• 대한두경부종양학회지
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• 제25권1호
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• pp.8-11
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• 2009

Background and Objectives : In the TNM 6th classification system, extrathyroidal invasion of differentiated thyroid carcinoma has been classified into T3(minimal invasion), T4a(extended invasion), and T4b(more extensive unresectable invasion) according to the degree and it has been recognized as an important prognostic factor. In this study, we investigated the prognostic significances of minimal extrathyroidal invasion in papillary thyroid carcinoma(PTC). Material and Methods : We retrospectively studied 221 patients who are underwent thyroidectomy due to PTC from September 2003 to December 2006. Fifty-four(24.4%) patients had a PTC with minimal extrathyroidal invasion(Group A) and 167(75.6%) patients had a PTC without extrathyroidal invasion(Group B). The existence of minimal extrathyroidal invasion was based on operative and pathological findings. Results : Minimal extrathyroidal invasion in PTC was related to tumor size, lymph node metastasis, and operative method(p<0.001). But, there is no significant difference in age, gender, and multifocality between Group A and B. Hashimoto's thyroiditis was observed more frequently in Group B(p=0.019). Conclusion : These findings suggest that minimal extrathyroidal invasion is related to poor prognostic factors in PTC. Therefore, aggressive surgical approach is required when there is evidence of minimal extrathyroidal invasion in preoperative radiologic examination or operative finding.

• 대한두경부종양학회지
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• 제14권2호
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• pp.191-198
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• 1998

Objectives: We performed an immunohistochemical study to examine the place of neovascularization in the tumorigenic process of follicular thyroid carcinoma and to determine whether tumor angiogenic activity in follicular carcinoma plays a role in tumor aggression. Materials & Methods: We studied 63 follicular thyroid carcinomas and compared with 22 follicular adenomas. The areas of capsular invasion, vascular invasion and cellular atypism of the tumor were confimed on H & E stains. The paraffin embedded tissues were stained by the use of monoclonal antibodies against Ag CD34. Microvesseles were counted in the area of highest vascular density at 200 times magnification. The microvessel densities(MVD) were analized in relation to histologic type and location of the tumors. Results: There were 59 minimal invasive types and 4 widely invasive types of carcinoma. In the histologic specimens of carcinomas, capsular invasion was identified in all the cases, vascular invasion in 46 and cellular atypism in 24. Mean values of the MVDs of the minimal invasive carcinomas, the widely invasive carcinomas and the adenomas were $263.8{\pm}69.2,\;256.l{\pm}49.3\;and\;241.5{\pm}159.4$, respectively and there was no significant difference between each group. In follicular carcinomas, there was a regional difference of the MVDs. The areas of tumor showing cellular atypism and adjacent to or penetrating the capsule, in which represents the tumorigenic process of carcinoma, had a higher rate of vascularization, than other areas of the tumor(p<0.05). However, these features were not noted in the follicular adenomas. Conclusion: Although there was no significant difference of the MVD between follicular carcinomas and adenomas, there was a regional difference of the MVD within the carcinomas and the values were significantly higher in the more malignant areas, as indicated by cellular atypism and capsular invasion. Therefore, tumor angiogenic activity measured by MVD may play a role in tumor aggression in follicular thyroid carcinoma.

• 대한치과의사협회지
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• 제51권11호
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• pp.604-609
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• 2013

Crown fractures are relatively common trauma to anterior teeth, and should be restored immediately in most cases. For those who suffer from unfortunate traumatic episode, the best treatment option should be minimally invasive approach. In the presence of fractured tooth fragment, reattachment procedure creates positive emotional response in the patient and simplifies the procedure and maintenance of the patient's original tooth anatomy and occlusion. Without fractured tooth fragment, next conservative option could be direct composite restoration which is based on minimal invasion concept. This article proposes simple and very conservative techniques that anyone can do in daily practice.

• 대한심미치과학회지
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• 제24권2호
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• pp.134-142
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• 2015

전치부 심미에 대한 관심과 접근은 환자의 필요와 요구에 의해 시작되어 다양한 재료와 술식을 통해 발전해 왔다. Esthetic dentistry의 선구자라 불리우는 Charles Pincus의 1967년 글에서 잘 묘사되어 있듯이 심미치료의 시작와 끝은 환자에 의해 결정되어진다는 전제 조건은 진단과 치료계획단계에서 늘 우선 되어지는 부분이기도 한다. 술자의 입장인 치과의사들은 이러한 환자의 필요와 요구를 만족시키기 위해 여러 가지 메뉴를 환자에게 제시하게 된다. Pincus의 글에서 Cosmetic Grinding라고 표현되어졌던 가장 보존적인 접근은 minimal invasion이라는 시각에서 접근하면 매우 효과적인 심미 향상의 한 술식이라 할 수 있다. 몇몇 개의 임상 증례를 통해 cosmetic grinding의 심미 개선의 치료 술식으로서의 가치와 한계에 대해 재조명해보고자 한다.

• Journal of Chest Surgery
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• 제56권3호
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• pp.220-223
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• 2023

Well-differentiated papillary mesothelial tumor (WDPMT) is an uncommon tumor, formerly named well-differentiated papillary mesothelioma in the 2015 World Health Organization classification. It has a characteristic papillary architecture, bland cytologic features, a tendency toward superficial spread without invasion, and a good prognosis due to its clinically indolent behavior with prolonged survival. Rare cases with superficial invasion are termed WDPMT with invasive foci. WDPMT occurs primarily in the peritoneum of reproductive-age women, but also rarely in the pleura. We report a case of a 60-year-old woman who developed WDPMT with minimal invasion in the pleura with atypical radiological features and a family history of mesothelioma and indirect asbestos exposure.

• Journal of Digestive Cancer Research
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• 제6권1호
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• pp.6-10
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• 2018

The importance of signal transducer and activator of transcription 3 (STAT3) signaling in gastric carcinogenesis was firmly evaluated in the previous studies. Fully activated STAT3 induces various target genes involving tumor invasion and epithelial-mesenchymal transition (EMT), and mediates interaction between cancer cells and microenvironmental immune cells. Thus, suppression of STAT3 activity is an important issue for inhibition of gastric carcinogenesis and invasion. Unfortunately, data from clinical studies of direct inhibitor targeting STAT3 have been disappointing. SH2-containing protein tyrosine phosphatase 1 (SHP-1) effectively dephosphorylates and inhibits STAT3 activity, which has not been extensively studied gastric cancer research field. However, by summarizing recent data, it is evident that protein and gene expression of SHP-1 are minimal in gastric cancer cells, and induction of SHP-1 effectively downregulates phosphorylated STAT3 and inhibits cellular invasion in gastric cancer cells. Several SHP-1 inducers have been investigated in the experimental studies, including proton pump inhibitor, arsenic trioxide, and other natural compounds. Taken together, we suggest that modulation of SHP-1/STAT3 signaling axis may present a new way for treatment of gastric cancer, and development of effective SHP-1 inducer may be an important task in the future search field of gastric cancer.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 2004년도 임시총회 및 추계학술발표회
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• pp.89-92
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• 2004

The influence of a single fracture intersection on density-driven immiscible flow is compared between wetting (water into air) and nonwetting (Trichloroethylene into water) flows. At low supply rates, the intersection acted as a hysteretic gate to pulsed flow of the wetting phase, but had minimal influence on nonwetting phase flow. For both cases, increasing the supply rate led to the formation of continuous fluid tendrils that crossed the intersection without interruption. The wetting experiment returned to pulsed flow as the supply rate was decreased, while the nonwetting experiment maintained a continuous flow structure. Results suggest a fundamental difference between wetting and nonwetting phase flows in fracture network.

• 한국식물병리학회지
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• 제10권3호
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• pp.163-168
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• 1994

Erwinia rhapontici causes soft-rot disease in a number of plants such as rhubarb, onion, hyacinth and garlic. Pectate lyase (Pel) depolymerizes pectin and other polygalacturonates, which is though to play a role in bacterial invasion of plants. Pel activity was not detected in E. rhapontici cultured in a minimal salts medium containing glycerol, polygalacturonate, or citrus pectin as a carbon source. However, when sterilized potato tuber and Chinese cabbage slices were added to minimal salts polygalacturonate (0.5%) medium, E. rhapontici produced pectate lyase enzyme. Also Pel activity was consistently detected from macerated potato tubers, Chinese cabbage leaves, lettuce leaves and celery petioles tissue. Pel in the extract of macerated Chinese cabbage caused by E. rhapontici strain 1, resulted in electrolyte loss, tissue maceration and cell death of potato tuber tissue. These results indicate that E. rhapontici produces pectate lyase only in the presence of non-diffusible plant components, and that this enzyme probably contributes to its pathogenicity.

• Journal of Korean Neurosurgical Society
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• 제37권1호
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• pp.20-24
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• 2005

Objective: The purpose of this study is to assess the efficacy and advantages of an endoscopic endonasal approach for the treatment of pituitary tumors. Methods: We retrospectively analyzed the records of 31 patients with pituitary tumors having endoscopic endonasal surgery between March 1999 and August 2003. Results: Among 31 patients with pituitary adenomas, 25 (81%) patients exhibited gross total removal of tumor on postoperative MRI within 3 days after surgery. Among 6 patients removed subtotally, 2 had only radiosurgery, 3 have had periodic follow-up MRIs and one patient with large extended tumor (grade IV, Stage E) had secondary transcranial removal of tumor before radiosurgery. Postoperative complications included cerebrospinal fluid leak in 2 patients, sinusitis in 1 patient, and one patient died due to unexpected intracerebral hemorrhage on 5 days after surgery. Besides considerable experiences with this approach are needed because of narrow working channel to the sella turcica, the results of our study showed following advantages of this procedure: visualization of areas not seen with the operating microscope, elimination of oronasal complications, more functional and cosmetic outcome, and shortened operative time and hospital stay. Conclusion: The authors consider that endoscopic endonasal transsphenoidal approach provides good results with minimal invasion for patients with pituitary tumors.

• Parasites, Hosts and Diseases
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• 제33권4호
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• pp.313-322
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• 1995

서을대학교 의과대학 기생충학교실 및 풍토병연구소1). 전남대학교 의과대학 병리학교실f) 요코가와흡충을 실험적으로 마우스(ICR)에 감염시키고 프레드니솔론을 주입하여 마우스의 면역 반응을 저하시킬 때 장의 병변과 충체 침입부위이 변화를 알아보기 위하여 이 연구를 시행하였다 ICR계 마우스를 비감염 대조군 요코가와흡충 감염군(마리당 피낭유충 1.800개 감염). 및 요코가와흡충 감염면역억제군으로 나누고 감염 후 6시간부터 3주까지 관찰하였다. 요코가와흡충 감염군에 있어서는 감염 1일까지 많은 충체가 장 절편내에서 발견되었고. 장 병변은 점막에 국한되어 있었다. 그러나 감염 3일 이후부터는 충체가 거의 발견되지 않았고. 1주 후에는 이미 장 병변이 회복되어 가는 양상을 보였다 한편 면역억제 따우스에 있어서는 감염군과는 달리 장 절편내에서 전기 간동안 충체가 발견되었고 감염이 오랫동안 유지되었다 염증 반응은 전 기간을 통해 미미하였고. 감염 3일까지 장 병변도 융모의 부종이나 상피층의 가벼운 위축 외에는 거의 관찰되지 알았다. 그러나 감염 5일째에는 마우스 십이지장 및 공장의 응모 및 장선이 매우 심하게 파괴되고 장벽으로부터 탈락되는 양상을 보였으며 이때 충체는 점막하 조직을 통과하고 거의 근육층까지 침입하여 장벽을 압박하고 있었다. 이러한 소견은 계속된 면역억제에도 불구하고 감염 7일부터 21일까지 점차 회복되는 양상을 보였다. 이상의 결과는 요코가와흡충을 면역억제 마우스에 감염시키면 짧은 가간 동안 장 점막의 심한 파괴가 일어나고 점막하층까지 충체가 침입할 수 있음을 나타내었다.