• 제목/요약/키워드: Stomach adenocarcinoma

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Ki-1 양성 역형성 대세포 림프종의 체액 세포학적 소견 - 1예 보고 - (Effusion Cytology of Ki-1 Positive Anaplastic Large Cell Lymphoma - A Case Report -)

  • 이미숙;이미자;정유경;임성철;기근홍;전호종
    • 대한세포병리학회지
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    • 제6권2호
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    • pp.163-168
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    • 1995
  • Ki-1 positive anaplastic large cell lymphoma is a newly described high-grade lymphoma and is defined by histopathological and immunologic criteria. We experienced a case of systemically involving Ki-1 positive anaplastic large cell lymphoma in a 44 year-old female which initially manifested as pleural effusion. Abdominopelvic CT scan showed the evidence of marked lymphadenopathy in retroperitoneal and both external and inguinal lymph nodes. On cytologic examination of pleural fluid, tumor cells revealed pleomorphic large isolated cells with prominent nucleoli and abundant cytoplasms. The nuclei were large with irregular profiles including some deep invaginations. Also, occasional multilobed/multinucleated and binucleated nuclei were seen. Immunohistochemical examination was performed to differentiate from the undifferentiated adenocarcinoma, Hodgkin's disease, non-Hodgkin's lymphoma and malignant histiocytosis. The neoplastic cells were positive for leukocyte common antigen, CD3, CD30(Ki-1) but negative for cytokeratin, epithelial membrane antigen, and CD15. A histologic diagnosis of Ki-1 positive anaplastic lymphoma was made by biopsies of the inguinal lymph node, polypoid lesions of the stomach and cecum.

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Gastric Precancerous Lesions in First Degree Relatives of Patients with Known Gastric Cancer: a Cross-Sectional Prospective Study in Guilan Province, North of Iran

  • Mansour-Ghanaei, Fariborz;Joukar, Farahnaz;Baghaei, Seyed Mohammad;Yousefi-Mashhoor, Mahmood;Naghipour, Mohammad Reza;Sanaei, Omid;Naghdipour, Misa;Shafighnia, Shora;Atrkar-Roushan, Zahra
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.1779-1782
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    • 2012
  • Background & Objectives: In patients with gastric cancer, the most frequently reported family history of cancer also involves the stomach. The aim of this study was to assess the presence of gastric precancerous lesions in first-degree relatives of patients with gastric cancer and to compare the obtained results with those of individuals with no such family history. Methods: Between 2007 and 2009, 503 consecutive persons more than 30 years old were enrolled in the study covering siblings, parents or children of patients with confirmed adenocarcinoma of stomach. The control group was made up of 592 patients who were synchronously undergoing upper gastrointestinal endoscopy for evaluation of dyspepsia without gastric cancer or any family history. All subjects were endoscopically examined. Results: The overall prevalence of Helicobacter pylori was 77.7% in the cancer relatives and in 75.7% in the control group. Chronic gastritis was found in 90.4% vs. 81.1% (P<0.001). Regarding histological findings, 37(7.4%) of the study group had atrophy vs. 12(1.7%) in the control group (P<0.001), while no difference was observed for intestinal metaplasia (20.3%vs. 21.6%, P=0.58). Dysplasia were shown in 4% of cancer relatives but only 0.4% of the control group (P<0.001). There was no gender specificity. Conclusions: Findings of our study point to great importance of screening in relatives of gastric cancer patients in Iran.

골격근전이로 진단된 보행 후 발생한 고관절 통증 (Acute Onset Hip Pain after Excessive Walking Diagnosed with Skeletal Muscle Metastasis)

  • 최재형;김건우;황진태;서진우;이용택;윤경재;도종걸
    • Clinical Pain
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    • 제19권1호
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    • pp.54-58
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    • 2020
  • Skeletal muscle metastasis of gastric cancer is extremely rare and is associated with various symptoms. Here, we report on a 60-year-old woman with right hip pain after excessive walking. Two years earlier, the patient had been treated for advanced gastric cancer (surgery, adjuvant chemotherapy). Upon magnetic resonance imaging, diffuse muscle swelling and high signal intensity were observed in T2-weighted images of the right hip muscle. However, the FDG uptake in the right gluteal muscles was not obviously increased. Pathological examination of muscle biopsy revealed metastatic adenocarcinoma of stomach origin. The patient was treated with chemotherapy, and the swelling and pain in the right hip are progressively improving.

광천수의 항산화성, 항돌연변이원성 및 세포독성 효과 (Antioxidative, Antimutagenic and Cytotoxic Effects of the Mineral Water)

  • 함승시;김수현;문선영;전미선;오덕환;최필승
    • 한국식품위생안전성학회지
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    • 제20권1호
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    • pp.53-57
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    • 2005
  • 지하 943 m(3호공)로부터 취수한 경산 광천수의 유$\cdot$무기성분을 분석한 결과 총 17종류의 성분 중 무기물은 11 종류가 검출되었으며 무기성분 중에서는 나트륨과 칼슘 성분이 많이 함유되어 있는 것이 특징이었다. 그리고 구리와 납과 같은 중금속과 탄산가스 및 유화수소는 검출되지 않았다. 그리고 항산화 활성, 항돌연변이원성 및 인간암세포 성장억제 실험 결과 항산화 활성에서는 비교적 약한 활성을 나타내었다. MNNG, 4NQO, Trp-P-1및 $B({\alpha})P$와 같은 돌연변이원을 이용한 미생물 수준에서의 항돌연변이원성 실험 결과 S. typhimurium TA98에 대해서 간접변이원인 Trp-P-1은 시료 농도 $200{\mu}g/plate$ 첨가 시 $54\%$의 억제 활성을 나타내었다. 또한 S. typhimurium TA100 균주에서 4NQO 및 MNNG는 각각 $65.8\%$$58.6\%$의 억제활성을 보였으며 $B({\alpha})P$ 및 Trp-P-1에 대해서도 각각 67%와 63%의 높은 억제활성을 나타내었다. 그리고 광천수의 항암활성을 규명하기 위한 암세포 성장억제 효과에서는 시료농도 $50{\mu}g/well$ 첨가 시 A549, Hela, AGS 및 MCF-7에 대해서 각각 $66\%,\;45.6\%,\;37.7\%$$47.6\%$의 억제효과를 나타내었다. 또한 인간 정상 신세포 293에 대한 온천수 농도에 따른 세포독성 효과는 $20\%$ 이하의 낮은 생육 억제율을 보였으며 이것은 광천수가 정상세포에 대해서는 비교적 낮은 독성효과를 나타냄을 알 수 있었다.

옻나무 칠액성분(漆液成分) 중 Urushiol의 암세포(癌細胞) 증식억제(增殖抑制) 효과(效果) - in vitro 세포독성효과(細胞毒性效果) - (In vitro Cytotoxin Activity of Urushiol in the Sap of Rhus verniciflua STOKES)

  • 나천수;정남철;오광인
    • 한국산림과학회지
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    • 제87권2호
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    • pp.260-269
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    • 1998
  • 본 연구는 전통적인 민간요법으로 많이 이용되고 있는 옻나무의 옻칠액의 주성분인 urushiol의 암세포증식억제 효과를 검정하기 위하여 L1210(mouse 혈액암세포), PC-9(인체폐암세포), A427(인체폐암세포), KATO III(인체위암세포)에 대한 urushiol의 세포독성을 검정하였다. Urushiol은 column chromatography에서 hexane과 acetone을 혼합하여 step-wise법으로 용출한 분획을 암세포주 L1210, PC-9, A427, KATO III에 투여했다. 그 결과 암세포 증식억제효과는 hexane : acetone(9 : 1) 분획이 가장 높았고, 그외 50%억제농도($IC_{50}$)는 A427 에서 $0.018{\mu}g/m{\ell}$로 가장 우수하였다. 이들 암세포에 대한 urushiol의 hexane: acetone(9 : 1)분획의 50%억제농도($IC_{50}$)를 시판용 tetraplatin 비교한 결과 urushiol이 tetraplatin에 대하여 L1210에서 3.4배, PC-9 에서 3.9배, A427에서 105.5배의 낮은 농도에서도 동일한 억제효과를 나타냈고, KATO III에서는 다소 높았다.

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악성 빈혈환자에서 발병한 위암 1예 보고 (Gastric Adenocarcinoma in Patient with Pernicious Anemia: A Case Report)

  • 김병수;김종원;이인규;김동출;김우호;이혁준;양한광
    • Journal of Gastric Cancer
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    • 제7권1호
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    • pp.38-41
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    • 2007
  • 악성빈혈을 동반한 자가면역성 만성 위축성 위염은 위암의 전구 병변으로 알려져 있다. 저자들은 악성빈혈에 동반된 위암 1예를 경험하였기에 보고한다. 40세 여자환자가 어지럼증과 공복 시 속쓰림으로 시행한 혈액검사상 혈색소 4.2 g/dl으로 측정되었다. 상부위장관 내시경상에서는 위 고위 체부의 편평 융기성 병변이 관찰되었고 조직검사상 위선암으로 보고되었다. 위전절제술을 시행하였고 병리조직 검사상 병변은 고위 체부 전벽에 점막하층(SM2)까지 침범한 조기위암이었으며, 검사된 림프절 44개 중에 전이된 림프절은 없었다. 악성빈혈 환자에서 위축성 위염이 동반된 경우 위암의 호발연령이 되면 위암의 발생 가능성이 있으므로 상부위장관 내시경의 주기적인 시행이 중요하리라 생각된다.

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해양심층수염 및 다시마분말 첨가 고추장추출물의 항돌연변이성 및 암세포 성장억제효과 (Antimutagenic and Cytotoxic Effects of Kochujang Extracts Added Deep Sea Water Salt and Sea Tangle)

  • 함승시;최현진;김수현;오현택;정미자
    • 한국식품영양과학회지
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    • 제37권4호
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    • pp.410-415
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    • 2008
  • 본 연구는 Ames test와 SRB assay를 통해 SK와 SDK 메탄올 추출물을 이용하여 항돌연변이원성과 세포독성 효과에 대해 살펴보았다. S. Typhimurium TA98과 TA100 균주를 사용하여 돌연변이원성을 실시한 결과 SK와 SDK 메탄올 추출물 자체의 돌연변이원성은 없었으며, MNNG와 4NQO를 유도하여 높은 항돌연변이 효과를 나타내었다. S.Typhimurium TA98에서 4NQO를 유도하여 SDK($200{\mu}g$/plate) 메탄올 추출물 처리 시에 71.4%의 억제효과를 나타내었으며, 반면에 S. Typhimurium TA100에 4NQO와 MNNG의 돌연변이를 유도하였을 때 각각 56.1%와 83.6%의 억제율을 보였다. 암세포 성장 억제효과를 검토한 결과 샘플처리 시 농도 의존적 증가를 보였으며, SDK 메탄올 추출물 1 mg/mL 첨가 시 HeLa, Hep3B, MCF-7, AGS 및 A549에서 각각 61.5%, 61.3%, 51.4%, 57.9% 및 77.7%의 억제효과를 나타내었다. SK 메탄올 추출물 첨가 결과 $51{\sim}58%$ 정도의 억제효과를 보였다. 대조적으로 SDK 메탄올 추출물을 1mg/mL 첨가 시 293에서 $2{\sim}38%$의 세포독성을 나타내었다.

Perforated Early Gastric Cancer: Uncommon and Easily Missed a Case Report and Review of Literature

  • Lim, Raymond Hon Giat;Tay, Clifton Ming;Wong, Benjamin;Chong, Choon Seng;Kono, Koji;So, Jimmy Bok Yan;Shabbir, Asim
    • Journal of Gastric Cancer
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    • 제13권1호
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    • pp.65-68
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    • 2013
  • Gastric carcinoma rarely presents as a perforation, but when it does, is perceived as advanced disease. The majority of such perforations are Stage III/IV disease. A T1 gastric carcinoma has never been reported to perforate spontaneously in English literature. We present a 56 year-old Chinese male who presented with a perforated gastric ulcer. Intra-operatively, there was no suspicion of malignancy. At operation, an open omental patch repair was performed. Post-operative endoscopy revealed a macroscopic Type 0~III tumour and from the ulcer edge biopsy was reported as adenocarcinoma. Subsequently, the patient underwent open subtotal gastrectomy and formal D2 lymphadenectomy. The final histopathology report confirms T1b N0 disease. The occurrence of a perforated early gastric cancer reemphasises the need for vigilance, including intra-operative frozen section and/or biopsy, as well as routine post-operative endoscopy for all patients.

Bulbophyllum Odoratissimum에서 추출한 새로운 페난트렌, 3,7-Dihydroxy-2,4,6-trimethoxyphenanthrene (3,7-Dihydroxy-2,4,6-trimethoxyphenanthrene, A New Phenanthrene from Bulbophyllum Odoratissimum)

  • Chen, Ye-Gao;Xu, Jun-Ju;Yu, Hong;Qing, Chen;Zhang, Yan-Li;Liu, Ying;Wang, Ji-Hua
    • 대한화학회지
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    • 제51권4호
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    • pp.352-355
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    • 2007
  • Efficient stereoselective synthesis of α,β-Unsaturated acids, α-Cyanoacrylonitriles and α-Cyanoacrylates has been carried out in the presence of NaHSO4·SiO2 under solvent?free conditions with an E-geometry.

Improved Survival of a Patient with Gastric and Other Multiple Metastases from Ovarian Cancer by Multimodal Treatment: A Case Report

  • Hwangbo, Seonmi;Kwon, Oh Kyoung;Chung, Ho Young;Yu, Wansik
    • Journal of Gastric Cancer
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    • 제15권3호
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    • pp.218-221
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    • 2015
  • Gastric metastasis from ovarian carcinoma is extremely rare and the prognosis for patients is poor. We report a case of multimodal treatment improving the survival time of a patient with gastric metastasis from ovarian cancer. A 73-year-old woman with known serous ovarian cancer was admitted to the hospital due to epigastric pain and dyspepsia. On esophagogastroduodenoscopy, a protruding mass was noted at the gastric antrum. She underwent distal gastrectomy with Billroth I anastomosis and lymph node dissection, including the para-aortic lymph nodes. The final pathology revealed gastric metastasis from ovarian serous adenocarcinoma. In this case, after cytoreductive surgery, chemotherapy was performed each time a recurrence was diagnosed, and remission was accomplished. She survived for 108 months after the first diagnosis of the metastatic tumor in the stomach. Multimodal treatment of metastatic lesions since the first diagnosis allowed the patient to survive longer than those in previous reports.