• 제목/요약/키워드: invasive pattern

검색결과 136건 처리시간 0.04초

Prognostic Value of Pathological Characteristics of Invasive Margins in Early-stage Squamous Cell Carcinomas of the Uterine Cervix

  • Khunamornpong, Surapan;Settakorn, Jongkolnee;Sukpan, Kornkanok;Suprasert, Prapaporn;Lekawanvijit, Suree;Siriaunkgul, Sumalee
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권9호
    • /
    • pp.5165-5169
    • /
    • 2013
  • Background: To evaluate the pathological characteristics of invasive margins in early-stage cervical squamous cell carcinomas and their association with other clinicopathological features including clinical outcomes. Materials and Methods: Patients with FIGO stage IB-IIA cervical squamous cell carcinomas who received surgical treatment and had available follow-up information were identified. Their histological slides were reviewed for prognostic variables including tumor size, grade, extent of invasion, lymphovascular invasion, involvement of vaginal margin or parametrium, and lymph node metastasis. The characteristics of invasive margins including invasive pattern (closed, finger-like, or spray-like type), degree of stromal desmoplasia, and degree of peritumoral inflammatory reaction were evaluated along the entire invasive fronts of tumours. Associations between the characteristics of invasive margins and other clinicopathological variables and disease-free survival were assessed. Results: A total of 190 patients were included in the study with a median follow-up duration of 73 months. Tumour recurrence was observed in 18 patients (9%). Spray-like invasive pattern was significantly more associated as compared with closed or finger-like invasive pattern (p=0.005), whereas the degree of stromal desmoplasia or peritumoral inflammatory reaction was not. Low degree of peritumoral inflammatory reaction appeared linked with lymph node metastasis (p=0.021). In multivariate analysis, a spray-like invasive pattern was independently associated with marked stromal desmoplasia (p=0.013), whilst marked desmoplasia was also independently associated with low inflammatory reactions (p=0.009). Furthermore, low inflammatory reactions were independently associated with positive margins (p=0.022) and lymphovascular invasion (p=0.034). The patients with spray-like invasive pattern had a significantly lower disease-free survival compared with those with closed or finger-like pattern (p=0.004). Conclusions: There is a complex interaction between cancer tissue at the invasive margin and changes in surrounding stroma. A spray-like invasive pattern has a prognostic value in patients with early-stage cervical squamous cell carcinoma.

Status, Distribution and Diversity of Invasive Forest Undergrowth Species in the Tropics: a Study from Northeastern Bangladesh

  • Rahman, Md. Habibur;Khan, Mohammed Abu Sayed Arfin;Fardusi, Most. Jannatu;Roy, Bishwajit
    • Journal of Forest and Environmental Science
    • /
    • 제26권3호
    • /
    • pp.149-159
    • /
    • 2010
  • This paper analyzes data on the composition, status, diversity, and distribution pattern of invasive forest undergrowth in a protected area (Khadimnagar National Park) of Northeastern Bangladesh. Assessment was done by means of stratified random sampling to diversify the invasive forest undergrowth species. For vegetation survey, 45 plots were taken randomly in ($2m{\times}2m$) circular plot from three topographical regions namely top of the hill, middle slope and plain land (15 plots from each region) and a total of 715 individuals, 22 invasive species belonging to 17 families were recorded from the study site. Among invasive species, shrubs constitute 10 species, herbs 9 species, and vines 3 species respectively. Mass number of invasive undergrowth species was grows in plain land (45.45%) followed by middle slope (31.82%). Based on the survey, invasive undergrowth plants of study areas were also categorized into three degrees of invasiveness e.g., highly invasive, moderately invasive and potentially invasive. Herbs, shrubs, and vines constitute the highest density at Chromolaema odorata (Linn.) King. (1.09), relative density at Chromolaema odorata (Linn.) King. 6.85%; highest and lowest frequency was calculated at Cassia alata L. (64.44%) and Diplazium esculentum (24.44%); for relative frequency the highest was Cassia alata L., which occupies 6.64%. Determination of the abundance of the different species revealed that Cassia alata L., constitutes (3.36) followed by Pteris cretica Wilsonii (3.14) of the area. The presence of invasive undergrowth species always reduced the number of associated species. Therefore, an extensive in-depth long-term investigation, proper policy formulation and management interventions and further study and continuous monitoring on their impacts need to be triggered targeting the control of the invasive undergrowth species of this protected area. In this aspect, national and international organization could help to conserve its biodiversity.

주입전류 패턴에 따른 EIT 방광 모니터링 시스템의 성능분석 (Performance analysis of EIT bladder monitoring system according to input current patterns)

  • 한유정;;김경연
    • 전기전자학회논문지
    • /
    • 제23권1호
    • /
    • pp.164-172
    • /
    • 2019
  • 현재 배뇨 장애를 진단할 수 있는 대표적인 임상 방법들은 침습적이고 고가이며, 장시간 연속적인 모니터링을 수행하기에는 한계가 있다. EIT는 비침습적 방법으로 외부 전극을 통하여 전류를 주입하고 유기된 전압을 측정하여 내부 전기적(임피던스) 특성을 영상화 하는 기술로써, 저렴한 비용으로 방광의 상태를 모니터링 할 수 있는 유용한 기법이 될 수 있다. 전극을 통하여 주입된 전류 패턴에 따라 측정전압 데이터의 신호특성이 달라지고 영상 복원 성능에 영향을 미친다. 본 논문에서는 인체 하복부 부근에 위치한 방광의 크기 변화에 대한 민감도가 극대화될 수 있는 모델링을 위해 입력전류 패턴에 따른 영상 복원 성능을 분석하였다.

향상된 적응형 유전 알고리즘을 이용한 컨포멀 배열 안테나의 빔 합성 연구 (Study on Pattern Synthesis of Conformal Array Antenna Using Enhanced Adaptive Genetic Algorithm)

  • 성철민;이재덕;한인희;류홍균;이규송;박동철
    • 한국전자파학회논문지
    • /
    • 제25권5호
    • /
    • pp.592-600
    • /
    • 2014
  • 본 논문에서는 2차 함수 곡선의 회전체 곡면 위에 있는 배열 안테나의 빔 합성을 위한 Enhanced Adaptive Genetic Algorithm(EAGA)을 제안하였다. 제안된 알고리즘은 더 빠른 수렴 속도와 더 낮은 비용함수 값을 얻기 위해 Adaptive Genetic Algorithm(AGA)과 Invasive Weed Optimization(IWO)을 결합시켰다. 각 안테나 소자의 급전 크기와 위상의 최적화된 값은 EAGA를 통해 구하였으며, 이 결과를 통해 EAGA가 컨포멀 배열 안테나의 패턴 합성 알고리즘으로써 AGA보다 더 우수함을 보였다.

IGRT를 위한 비침습적인 호흡에 의한 장기 움직임 실시간 추적시스템 (A Non-invasive Real-time Respiratory Organ Motion Tracking System for Image Guided Radio-Therapy)

  • 김윤종;윤의중
    • 대한의용생체공학회:의공학회지
    • /
    • 제28권5호
    • /
    • pp.676-683
    • /
    • 2007
  • A non-invasive respiratory gated radiotherapy system like those based on external anatomic motion gives better comfortableness to patients than invasive system on treatment. However, higher correlation between the external and internal anatomic motion is required to increase the effectiveness of non-invasive respiratory gated radiotherapy. Both of invasive and non-invasive methods need to track the internal anatomy with the higher precision and rapid response. Especially, the non-invasive method has more difficulty to track the target position successively because of using only image processing. So we developed the system to track the motion for a non-invasive respiratory gated system to accurately find the dynamic position of internal structures such as the diaphragm and tumor. The respiratory organ motion tracking apparatus consists of an image capture board, a fluoroscopy system and a processing computer. After the image board grabs the motion of internal anatomy through the fluoroscopy system, the computer acquires the organ motion tracking data by image processing without any additional physical markers. The patients breathe freely without any forced breath control and coaching, when this experiment was performed. The developed pattern-recognition software could extract the target motion signal in real-time from the acquired fluoroscopic images. The range of mean deviations between the real and acquired target positions was measured for some sample structures in an anatomical model phantom. The mean and max deviation between the real and acquired positions were less than 1mm and 2mm respectively with the standardized movement using a moving stage and an anatomical model phantom. Under the real human body, the mean and maximum distance of the peak to trough was measured 23.5mm and 55.1mm respectively for 13 patients' diaphragm motion. The acquired respiration profile showed that human expiration period was longer than the inspiration period. The above results could be applied to respiratory-gated radiotherapy.

자궁경부 세포도말 검사에시 미세침윤성 편평세포암종의 세포학적 분석 (The Cytologic Analysis of Microinvasive Squamous Cell Carcinoma of the Uterine Cervix on Cervical Smear)

  • 최현주;박인애
    • 대한세포병리학회지
    • /
    • 제12권1호
    • /
    • pp.31-37
    • /
    • 2001
  • Whlie cytologic characteristics of squamous dysplasia, carcinoma in situ, and invasive squamous cell carcinoma of the uterine cervix are well documented, relatively few studios have dealt with the cellular features of microinvasive carcinoma. In order to describe the cellular characteristics of microinvasive squamous cell carcinoma, we retrospectively reviewed 45 cervovaginal smears(15 carcinoma in situ, 15 microinvasive cancer, 15 invasive cancer) which were confirmed by histologic examination of specimens obtained by hysterectomy at the Seoul National University Hospital during S years from 1995 to 1999. The cytologic features about tumor diathesis, inflammatory background, ceil arrangement, anisonucleosis, nuclear membrane irregularity, nuclear chromatin pattern, and nucleoli were observed. The cytologlc characteristics of microinvasive squamous cell carcinoma of the uterine cervix are syncytial pattern, mild tumor diathesis, the irregularity of nuclear membrane, irregularly distributed nuclear chromatin, and occurrence of micronucleoli. But, correlation between the depth of Invasion and the cytologic feature had limited value.

  • PDF

Prognostic Model in Patients with Early-stage Squamous Cell Carcinoma of the Uterine Cervix: A Combination of Invasive Margin Pathological Characteristics and Lymphovascular Space Invasion

  • Khunamornpong, Surapan;Lekawanvijit, Suree;Settakorn, Jongkolnee;Sukpan, Kornkanok;Suprasert, Prapaporn;Siriaunkgul, Sumalee
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권11호
    • /
    • pp.6935-6940
    • /
    • 2013
  • Background: This study aimed to develop a prognostic model in patients with early-stage cervical squamous cell carcinoma based on clinicopathological features, including invasive margin characteristics. Materials and Methods: Clinicopathological features and outcomes of 190 patients with FIGO stage IB-IIA cervical squamous cell carcinoma treated by surgery were collected and analyzed for factors associated with tumor recurrence. In addition to well-recognized pathological risk factors, the pathological characteristics of invasive margin (type of invasive pattern and degree of stromal desmoplasia and peritumoral inflammatory reaction) were also included in the analysis. Multiple scoring models were made by matching different clinicopathological variables and/or different weighting of the score for each variable. The model with the best performance in the prediction of recurrence and decreased survival was selected. Results: The model with the best performance was composed of a combined score of invasive pattern, lymphovascular space invasion (LVSI), and degree of inflammatory reaction and stromal desmoplasia (total score =10). Compared to those with score ${\leq}8$, the patients with score 9-10 had a significantly higher recurrence rate in the overall group (p<0.001) and the subgroup without adjuvant therapy (p<0.001), while the significance was marginal in the subgroup with adjuvant therapy (p=0.069). In addition, the patients with score 9-10 had a higher rate of tumor recurrence at distant sites (p=0.007). The disease-free survival was significantly lower in the patients with score 9-10 than those with score ${\leq}8$ among the overall patients (p<0.001), in the subgroup without adjuvant therapy (p<0.001), and the subgroup with adjuvant therapy (p=0.047). Conclusions: In this study, a prognostic model based on a combination of pathological characteristics of invasive margin and LVSI proved to be predictive of tumor recurrence and decreased disease-free survival in patients with early-stage cervical squamous cell carcinoma.

유방의 침윤성 미세유두암종의 세침흡인 세포검사 (Fine Needle Aspiration Cytology of Invasive Micropapillary Carcinoma of the Breast)

  • 최현주;정지한;신정하;민기옥;강석진;이교영;유진영
    • 대한세포병리학회지
    • /
    • 제18권1호
    • /
    • pp.62-68
    • /
    • 2007
  • Invasive micropapillary carcinoma (IMPC) of the breast is recently described rare variant of invasive ductal carcinoma. This variant has a distinctive histological features and aggressive biological behavior. We reviewed the cytologic features of eight cases of IMPC. The cytologic smears showed moderate to high cellularity and the tumor tissue was composed of atypical, angulated, cohesive clusters of neoplastic cells with a papillary to tubuloalveolar architecture, and a morular growth pattern without fibrovascular cores was seen on the histopathology. IMPC of the breast has distinctive cytologic features and it is important to make an early diagnosis via fine needle aspiration cytology due to this tumor's aggressive behavior.

Distribution Pattern of White Snakeroot as an Invasive Alien Plant and Restoration Strategy to Inhibit Its Expansion in Seoripool Park, Seoul

  • Lee, Han-Sol;Yoo, Hae-Mi;Lee, Chang-Seok
    • Animal cells and systems
    • /
    • 제7권3호
    • /
    • pp.197-205
    • /
    • 2003
  • White snakeroot (Ageratina altissima (L.) R. King & H. Robinson) as an invasive alien plant appeared more abundantly at lower elevations where frequent artificial interferences prevailed than at higher elevations where such impacts were less. They appeared abundantly in introduced forests such as black locust plantation but they did not appear or were rare in natural forests such as oak forest. But an exceptional phenomenon where white snakeroot did not appear was found in a Korean pine stand with dense cover afforested recently. Appearance status of white snakeroot in each section of trampling path depended on breadth of the path and relative light intensity. Growth of white snakeroot measured as the number of ramet per genet, height, and biomass was better near the trampling path and was reduced toward the forest interior. The growth was proportionate to the relative light intensity measured according to distance from the trampling path. Such results support the fact generally known in relation invasion and expansion of the invasive alien plants. From this viewpoint, we suggest a management plan that applies ecological restoration principles to address ecosystems infected with white snakeroot by restoring the integral feature of the degraded nature and more thoroughly conserving the remaining nature.

Environmental Factors Affecting Establishment and Expansion of the Invasive Alien Species of Tree of Heaven (Ailanthus altissima) in Seoripool Park, Seoul

  • Lee, Han-Wool;Lee, Chang-Seok
    • Animal cells and systems
    • /
    • 제10권1호
    • /
    • pp.27-40
    • /
    • 2006
  • Tree of heaven (Ailanthus altissima Swingle) as an invasive alien plant, appeared usually in the disturbed locations such as road-side, incised slope, and trampling path-side. They appeared abundantly in the trampling pathside but they did not appear or were rare in the interior of forest. Density and importance value of tree of heaven were proportionate to the relative light intensity measured according to distance from the trampling path toward forest interior and closely related to the breadth of trampling path as well. They were associated with annual, other exotic species or ruderal plants well. Distributional pattern of mature trees of them in the study area and its surrounding environments implied that they were introduced intentionally. Size class distribution of them showed that they are in expansion and artificial interferences such as, installing physical training space and developing hiking course functioned as trigger factors in their invasion and expansion. The results support the facts known generally in relation to invasion and expansion of the invasive alien plants. In this viewpoint, we suggest a management plan that applies ecological restoration principles to address ecosystems infected with tree of heaven by restoring the integral feature of the degraded nature and conserving the remained nature more thoroughly.