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폐장 결절성 병변에 대한 경흉 세침천자 세포학적검사 결과의 분석
박찬금,이중달,Park, Chan-Kum,Lee, Jung-Dal 대한세포병리학회 1995 대한세포병리학회지 Vol.6 No.2
To evaluate the sensitivity and specificity of transthoracic fine needle aspiration cytology(TFNAC) in the preoperative diagnosis of pulmonary nodules, a retrospective analysis was carried out on a consecutive series of 200 TFNACs. They included 186 primary malignant tumors, 66 squamous cell carcinomas, 65 adenocarcinomas, 36 small cell carcinomas, 7 large ceil carcinomas, 4 carcinomas, 8 others, 9 metastatic tumors, and 5 benign tumors. On cytohistologic correlation of malignant pulmonary tumors, the procedure had a sensitivity of 97.3% and a specificity of 100%. A 86.6% correct correlation between the cytologic and histologic diagnoses was achieved. Five out of the 7 undifferentiated large cell carcinomas, 10 out of the 65 adenocarcinomas, 2 out of the 36 small cell carcinomas, and 2 out of the 66 squamous cell carcinomas were turned out to be mistyped in cytologic diagnosis. We concluded that TFNAC is a highly sensitive and specific preoperative diagnostic procedure in the investigation of patients with discrete pulmonary nodules in whom the specific ceil type of the malignant neoplasm has important implications in treatment modality and prognosis.
박찬금,류근신,김완섭,전석철,이중달,Park, Chan-Kum,Lyu, Geun-Shin,Kim, Wan-Sup,Jeon, Seok-Chol,Lee, Jung-Dal The Korean Society for Cytopathology 1997 대한세포병리학회지 Vol.8 No.1
저자들은 최근 면역기능이 저하되지 않은 50세 남자환자의 폐장에 국한되어 발생한 효모균증을 세침흡인 도말소견으로 진단하고 이의 세포도말 소견을 보고하는 바이다. 세침흡인 도말배경내에는 녹색 내지는 염색되지 않으며 굴절되어 보이는 다양한 크기의 둥글거나 난원형이면서 그 주변에 투명한 운륜을 갖는 균체가 다수 산재되어 관찰되었다. 균체의 크기는 $5{\sim}15{\mu}m$이었으며 Gomori methenaminesilver 염색상 발아성 홀씨가 잘 관찰되었다. Mucicarmine 염색상 피막은 연분홍색으로 염색되었다. Initial rapid diagnosis of primary pulmonary cryptococcosis(PPC) occurring in a immunocompetent host was made by transthoracic fine needle aspiration cytology of a solitary subpleural nodule. Numerous refractile spherical organisms surrounded by a clear halo were demonstrated with haematoxylin-eosin and Papanicolaou stains. The organisms, $5{\sim}15{\mu}m$ in diameter, were easily demonstrated with Gomori methenamine-silver stain. Many of the organisms showed narrow-base budding. Carminophilic cell walls were well demonstrated with mucicarmine stain.
자궁경부 악성 림프종의 경부-질 도말소견 - 1 증례 보고 -
김남훈,박찬금,고영혜,박문향,이중달,Kim, Nam-Hoon,Park, Chan-Kum,Ko, Young-Hyeh,Park, Moon-Hyang,Lee, Jung-Dal 대한세포병리학회 1995 대한세포병리학회지 Vol.6 No.1
The uterine cervix is an uncommon site of primary non-Hodgkin's lymphoma (NHL). Although the cytologic findings of NHLs are well known, most cervicovaginal smear of uterine NHLs give lower diagnostic yield than common epithelial malignancy because abnormal cells do not appear in the sample in the absence of surface ulceration. Herein, we describe cytologic findings of a case of uterine cervical NHL which was initially diagnosed by cervicovaginal smear. The tumor cells were relatively uniform, isolated, large-sized with scanty cytoplasm and round or indented nuclei. The nuclei had stippled chromatin and small nucleoli. Histologically and immunohistochemically the tumor was proven to be large cell lymphoma of T-cell lineage.
권상진,박찬금,노영석 ( Sang Jin Kwon,Chan Kum Park,Young Suck Ro ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3
Angiomatoid fibrous histiocytoma(AFH) is a rare cutaneous tumor showing distinctive clinical and histological features. It occurs as a slowly growing nodular or cystic mass of the dermis or subcutis, on the extremities of children and young adults. One of the most characteristic histological features is the presence of irregular blood-filled cystic spaces. The histogenesis of AFH is still controversial, with histiocytes, fibroblasts and endothelial cells all having been proposed as the main proliferating cell. A twenty-year-old woman was seen for a nodular lesion on the right forearm of 1 yeat duration. Initially, the lesion was asymptomatic and had recently increased slightly in size. The excisional biopsy specimen showed a relatively well circumscribed tumor mass in the dermis and subcutis. There were large blood-filled cystic spaces and areas of hemorrhage in addition to the solid sheets of fibroblast-like and histiocyte-like cells. Xanthoma cells, siderophages and Touton type giant cells were also present. On immunohistochemistry, most of the tumor cells strongly expressed histiocyte markers, although some of the tumor cells showed positive reactions for smooth muscle actin, muscle specific actin, desmin, and factor Ⅷ-associated antigen.
Calcium Gluconate 정맥내 투여에 의해 발생한 피부석회증
김영태,권상진,박찬금 ( Young Tae Kim,Sang Jin Kwon,Chan Kum Park ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3
We report a case of calcinosis cutis following administration of 10% calcium gluconate, used for the treatment of a hypocalcemic seizure in a 5-week-old neonate. After administration of 10% calcium gluconate, subcutaneous induration developed at the infusion site. The histopathological findings taken from the dorsum of the left foot showed multiple foci of calcium deposits with infiltration of epitheloid histiocytes between collagen bundles and foreign body giant cells phagocyting calcific granules throughout the reticular dermis and subcutis. (Kor J Dermatol 1997;35(3): 532-535)
홍진경,박영민,조상현,조백기,박찬금 ( Jin Kyung Hong,Young Min Park,Sang Hyun Cho,Baik Kee Cho,Chan Kum Park ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.4
Inverted follicular keratosis is a benign epithelial tumor occurring most frequently on the face or scalp of older persons as a firm, skin-colored papule. It may rarely occur from a pre-existing nevus sebaceus as a secondary tumor. Herein we report a case of inverted follicular keratosis arising from a pre-existing nevus sebaceus in a 47-year-old male. He presented with a keratotic erythematous dome-shaped tumor which suddenly developed from a pre-existing yellowish papillomatous plaque on his scalp. Histopathological findings of the secondary lesion revealed a proliferating epithelial tumor with numous squamous eddies in the center, consistent with inverted follicular keratosis. (Kor J Dermatol 1997;35(4): 798-801)
성의숙,지용배,김경래,박찬금,태경,Sung, Eui Suk,Ji, Yong Bae,Kim, Kyung Rae,Park, Chan Kum,Tae, Kyung 대한기관식도과학회 2011 大韓氣管食道科學會誌 Vol.17 No.2
A bronchogenic cyst is an uncommon benign congenital anomaly of the primitive ventral forgut which was generally encountered within the mediastinum and detected in pediatric patients. It is rarely detected in adult population as a lateral neck mass. We have recently experienced one case of bronchogenic cyst as a left lateral neck mass in a 49-year-old male. He complaints of a $2{\times}1$ cm sized, soft, non tender, and movable mass on the low lateral neck. The surgical excision of mass was performed and the final histopathologic diagnosis was a bronchogenic cyst. Here, we report this case with the review of literatures.
급성호흡부전 호전 후 기관지폐포세척에서 지방과립구가 확인된 지방색전증후군
박송리 ( Song Ree Park ),김현수 ( Hyun Soo Kim ),이재형 ( Jae Hyung Lee ),김상헌 ( Sang Heon Kim ),김태형 ( Tae Hyung Kim ),윤호주 ( Ho Joo Yoon ),박성수 ( Sung Soo Park ),신동호 ( Dong Ho Shin ),박찬금 ( Chan Kum Park ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.6
Fat embolism syndrome is a rare clinical diagnosis of dyspnea with acute respiratory failure and neurological signs caused by a traumatic long bone fracture. We report a case of fat embolism in a 22 year-old man after a traffic accident. Dyspnea and stuporous mental changes developed on the 1st day after the external fixation operation of a left metaphyseal femur fracture. On the following day, he was transferred from a hospital to this one because of acute respiratory failure. After recovery, macrophages with fat droplets were found in the bronchoalveolar lavage fluid 1. It is important to diagnose a fat embolism as the correct cause of acute respiratory failure through the BAL in the acute state of fat embolism syndrome It is believed that clinically apparent or sometimes hidden fat embolism syndrome can be diagnosed from the BAL during the recovery state. (Tuberc Respir Dis 2006; 61: 562-566)