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세포 병리 자문 재판독의 진단 불일치에 관한 연구: 서울아산병원의 경험
박소형,노재윤,조경자,공경엽,조영미,강신광,Park, So-Hyung,Ro, Jae-Y.,Cho, Kyung-Ja,Gong, Gyung-Yub,Cho, Yong-Mee,Khang, Shin-Kwang 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2
Background : Second opinion diagnosis of outside pathology slides is a common practice for efficient and proper patient management. We analyzed cytology slides from outside hospitals submitted for a second opinion diagnosis to determine whether the second opinion diagnosis had any influence on patient care. Methods : We reviewed 1,153 outside cytology slides referred to Asan Medical Center for second opinions from January, 2007, to December, 2007. All cases were categorized into three groups; no diagnostic discrepancy, minor diagnostic discrepancies (no impact on the management), and major diagnostic discrepancies (significant impact on the management and subsequent follow-up). Results : The thyroid was the most common organ system (933 cases, 80.9%), Forty cases (3.6%) belonged to the major diagnostic discrepancy group and 149 cases (12.8%) to the minor discrepancy group. For validation of second opinion diagnoses in major discrepancy cases, subsequent biopsy or surgical resection specimens and clinical information were reviewed, which were available in 29 cases. The second opinion diagnoses resulted in alteration of clinical management in 21 of 29 cases. Conclusion : For all referred patients, second opinion diagnosis is important and mandatory for appropriate patient care.
이태진,이진숙,공경엽,강신광,노재윤,Lee, Tae-Jin,Lee, Jin-Sook,Gong, Gyung-Yub,Khang, Shin-Kwang,Ro, Jae-Y. 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.1
Pulmonary hamartomas are uncommon benign tumors, usually discovered radiologically as a solitary coin lesion in asymptomatic individual. The approach to the patient with a peripheral lung nodule has changed with the increasing acceptance of fine needle aspiration cytology(FNAC) as a rapid, safe, inexpensive, and highly accurate diagnostic tool. However, a few reports describing the FNAC findings of pulmonary hamarioma have appeared in the cytologic literature and the experience of FNAC is limited. We reviewed all 9 cases of pulmonary hamartoma with histologic confirmation after FNAC seen at Asan Medical Center since 1995 to evaluate cytologic findings and to determine the value of FNAC in identifying that lesion. Originally, seven of nine patients were diagnosed as pulmonary hamartoma, while two patients were diagnosed as inflammatory lesion and adenocarcinoma of each. On review, eight of nine patients were considered as diagnostic of pulmonary hamartoma. The diagnostic findings in FNAC of pulmonary hamartoma were the presence of fibrillary myxoid tissue with spindle cells as well as hyaline cartilage.
유방의 양성 및 악성 유두상 종양의 세포학적 소견의 비교 검색
이호정,공경엽,김봉희,안세현,박정미,허주령,강신광,노재윤,Lee, Ho-Jung,Gong, Gyung-Yub,Kim, Bohng-Hee,Ahn, Sei-Hyun,Park, Jeoug-Mi,Huh, Joo-Ryung,Khang, Shin-Kwang,Ro, Jae-Y. 대한세포병리학회 1999 대한세포병리학회지 Vol.10 No.1
Benign and malignant papillary neoplasms of the breast may be difficult to distinguish in both cytologic and histologic preparations. To define the cytologic features of benign and malignant papillary lesions, we retrospectively reviewed 18 cases of fine needle aspirates from histologically confirmed cases of papilloma or papillary carcinoma of the breast. This study included 3 intraductal papillary carcinomas, 3 invasive papillary carcinomas, and 12 intraductal papillomas. Ail cases were evaluated for presence or absence of papillary fragments, bloody background, apocrine metaplasia, macrophages, and degree of cellularity, atypia, and single isolated columnar epithelial cells. Papillary fragments were present in all cases. The background of the smear was bloody in all 6 carcinomas, but in only 7 out of 12 papillomas. Markedly increased cellularity was present in 4 carcinomas(67%) and 7 papillomas(58%). Single cells were present in 5 carcinomas(83%) and 8 papillomas(67%). The majority of papillomas and papillary carcinomas had mild to moderate atypia, and severe atypia was noted in one case of intraductal papillary carcinoma and one case of invasive papillary carcinoma. Apocrine metaplasia was absent in all cases of papillary carcinomas, but present in 8 papillomas(57%). Macrophages were noted in 4 carcinomas and were present in all cases of papillomas. The constellation of severe atypia, bloody background, absence of apocrine metaplasia and/or macrophages were features to favor carcinoma. Malignant lesions tended to show higher cellularity and more single isolated cells. The cytologic features mentioned above would be helpful to distinguish benign from malignant papillary lesions of the breast. However, because of overlapping of cytologic features, surgical excision should be warranted in all cases on papillary lesions of the breast to further characterize the tumor.
조영미(Yong Mee Cho),김규래(Kyu Rae Kim),노재윤(Jae Y Ro),장세진(Se J Jang),김상윤(Sang Yoon Kim),조경자(Kyung Ja Cho) 대한두경부종양학회 2004 대한두경부 종양학회지 Vol.20 No.2
Basaloid squamous carcinoma (BSC) is an uncommon aggressive variant of squamous cell carcinoma with a predilection for hypopharynx, tongue base, and larynx. We present 5 cases of BSC of unusual sites, each from maxillary sinus, external auditory canal, submandibular gland, tonsil, and nasopharynx. Only a few cases arising in these sites have been reported to date. Patients included 3 men and 2 women with the age range of 45-69 years (mean, 56.4 years). Microscopically, the tumors were characterized by solid lobules and nests of ovoid basaloid cells with abundant desmoplastic stroma. Comedonecrosis, peripheral palisading of tumor cells, trabecular pattern, and rosette-like arrangement were commonly observed. Tumor cells had scanty cytoplasm and their nuclei were ovoid, relatively uniform, and hyperchromatic. In two cases, concomitant squamous cell carcinoma in situ was identified. Immunohistochemical stains revealed that tumor cells were strongly positive for pancytokeratin and negative or weakly positive for p63. Being aware of BSC that can arise from unusual sites would help diagnose correctly and treat properly this rare and distinct clinicopathologic entity.
증례 : 해면상 혈관종에서 기인된 단발성 비기생충성 간 낭종
최흥재 ( Heung Jai Choi ),이해선 ( Hae Sun Lee ),김현승 ( Hyun Seung Kim ),김춘규 ( Choon Kyu Kim ),노재윤 ( Jae Yun Ro ) 대한내과학회 1973 대한내과학회지 Vol.16 No.7
A case of a solitary non-parasitic cyst of the liver of a 320year-old Korean female is presented. She had the complaint of a palp3ble mass with vague aching sensation in the right upper abdomen of 3 months` duration. Physical examination revealed the enlar