• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3647-3650
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• 2016

Background: Colorectal cancer is one of the major health problems worldwide. However, limited studies have been reported from ASEAN countries. This study was conducted to evaluate clinical characteristics and survival of colorectal cancer cases aged <65 years and ${\geq}65$ years in the central region of Thailand. Materials and Methods: Clinical information, histological features, endoscopic findings and treatment outcome were collected and reviewed from Thammasat University Hospital, Pathumthani, Thailand between November 2011 and October 2015. Results: A total of 121 colorectal cancer patients, comprising 69 men and 52 women with a mean age of 65.8 years, were included. There were 57 aged <65 years and 64 aged ${\geq}65$ years. Common presenting symptoms were abdominal pain (37%), weight loss (34%) and anemia (32%). Mean duration of symptoms prior to diagnosis was 173 days. However, longer diagnosis time was demonstrated in patients aged <65 years than age more than ${\geq}65$ years (119.4 vs 58.4 days, P-value=0.30). Colonic fungating mass was the most common endoscopic finding (64.4%) and the location was significantly more commonly left than right side of the colon, both in younger and elderly groups (87.7% vs 12.3%, P=0.02 and 70.3% vs 29.7%, P=0.02, respectively). Adenocarcinoma with moderated differentiated was the most common histology (67.3%). More than half of the patients presented with advanced stage (28.9% with TNM stage 3 and 38.8% TNM stage 4, respectively). Overall 1-year and 5-year survival rates were 76.9% and 5%. Conclusions: Most colorectal cancer patients in Thailand have adenocarcinomas and present at advanced stage with poor prognosis. Screening of high risk patients and early detection might be essential factors to improve the treatment outcome and overall survival rate of colon cancer patients in Thailand and other ASEAN countries.

• 한국식품영양과학회지
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• 제26권1호
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• pp.137-143
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• 1997

본 연구는 고들빼기를 분획별로 나누어 수층, butanol 층, hexane층, ethyl acetate층 분획 물들을 1주일간 흰 쥐의 복강내 주사 후 마지막날 사염화탄소를 복강내 1회 투여하여 간손상을 유발시킨 쥐의 간중량, 과산화지질, 항산화효소활성 및 간조직을 관찰하였다 체중에 대한 간중량 백분율은 간손상군중에서 n-hexane 분획물 투여군이 가장 낮게 나타났으며, 혈청 중 GPT활성 역시 n-hexane 분획물 투여군이 거의 정상군과 비슷한 수준으로 떨어 졌다. 간 중 MDA함량은 고들빼기 분획물 투여군들이 모두 낮은 경향이었으며 그 중에서도 n-butanol 분획물 투여군과 n-hexane 분획물 투여군이 대조군에 비해 유의적으로 낮았다 간 중 GST활성은 정상군에 비해 간손상군이 떨어졌으며 간손상군에서는 대조군에 비해 ethyl acetate 분획물 투여군이 유의적으로 높게 나타났다. 간조직 관찰에서는 정상군에 비 해 간손상군의 조직에 염증 및 괴사가 뚜렷이 나타났고 고들빼기 n-hexane 분획물 투여 후 간독성 유발 쥐의 간조직에서는 염증 및 괴사가 확실히 감소한 경향을 볼 수 있었다.

• 대한수의학회지
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• 제34권1호
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• pp.135-139
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• 1994

1992-1993년 호남지방의 4개 양계장에서 처음으로 닭의 Leucocytozoon caulleryi 자연감염증을 보이는 87수를 검색하였는데, 임상증세와 혈액내 merozoite 및 gametocyte 검출 그리고 내장기관으로부터 schizont의 발견으로 본 질병을 확증할 수 있었다. 본 감염증은 일년 중 6월 하순부터 9월 중순까지에 발견되었으며, 자연감염된 혈액(merozoite포함)을 미감염된 닭에 접종하여 인공감염상을 볼 수 있었다. 자연감염후 회복된 닭중 1수는 12월에 간에서, 또 다른 1수는 다음해 2월에 심장 근육에서 schizont가 발견되어 본 감염증의 재발이나 동절기를 지나는 장기간 감염 가능성을 보여 주었다. 본 원충의 gametocyte 추출물에서 특이 항원 항체 반응을 보이는 polypeptide는 50.1kD이었다.

• Journal of Chest Surgery
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• 제29권6호
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• pp.621-625
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• 1996

"중엽증후군"의 용어는 Grahaml)등에,의해 처음 기술되어졌으며 대개 비후된 림프절에 의해 기관지 가 외부적으로 압박되 어 발생된다고 하였다. 환자들은 거의 증상이 없을 수 있으나 가장 흔한 발현 증상 은 기침, 호흡 곤란, 반복되는 발열, 객혈, 그리고 흥통 등이다. 진단방법은 흉부 X선, 기관지경검사, 기 관지조영술, 흉부컴퓨터단층될영 등이며 대개 공기가 없이 압축된 중엽이 중요한 소견이다. 본 저자들은 1990년 3월에서 1995년 5월까지 15례의 중엽증후군을 경 험하였으며 그 중 11례에서 수술 적 치료를 시행하였다. 중엽 증후군의 환자에서 수술적용은 악성 종양이 의심되거나,비가역적 기관지 확장증,기관지협착증,약물 치료에 호전이 없는 경우, 치료후 반복되는 감염 등의 경우에 시행하였다. 수술은 중엽절제술 8례,중엽 및 하엽절제술2례,상엽 및 중엽절제술 1례를시술하였다. 수술후 병리조 직소견상 결핵 6례, 만성감염 3례, 악성 종양 1례, 국소적 출혈 1례의 소견을 보였다 술후 합병증은 2례에서 발생하였으며,그 중 1례에서 술후 폐허탈, 1례에서 간장장애를 경험하였으며 치유되었다.였으며 치유되었다.

• Advances in pediatric surgery
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• 제20권2호
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• pp.33-37
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• 2014

Purpose: The purpose of this study was to compare the diagnostic accuracy of the non-invasive diagnostic methods and rectal suction biopsy for the detection of Hirschsprung disease (HD). Methods: We reviewed diagnostic methods and results retrospectively in patients who underwent anorectal manometry, barium enema and rectal suction biopsy for the diagnosis of HD at Asan Medical Center from January 2000 to December 2012. Results: There were 97 patients (59 neonates and 38 infants) in the study period. The overall accuracy of anorectal manometry for the diagnosis of HD was 71.1% and its sensitivity was 51.4% (48.1% in neonate and 62.5% in infant, respectively) and its overall specificity was 82.3% (81.3% in neonate and 83.3% in infant, respectively). The Overall accuracy of barium enema was 66.0% (72.8% in neonate and 55.3% in infant, respectively) and specificity of barium enema was 53.2% (56.3% in neonate and 50.0% in infant, respectively). These results were lower than those of anorectal manometry. The overall sensitivity of barium enema was 88.6% (92.6% in neonate and 75.0% in infant, respectively) and it was higher than the sensitivity of anorectal manometry. Histological studies confirmed HD in 35 patients, in one of whom the suction biopsy showed negative finding. Conclusion: Accuracy of non-invasive methods for diagnosis of HD in our study is lower than those in previous study, so we need to improve the quality of diagnostic tools in our hospital. We conclude that the rectal suction biopsy is the most accurate test for diagnosing HD, so the biopsy to confirm the diagnosis of the HD is very important.

• Advances in Traditional Medicine
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• 제10권3호
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• pp.165-172
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• 2010

The present study investigated the effect of silymarin, a flavonoid, on streptozotocin (STZ) - induced diabetic dyslipidaemia in rats. Experimental diabetes was induced by a single intraperitoneal injection of STZ (60 mg/kg). Silymarin (25 mg/kg and 50 mg/kg) was orally administered to diabetic rats for a period of 15 days. Blood glucose levels, serum lipid profile and liver glycogen levels were estimated following the established procedures. Biochemical observations were supplemented with histological examination of liver sections. Oral administration of silymarin to diabetic rats significantly (P < 0.001) decreased the blood glucose levels ($259.99{\pm}23.64$ vs. $99.90{\pm}2.62$ [25 mg] & $89.17{\pm}3.32$ [50 mg]). The most interesting finding was the significant (p < 0.001) increase in HDL-cholesterol levels ($26.99{\pm}0.61$ vs. $40.55{\pm}0.52$ [25 mg] & $41.12{\pm}0.37$ [50 mg]) whereas, there was a significant decrease in serum total cholesterol (TCh), triglycerides (TG), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) cholesterol levels observed in silymarin treated diabetic rats. STZ treatment caused significant degeneration of liver parenchyma, which was normalized to near normal morphology by administration of silymarin. The findings indicate that silymarin effectively improved the overall lipid profile and restored the glycogen stores in the liver of STZ-induced diabetic rats, in a dose dependent manner. The results indicate existence of abnormalities in lipid metabolism in STZ-induced diabetic rats and suggest a protective effect of silymarin in this animal model.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.663-666
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• 2009

Purpose: Primary malignant lymphomas of the salivary glands are uncommon. The parotid gland was most frequently involved, followed by the submandibular gland, minor salivary gland and sublingual gland. The most common subtype is mucosa - associated lymphoid tissue(MALT) lymphoma. We experienced a case of salivary MALT lymphoma involving parotid gland duct, so report a case with a review of the literature. Methods: A 65 year old female presented with a palpable mass on the left side of her cheek. There was no clinical or laboratory evidence of pre - existing autoimmune disease. Preoperative facial and neck CT with contrast showed $2.1{\times}1.7cm$ sized, ill defined, homogeneous low density mass near left masseter muscle, and no evidence of other enlarged lymph nodes. Results: At operation, a yellowish oval shaped mass was found slightly adhered to middle portion of the parotid gland duct, meaduring $2{\times}1.5{\times}0.7cm$. Microscopic finding showed that centrocyte - like cells, monocyte B cells and plasma cells were diffusely infiltrated. Immunophenotyping was preformed on fixed section. The majority of the small cells were immunoreactive for the B cell marker CD20. Based on the typical histological findings supported by immunostaining, the mass was defined as MALT lymphoma. Conclusion: We report that very rare case of MALT lymphoma involving parotid gland duct in 65 year old female patient was experienced with clinical characteristics, histologic features and references.

• Journal of Yeungnam Medical Science
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• 제31권2호
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• pp.131-134
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• 2014

Familial isolated primary hyperparathyroidism(FIPH) is associated with multiple endocrine neoplasia type 1 (MEN1) syndrome, primary hyperparathyroidism accompanied by jaw-tumor syndrome, and familial hypocalciuric hypercalcemia. FIPH may be an early stage of MEN1 or an allelic variant of MEN1. Thymic carcinoid tumor is a rare tumor in MEN1 syndrome. Here, the authors report the case of a 40-year-old man diagnosed with recurrent thymic carcinoid tumor and FIPH. Both the patient and his elder sister had been previously diagnosed to have FIPH with a novel frameshift mutation in the MEN1 gene. Initially, the patient underwent thymectomy because of an incidental finding of a mediastinal mass in his chest X-ray, and had remained asymptomatic over the following 4 years. Pancreas computed tomography conducted to evaluate MEN1 syndrome revealed anterior and middle mediastinal masses, and resultantly, massive mass excision was performed. Histological findings disclosed atypical carcinoids with infiltrative margins. In view of the thymic carcinoid tumor relapse that occurred in this patient, the authors recommend that regular pancreas and pituitary imaging studies be conducted for FIPH associated with a MEN1 gene mutation.

• 한국수산과학회지
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• 제54권3호
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• pp.298-310
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• 2021

Freshwater eel Anguilla japonica is a commercially important species in East Asia. However, given the continuously decreasing resources due to many problems as climate change, habitat destruction and overfishing, mass seed production is crucial. In particular, the eel larvae present a unique life history, spending prolonged periods in the Pacific Ocean. Therefore, finding suitable feed that lasts through the long larval stages is rather difficult. In the present study, we histologically observed the development of digestive organs for 50 days after hatching (DAH). The endogenous reserves were completely absorbed at 7 DAH, and the first exogenous feeding started thereafter. The teeth appeared at 4 DAH and dramatically changed from needle-like to broad-based types by 50 DAH. The intestine remained as straight gut until 50 DAH. The intestinal cilia appeared first at 6 DAH and their density continuously increased thereafter. Interestingly, goblet cells appeared in the intestine, but not in the esophagus, where these cells are commonly observed in other teleosts. In addition, high amounts of eosinophil substances, assumed to be zymogen granules, accumulated in the pancreas, suggesting a specific digestive strategy of this species. Overall, these observations largely update the previous reports and can be useful to improve A. japonica seed production.

• 한국어병학회지
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• 제34권1호
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• pp.63-70
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• 2021

As a part of research to elucidate the pathogenesis of so called Soft Tunic Syndrome(STS), that caused mass mortalities in the cultured sea squirts, Halocynthia roretzi, the epidemiological and pathological analysis were done to both clinically normal and diseased groups of the farms of Tongyoung and Geoje coastal areas in southeast sea from February to July, 2008. In the histological finding of the tunic, most of individuals showed tunic softness syndromes that included the disarrangement and destruction of tunic fiber with the simultaneous presence of flagellates-like cells, recently suspected as main agents of tunic softness syndromes. Simultaneously, the intensive degenerative changes of the skeletal muscle of diseased sea squirts were recognized. The changes were characterized with the hyalinization and condensation of muscle fibril and hemocytic infiltration in the muscle fibers. Those were thought to be a kind of typical Zenker's necrosis as in the skeletal muscle of higher vertebrates. Besides of the diseased sea squirts, Zenker's necrosis of skeletal muscles were seen in the normal ones. Epidemiological inquiry for diseased groups revealed that the higher incidences of tunic softness syndrome were recorded in the fast growing groups and in the sites presuming the organic pollution. And Higher malondialadehyde(MDA) and glutathione peroxidase(GPx) activity were detected in the groups showing STS. Those results suggested that Zenker's necrosis of body muscles was a kind of"nutritional myopathy" by oxidative stress. Conclusively, it was considered that Zenker's necrosis of body muscles gives an important clue for elucidating pathogenesis of STS of cultured squirts. And it seems that the necrosis were caused by the oxidative stress to body muscle during abnormal rapid growth of sea squirts.