• 1998

Though the wandering spiders do not produce webs for prey-catching, they have silk producing apparatus. Among the four kinds of silk glands in the wolf spider, Pardosa astrigera, the ampullate one is the most predominant gland in both sexes, and is composed of three functional parts; excretory duct, storage ampulla and convoluted tail regions. The duct is basically composed of three superposed types of layers which are inner cuticles, monolayered epithelial cells and peripheral connective cells. The electron lucent subcuticles which have the functions of water removal and orientation of silk fibers during polymerization are well developed at the anterior region near the spinneret. Whereas the endocuticles which contain two types of banding patterns at the cross section are developed at the rest of the duct region. The secretory silks are synthesized within the glandular epithelial cells of the tail as secretory granules, and then released to the inner cavity of the storage ampulla by the mechanism of apocrine secretion. Most of these secretory vesicles are originated from the rough endoplasmic reticula of the glandular epithelial cells, whereas no Golgi complexes are found in any of the cells which have been examined.

• Journal of Digestive Cancer Research
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• 제2권2호
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• pp.75-77
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• 2014

전이성 십이지장 유두암에서 정립된 치료 지침은 아직 없다. 본 증례에서 간 전이 및 국소 림프절 전이가 있는 십이지장 유두암에 대해 단계적 치료를 시행하였다. 원발 부위 종양의 크기를 감소시키고 전이성 병변에 대한 치료를 위해 gemcitabine과 cisplatin 병합 항암화학요법을 시행하였다. 항암화학요법 후 시행한 반응 평가 상에서 원발 병소의 크기가 감소되었고, 추가적으로 전이성 병변이 발생하지 않았음을 확인하고, 내시경적 유두부 절제술로 원발 부위를 국소적으로 제거하였다. 진단 후 12개월 동안 항암화학요법 치료를 시행하였으며, 이 기간 동안 영상학적으로 완전 관해를 유지할 수 있었다. 이후 PPPD 및 Intraoperative RFA를 시행하였으며, 수술 후 병리 소견 상 11개의 국소 림프절 중 1개에서 암세포가 발견되었으나, 원발 부위에서 암은 발견되지 않았다. 환자는 수술 후 7개월째 재발 소견 없이 외래 추적 관찰 중이다. 본 증례의 경우 항암화학요법과 내시경적 유두부 절제술, 그리고 PPPD 및 intraoperative RFA를 통하여 완전 관해를 유도할 수 있었다. 이런 단계적 접근법이 전이성, 국소 진행성 십이지장 유두암에서 생존율 향상을 유도할 수 있을 것으로 사료되어, 이를 증례 보고한다.

• 대한영상의학회지
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• 제82권2호
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• pp.393-405
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• 2021

목적 다중 검출 전산화단층촬영(multidetector CT; 이하 MDCT) 영상에서 바터 팽대부의 샘근종과 국소 샘암종을 감별할 수 있는 영상 소견을 알아보고자 하였다. 대상과 방법 MDCT 영상을 이용하여 바터 팽대부의 샘근종이 있는 16명의 환자와 국소 샘암종이 있는 30명의 환자를 평가하였다. 우리는 병변의 크기와 감쇠정도, 병변의 균일한 조영 증강의 여부, 간외담관과 주췌관의 직경, 국소 림프절 종대 유무를 측정하였고, 혈액검사 결과도 분석하였다. 바터 팽대부의 국소 샘암종과 비교하여 샘근종을 시사하는 독립적 소견을 확인하기 위해 다변량 분석을 수행하였다. 결과 병변의 크기와 간외담관의 직경은 샘근종에서 국소 샘암종군보다 유의하게 작았다(all p < 0.001). 다변량 분석에서 병변의 크기가 1.3 cm보다 작은 것, 간외담관의 작경이 1.3 cm 보다 작은 것, alanine transaminase level이 31보다 낮은 소견은 바터 팽대부의 국소 샘암종과 비교하여 샘근종을 시사하는 통계적으로 의미 있는 독립적 소견으로 나타났다. 이러한 세 소견을 모두 만족하는 경우 바터 팽대부에 생긴 샘근종의 진단적 특이도는 93.3%였다. 결론 MDCT 영상에서 병변의 크기와 간외담관의 직경을 측정하여 바터 팽대부의 샘근종과 국소 샘암종의 감별에 도움을 받을 수 있다.

• 한국간담췌외과학회지
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• 제27권4호
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• pp.380-387
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• 2023

Backgrounds/Aims: In 2019, the grading and staging system for neuroendocrine neoplasms (NENs) was significantly changed. In this study, we report the clinicopathological characteristics and surgical outcomes of patients with extrahepatic biliary NENs who underwent curative resection with or without adjuvant treatment. Methods: We retrospectively reviewed a database of 16 patients who developed NENs, neuroendocrine carcinoma (NEC), and mixed endocrine non-endocrine neoplasms (MiNENs) after curative resection. Among them, eight patients had ampulla of Vater (AoV) tumors, and eight patients had non-AoV tumors. Results: G1 and G2 were more frequently observed in the AoV group than in the non-AoV group (12.5% and 62.5%, respectively). In contrast, NEC and MiNEN were more common in the non-AoV group (50.0%). High Ki-67 index (> 20%) and perineural invasion (PNI) were more frequently observed in the non-AoV group. Advanced age (> 65 years), mitotic count > 20 per 2 mm², and Ki-67 index > 20% were strongly correlated with patient survival (p = 0.018, 0.009, and 0.044, respectively). Advanced age (> 65 years) and mitotic count > 20 per 2 mm² were significantly correlated with disease recurrence (p = 0.033 and 0.010, respectively). Conclusions: AoV and non-AoV tumors had significant differences in the histologic grade, Ki67, and PNI. Patients with non-AoV tumors had an increased risk for survival and recurrence than those in the AoV group. For extrahepatic biliary NENs, early detection of tumors, adequate surgery, and aggressive adjuvant treatment for high-risk patients are important to achieve long-term survival and prevent disease recurrence.

• 환경생물
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• 제34권4호
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• pp.314-319
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• 2016

Testate amoebae are useful organisms when evaluating the condition of freshwater ecosystems and wetland habitats. Herein, I report on seventeen unrecorded species of testate amoebae from Korea: Arcella arenaria, A. costata, A. hemisphaerica, Centropyxis constricta, C. discoides, C. spinosa, Difflugia amphora, D. globulosa, D. longicollis, D. penardi, Heleopera rosea, Hyalosphenia subflava, Nebela militaris, N. penardiana, Netzelia wailesi, Cyphoderia ampulla, and C. trochus.

• 대한수의학회지
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• 제39권1호
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• pp.220-225
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• 1999

The aim of these experiments was to investigate the effects of bovine oviduct epithelial cells (OEC) derived from different segments to bind sperm binding and maintain their motility in vitro. In experiment 1, the number of sperm attached to OEC derived from isthmus or ampulla, the motility of unattached sperm during co-culture and fertilizing ability were assessed. In experiment 2, heparin treated sperm (hsp) or no treated sperm (nsp) were used to evaluate OEC binding ability of capacitated sperm. In experiment 1, regardless of their origin, approximately 65% of the sperm were attached to OEC within 2h. From 6h of co-culture, the numbers of unattached sperm on ampullary OEC were significantly higher than those on isthmic OEC (p<0.005). From 12h of co-culture, the motility of unattached sperm on isthmic OEC were significantly higher than those on ampullary OEC(p<0.05). The cleavage rate of oocytes inseminated on OEC derived from isthmic segment was also significantly higher than those from ampullary segment (p<0.01). In experiment 2, the numbers of unattached hsp on OEC were significantly higher than those of controls (p<0.01), between 2-24h examination. From 12h of co-culture, the motility of unattached nsp were significantly greater than those of hsp (p<0.01). These results show that bovine OEC derived from the isthmus play more important role(s) for sperm binding, maintaining motility and fertilization in vitro than those from the ampulla, and heparin induced capacitation may change sperm binding ability on OEC in vitro.