• 제목/요약/키워드: carinoma

검색결과 9건 처리시간 0.022초

구강악성종양 100예에 대한 임상적 고찰

  • 김종원
    • 대한치과의사협회지
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    • 제18권3호통권132호
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    • pp.201-206
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    • 1980
  • The contents of paper are over all incidence informed from 100 case of oral cancer patients who are diagnosed histopathologically in out patient clinic, department of oral surgery, Seoul university hospital during the period of 12 months in 1979. The patients were classified for the clinical evaluation and it's assessment as like age distribution, arising regional section, and groups divided according with final histopathological diagnosis. The following are obtained results of studies 1) As regards of age distribution of oral cancer, 5th decade age group presented the highest incidence, 6th and 4th decade age groups revealed next high incidency. 2) The most common sites of oral cancer were mandible body (33%), maxillae (26%), hard palate and buccal cheek (10% each), oral floor (8%) etc. 3) According to the histopathological diagnosis, cancer of oral cavity, squamous cell carcinoma is disclosed one of the most frequently presented malignantic oral tumor (58%), and nexts are mucoepidermoid carcinoma (15%0, malignant lymphoma (10%), adenocystic carinoma (5%), osteogenic and osteolytic sarcoma were 4% each. 4) In sexual differencies of oral cancer, more prominent incidency is showed in male (68%) than in female (32%).

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치성낭종으로부터 유래된 편평상피세포암종 (SQUAMOUS CELL CARCINOMA ARISING FROM RESIDUAL ODONTOGENIC CYST;Report of a Case & Review of Literatures)

  • 김용각;박형국;권혁진;현재훈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권2호
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    • pp.209-214
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    • 1997
  • Odontogenic cysts are relatively common pathologic lesions found in the oral and perioral structures, but the case of squamous cell carcinoma arising from those cysts are very uncommon. After first reported of that case in 1889 by Herman, Schwimmer collected 56 cases of previously reported squamous cell carcinoma arising in residual odontogenic cyst during about past one century. More than 60% of cases of carcinoma developing in odontogenic cysts arising in inflammatory periapical or residual cyst, and these tumors are usually well-differentiated with relatively good prognosis, and often are diagnosed as benign lesion in radiographic or clinical examination, therefore definitive diagnosis must be made by histologic examintation. We report a case and review the literatures, in our case, 78-year old woman were clinically and radiographically diagnosed as residual odontogenic cyst. But in histologic examination after enucleation of lesion, mass of squamous cell carinoma were observed, but in other area, typical cyst wall and lining epithelium were observed. And in some area, carcinoma in situ and invading squamous cell carcinoma into the lining epithelium were also observed.

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PLHC-1세포주의 Comet assay를 이용한 하천 퇴적토의 생태독성평가 (Studies on Toxicological Evaluation of Freshwater Sediment using a PLHC-1 Cell Comet Assay)

  • 박정아;황인영;백승홍;김영숙
    • 환경생물
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    • 제29권1호
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    • pp.23-30
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    • 2011
  • In this study, the Comet assay (evaluation of DNA damage) used the fish hepatocellular carinoma cell, PLHC-1, was tried to the sediment extract obtained from freshwater to understand its applicability as a tool for monitoring sediment toxicity. In parallel, induced EROD (7-ethoxyresorufin- O-deethylase) activity and DNA damage (TEM values) in PLHC-1 cells were measured for establishing the tandem endpoints of the PLHC-1cell test to test the ecotoxicity of sediment. Among several study sites in a small river passed through downtown and industrial park area, one of them, site B, showed a higher level of EROD activity and DNA damage than other sites. It indicates that a tandem endpoints of PLHC-1 cells could be useful tools for assessing the toxicity of sediment. The sensitivity of Comet assay with PLHC-1 cells was a little higher than that with a blood cell of frog tadpoles to the solvent extract of sediment. According to the results, a PLHC-1 cell-Comet assay could be used as a useful tool for evaluating ecotoxicity of the freshwater sediment. In addition, more detailed studies are needed to the contaminated site.

혈색소지수를 이용한 점막내 위암의 전자내시경 영상 분석 (Analysis of Electronic Endoscopic Image of Intramucosal Gastric Carinoma by Using Homoglobin Index)

  • 김광하;임은경;김광백
    • 한국지능시스템학회:학술대회논문집
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    • 한국퍼지및지능시스템학회 2005년도 추계학술대회 학술발표 논문집 제15권 제2호
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    • pp.535-541
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    • 2005
  • It has been suggested that the endoscopic color of intramucosal gastric carcinoma is correlated with mucosal vascularity within the carcinomatous tissue. The development of electronic endoscopy has made it possible to quantitatively measure the mucosal hemoglobin volume, using a hemoglobin index. The aim of this study was to make a software program to calculate the hemoglobin index (IHb) and then investigate whether the mucosal IHb determined from the electronic endoscopic data is a useful marker for evaluating the color of intramucosal gastric carcinoma, in particular with regard to its value for discriminating between the histologic type. The mean values of IHb for the carcinoma (IHb-C) and the mean values of IHb for the surrounding non-cancerous mucosa ( IHb-N) were calculated in 75 intestinal-type and 34 diffuse-type gastric carcinomas. Then, we analyzed the ratio of the IHb-C to IHb-N. The mean IHb-C/IHb-N ratio in the intestinal-type carcinoma group was higher than that in the diffuse-type carcinoma group ($1.28{\pm}0.19$ vs. $0.81{\pm}0.18$, respectively, p<0.001). When the cut-off point of the C/N ratio was set at 1.00, the accuracy rate, the sensitivity, the specificity, and the positive and negative predictive values of a C/N ratio below 1.00 for the differential diagnosis of diffuse-type carcinoma from intestinal-type carcinoma were $94.5\%$, $94.1\%$, $94.7\%$, $88.9\%$ and $97.3\%$, respectively. IHb is useful for quantitative measurement of the endoscopic color in intramucosal gastric carcinoma and the IHb-C/IHb-N ratio would be helpful in distinguishing diffuse-type carcinoma from intestinal -type carcinoma.

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Diethylnitrosamine 을 투여한 rat 간장의 tumorigenesis에 관하여 1. 간장의 육안적 소견 (Diethylnitrosamine-induced hepatic tumorigenesis in rats 1. Gross findings of livers)

  • 곽수동;강정부;하우송
    • 대한수의학회지
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    • 제38권2호
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    • pp.379-385
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    • 1998
  • The study was designated to investigate the gross findings following treatment with diethylnitrosamine (DEN) in rats. Forty four male rats (Sprague Dawley), initially 5 to 6 weeks of age and 120 to 150gm in body weight were continuously given water containing 0.01% DEN for 13 weeks and 3~6 rats per week were randomly sacrified at intervals of a week from 8 weeks to 17 weeks. The numbers of rats died until 17 weeks were 11 rats and first death occurred at 10 weeks. Body, liver and spleen weights were weighed and the relative weight levels of the liver and spleen per body weights were increased from 4.4% and 0.5% at control groups to 15.1% and 1.1% at 17 weeks. The numbers of RBC were not varied but PCV were decreased from 44.5% in control group to 27.5% in 16 weeks. A few of greyish-white foci or nodules of tumors were developed or not on the surfaces of the livers at 8 weeks but were developed on all livers after 9 weeks. The diameter of the largest tumor from all rat livers was 35.8 mm at 12 weeks. The numbers of developed tumors per a rat liver were appeared to be about 20 in 13 weeks and about 50~60 in 17 weeks. The diameter of some larger tumors were found to be 3~9mm in 13 weeks and 7~15mm in 17 weeks and more number of tumors were developed in the visceral surfaces than in the diaphragmatic surfaces of the livers. The parenchymae of livers were fragility.

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사기질모세포 암종에서 수술 후 방사선치료의 역할: 증례보고 (The Role of Postoperative Radiotherapy for Ameloblastic Carcinoma of the Mandible: Case Report)

  • 김원택;정인교;기용간;남지호;권병현;김동원
    • Radiation Oncology Journal
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    • 제23권3호
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    • pp.194-200
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    • 2005
  • 사기질모세포 암종은 악골에 발생하는 치원성 악성 종양으로 매우 드물게 보고되고 있다. 양성질환의 임상양상을 보이기도 하지만 악골 및 주변조직을 침범해 궤양 형태를 보일 수 있으므로 보통은 조직검사를 통해서 진단이 내려진다. 이런 이유로 수술 절제가 충분치 못할 수 있어 국소재발이나 원격전이의 위험에 노출되게 되므로, 수술 후의 보조적 치료 또는 재절제가 중요하다고 할 수 있다. 저자들은, 하악에서 발생한 사기질모세포 암종의 환자에서 일차 수술 후 충분한 절제연을 얻지 못해 재발한 부위에 대해 재수술 후 재발 위험부위에 대한 보조적 방사선치료를 시행한 증례를 토대로, 최근의 문헌고찰을 통해 사기질모세포 암종 환자에서의 수술 후 방사선치료의 역할에 대해서 의견을 제시해 보고자 한다.

비강 및 부비동에 발생한 반전성 유두종 1례 (A Case of the Inverted Papilloma of the Nose and Paranasal Sinuses)

  • 권혁진;박호선;윤병용
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.15.2-15
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    • 1982
  • 비강 및 부비동의 점막에서 발생하는 양성상피종양인 반전성 유두종은 비교적 드물며 1854년 Ward에 의해 처음으로 기술된 이래 여러 학자들에 의해 본증이 논의되어 왔으나 한국에서는 그 보고례가 매우 드물었다. 병리조직학적으로 양성인 이 종양은 비강이나 골 및 주위조직의 파괴성 병변이 빈번하고 수술 후 재발이 잘되고 드물게 악성으로 변하는 성질을 나타내므로 임상적으로 악성으로 알려져 왔다. 일단 반전성 유두종으로 확진되게 되면 가능한 한 광범위한 절제가 필요하며 술 후에도 계속적이 추적조사가 필요하다고 하겠다. 최근 저자들은 비폐색, 종류감을 주소로하여 내원한 48세된 남자환자에서 우측비강, 상악동에서 발생하여 국소적으로 악성화 변화를 일으킨 반전성 유두종 1례를 비내 및 Caldwell_LUC식 방법으로 절제후 Bleomycin 정맥주사, 5_FU 국소분무요법 및 방사선요법($Co^{60}$)을 병용하여 좋은 결과를 얻었기에 이를 문헌적 고찰과 함께 보고하는 바이다.

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실험적 설암에서 방사선 조사전후의 혈관분포에 관한 연구 (A STUDY ON THE PRE-AND POST-IRRADIATION EFFECT OF BLOOD VESSELS IN THE EXPERIMENTALLY INDUCED TONGUE CANCER)

  • 김영태;박태원
    • 치과방사선
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    • 제20권1호
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    • pp.41-49
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    • 1990
  • The author observed the changes of vasculature of pre-and post-irradiation on DMBA induced rat tongue cancer. The study was performed by using vascular corrosion resin casting, and scanning electron microscopy. The results were as follows. 1. The capillaries runned parallely and formed bundles and, sometimes, plexus. The endothelial cells were arranged regularly and small pores were observed. 2. In irradiated normal tongue the capillaries were curved slightly and formed plexus on initial day of post-irradiation. On third day the capillaries and capillary pores were dilated and the endothelial cell arrangement was irregular. The effects of irradiation were gradually increased from initial to the 3rd day, though it was decreased after 7th day. 3. The vasculature of DMBA induced tongue cancer group were very irregular, and large avascular lesions were formed according to the cancer necrosis or tumor cell nest and the vasculature was narrowed and paralleled around the avascular lesion by compression of cancer cell nest. The vascular wall was roughened and dilated, forming club shaped or varix. 4. The vessels were curved and formed reticular network in irradiated DMBA induced tongue carinoma group. The free end of newly formed capillaries had regular width, and also irregular club shaped or aneurysmal dilatation were observed. The vascular structures were destroyed and vessels were fused in tumor necrosis lesion. The radiation effects were marked on the first and third day of irradiation and the effects were decreased after seventh day and showed capillary regeneration.

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조기 성문암 환자에서의 방사선치료 (Radiotherapy for Early Glottic Carinoma)

  • 김원택;남지호;권병현;왕수건;김동원
    • Radiation Oncology Journal
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    • 제20권4호
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    • pp.295-302
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    • 2002
  • 목적 : 조기 성문암(T1-2N0M0) 환자들에 대한 일차적인 치료로서의 방사선치료의 역할과 치료결과에 영향을 미치는 예후인자들에 대한 분석을 통해 향후 치료방침을 세우는데 자료로 삼고자 연구를 시행하였다. 대상 및 방법 : 1987년 8월부터 1996년 12월까지 부산대학교병원 치료방사선과에서 조기 성문암으로 근치적 방사선 치료를 시행받은 환자 80명을 대상으로 후향적 분석을 시행하였다. T1 병기가 66명$(82.5\%)$, T2 병기가 14명$(17.5\%)$이였으며, 방사선치료는 6 MV X-선을 좌우 대칭조사야로 1일 1회 180 cGy 내지 2n cGy씩 주 5회 총 $ 6,000\~7,560\;cGy$ (중앙값 6,840 cGy)를 조사하였다. 치료기간은 40일에서 87일이었고 중앙값은 51일이었다. 모든 환자에서 최소 3년 이상 추적 조사하였다. 예후인자들에 대한 연구를 위해 T-병기, 종양의 위치, 총방사선량, 분할선량, 조사야의 크기 및 전체 방사선치료기간 등에 대한 단변량 및 다변량분석을 실시하였다. 결과 : 5년 생존율은 전체가 $89.2\%$였고 병기별로는 T1이 $90.2\%$, T2가 $82.5\%$였다. 국소제어율은 전체에서 $81.3\%$였고, T1 병기가 $83.3\%$, T2 병기가 $71.4\%$였으나 구제수술 후의 궁극적 국소제어율은 전체가 $91.3\%,\;T1\;94.5\%,\;T2\;79.4\%$$89.2\%$의 증가를 보였다. 음성보존율은 $89.2\%$로 T1과 T2에서 각각 $94.7\%$$81.3\%$로 유의한 차이를 보였다. 전체 환자 80명 중 15명에서 치료 후 재발을 보였고 이 중 국소재발(11/15, $73.3\%$)의 빈도가 가장 높았다. 예후 인자로 T-병기와 전체 치료기간이 단변량분석에서 통계적으로 의미를 주었으나 다변량분석에서는 전체 치료기간만이 유의한 인자였다. 결론 : 조기 성문암 환자의 치료에 근치적 방사선치료 및 구제수술의 조합은 높은 국소제어율과 함께 성문의 기능보존이라는 측면에서 효과적인 치료방법이라고 할 수 있으며, 치료결과에 영향을 줄 수 있는 예후인자들에 대해서는 추가적인 연구가 더 필요하겠으나 치료계획 단계에서부터 고려해야할 요소들로 생각된다.