• 제목/요약/키워드: Surgical pathology

검색결과 987건 처리시간 0.027초

Metastatic thyroid C-cell carcinoma in a beagle dog

  • Lee, So-Ra;Lee, Mi-Kyoung;Youp, Kyoung-A;Lee, Ah-Ra;Won, Sung-Jun;Kim, Myung-Chul;Kim, So-Yeon;Kim, Yongbaek
    • 대한수의학회지
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    • 제53권3호
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    • pp.189-192
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    • 2013
  • An adult beagle dog was presented with a cervical mass detected by palpation and computed tomography. Fine needle aspirates revealed numerous epithelial cells with plasmacytoid appearance and frequent naked nuclei. Histologically, the mass consists of multiple packets of neoplastic cells and extensive areas of necrosis and fibrosis. Neoplastic cells were also found in submandibular lymph nodes. Immunohistochemistry showed that neoplastic cells were positive for calcitonin and negative for thyroglobulin. Based on these findings, the cervical mass was diagnosed as thyroid C-cell carcinoma. Almost one year after the surgical excision, the dog remains healthy without any symptom of recurrence or metastasis.

골반 방선균증 - 1예 보고- (Pelvic Actinomycosis - A case report-)

  • 김대중;진소영;이동화
    • 대한세포병리학회지
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    • 제2권2호
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    • pp.172-178
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    • 1991
  • Actinomycosis involving the female genital tract has increased since the advent of the intra-uterine contraceptive devices (IUD) : the incidence of actinomyces in IUD users with pelvic inflammatory disease (PID) was reported to be between 17% and 30%. However a definte relationship between actinomyces and PID has not been demonstrated as yet. We present a case of pelvic actinomycotic infection that was initially diagnosed by means of fine needle aspiration. A 57-year-old female presented with urinary frequency and difficulty for 100 days. Computerized tomographic findings showed a mixed heterogenous soft tissue mass in the left superior aspect of urinary bladder. Fine needle aspiration was done under the impression of urinary bladder cancer. Microscopically, smears disclosed many sulfur granules in necrotic background with many neutrophils, histiocytes, multinucleated giant cells and granulation tissue. These findings were confirmed by surgical removal of the mass.

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Vascular tumors of the liver: A brief review

  • Sujata Sarangi;Balamurugan Thirunavukkarasu;Sudeep Khera;Selvakumar B;Taruna Yadav
    • 한국간담췌외과학회지
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    • 제27권4호
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    • pp.329-341
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    • 2023
  • Vascular tumors of the liver are mesenchymal lesions from endothelial cells. They range from common benign lesions such as haemangioma, intermediate tumors like Kaposi sarcoma, and perivascular epithelioid cell tumor to malignant tumors such as hepatic epithelioid hemangioendothelioma and hepatic angiosarcoma in adults. Pediatric vascular tumors of the liver also include benign, locally aggressive, borderline, and malignant masses with haemangiomas being the most common benign tumors and epithelioid hemangioendothelioma being an uncommon pediatric malignancy. The list of these lesions is completed by nodular regenerative hyperplasia, solitary fibrous tumour, and hepatic small vessel neoplasms (HSVN). Some of these tumors are uncommon and rare. This review article aimed to enumerate hepatic vascular tumors along with their imaging, histopathology, molecular findings for accurate diagnosis that can result in better management.

Chronic Heavy Metal Exposure and Gallbladder Cancer Risk in India, a Comparative Study with Japan

  • Chhabra, Deepak;Oda, Koji;Jagannath, Palepu;Utsunomiya, Hirotoshi;Takekoshi, Susumu;Nimura, Yuji
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.187-190
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    • 2012
  • Background: High incidence of gallbladder cancer (GBC) is reported from North India, with elevated concentrations of heavy metals in water and soil. This Indo-Japan collaborative study compared presence of heavy metals in gallbladder tissues. Methods: Heavy metal concentrations were estimated in Indian GBC and cholecystitis tissues and compared with Japanese GBC and cholecystitis tissues. Spectrophotometry was done for 13 Indian gallbladder tissues (8 GBC, 5 cholecystitis) and 9 Japanese (5 GBC, 4 cholecystitis). Transmission electron microscopy (TEM) thin foil element analysis was done in 10 Indian samples (6 GBC, 4 cholecystitis). Results: Chromium, lead, arsenic and zinc were significantly high in Indian GBC compared with Japanese GBC. Chromium, lead and arsenic were significantly high in the Indian cholecystitis tissues compared to the Japanese. TEM of Indian tissues demonstrated electron dense deposits in GBC. Conclusion: Heavy metals-chromium, lead, arsenic and zinc are potential carcinogens in Indian GBC from endemic areas. This preliminary study links presence of heavy metals in gallbladder cancer tissues in endemic areas.

Pulmonary Nodular Lymphoid Hyperplasia in a 33-Year-Old Woman

  • Park, Ji Ye;Park, Seong Yong;Haam, Seokjin;Jung, Joonho;Koh, Young Wha
    • Journal of Chest Surgery
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    • 제51권2호
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    • pp.133-137
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    • 2018
  • Pulmonary nodular lymphoid hyperplasia is a reactive lymphoproliferative disease. It is very rare, which means that many aspects of the disease are unknown or have not been proven. Pulmonary nodular lymphoid hyperplasia can be symptomatic or asymptomatic, progressive or not, and solitary or multiple, and a surgical approach is the current treatment of choice. We present a case of pulmonary nodular lymphoid hyperplasia that was visualized as multiple ground glass opacities on a computed tomography (C T) scan, and observed for 1 year because the patient was pregnant. Over this period, the number and extent of the opacities progressed, but no symptoms were reported. A surgical biopsy was done and some remaining lesions regressed on follow-up CT scans, while others progressed, without any appearance of symptoms.

Intracranial Extraskeletal Myxoid Chondrosarcoma : Case Report and Literature Review

  • Park, Jin Hoon;Kim, Mi-Jung;Kim, Chang Jin;Kim, Jeong Hoon
    • Journal of Korean Neurosurgical Society
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    • 제52권3호
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    • pp.246-249
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    • 2012
  • Intracranial extraskeletal myxoid chondrosarcoma is extremely rare, with only seven patients previously reported. We present a case report of a 21-year-old woman admitted for weakness in her right extremities and symptoms of increased intracranial pressure. Magnetic resonance imaging (MRI) revealed hydrocephalus and a well-enhanced large mass around her left thalamus. A left parietal craniotomy and a cortisectomy at the superior parietal lobule were performed. Total surgical resection was also performed, and pathology results confirmed an extraskeletal myxoid chondrosarcoma. Postoperative MRI showed no residual tumor, and the patient underwent radiotherapy. After six months of radiotherapy, the patient's headache and weakness had improved to grade IV. This malignant tumor showed high rates of recurrence in previous reports. We here report another occurrence of this highly malignant and rare tumor in a patient treated using total surgical excision and adjuvant radiotherapy.

Secondary Circulating Tumor Cells (CTCs) but not Primary CTCs are Associated with the Clinico-Pathological Parameters in Chilean Patients With Colo-Rectal Cancer

  • Murray, Nigel P;Albarran, Vidal;Perez, Guillermo;Villalon, Ricardo;Ruiz, Amparo
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4745-4749
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    • 2015
  • Background: The aim of this study was to assess detection of circulating tumor cells (CTC) using anti-CEA pre and post surgery in Chilean patients with colo-rectal cancer. Materials and Methods: The presence of CTCs was evaluated in 80 colorectal cancer patients pre and post surgery using standard immunocytochemistry and the results were compared with findings for standard clinico-pathological parameters. Results: In patients presurgery CEA (+) CTCs were frequently found, with no relation to tumor size or nodal status. After surgery, the presence of CTCs was associated with such clinico-pathological parameters. The frequency of CTC detection in node positive patients did not change after surgery. In patients with metastasis there was also no change in the frequency of CTC detection, and clusters of 3 or more CTCs were evident. Conclusions: Secondary CTCs are associated with clinico-pathological parameters only after surgical removal of the primary tumor, and might be important in identifying patients at high risk of relapse. Primary CTCs detected before surgical removal are frequently found, are not associated with the clinico-pathological parameters and might have a role in cancer screening. These findings suggest the need for studies with a larger population of patients.

폐에 발생한 낭성림프관종 -1예 보고- (Pulmonary Cystic Lymphangioma -A case report-)

  • 윤용한;조정수;이경희;김루시아;김광호
    • Journal of Chest Surgery
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    • 제39권11호
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    • pp.872-874
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    • 2006
  • 폐에 발생하는 림프관종은 매우 드물지만 낭성 형태나 결절 형태로 흉부 X-선 사진에서 발견되며 최종 진단은 절제술 후에 밝혀지게 된다. 저자들은 방사선 촬영 소견에서 국소적인 늑막삼출 형태를 보인 좌폐 상엽 설상구역에 발생된 낭성 림프관종 1예를 치험하여 보고하는 바이다.

Surgical Experience of Infratentorial Meningiomas : Clinical Series at a Single Institution during the 20-Year Period

  • Jung, Min-Ho;Moon, Kyung-Sub;Lee, Kyung-Hwa;Jang, Woo-Youl;Jung, Tae-Young;Jung, Shin
    • Journal of Korean Neurosurgical Society
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    • 제55권6호
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    • pp.321-330
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    • 2014
  • Objective : Based on surgical outcomes of patients with infratentorial meningiomas surgically treated at our institution, we analyzed the predictors for surgical resection, recurrence, complication, and survival. Methods : Of surgically treated 782 patients with intracranial meningioma, 158 (20.2%) consecutive cases of infratentorial location operated on between April 1993 and May 2013 at out institute were reviewed retrospectively. The patients had a median age of 57.1 years (range, 16-77 years), a female predominance of 79.7%, and a mean follow-up duration of 48.4 months (range, 0.8-242.2 months). Results : Gross total resection (Simpson's grade I & II) was achieved in 81.6% (129/158) of patients. Non-skull base location was an independent factor for complete resection. The recurrence rate was 13.3% (21/158) and the 5-, 10-, and 15-year recurrence rates were 8.2%, 12.0%, and 13.3%, respectively. Benign pathology, postoperative KPS over than 90, low peritumoral edema, and complete resection were significantly associated with longer recurrence-free survival rate. The 5-, 10-, and 15-year survival rates were 96.2%, 94.9%, and 94.9%, respectively. Benign pathology, postoperative KPS over than 90 and complete resection were significantly associated with a longer survival rate. The permanent complication rate was 13% (21/158). Skull base location and postoperative KPS less than 90 were independent factors for the occurrence of permanent complication. Conclusion : Our experience shows that infratentorial meningiomas represent a continuing challenge for contemporary neurosurgeons. Various factors are related with resection degree, complications, recurrence and survival.

갑상선 결절에 대한 세침 흡인 세포 검사와 중심부 바늘 생검의 비교: 수술 검체를 기반으로 한 전향적, 실험적 비교 연구 (Fine Needle Aspiration Cytology vs. Core Needle Biopsy for Thyroid Nodules: A Prospective, Experimental Study Using Surgical Specimen)

  • 권혁;이잔디;홍순원;권형주;곽진영;윤정현
    • 대한영상의학회지
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    • 제83권3호
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    • pp.645-657
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    • 2022
  • 목적 수술 검체를 사용하여 동일한 갑상선 결절에 시행한 세침 흡인 세포검사와 중심부 바늘 생검의 진단 결과를 비교 평가하고자 하였다. 대상과 방법 2015년 2월부터 2016년 1월까지 88명의 20 mm 이상 크기의 89개의 갑상선 결절이 연구에 포함되었다(평균 크기: 40.0 ± 15.3 mm). 갑상선이 적출된 후 검체에 초음파 보조하에 세침 흡인 검사와 중심부 바늘 생검을 차례대로 시행하였다. 세포 병리 검사 결과는 수술 병리 진단 결과와 비교하였다. 결과 89개의 결절 중 30개는 악성, 59개는 양성이었다. 악성 결절에서 양성 결절보다 유의하게 비진단적 세침 흡인 검사 결과율이 높았다(80.0% vs. 39.0%, p < 0.001). 중심부 바늘 생검의 경우 양성과 악성 결절 사이에 결과의 유의한 차이가 없었다(p = 0.796). 크기가 40 mm 이상인 결절과(62.5% vs. 22.9%, p = 0.028) 초음파 소견과는 상관없이, 악성 결절에서 비진단적 세침 흡인 검사 결과율이 높았다. 30개의 갑상선암 중 11개(36.7%)가 중심부 바늘 생검으로 진단되었으나, 세침 흡인 검사에서는 진단된 검체가 없었다. 결론 수술 검체를 이용한 본 실험 연구에서, 중심부 바늘 생검은 갑상선암에 대한 진단적 민감도를 높일 수 있는 가능성이 있는 것으로 생각된다.