• 제목/요약/키워드: Pathologic study

검색결과 915건 처리시간 0.037초

Prognostic Significance of the Mucin Component in Stage III Rectal Carcinoma Patients

  • Wang, Meng;Zhang, Yuan-Chuan;Yang, Xu-Yang;Wang, Zi-Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8101-8105
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    • 2014
  • Background: Although mucinous adenocarcinoma has been recognized for a long time, whether it is associated with a poorer prognosis in colorectal cancer patients is still controversial. Many studies put emphasis on mucinous adenocarcinoma containing mucin component ${\geq}50%$. Only a few studies have analyzed cases with a mucin component <50%. Objectives: This study aimed to analyze the prognostic value of different mucin component proportions in patients with stage III rectal cancer. Materials and Methods: Clinical, pathological and follow-up data of 136 patients with the stage III rectal cancer were collected. Every variable was analyzed by univariate analysis, then multivariate analysis and survival analysis were further performed. Results: Univariate analysis showed pathologic T stage, lymphovascular invasion, and histological subtype were statistically significant for DFS. Pathologic T stage was significant for OS. Histological subtype and lymphovascular invasion were independent prognostic factors in multivariate analysis for DFS, and histological subtype was the only independent prognostic factor for OS. Survival curves showed the survival time of mucinous adenocarcinoma (MUC) was shorter than non-MUC (adenocarcinomas with a mucin component <50% and without mucin component). Conclusions: Histological subtype (tumor with different mucin component) was an independent prognostic factor for both DFS and OS. Patients with MUC had a worse prognosis than their non-MUC counterparts with stage III rectal carcinoma.

상한론(傷寒論) 273조(條)의 교감(校勘)을 통한 태음병(太陰病)에 대한 새로운 해석 (Novel Appreciation for Taeeum-byung through Revision of Shanghan-lun Clause 273)

  • 진링;하기태
    • 동의생리병리학회지
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    • 제32권4호
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    • pp.211-216
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    • 2018
  • Generally, clause 273 of Shanghan-lun was called as a principle of Taeeum-byung and was regarded that it contains essential substances of Taeeum-byung. In this study, I compared the text of diverse woodblock-printed versions, the opinions of many annotators, and other clauses of Shanghan-lun which related with clause 273 in pathologic view points. As results, "the symptoms become worsen by purgative medicine" of remained version is more reasonable rather than "diarrhea become worsen" of Song version, in the side of pathologic interpretation of Taeeum-byung and to understand the reason of mistreatment. In addition, the symptoms of "an intermittent and autonomous abdominal cramp" and "feeling hard on sub-chest region" should be recognized as transformed symptoms by mistreatment of purgative medicine. Thus, diarrhea cannot be accepted as a peculiar symptom of Taeeum-byung, but should be regarded as a possible symptom transformed from Taeeum-byung or its preceding diseases by purgative medicine.

흉선 유암종 - 1례 보고 - (Thymic Carcinoid Tumor - 1 Case report-)

  • 이재영;김명천;유세영;조황래;강홍모;양문호
    • Journal of Chest Surgery
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    • 제31권3호
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    • pp.319-323
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    • 1998
  • 흉선의 유암종은 매우 드문 종격동 종양으로, 1972년에 Rosai와 Higa에 의해 기술되었다. 흉선의 유암종은 Kultschizky 세포에서 생기는 종양으로 생각되어지며, 흉선종과 다른 종양으로 간주되어 왔다. 흉선의 유암종의 병리학적인 진단으로 병리학적, 면역조직화학적, 전자현미경적 소견을 이용한다. 유암종의 50% 정도에서는 내분비 질환을 가진다. 재발과 흉곽외 전이가 특징적이다. 발견당시나 재발의 경우에 외과적인 절제가 가장 효과적이라고 생각된다. 그러나 방사선 치료나 항암치료의 역할은 분명하지 않다. 저자들은 수술 및 병리학적으로 증명된 57세 남자의 흉선 유암종 1예를 경험하였기에 간단한 문헌 고찰과 함게 보고하는 바이다.

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Histopathological Evaluation of Urothelial Carcinomas in Transurethral Resection Urinary Bladder Tumor Specimens: Eight Years of Single Center Experience

  • Koyuncuer, Ali
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2871-2877
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    • 2015
  • Background: Urothelial carcinoma (UC) is a malignant neoplasm that most commonly occurs in the urinary bladder. The primary aim of this study was to evaluate the clinicopathologic features, recurrence and progression in patients with bladder urothelial cancer. Materials and Methods: The medical records of patients diagnosed with UC in the state pathology laboratory between January 2006 and July 2014 were retrospectively included. Carcinomas were categorized according to age, gender, histologic grade, tumor configuration, pathologic staging, recurrence status, and progression. Results: A total of 125 (113 men, 12 women) patients were examined. The mean age was 65.9 years and the male-to-female urothelial cancer incidence ratio was 9.4:1. Low-grade UCs were observed in 85 (68%) and high-grade in 40 (32%). A papillary tumor pattern was observed in 67.2% of the UCs. Cases were classified with the following pathological grades: 34 (27.2%) cases of pTa, 70 (56%) of pT1, and 21 (16.8%) of pT2. Recurrence occurred in 27 (21.6%) patients. Ten progressed to a higher stage (pT1 to pT2), and three cases to higher grade (low to high). We also analyzed the results separately for 70 (56%) patients 65 years of age and older. Conclusions: With early detection and diagnosis of precursor lesions in older patients, by methods such as standard urologic evaluation, urinary cytology, ultrasound scanning and contrast urography, and cystoscopy, in addition to coordinated efforts between pathologists and urologists, early diagnosis may reduce the morbidity and mortality of patients with urothelial carcinoma.

외상 후 스트레스 장애 환자에서 발생한 환각 경험의 임상적 의미 (Clinical Meaning of Hallucinatory Experience among PTSD Patients)

  • 박지훈;이중서;이홍석
    • 대한불안의학회지
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    • 제9권2호
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    • pp.113-120
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    • 2013
  • Objectives : The aim of this study was to investigate clinical meaning of hallucination among patients with posttraumatic stress disorder (PTSD). Methods : PTSD patients with hallucination (n=50) were selected and matched with the PTSD patients without hallucination (n=50) by age and sex. The patients were evaluated in two different aspects, pathologic aspects which can develop after traumatic event, and positive/adaptive aspects which are concerned in positive psychology. In addition to these, temperament and character features between two groups were also evaluated using the Temperament and Character Inventory (TCI). Results : Except for the total score of DES (Dissociative Experience Scale) and the score of re-experience subscale of CAPS (Clinician Administered PTSD Scale), clinical characteristics did not show any significant difference between the two groups. Among the comparison of seven higher dimensions in TCI profiles, only Self-transcendence showed significant difference between the two groups. Conclusion : The two groups did not show significant differences in pathologic aspects except for factors that may contribute to development of hallucination. Furthermore, authors could not find any differences in positive/adaptive aspects.

가시입이형흡충에 감염된 흰쥐의 초기 장병변 (Intestinal pathologic findings at early stage infection by Centrocestus ormatus in albino rats)

  • 홍성종;한주희
    • Parasites, Hosts and Diseases
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    • 제35권2호
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    • pp.135-138
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    • 1997
  • 이 연구는 가시입이형흡충 감염에 의한 초기 장병변을 관찰하기 위하여 수행되었다. 감염 1일부터 7일까지 가시입이형흡충은 십이지장과 공장의 융모간극 최하부에서 관찰되었다 괴낭유충 1.000개와 5.000개 감염군 사이에 병변의 정도 차이는 인정되지 않았다. 충체 둘레에 있는 융모 기질에 가벼운 부종과 염증세포침윤이 있었다. 감염 4일에 선와는 경도의 과증식을 보였으며 융모는 중등도고 위축된 소견을 보였나 장병변은 충체 주위에 국한되었으며 광범위하게 확산되지 않았다. 따라서 장병변은 가시입흡충의 장상피세포에 대한 기계적으로 손상으로 인하여 야기되었나고 생각된다.

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설사증 환자에서 Clostridium Difficile Toxin Value 분석 (Analysis of Clostridium Difficile Toxin Value in Diarrhea Patients)

  • 권세영;윤인숙
    • 한국콘텐츠학회논문지
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    • 제10권5호
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    • pp.259-266
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    • 2010
  • Clostridium difficile 연관 설사증은 항생제 관련 병원 감염 설사에 매우 중요하며, 최근 병원 내 C. difficile 감염 발생률은 계속 증가해왔다. 본 연구에서는 2005년 1월부터 2008년 12월까지 대변 총 1,329 검체를 검사 하여, C. difficile 발생률과 감염 특성을 분석하였다. 전체 1,329 검체 중 독소 A/B검사(EIA)양성 반응을 나타낸 검체는 총283건이었다. 4년간 평균 양성률은 21.2%였으며, 연령 분포에서는 70세 이상에서 가장 높았다. 내시경 소견에서 PMC 57.7%, 정상 소견 19.5%였으며, 조직학적 소견에서는 PMC26.8%, AAC 52.2% 였다. C. difficile 은 PMC 와 관련이 있으나, 내시경 검사 및 조직 검사 소견에서는 정상에서 PMC 까지 다양하게 나타났다.

Different Prognostic Factors Correlate with Bcl-2 Expression among Triple Negative and Non-Triple Negative Breast Cancers

  • El-Mageed, Amal Abd El-Hafez Abd;Shawky Mohamed, Abd El-Aty;Elesawy, Basem Hasan
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1037-1041
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    • 2013
  • Background: Prognostication of breast cancer using clinico-pathologic variables, although useful, remains imperfect. Recent research has focused on finding new markers of prognosis using gene expression profiling. Panels of proteins assessed by immunohistochemistry might also be useful in this regard. This study focused on Bcl-2 protein expression in triple-negative (TNBC) and non- triple-negative breast cancer (non-TNBC) with correlation to clinico-pathologic variables. Materials and methods: We analyzed Bcl-2 expression in 77 women with primary breast carcinoma divided into two groups; triple-negative and non- triple-negative according to expression of estrogen (ER), progesterone (PR) and human epidermal growth factor receptors (Her2/neu). Bcl-2 expression was assessed in relation to age, histo-pathological subtype, grade, nodal status and tumor size. Results: Bcl-2 was expressed in 74% of triple-negative breast cancers and 70% of non- triple-negative cancers. In TNBC, expression was significantly correlated with invasive ductal subtype, while in non-TNBC it was significantly correlated with age and negative nodal status. In both groups higher Bcl-2 expression associated with favourable prognostic factors in breast cancer, but no significant statistical correlations were found. Conclusions: Frequency of Bcl-2 expression does not differ between TNBC and non-TNBC, but different prognostic factors correlate with Bcl-2 in the two cases.

침구대성에 나타난 자락요법에 대한 고찰 (The Review of the Blood-Letting Therapy in the Zhenjiudacheng)

  • 권영완;이상룡
    • Korean Journal of Acupuncture
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    • 제34권4호
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    • pp.231-240
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    • 2017
  • Objectives : This study was designed to establish the basis for expanding the indications for Blood-letting therapy by reviewing the contents recorded in the Zhenjiudacheng. Methods : Articles associated with the Blood-letting therapy were categorized according to the factors such as the characteristics of the treatment site, the used instruments, the caution, the side effects, the diseases, the acupoints, etc. Results : 1. The characteristics of treatment site were the red, purple, purplish red, purplish black color and the localized collection of fibrous exudate. 2. There were several instruments used for Blood-letting therapy; Samreongchim, Sochim, Loguan, Stone needle, Jukyeop, etc. 3. Several cautions and side effects of the Blood-letting therapy were recorded in the Zhenjiudacheng. 4. The Blood-letting therapy could be performed for a broad spectrum of symptoms such as headaches, backaches, schizophrenia, hyperemia, etc. 5. Not only acupoints but also extra points were used for blood-Letting therapy. 6. In addition to the usual Blood-letting region, Blood-letting therapy was performed directly on the pathologic site and pathologic reaction site. Conclusions : In the Zhenjiudacheng, Blood-letting therapy was described in a concrete and substantive manner in order to enable practical clinical application.

성대 폴립 환자를 대상으로 한 GRBAS 척도와 MDVP 측정치 간의 상관관계 연구 (The Correlation between GRBAS Scales and MDVP Parameters on the Pathologic Voices of the Patients with Vocal Polyps)

  • 표화영;최성희;임성은;심현섭;최홍식;김광문
    • 대한후두음성언어의학회지
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    • 제10권2호
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    • pp.154-163
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    • 1999
  • GRBAS scale, the tool fir the perceptual evaluation of voice, demands the experience of judges, and MDVP parameters of CSL, the tool for the objective measurements of voice quality demands the exact interpretation of the analyzed results. The two tools should be used as compensatory evaluation methods, so the experimental study was performed to investigate the correlation between GRBAS scales and MDVP parameters by using the pathologic voice of the 30 patients with vocal polyps, and to know the significant MDVP parameters which the inexperienced GRBAS scale judges should attend to. The 30 subjects voices, saved in MDVP of CSL were analyzed by its own analysis program, and three experienced voice therapists judged the same voices by using GRBAS scales. The correlations between them were analyzed by Spearman Rank Correlation Coefficient. As results, among the 29 MDVP parameters, 22 parameters showed statistically significant correlation with Grade(G) scale(p<0.05). And it was found that Roughness(R) scale showed significant correlation with 18 parameters, Breathiness(B) scale with 17 parameters, Strain(S) scale with 12 parameters. In Asthenicity(A) scale, no parameter showed significant correlation. On the whole, significantly high correlation were found in the parameters related with pitch ind amplitude perturbation, especially, the amplitude perturbation.

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