• 제목/요약/키워드: Hepatic necrosis

검색결과 236건 처리시간 0.031초

간의 전이성 상피암 20예의 세침 천자 흡인시 배경 병변의 세포학적 소견 (Background Cytologic Features of Metastatic Carcinomas in the Liver in Fine Needle Aspiration Cytology - Analysis of 20 Cases -)

  • 명나혜;고재수;하창원;조경자;장자준
    • 대한세포병리학회지
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    • 제2권2호
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    • pp.90-97
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    • 1991
  • Liver is generally known as an organ which is most commonly involved by the metastic tumors. According to the tendency of using fine needle aspiration in the diagnosis of hepatic tumors, the differentital diagnosis between hepatocellular carcinoma and metastatic carcinoma frequently has been a main issue in the poorly differentitated cases, especially to the pathologists of Korea, an endemic area of hepatocellular carcinoma. Until now the problem has been usually solved by the comparison of cytologic characteristics of their tumor cells but not by background cytologic features which rarely have been studied. We observed the background cytologic features helpful for the differential diagnosis through the analysis of 20 cases who had confirmed primary cancer and were diagnosed as metastatic carcinomas in the liver by fine needle aspiration cytology. Twenty cases included 9 adenocarcinomas, 7 spuamous cell carcinomas, 1 small cell carcinoma, 1 carcinoid, 1 adenoid cystic carcinoma, and 1 renal cell cacinoma. Analysis of background cytologic features revealed that 77% of adenocacinoma cases showed benign mesenchymal components and hepatocytes and spuamous cell carcinoma cases disclosed benign mesenchymal tissue (71%) and necrosis (57%), Remaining cases showed variable combinations of benign mesenchymal component, necrosis, hepatocytes, and bile duct epithelial cells. No case revealed atypical hepatocytic naked nuclei, a useful cytologic finding of hepatocellular carcinoma. In summary, the background cytologic features more commonly observed in metastatic carcinomas than in the hepatocellular carcinoma were benign mesenchymal components, hepatocytes, necrosis, and bile duct epithelium. The endothelial cells and hepatocytic naked nuclei, two relatively specific findings of hepatocellular carcinoma were not observed except for renal ceil carcinoma. Above background cytologic features are thought to be helpful for the differential diagnosis between the hepatocellular carcinoma and various metastatic carcinomas in the poorly differentiated cases.

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개에서 미만성 간장병변의 정량적 진단을 위한 초음파 및 방사선학적 평가 (Ultrasonographic and radiographic evaluation for the quantitative diagnosis of diffuse hepatic disease in dogs)

  • 성재기;이희천;윤정희;이영원;안용주;최호정;최지혜
    • 대한수의학회지
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    • 제38권4호
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    • pp.918-928
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    • 1998
  • The present study was done with two aims. First, to evaluate the radiographic measurements of liver volumes in normal and hepatomegaly dogs induced by carbon tetrachloride. Second, to investigate quantitative tissue echo pattern by ultrasonography. Gray level histogram of the normal liver and the kidney were estimated with carbon tetra-chloride intoxication. In normal, r-square for liver volume to body weight was 0.93372, and this showed direct linear regression. Gray level histograms of the normal liver and the kidney were $19.150{\pm}2.490$(mean${\pm}$SD) and $13.175{\pm}2.686$(mean${\pm}$SD) respectively(p < 0.01). Liver parenchymal echogenicity was more hyperechogenic than kidney cortex echogenicity. Liver/Kidney ratio was $1.504{\pm}0.313$ and it can be used relative comparison of liver and kidney parenchymal echogenicity. In carbon-tetrachloride($CCl_4$) intoxication, changes of liver volume appeared to increase up to 24 hours after administration (p < 0.05), and decreased gradually to normal level after 2~5 days. Gray level histogram of liver parenchyma decreased up to 24hours (p < 0.01) after intoxication and then gradually increased to normal level. But that of kidney cortex had no significant change. Liver/Kidney ratio also decreased by 2 days(p < 0.01) and then gradually increased to normal level. On histopathologic features of hepatic tissues in carbon tetrachloride intoxication, both coagulative necrosis of hepatic cell and hemorrhage of centrilobular & midzonal area were identified. Conclusively, plain radiography is a useful diagnostic method for evaluating liver volume in mild hepatomegaly. Especially, it is considered that an adequate numerical processing of the liver length, depth and thoracic width and depth measurement would be helpful. Using gray level histogram, ultrasonographic evaluation was useful objective methods in early diagnosis of diffuse hepatic disease.

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Ginsenoside Rb1 ameliorates liver fat accumulation by upregulating perilipin expression in adipose tissue of db/db obese mice

  • Yu, Xizhong;Ye, Lifang;Zhang, Hao;Zhao, Juan;Wang, Guoqiang;Guo, Chao;Shang, Wenbin
    • Journal of Ginseng Research
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    • 제39권3호
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    • pp.199-205
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    • 2015
  • Background: Ginsenoside Rb1 (G-Rb1), the major active constituent of ginseng, improves insulin sensitivity and exerts antidiabetic effects. We tested whether the insulin-sensitizing and antidiabetic effects of G-Rb1 results from a reduction in ectopic fat accumulation, mediated by inhibition of lipolysis in adipocytes. Methods: Obese and diabetic db/db mice were treated with daily doses of 20 mg/kg G-Rb1 for 14 days. Hepatic fat accumulation was evaluated by measuring liver weight and triglyceride content. Levels of blood glucose and serum insulin were used to evaluate insulin sensitivity in db/db mice. Lipolysis in adipocytes was evaluated by measuring plasma-free fatty acids and glycerol release from 3T3-L1 adipocytes treated with G-Rb1. The expression of relevant genes was analyzed by western blotting, quantitative real-time polymerase chain reaction, and enzyme-linked immunosorbent assay kit. Results: G-Rb1 increased insulin sensitivity and alleviated hepatic fat accumulation in obese diabetic db/db mice, and these effects were accompanied by reduced liver weight and hepatic triglyceride content. Furthermore, G-Rb1 lowered the levels of free fatty acids in obese mice, which may contribute to a decline in hepatic lipid accumulation. Corresponding to these results, G-Rb1 significantly suppressed lipolysis in 3T3-L1 adipocytes and upregulated the perilipin expression in both 3T3-L1 adipocytes and mouse epididymal fat pads. Moreover, G-Rb1 increased the level of adiponectin and reduced that of tumor necrosis factor-${\alpha}$ in obese mice, and these effects were confirmed in 3T3-L1 adipocytes. Conclusion: G-Rb1 may improve insulin sensitivity in obese and diabetic db/db mice by reducing hepatic fat accumulation and suppressing adipocyte lipolysis; these effects may be mediated via the upregulation of perilipin expression in adipocytes.

간(肝) Scintigram의 임상적(臨床的) 고찰(考察) (Clinical Observation of Liver Scintigram)

  • 문성수;오경식;김열자;김영철;이종석;이학중
    • 대한핵의학회지
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    • 제14권2호
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    • pp.19-27
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    • 1980
  • Although primary application of radioisotope scanning technics to the liver has been of use in the detection of the intra-hepatic space occupying lesion from the normal functioning liver parenchyme, there has been on increasing awareness of its use in evalution of Liver function. In this study, the diseases of the liver were classified into group A,B,C and D by the liver scanning findings, conventional liver function tests and clinical findings. Following were the results: 1. The colloidal radiogold liver scan appeared normal in the group A, also the albumin in serum, alkaline phosphatase activity and prothrombin time were within normal levels in this group. 2. In the group B, there were acute hepatitis 24(48%), chronic hepatitis 5(10%), toxic hepatitis 3(6%), subacute hepatic necrosis 3(6%), typhoid liver 4(8%), hepatic tuberculosis 2(4%), diabetes mellitus 3(6%) and others 3(6%). In this group, SGOT and SGPT were increased predominantly as compared with group A, and the liver scan showed small amount of mottling of activity and faintly visualized spleen. 3. In the group C, there were postnecrotic liver cirrhosis 30(60%), Laennec cirrhosis 10(20%), cardiac cirrhosis 1(2%), cholangiocarcinoma 1(2%), chronic active hepatitis 6(12%), hepatic milliary tuberculosis 1(2%) and gall bladder cancer 1(2%). In this group, the albumin in serum and prothrombin time were lowered significantly and the liver scan showed severe mottling of activity with extra-hepatic uptake in the spleen and bone marrow along the vertebral column. 4. In the group D, there were primary hepatoma 26(52%), hepatoma with liver cirrhosis 7(14%), metastatic liver cancer 5(10%), liver abscess 10(20%), multiple liver cyst 1(2%) and cystic duct adenoma 1(2%), In this group, the alkaline phosphatase activity was elevated with single or multiple intrahepatic space occupying lesion in the radiogold colloid liver scan.

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Gamijiya-tang Decreases the Dimethylnitrosamine-Induced Hepatic Fibrosis in the Rats

  • Ma, Jin-Yeul;Yang, Jai-Man;Nam, Jeong-Seok;Che, Jeong-Hwan;Cheon, Won-Kyung;kim, Nam-Joo;Ko, Byoung-Seob;Park, Kap-Joo;Lee, Yong-Soon;Kyu, Yong-Jung
    • 생약학회지
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    • 제28권4호
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    • pp.215-224
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    • 1997
  • Gamijiyu-tang (GJT) described originally in the Dong Eui Bo Gam, a traditional reference for oriental medicine in the Korea, has been clinically used for treatment of chronic liver disease. In order to evaluate scientifcally a hepatoprotective effect of GJT in the liver fibrotic disease, the present study investigated how GJT improves a hepatic function in the dimethylnitrosamine (DMN)-treated rat. DMN treatment caused a significant increase of relative liver weight to the body at 28 days after DMN induction. Administration of with a clinical dose decreased significantly the sAST level $(158.8{\pm}7.76\;IU/L)$ elevated by DMN in jection (p<0.01). A similar phenomenon was also observed at change of both Salt and Salt level in the GJT and/or DMN-treated animal (p<0.01, p<0.05, respectively). A remarkable increase of hydroxyproline was observed by treatment of DMN with comparing to the normal rat $(361.9{\pm}7.35\;vs.\;1278.1{\pm}52.9\;{\mu}g/g\;tissue,\;p<0.01)$. This was significantly reduced by a simultaneous treatment of GJT with DMN for 21 days (p<0.05), but not recovered completely to its normal value. In addition. GJT administration ameliorated conspicuously the DMN-induces histopathological changes of liver such as hemorrhage. Cell necrosis and fibrosis. Tak'en together, results described here demonstrated scientifically in first the medicinal efficacy of GJT by using in vivo animal model, indicating that GJT improves the DMN-induced hepatic injury through reducing an excessive accumulation of collagen and histopathological changes. The decreased collagen content may be a pivotal process for GJT to improve hepatic function in the DMN-induced liver fibrosis. The present study suggests that GJT may be useful for and applicable to the treatment of hepatic fibrosis in chronic liver disease.

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고지방식이 급여 쥐에서 수용성 뽕나무 잎 추출물의 간 microRNA-221/222 발현 및 염증 조절을 통한 간 지질 축적억제 효과 (Inhibitory effect of water-soluble mulberry leaf extract on hepatic lipid accumulation in high-fat diet-fed rats via modulation of hepatic microRNA-221/222 expression and inflammation)

  • 이막순;김채민;고현미;김양하
    • Journal of Nutrition and Health
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    • 제55권2호
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    • pp.227-239
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    • 2022
  • 본 연구에서는 ME가 고지방식이를 섭취한 쥐에서 간의 miRs와 염증 조절을 통해 간 지질 축적 억제에 영향을 미치는지 조사하였다. 4주령 수컷 Sprague-Dawley 쥐는 3 그룹 (n = 7)으로 나누어 14주 동안 10 kcal% 저지방 식이 (LF), 45 kcal% 고지방 식이 (HF) 또는 HF + 0.8% ME를 공급하였다. ME의 공급은 체중 증가를 줄이고 혈청 지질 수준을 개선하였으며 간 지질 축적을 억제하였다. 간의 지방 대사에 관여하는 유전자인 PPAR-γ, SREBP-1c, FAS 및 FAT/CD36의 mRNA 수준은 HF 군에 비해 ME 군에서 유의하게 하향 조절되었다. 반면, 지방산 산화에 관여하는 CPT-1의 mRNA 수준은 HF 군에 비해 ME 군에서 유의하게 상향 조절되었다. ME는 간의 염증 매개에 관여하는 TNF-α, IL-6, MCP-1 및 iNOS의 mRNA 수준을 하향 조절하였으며 혈청의 TNF-α, IL-6 및 NO 농도 또한 유의하게 낮추었다. 비알콜성 지방간의 염증상태에서 증가하는 miR-221과 miR-222의 발현은 HF 군에 비해 ME 군에서 유의하게 억제되었다. 본 연구의 결과들은 ME의 간 지질 축적 억제 효과가 지질대사와 염증 조절에 관여하는 조절 인자의 개선 및 간의 miR-221/222 발현 억제와 관련 있음을 시사한다. 따라서, ME는 NAFLD을 개선하는 천연물 소재로서 활용될 수 있을 것으로 사료된다.

Studies on the Concurrent Administrations of Sosiho-Tang Extract and Methionine-Effects on the Liver Lesion Induced by Carbon Tetrachloride in Rats-

  • Kim, Jeong-Soo;Kim, Gi-Hyung;Kim, Il-Hyuk
    • 생약학회지
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    • 제17권2호
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    • pp.148-152
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    • 1986
  • The preventive effect of Sosiho-Tang extract administered concurrently with methionine on hepatotoxicity induced by carbon tetrachoride (20% $CCl_4$ in olive oil, 5 ml/kg) in rats was studied. S-GOT values were decreased significantly by the concurrent administration of Sosiho-Tang extract 100 mg/kg with methionine 100 mg/kg and also Sosiho-Tang 200 mg/kg with methionine 100 mg/kg. S-GPT values were decreased remarkably by the concurrent administration of Sosiho-Tang extract 200 mg/kg with methionine 100 mg/kg. In histological observations, the pattern of the contrast group indicated the marked necrosis of the parenchymatous cells around the centrilobular area and the fatty changes of the hepatic cells around the midzonal area, but the concurrent administration of Sosiho-Tang extract 200 mg/kg and methionine 100 mg/kg revealed better improvements than their respective single administration in all pathological aspects.

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Effects of Glycyrrhizae Radix on Acetaminophen-induced Hepatotoxicity in Mice

  • Aree Moon;Lee, Mi-Kyung;Kim, Chang-Ok
    • Biomolecules & Therapeutics
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    • 제3권3호
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    • pp.229-232
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    • 1995
  • In order to study if Glycyrrhizae Radix (GR) has protective effects on hepatotoxicity of acetaminophen in mouse, one of the species which are sensitive to acetaminophen-induced hepatotoxicity, effects of GR on liver weight to body weight ratio, serum alanine and aspartate transaminase (ALT and AST) activities, hepatic UDP-GT2 activity, and histopathologic changes were determined in acetaminophen-treated mice. Liver weight to body weight ratio and UDP-GT2 activity in mouse liver were not altered by GR. However, GR pretreatment lowered serum ALT and AST activities by 77% and 90% respectively, and diminished the degree of centrilobular necrosis caused by acetaminophen in liver as determined by histopathologic observation. These results suggest a possible protective effect of GR against the acetaminophen-induced hepatotoxicity in mice.

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국내(國內) 오리의 바이러스성(性) 간염(肝炎) 발생(發生) (An Occurrence of Duck Virus Hepatitis in Korea)

  • 박남용
    • 대한수의학회지
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    • 제25권2호
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    • pp.171-174
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    • 1985
  • An outbreak of duck virus hepatitis was confirmed for the first time in Korea from ducklings having up to 40~65% mortality in less than 15-day-old ducklings of two farms located in the vicinity of Kwangju city. The infected ducks showed sudden death and opisthotonus position. The predominant gross lesions were found in the liver, showing enlargement and petechial or ecchymotic hemorrhages. The microscopic findings were consisted of fatty changes and necrosis of the hepatic cells, and proliferation of the bile duct epithelium. The presence of the virus was detected by electron microscopy of the sera and livers of infected ducks. The duck embryo and the ducks inoculated with the liver materials from the infected ducks showed the same lesions with those of the naturally infected ducks.

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Sodium monofluoroacetate (Compound 1080) 중독(中毒)에 관(關)한 가토(家兎)의 병리해부학적(病理解剖學的) 연구(硏究) (PATHOLOGIC STUDIES ON SODIUM MONOFLUOROACETATE (COMPOUND 1080) POISONING IN RABBITS)

  • 김화식
    • 대한수의학회지
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    • 제1권1호
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    • pp.65-70
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    • 1961
  • Many losses in domestic animals have bern reported in this country, since sodium monofluoroacetate (Compound 1080) was used as a rodenticide. Lesions described inclubed multiple petechiae in epi- and endocardium, lung and intestinal mucosa, or superficial necrosis of the gastric mucosa. In this studies as to the poisoning 7 rabbits were administered 0.6mg (Group I), 0.4mg (Group II), and 0.3mg (Group III) of sodium monofluoroacetate per kilogram of body weight. and the results obtained were as follows: In addition to the changes mentioned above fatty degeneration in central parts of hepatic lobule or nut meg liver, haemorrhagic feci in cerebral cortex and leptomeninges and fatty degeneration in kidney and cardiac muscles were found.

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