• 제목/요약/키워드: Metasasis

검색결과 3건 처리시간 0.016초

분화 갑상선암의 수술 및 예후에 대한 고찰 (Surgery and Prognostic Consideration in Differentiated Thyroid Cancer(DTC))

  • 변경도;하태권;유성목;김태현;김상효
    • 대한두경부종양학회지
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    • 제25권2호
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    • pp.132-137
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    • 2009
  • Purpose : For the past 10 years, the incidence of thyroid cancer has been rapidly increased in female population showing current incidence of 12,000 new thyroid cancer patients annually in Korea. Though differentiated thyroid cancer is known to show favorable prognosis and excellent long-term survival from slow growth and late distant metastasis, we re-evaluated prognostic factors of recurrence and mortality following surgical procedures based on our cases. Material and Methods : 954 Patients of DTC surgically treated at Department of Surgery, Inje University Busan Paik Hospital between 1980 and 2004 were reviewed in the aspects of the surgical procedures, clinical staging, risk factors, recurrence and their outcome through median follow-up period of 10.5 years. Results : Recurrence in remnant thyroid, cervical nodes, and distant metastasis were observed in 84 paients(8.8%), and 31 patients were confirmed to be died of locoregional recurrence of cancer and distant metasasis. Regarding the risk factors to recurrence, tumor size, extrathyroidal extension, nodal metastasis, and capsular invasion were significant predictors(p<0.05). Local recurrence and distant metastasis had no statistical signiicance according to age, sex, pathology, surgery, and lymphovascular invasion. Overall 10-year survival rate was 92.4%, but low, intermediate, and high-risk patient showed 100%, 94.4%, and 70.5% respectively. Conclusion : The significant factors influencing local recurrence and distant metastasis were tumor size, extrathyroidal exension, LN metastasis, capsular invasion. In order to improve survival rate of high-risk group, appropriate and aggressive management should be recommended.

Plasminogen Activator 및 Plasmin-like Protease활성도의 변화와 쥐 피부암의 악성 (Relation of the Activities of Plasminogen Activator and Plasmin-like Protease with Malignant Behavior of Skin Tumor of Rats)

  • Yun Kee;Park, Sang C.;Doo B. Ha;Chin H. Chung
    • 한국동물학회지
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    • 제31권3호
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    • pp.185-190
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    • 1988
  • 피부암의 형성과 피부 조직에서 나타나는 단백질 분해활성의 변화와의 상과관계를 조사하기 위하여, 쥐의 피부에 7,12-dimethylbenzanthracene과 photbor ester를 차례로 처리하였다. 이 결과, 암이 유발된 피부 조직에서는 대조군에 비하여 plasminogen Activator(PA)의 활성도는 약 3배가 높게 나타났다. 더우기, PA의 활성도는 암 유발전(proteolytic activity)의 조직에서도 약6배가 정도 증가하였다. 반면,casein과 insulin의 분해활성도는 암조직에서 현저히 감소되었고 anti-trypsin의 활성도는 대조군의 것과 거의 비슷하게 나타났다. 따라서, PA 및 PLP활성도의 증가현상은 피부암에서 특징적으로 나타나는 것으로 보이며, 이 암의 전이 및 침투에 밀접한 관계가 있는 것으로 사료된다.

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감잎에서 분리한 다당의 면역자극 활성 (Immuno-stimulating Activities of Polysaccharide Fractions Isolated from Persimmon Leaves)

  • 신영아;박혜령;홍희도;신광순
    • 한국식품영양학회지
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    • 제25권4호
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    • pp.941-950
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    • 2012
  • In order to develop new physiologically active polysaccharides from persimmon leaves, two different crude polysaccharides were prepared using hot water (PLW-0) and pectinase digestion (PLE-0) and their immuno-stimulating activities were estimated. PLW-0 and PLE-0 showed similar sugar compositions with 15 different sugars, including rarely observed sugars in general polysaccharides such as 2-O-methyl-fucose, 2-O-methyl-xylose, apiose, aceric acid, 3-deoxy-D-manno-2-octulosonic acid, and 3-deoxy-D-lyxo-2-heptulosaric acid, but the uronic acid content of PLE-0 was lower than that of PLW-0 caused by pectinase treatment. Both PLW-0 and PLE-0 showed potent anti-complementary activity in a dose-dependent manner which was similar to a known immuno-stimulating polysaccharide, PSK, from Coriolus versicolor. The activity of PLE-0 at a low concentration ($100{\mu}g/m{\ell}$) was higher than that of PLW-0. In an in vitro cytotoxicity analysis, PLW-0 and PLE-0 (up to $1,000{\mu}g/m{\ell}$) did not affect the growth of peritoneal macrophages and Colon 26-M3.1 carcinoma cells. In contrast, they enhanced lymphocyte proliferation activity. Peritoneal macrophages stimulated with PLW-0 and PLE-0 produced various cytokines, such as IL-6 and IL-12. However, PLE-0 was more effective on the cytokine production. Intravenous administration of PLW-0 and PLE-0 significantly augmented natural killer (NK) cell cytotoxicity against Yac-1 tumor cells 3 days after the treatment of polysaccharide fractions. But NK cells obtained from the PLE-treated group showed higher tumoricidal activity even at a low dose of $40{\mu}g$/mouse. In experimental lung metastasis of Colon 26-M3.1 carcinoma cells, prophylactic administration of PLW-0 and PLE-0 significantly inhibited lung metastasis in a dose-dependent manner and PLE-0 was more effective on the inhibition of cancer metasasis. The results lead us to conclude that the pectinase-treated process is indispensable to preparing polysaccharides with higher immune-stimulating activity from persimmon leaves.