• Title/Summary/Keyword: nodules

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Convergence Risk Factors for Thyroid Nodules Diagnosed Ultrasound (초음파검사로 진단된 갑상선결절의 융복합 위험요인)

  • Lee, Hye-Nam;Park, Yeon-Hwa
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.305-310
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    • 2016
  • Recently as the ultrasonography became generalized, the annual change rate of the incidence of thyroid cancer extraordinarily grew to 24.5% in Korea. Therefore, the aim of this study was performed to identify the risk factors of thyroid cancer apart from conventional risk factors of dietary iodine and ionizing radiation. In this retrospective study, 411 patients underwent fine-needle aspiration biopsy were examined from January 2011 to March 2013. The subjects are divided into two groups which are 260 patients with benign nodule and 151 patients with malignancy nodule. We compared age, hematologic values, body mass index, waist circumference, menopausal status, breast nodules status, uterine myoma status, fatty liver status of targeted group of patients. According to the result, in thyroid cancer group with obesity, the number of case of breast nodules and myoma was higher, and their thyroid stimulating hormone values was higher than the benign nodule group. In order to establish factors influencing thyroid and thyroid cancer, there is a definite need for continuous study.

STUDIES ON THE SEASONAL CHANGES OF GERMINAL CENTERS OF SPLENIC LYMPH NODULES AND OF BLOOD LYMPHOCYTES OF DUCKS (가압비장임파여포배중심(家鴨脾臟淋巴濾胞胚中心) 및 혈액내(血液內) 임파구(淋巴球)의 계절적(季節的)인 소장(消長)에 관(關)한 연구(硏究))

  • Kim, Yong Pil;Lee, Hyun Beom
    • Korean Journal of Veterinary Research
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    • v.1 no.1
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    • pp.54-60
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    • 1961
  • For the purpose of investigating seasonal changes of germinal centers of splenic lymph nodules and of blood lymphocytes of ducks, the spleens of 8 ducks from a flock were observed histologically every season; 2 cases in spring (March and April), 2 in summer (July and August), 2 in autumn (October and November) and 2 in winter (December and January). Blood cells of 8 ducks from the same flock also were counted during the summer (from July to August) and autumn (from October to November) The results obtained were summarized as follows: 1. There were seasonal changes in the germinal centers of lymph nodules, that is, the germinal centers were formed in spring and disappeared in autumn. In summer these were at the stage of transition from formation in spring to disappearance in autumn. In winter, on tile other hand. the process was reversed from the stage of disappearance in autumn to the stage of formation in spring. 2. The germinal center of splenic lymph nodule was encapsulated with a fibrous capsule which disappeared concommitantly with its germinal center. 3. The percentage and absolute value of lymphocytes in autumn were higher than those in summer, the fact that seemed to be not in agreement with Flemming's view that the lymphocytic clear germinal center may be functionally at the stage of lymphocyte formation, but in agreement with Maximow's view that the large lymphocytic clear germinal center is functionally at the stage of resting and medium-sized lymphocytic germinal center may be functionally at the stage of lympocyte formatiom.

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Localized and disseminated histiocytic sarcoma in two dogs (개에서 국소형과 범발성형 조직구육종 2예)

  • Kwon, Hyo-Jung;Park, Mi-Sun;Oh, Sang-Yeon;Jee, Hyang;Cho, Doo-Youn;Kim, Dae-Yong
    • Korean Journal of Veterinary Research
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    • v.45 no.3
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    • pp.369-373
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    • 2005
  • A male mixed breed dog with unknown age (case 1) and 5-year-old female golden retriever (case 2) were admitted to the Department of Veterinary Pathology at College of Veterinary Medicine, Seoul National University after sudden death. At necropsy, stifle region of case 1 was replaced by coalescing firm tan nodules approximately 1-3 cm in diameter. Neoplastic nodules were also presented in the lung. In case 2, the spleen was enlarged 3-5 times its normal size and numerous firm tan nodules were noted in the kidney, pericardium, diaphragm and lymph nodes. Histopathologically, the neoplastic masses of case 1 consisted of plump spindle cells having abundant cytoplasm and indistinct cell borders that formed interlacing bundle. In case 2, the masses were consisted of round to polygonal cells with abundant eosinophilic cytoplasm and eccentric nuclei. Numerous multinucleated giant cells containing nuclei of various sizes were noted. Immunohistochemically, neoplastic cells of all two cases stained intensely with vimentin and lysozyme. Based on the gross and light microscopic findings together with immunohistochemistry, both cases were diagnosed as localized histiocytic sarcoma with pulmonary metastasis and disseminated histiocytic sarcoma, respectively.

Asbestiform Tremolite Formed by Chert-Dolomite Reaction and Its Morphological Characteristics (처트-백운석 반응에 의한 석면상 투각섬석의 생성과 형태적 특성)

  • Jeong, Gi Young;Choi, Jin Beom
    • Journal of the Mineralogical Society of Korea
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    • v.26 no.2
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    • pp.111-118
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    • 2013
  • Diagenetic black chert nodules occur in the Paleozoic dolostone in Susan, Jecheon, Korea. They reacted with dolomite to form alteration rim around the nodules during the contact metamorphism probably related to the intrusion of biotite granite. In the earlier stage of alteration, talc and calcite replaced both the chert and dolomite, which were subsequently replaced by tremolite. Significant mass of tremolite occurs along the horizon enriched with chert nodules. Scanning electron microscopy and optical microscopy of the tremolite specimens revealed the elongated morphology of diverse aspect ratios coexisting in several mm scale. Non-asbestiform tremolite columns were also common as well as asbestiform fibrous bundles. Quantitative estimation of asbestos should be more cautious for naturally occurring materials because all the tremolite particles in the outcrop are not asbestiform. The occurrence of asbestiform tremolite in the Susan area indicates that a combination of chert-bearing dolostone, heat source, and aqueous fluids is one of the geological environments for the formation of asbestiform tremolite.

Partial Purification and Characterization of Minor Form of Phosphofructokinase from the Host Fraction of Chickpea(Cicer arietinum L. cv. Amethyst) Nodules (병아리콩(Cicer arietinum L. cv. Amethyst) 근류내의 플라스티드 포스포프룩토오스 키나아제의 분리 및 특성)

  • Lee, Hoi-Seon
    • Applied Biological Chemistry
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    • v.41 no.5
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    • pp.355-362
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    • 1998
  • The minor form of phosphofructokinase (EC 2.7.1.11; PFK), which was suggested to be of plastid origin from the host fraction of chickpea nodules, was isolated as a small protein with apparent molecular mass near 220 kDa and purified to a high degree. SDS-PAGE and western blot indicated that the enzyme was made up of a homotetrameric structure (55 kDa). The enzyme had sharp pH profiles with maximal activities at pH 8 and displayed Michaelis-Menten kinetics with respect to Fru-6-P and nucleoside triphosphate substrate at the pH optimum (pH 8) and at pH 7. MgATP was the most effective phosphoryl donor. Phosphoenolpyruvate was a potent inhibitor of minor PFK activity, and the enzyme was also strongly inhibited by 3-phosphoglycerate, 2-phosphoglycerate, and to a lesser extent, PPi. Minor PFK was weakly activated by KCl, NaCl and Pi, and was inhibitory at high concentration of KCl and Pi.

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Study for the Availability of Ultrasonogram Guided Fine Needle Aspiration for Patients with Thyroid Gland Disease

  • Kim, Han-Yong;Dong, Kyung-Rae
    • International Journal of Contents
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    • v.5 no.1
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    • pp.33-36
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    • 2009
  • Since the diagnosis of malignancy and benign of thyroid gland diseases is difficult only by using ultrasonogram opinions, the combination of fine needle aspiration (FNA) has been generalized trend for precise pathological diagnosis. Therefore, the current study aimed to know about its availability. The study subjected 500 patients who received the FNA along with the ultrasonogram screening for thyroid gland from October, 2007 to April, 2008. As the equipments for the study, Philips HDI-3500 and Philips UITRAMARKer-9 (UM-9) were used to conduct the comparative analysis of pathological results that were obtained through the inspection of ultrasonogram screening and through ultrasonogram guided FNA. Among the 464 patients who were found to be benign from the ultrasonogram screening inspection, II cases of the FNA diagnosis results judged to be malignancy, and 13 cases of the FNA diagnosis resulted to be benign among 36 patients who were diagnosed to be malignancy. The cases observed as solid from the opinions of ultrasonogram screening were often found to be malignancy, and most of the malignancy results were observed to show the hypoechoic pattern. Among the patients diagnosed with malignancy from the diagnosis of FNA, the 32 patients were found to have the papillary carcinoma, and the benign type was observed to be goiter and hyperplasia in 263 patients, which took up 52.6%. The ultrasonogram screening test that is performed for the purpose of diagnosing thyroid gland diseases, it is distinctively an useful inspection to diagnosis the presence, size and shape of nodules. However, the results of performing of FNA for those of nodules which were observed to be benign from the ultrasonogram were often came up with malignancy and there were cases that the nodules diagnosed with malignancy were diagnosed as benign from the FNA diagnosis.

Examination History and Abnormal Thyroid and Breast Lesions According to Residential Distance from Nuclear Power Plants

  • Lim, Young-Khi
    • Journal of Radiation Protection and Research
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    • v.41 no.4
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    • pp.402-408
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    • 2016
  • Background: Ascertainment bias are common in epidemiologic studies to assess the association between thyroid cancer risk and living near nuclear power plants because many thyroid cancers are diagnosed by chance through health examination. We surveyed the ultra sonography (USG) examination history and conducted thyroid and breast USG in residents living near nuclear power plants. Materials and Methods: The study population comprised 2,421 residents living near nuclear power plants in Korea. Information on demographic characteristics, including diagnostic examination history, was collected by interview using questionnaires. USG examination was conducted to evaluate the presence of thyroid nodules and breast lesion. Study participants were divided into 3 groups according to the distance of their respective villages from a nuclear power plant. The proportions of USG examination history and prevalence of thyroid nodules and breast lesions were compared between groups. Results and Discussion: Examination histories of thyroid USG were 23.1%, 13.7%, and 10.5% in men and 31.3%, 26.7%, 18.3% in women in the short, intermediate, and long distance groups, respectively. There were significant inverse associations between thyroid USG history and the distance from nuclear power plants (P for trend = 0.001 for men and 0.017 for women). However, there was no association between the distance of villages from nuclear power plants and prevalence of thyroid nodules. Conclusion: Our results suggest that there may be an ascertainment bias in population-based studies examining the harmful effects of NPPs examination and researchers should pay attention to ascertainment bias resulted from differential health examination. Correction for ascertainment bias, active follow-up and examination for all study population to remove differential health examination is needed.

Clinical Study on Phonatory Function of Pre and Post-Operative Condition of Vocal Nodules (성대결절적출전후의 음성기능에 관한 임상적 연구)

  • 문영일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.6.4-7
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    • 1978
  • The author has experienced 50 cases of vocal nodules and polyps in our department for 3 years from May 1974 to April 1977. These nodules were removed out with laryngeal forcep under indirect laryngoscopy and maximum phonation time and timbre of the voice were analyzed before and after operation. Very shortened phonation time of the patient with vocal nodule has returned to normal range (Male : 30 seconds, Female: 20 seconds) and the voice timbre has recovered to almost normal voice postoperatively. The author has made a brief literature review.

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A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis (메치실린 내성 황색포도상구균 세균성 심내막염에 의한 패혈성 폐색전증 1예)

  • Lee, Ki-Jong;Kim, Nha-Young;Kim, Ja-Seon;Yun, Han-Kyeol;Oh, Mi-Jung;Kim, Do-Hoon;Cho, Sang-Kyun;Ryu, Han-Young;Bae, Young-A;Kim, Dae-Bong;Shin, Mi-Kyung;Chin, Jae-Yong
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.2
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    • pp.124-128
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    • 2010
  • Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.

Evolution of Interferon-Gamma Release Assay Results and Submillisievert Chest CT Findings among Close Contacts of Active Pulmonary Tuberculosis Patients

  • Yoon, Soonho;Mihn, Do-CiC;Song, Jin-Wha;Kim, Sung A;Yim, Jae-Joon
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.4
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    • pp.283-288
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    • 2020
  • Background: Latent tuberculosis (TB) infection among TB contacts is diagnosed using plain chest radiography and interferon-gamma release assays (IGRAs). However, plain chest radiographs often miss active TB, and the results of IGRA could fluctuate over time. The purpose of this study was to elucidate changes in the results of the serial IGRAs and in the findings of the serial submillisievert chest computed tomography (CT) scans among the close contacts of active pulmonary TB patients. Methods: Patients age 20 or older with active pulmonary TB and their close contacts were invited to participate in this study. Two types of IGRA (QuantiFERON-TB Gold In-Tube assay [QFT-GIT] and the T-SPOT.TB test [T-SPOT]) and submillisievert chest CT scanning were performed at baseline and at 3 and 12 months after enrollment. Results: In total, 19 close contacts participated in this study. One was diagnosed with active pulmonary TB and was excluded from further analysis. At baseline, four of 18 contacts (22.2%) showed positive results for QFT-GIT and T-SPOT; there were no discordant results. During the follow-up, transient and permanent positive or negative conversions and discordant results between the two types of IGRAs were observed in some patients. Among the 17 contacts who underwent submillisievert chest CT scanning, calcified nodules were identified in seven (41.2%), noncalcified nodules in 14 (82.4%), and bronchiectasis in four (23.5%). Some nodules disappeared over time. Conclusion: The results of the QFT-GIT and T-SPOT assays and the CT images may change during 1 year of observation of close contacts of the active TB patients.