• 제목/요약/키워드: histopathological diagnosis

검색결과 408건 처리시간 0.026초

Primary Central Nervous System Lymphoma: A Clinicopathological and Cytomorpholgical Study from A Tertiary Care Centre in Chennai, India

  • Ambroise, M. Moses;Ghosh, Mitra;Mallikarjuna, V.S.;Annapurneswari, S.;Kurian, Ann;Chakravarthy, Ranjani
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.727-731
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    • 2013
  • Background: The aim of this study was to analyze the clinicopathological and immunohistochemical features of primary central nervous system lymphoma (PCNSL) cases occurring in Indian patients and also study the utility of the crush smear preparation in intraoperative diagnosis. Materials and Methods: The immune status, clinical, radiological details, immunohistochemical profile, histopathological findings and cytological features in smear preparation of 32 cases of PCNSL were analyzed. Patients with systemic NHL and skull-base lymphomas were excluded. Results: The mean age of our patients was 52 years with a male: female ratio 1:1. A periventricular location was found in 62.5% of patients. None of our PCNSL cases were associated with AIDS. All cases except one were diffuse large B-cell lymphomas. Intraoperative diagnosis using crush smears allowed correct prediction in 93% of cases. Conclusions: Our study shows that PCNSL is seen predominantly in immunocompetent patients in India. The age of presentation is relatively young as compared to the West. Our study also stresses the utility of crush smear preparation in establishing an intraoperative diagnosis.

Early diagnosis and surgical treatment of primary cutaneous marginal zone B-cell lymphomas of the face in an Asian patient

  • Lee, Sam Yong;Kim, Woo Hyeong;Choi, Jun Ho;Kim, Kwang Seog;Hwang, Jae Ha
    • 대한두개안면성형외과학회지
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    • 제22권5호
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    • pp.280-284
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    • 2021
  • Primary cutaneous marginal zone B-cell lymphoma (PCMZL) is an uncommon type of malignant lymphoma that mainly occurs in the trunk and upper extremity, with less frequent incidence observed on the head. Herein, we report the early diagnosis and treatment of a rare case of facial PCMZL in an Asian patient. A 51-year-old man presented with masses on the forehead and nose tip, which he had incidentally discovered 2 months previously. The masses appeared as a papule on the forehead and a patch on the nose. There were no signs of infection or bleeding, and the patient reported no other symptoms. After complete surgical excision, PCMZL was diagnosed based on the permanent biopsy. The histopathological findings revealed lymphoid aggregations with multifocal granulomas. Further treatment and follow-up were conducted at the hematology and oncology department. Despite its rarity in Asian populations, cutaneous lymphoma should be included in the differential diagnosis of facial masses. Early diagnosis and treatment based on a physical examination, imaging study, and excisional biopsy are important for a favorable prognosis.

사전훈련된 모델구조를 이용한 심층신경망 기반 유방암 조직병리학적 이미지 분류 (Breast Cancer Histopathological Image Classification Based on Deep Neural Network with Pre-Trained Model Architecture)

  • 비키 무뎅;이언진;최세운
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.399-401
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    • 2022
  • 유방 악성 상태를 분류하기 위한 최종 진단은 침습적 생검을 이용한 현미경 분석을 통해 확인이 가능하나, 분석을 위해 일정 시간과 비용이 부과되며, 병리학적 지식을 보유한 전문가가 필요하다. 이러한 문제를 극복하기 위해, 딥 러닝을 활용한 진단 기법은 조직병리학적 이미지에서 유방암을 양성 및 악성으로 분류에 효율적인 방법으로 고려된다. 본 연구는 유방암 조직병리학적 이미지를 40배 확대한 BreaKHIS 데이터 세트를 사용하여 양성 및 악성으로 분류하였으며, 100% 미세 조정 체계와 Adagrad를 이용한 최적화로 사전 훈련된 컨볼루션 신경망 모델 아키텍처를 사용하였다. 사전 훈련된 아키텍처는 InceptionResNetV2 모델을 사용하여 마지막 계층을 고밀도 계층과 드롭아웃 계층으로 대체하여 수정된 InceptionResNetV2를 생성하도록 구성되었다. 훈련 손실 0.25%, 훈련 정확도 99.96%, 검증 손실 3.10%, 검증 정확도 99.41%, 테스트 손실 8.46%와 테스트 정확도 98.75%를 입증한 결과는 수정된 InceptionResNetV2 모델이 조직병리학적 이미지에서 유방 악성 유형을 예측하는 데 신뢰할 수 있음을 보여주었다. 향후 연구는 k-폴드 교차 검증, 최적화, 모델, 초 매개 변수 최적화 및 100×, 200× 및 400× 배율에 대한 분류에 초점을 맞추어 추가실험이 필요하다.

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형질세포 육아종 1례 치험 보고 (Plasma Cell Granuloma of the Lung - A Report of one case -)

  • 류지윤;우종수;조광현
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.821-824
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    • 1987
  • Plasma cell granuloma of the lung is very rare and most commonly detected in routine chest films. The prognosis of this disease is usually good with surgical resection. Recently, we experienced a case of this, the diagnosis of which was confirmed by postoperative histopathological examination. The operation was right upper lobectomy under the impression of benign tumor of the lung. The postoperative course was uneventful and the patients was discharged without any complication. Now we report this with literature reviews.

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기관에 발생한 소세포암 - 1례 보고 - (Small Cell Carcinoma of the Trachea - 1 case report -)

  • 신제균;정종필;류상완;서재희;박재후
    • Journal of Chest Surgery
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    • 제32권8호
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    • pp.757-760
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    • 1999
  • 59세 여자환자에서 매우 드문 기관의 소세포암을 치험하였기에 보고한다. 진단은 병리조직학적 소견 및 면역조직화학적 검사로 확진하였고, 외과적 절제후 보조적 항암요법을 한 뒤 호전이 있었으나 술후 6개월째 다발성 전이를 보이면서 사망하였다.

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Malignant Catarrhal Fever의 병리조직학적 진단과 혈청학적 진단 및 PCR 진단법의 비교 (Comparison of Histopathology, Serology and PCR for the Diagnosis of Malignant Catarrhal Fever)

  • 김옥진
    • 대한수의학회지
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    • 제43권3호
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    • pp.471-476
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    • 2003
  • Malignant catarrhal fever (MCF) is a systemic disease of ruminants caused by ovine herpesvirus 2 (OvHV-2). OvHV-2 is a gamma herpesvirus, which induces frequent latent infection and often difficult to detect its antigens and even specific nucleic acids because of its low viral copies in the infected tissues. Histopathology, serology and polymerase chain reaction (PCR) were compared for the diagnosis of MCF using 10 bison infected with OvHV-2. Histopathological diagnosis was performed using the criteria which was based upon the pathognomic lesions. Serological diagnosis was conducted using its serum with competitive ELISA for the detection of antibodies of OvHV-2. Also, the nest PCR was performed with peripheral blood leukocytes for the detection of OvHV-2-specific DNAs. Primers 556 and 775 were used for the primary amplification, and primers 556 and 555 were used for the secondary amplification. As the results, positive cases were 6 by histopahology, 9 by serology and 10 by PCR. As comparing with other diagnostic methods, PCR was found to be more sensitive than histopathology and serology. The recent development of molecular diagnostic assays has provided powerful tools for investigating how viruses survive in nature. Development of PCR specific for viruses has dramatically improved the accuracy of diagnosis of viruses in clinically infected animals. Furthermore, amplification of viral genomic material by nest PCR represents the most sensitive method for the detection of viruses and might be detected successfully even though very low viral DNA copies. So, it could be used as the first choice for the detection of viral DNAs with low copies such as the status of latent infection. However, it has also some limitation of application like as false negative results by PCR inhibitors and false positive results by contamination. The results of this study suggest that the use of molecular biological methods like PCR may increase the accuracy for the diagnosis of infectious diseases. However, in diagnostic laboratory, it is recommended that PCR assay must be conducted with other diagnostic methods for more reliable diagnosis.

MicroRNAs as Novel Biomarkers for the Diagnosis of Alzheimer's Disease and Modern Advancements in the Treatment

  • Gunasekaran, Tamil Iniyan;Ohn, Takbum
    • 대한의생명과학회지
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    • 제21권1호
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    • pp.1-8
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    • 2015
  • Alzheimer's disease is a common form of dementia occurring among the elderly population and can be identified by symptoms such as cognition impairments, memory loss and neuronal dysfunction. Alzheimer's disease was found to be caused by the deposition of $\beta$-amyloid plaques and neurofibrillary tangles. In addition, mutation in the APP (Amyloid precursor protein), Presenilin 1 (PSEN1) and Presenilin 2 (PSEN2) genes were also found to contribute to Alzheimer's disease. Since the potential conformational diagnosis of Alzheimer's disease requires histopathological tests on brain through autopsy, potential early diagnosis still remains challenging. In recent years, several researches have proposed the use of biomarkers for early diagnosis. In cerebrospinal fluid (CSF), $\beta$-amyloid(1-42), phosphorylated-tau and total tau were suggested to be effective biomarkers for Alzheimer's disease diagnosis. However, a single biomarker might not be sufficient for potential diagnosis of Alzheimer's disease. Thus, the use of RNA interference (RNAi) through microRNAs (miRNAs) has been proposed by several researchers for simultaneous analysis of several biomarkers using microarray technology. These miRNA based biomarkers can be analysed from both blood and CSF, but miRNAs from blood are advantageous over CSF as they are non-invasive and simple for collection. Moreover, the RNAi based therapeutics by siRNA (short interference RNA) or shRNA (short hairpin RNA) have also been proposed to be effective in the treatment of Alzheimer's disease. This review describes the promising application of RNAi technology in therapeutics and as a biomarker for both Alzheimer's disease diagnosis and treatment.

Angioleiomyoma of the gingiva: a report of two cases

  • Arpag, Osman Fatih;Damlar, Ibrahim;Kilic, Soydan;Altan, Ahmet;Tas, Zeynel Abidin;Ozgur, Tumay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권2호
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    • pp.115-119
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    • 2016
  • Leiomyoma is a type of benign smooth muscle neoplasm that is a common neoplasm of the uterus and gastrointestinal tract but rarely affects the head and neck region and is especially unlikely to affect the oral cavity. The diagnosis of leiomyoma is mainly determined by histopathological studies due to variation in its clinical appearance and symptoms. In the present paper we report two rare cases of gingival angioleiomyoma in the posterior maxilla and mandible. After total excision, hematoxylin-eosin and smooth muscle actin staining confirmed the diagnosis of angioleimyoma.

이하선에 재발한 악성 혼합 종양 1례 (A Case of Recurrent Malignant Mixed Tumor)

  • 김용기;이형근;문문만;도남용
    • 대한두경부종양학회지
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    • 제6권2호
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    • pp.97-100
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    • 1990
  • Malignant mixed tumor of the parotid gland account for a very small number of the head and neck malignancies. Authors had experienced the recurrent malignant mixed tumor on 70 years old female patient. The first surgical removal was done before the 5years ago and at that time, histological diagnosis was the malignant mixed tumor. We had done the second operation, and histopathological diagnosis was malignant mixed tumor.

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비장 결핵 (A Case with Splenic Tuberculosis)

  • 이두선;명나혜
    • Advances in pediatric surgery
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    • 제1권2호
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    • pp.200-203
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    • 1995
  • Splenic tuberculosis is an uncommonly considered diagnosis in clinical practice. This is a case report of splenic tuberculosis in a 13-year-old boy who was seronegative to HIV. He was just well until 7 days prior to this admission when he started to feel epigastric and left subchondral pain. Chest X-ray was not pathological. Abdominal ultrasonography showed slight splenomegaly with multiple hypoechoic nodules and abdominal CT disclosed multiple irregular hypodense lesions in the spleen. Radiological interpretation suggested the possibility of lymphoma or metastatic malignancy. Splenectomy was done and the histopathological findings showed extensive chronic granulomatous inflammation compatible with tuberculosis. Splenic tuberculosis must be included in the differential diagnosis of hypoechoic and hypodense lesions by means of sonography and computed tomography, respectively.

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