• Toxicological Research
• /
• 제33권2호
• /
• pp.141-147
• /
• 2017

Peripheral ameloblastic odontoma is a rare variant of odontogenic tumor occurring in the extraosseous region. The present report describes a spontaneous tumor in male Sprague-Dawley (SD) rats. The clinically confirmed nodule in the right mandibular region was first observed when the rat was 42 weeks and remained until the terminal sacrifice date when the animal was 48 weeks of age. At necropsy, a well demarcated nodule, approximately $2.5{\times}2.0{\times}2.0cm$, protruded from the ventral area of the right mandible. The nodule was not attached to mandibular bone and was not continuous with the normal teeth. Histopathologically, the tumor was characterized by the simultaneous occurrence of an ameloblastomatous component and composite odontoma-like elements within the same tumor. The epithelial portion formed islands or cords resembling the follicle or plexiform pattern typical of ameloblastoma and was surrounded by mesenchymal tissue. Formation of eosinophilic and basophilic hard tissue matrix (dentin and enamel) resembling odontoma was observed in the center of the tumor. Mitotic figures were rare, and areas of cystic degeneration were present. Immunohistochemically, the epithelial component was positive for cytokeratin AE1/AE3 (CK AE1/AE3), and the mesenchymal component and odontoblast-like cells were positive for vimentin, in the same manner as in normal teeth. On the basis of these findings, the tumor was diagnosed as a peripheral ameloblastic odontoma in an extraosseous mandibular region in a SD rat. In the present study, we report the uncommon spontaneous peripheral ameloblastic odontoma in the SD rat. We also discuss here the morphological characteristics, origin, histochemical, and immunohistochemical features for the diagnosis of this tumor.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권1호
• /
• pp.217-223
• /
• 2013

Background: Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, and the outcomes for patients are still poor. It is important to determine the original type of synchronous multinodular HCC for preoperative assessment and the choice of treatment therapy as well as for the prediction of prognosis after treatment. Aims: To analyze clinicopathologic characteristics and prognoses in patients with multicentric occurrence (MO) and intrahepatic metastasis (IM) of synchronous multinodular hepatocellular carcinoma (HCC). Methods: The study group comprised 42 multinodular HCC patients with a total of 112 nodules. The control group comprised 20 HCC patients with 16 single nodular HCC cases and 4 HCC cases with a portal vein tumor emboli. The mitochondrial DNA (mtDNA) D-loop region was sequenced, and the patients of the study group were categorized as MO or IM based on the sequence variations. Univariate and multivariate analyses were used to determine the important clinicopathologic characteristics in the two groups. Results: In the study group, 20 cases were categorized as MO, and 22 as IM, whereas all 20 cases in the control group were characterized as IM. Several factors significantly differed between the IM and MO patients, including hepatitis B e antigen (HBeAg), cumulative tumor size, tumor nodule location, cirrhosis, portal vein and/or microvascular tumor embolus and the histological grade of the primary nodule. Multivariate analysis further demonstrated that cirrhosis and portal vein and/or microvascular tumor thrombus were independent factors differentiating between IM and MO patients. The tumor-free survival time of the MO subjects was significantly longer than that of the IM subjects ($25.7{\pm}4.8$ months vs. $8.9{\pm}3.1$ months, p=0.017). Similarly, the overall survival time of the MO subjects was longer ($31.6{\pm}5.3$ months vs. $15.4{\pm}3.4$ months, p=0.024). The multivariate analysis further demonstrated that the original type (p=0.035) and Child-Pugh grade (p<0.001) were independent predictors of tumor-free survival time. Cirrhosis (p=0.011), original type (p=0.034) and Child-Pugh grade (p<0.001) were independent predictors of overall survival time. Conclusions: HBeAg, cumulative tumor size, tumor nodule location, cirrhosis, portal vein and/or microvascular tumor embolus and histological grade of the primary nodule are important factors for differentiating IM and MO. MO HCC patients might have a favorable outcome compared with IM patients.

• Tuberculosis and Respiratory Diseases
• /
• 제73권1호
• /
• pp.61-66
• /
• 2012

Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue type (extranodal MZL) is a distinct subgroup of non-Hodgkin's lymphoma. Pulmonary extranodal MZL is a rare entity and accounts for less than 0.5% of primary pulmonary malignancies. Only a few cases of simultaneous occurrence of lung cancer and pulmonary extranodal MZL have been reported. A 60-year-old woman was referred to our hospital with a pulmonary nodule. She was diagnosed with lung adenocarcinoma by percutaneous needle biopsy. The protrusions into the left main bronchus were found by accident while performing bronchoscopy during lung cancer evaluation. The bronchial lesions were diagnosed as extranodal MZL. Although the patient underwent surgical resection for the lung adenocarcinoma, the pulmonary extranodal MZL was left untreated; it was monitored during follow-up visits. To our knowledge, this is the first report of synchronous lung adenocarcinoma and primary extranodal MZL of the main bronchus.

• 대한방사선기술학회지:방사선기술과학
• /
• 제40권2호
• /
• pp.237-243
• /
• 2017

본 연구는 갑상샘 초음파 영상에서 정상 및 악성결절의 세포병리 진단결과를 바탕으로 GLCM 알고리즘분석을 통한 후향적 연구를 시행하여 컴퓨터보조진단의 적용 가능성을 평가하였다. GLCM 알고리즘의 6가지 파라미터를 이용한 갑상샘 악성결절의 인식률 평가와 ROC 곡선을 분석하였다. 실험 결과는 에너지 97%, 대조도 93%, 상관관계 92%, 동질성 92%, 엔트로피 100%, 분산 100%의 높은 질환인식률을 나타내었다. ROC 곡선 분석에서 각 파라미터의 곡선아래면적이 0.947(p=0.001) 이상을 나타내어 갑상샘 악성결절의 인식에 의미가 있는 결과로 나타났다. 또한 GLCM에서 각 파라미터의 cut-off값 결정으로 정량적인 컴퓨터보조진단의 분석을 통한 질환예측이 가능할 것으로 판단된다.

• 한국해양학회지
• /
• 제27권3호
• /
• pp.210-227
• /
• 1992

태평양 클라리온, 클리퍼톤 균열대내 북서단에 위치해 있는 KODOS-89 지역에 분포 하는 망간단괴의 형태 및 화학적 성실은 해저지형에 따라 상이하다. 해저평원 지역은 토도로카이트/버나다이트 및 Mn/Fe 비가 크며, 망간, 구리, 니켈, 아연의 함량이 높 고, 철 및 코발트의 함량이 낮은 산화성 속성기원의 단괴가 지배적이며, 해저지역은 속성기원과 상반된 구성 광물 및 금속 함량을 갖는 수성기원의 단괴로 대표된다. 속성 기원의 단괴는 결정질 산화광물의 침전이 퇴적물내에서 이루어지기 때문에 거칠은 표 면조직(r-형)을 가지며, 단괴의 크기가 증가함에 따라 구형, 타구형, 쟁반형의 외형으 로 변모한다. 이에 비하여, 수성기원의 단괴는 해수로부터 미정질 산화광물이 흡착되 므로 매끈한 표면조직(s형)을 가지며, 다단괴형 또는 불규칙형의 외형으로 특징된다. 망간단괴의 분포밀도는 해저산 지역이 평균 13.3 kg/m$^2$로 높으며, 해저평원 지역은 평균 3.9 kg/m$^2$로 낮지만 고위로 지역에 비해 저위로 지역이 높다. 이러한 망간단괴 의 분포밀도 변화는 일차적으로는 씨앗효과에 의해 이차적으로는 위도에 따른 퇴적물 내 유기물 함량 차이에 의해 비롯되었다고 생각된다. 즉, 해져산 지역은 수성작용에 의한 단괴의 성장으로 기존의 단괴가 잘 쪼개지므로서 씨앗효과가 증대하여 분포밀도 가 높다. 해저평원 지역중 남부 지역은 주변에 해저산이 많이 분포되어 있어 핵물질의 공급이 용이하며, 이와 더불어 적도 고생산대로부터 원할한 유기물 공급으로 속성작용 이 촉진되어 북부 지역에 비해 높은 분포밀도를 갖는다. 화산응회암과 현무암이 흔재되어 있으면서 자성이 낮은 것으로 알 려져 있는 L-2층에 대비할 수 있다.화학 적 역할을 규명하는데 중요하게 이용될 것으로 판단된다.TEX>반찬젓갈${\lrcorner}$의 유리아미노산은 ${\ulcorner}$일본병조림젓갈${\lrcorner}$의 약 2배이다. 5) 아미노산 전체양에 점유하는 글루타민산은 ${\ulcorner}$일본병조림젓갈${\lrcorner}$이 45.5%, ${\ulcorner}$반찬젓갈${\lrcorner}$이 29.2%이다. 6) 주체적 아미노산은 ${\ulcorner}$시장젓갈${\lrcorner}$에는 글루타민산, leucine, alanine, lysine의 4종류, ${\ulcorner}$반찬젓갈${\lrcorner}$에는 글루타민산, leucine, alanine의 3종류, ${\ulcorner}$일본병조림젓갈${\lrcorner}$은 글루타민산이 현저하게 많다.회하였다.ollowed fro all Sullungtang samples from Hanwoo. The results showed that the overall quality of Sullungtang significantly decreased as the parity increased for Hanwoo cows. The Sullungtang extracted

• 대한방사선기술학회지:방사선기술과학
• /
• 제30권4호
• /
• pp.357-363
• /
• 2007

본 연구는 2005년 통계청의 전국 인구비율에 대한 발표를 기준으로 노인 인구 비율이 가장 낮고 광역도시 중 유방암의 조발생률과 연령표준화발생률이 가장 낮은 지역을 중심으로 외래에 내원하여 검사한 유방촬영술과 유방초음파 검사에서 질환별 발생빈도와 검사 분포를 조사하였다. 연중 유방검사 빈도는 7월과 8월에서 가장 많은 검진을 한 것으로 조사되었으며, 연령별 분포는 40대가 39.8%, 30대가 32.4%의 순으로 조사되었다. 외래에 내원하여 검진한 환자 중 질환별 분포는 유방초음파 검사에서 43%가 비정상 소견을 보였다. 그 중 치밀조직과 소결절이 21.5%, 섬유낭종이 8.3%의 순으로 진단 소견을 보였다. 유방촬영술에서는 치밀조직과 소결절이 41.3%, 양성석회화가 6.4%의 순으로 조사되었다. 검사 유형별 조사에서는 유방초음파 검사가 8개 질환으로 세분되어 판독되었고 유방촬영술은 6개 질환에서 진단 소견을 보여 구체적인 질환의 명시가 부족한 것으로 나타났다. 이 지역에서 외래 진료로 유방검사를 실시한 검사자 중 46%가 비정상 소견을 보인 것으로 나타났다.

• Journal of Yeungnam Medical Science
• /
• 제28권2호
• /
• pp.206-210
• /
• 2011

The occurrence of a mixed tumor containing papillary thyroid carcinoma (PTC) and primary squamous-cell carcinoma (SCC) is rare because there is no squamous epithelium in the thyroid gland. Reported herein is a 30-year-old female with mixed PTC and primary sec of the thyroid presented as thyroid incidentaloma. Fine-needle aspiration biopsy of the thyroid nodule revealed the presence of malignant thyroid cells. The histopathological examination following total thyroidectomy yielded two mixed, morphologically distinct histotypes that included PTC and sec. After total thyroidectomy, the patient underwent radioactive iodine therapy. No recurrence or metastasis occurred during the 20-month follow-up period after the operation.

• 대한두경부종양학회지
• /
• 제17권1호
• /
• pp.52-55
• /
• 2001

We present a case of a mixed papillary and follicular thyroid cancer in a 45-year-old female presented with palpable mass on anterior neck area for 1 week ago. Neck CT and ultrasonogram revealed small solid masses in the both lobes of the thyroid gland. Thyroid scintigraphy presents as a cold nodule in the right lobe of the thyroid gland and FNA cytology demonstrated papillary thyroid cancer. At the time of operation, small sized solid masses were detected in the both lobes, and no cervical lymph nodes enlargement along the mass. Biopsies of the both mass demonstrated papillary cancer on right lobe and follicular cancer on left lobe. Simultaneous papillary and follicular thyroid cancer is an extremely rare clinical entity. We experienced a case of simultaneous papillary and follicular thyroid cancer, so we report it with a review of some articles.

• The Journal of Advanced Prosthodontics
• /
• 제6권6호
• /
• pp.555-558
• /
• 2014

Focal epithelial hyperplasia (FEH) is a human papillomavirus (HPV)-induced alteration of the oral mucosa that presents with a clinically distinct appearance. While other HPV-infected lesions such as squamous papilloma, verruca vulgaris, and condyloma acuminatum involve the skin, oral mucosa, and genital mucosa, FEH occurs only in the oral mucosa. The affected oral mucosa exhibits multiple papules and nodules with each papule/nodule being flat-topped or sessile. The affected region resembles the normal color of oral mucosa rather than appearing as a white color since the epithelial surface is not hyperkeratinized. Almost all cases present with multiple sites of occurrence. This rare, benign epithelial proliferation is related to low-risk HPV, especially HPV-13 and -32, and is not transformed into carcinoma. We report a case of FEH that arose on the attached gingiva of an East Asian male adult related to prosthesis without detection of any HPV subtype in HPV DNA chip and sequencing.

• 대한두개안면성형외과학회지
• /
• 제13권1호
• /
• pp.72-75
• /
• 2012

Purpose: Dermatofibroma is a common benign dermal tumor characterized by a proliferation of fibroblast-like spindle cells. It is commonly localized on the skin of extremities and presents as a slow growing solitary nodule. To our knowledge, the occurrence of dermatofibroma in the oral cavity is rare. Herein, we report a rare case of dermatofibroma on the lower lip. Methods: A 60-year-old woman presented with a slow growing mass that measured $1{\times}0.8cm$ in diameter on the lower lip. The mass was surgically excised with clear margins. Results: Histologically, the mass was characterized by a nodular tumor composed of collagen bundles, fibroblasts, and histiocytes, which were findings consistent with dermatofibroma. The postoperative course was uneventful without any complications. Conclusion: When evaluating nodular tumors of the oral area, dermatofibroma should be considered in the differential diagnosis.