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자궁경부질 도말 검사 정도 관리과정으로서의 세포 및 조직진단의 비교 분석과 10% 무작위 재선별과의 비교 분석
윤길숙,허주령,손경희,김온자,공경엽,Yoon, Ghil-Suk,Huh, Joo-Ryung,Son, Kyung-Hee,Kim, On-Ja,Gong, Gyung-Yub 대한세포병리학회 1998 대한세포병리학회지 Vol.9 No.2
Although the success of the Papanicolaou test as a screening tool of cervical cancer is evident, there still exists $2{\sim}5%$ of discrepancy rate by both human and machine. To improve the qualilty of cervico-vaginal cytology, the authors compared cervicovaginal smear with cervical biopsy diagnoses, and analysed the causes of discrepancies. Among 30,922 cervicovaginal smears from June 1996 to April 1997 at our hospital, there were 271 cases of cervicovaginal smear with subsequent cervical punch or LEEP cone biopsies within several months. The biopsies and smears from a total of 98 discordant cases were reviewed. The discrepancy was attributed to sampling errors in 43 cases(43.9%), and to cytologic diagnosis in 49 cases(50.0%). Among these, 43 cases were interpretative errors(categories A;19, B;16 and C;8) whereas six cases were screening errors(categories B:2 and C:4). Among cervical biopsy cases, errors were present in four. As for 10% random rescreening, cytotechnologists reviewed 3,196 of 30,922 smears during the same period, There were 43 cases of screening error(categories A;27, B;16). Cytologic/histologic correlation was superior to 10% random rescreening of negative cases. The most effective method for quality improvement in cervicovaginal cytology was to implement both quality control(rescreening) and qualify assurance(cytologic/histologic correlation) programs.
김미숙(Mi Suk Kim),최윤석(Youn Seok Choi),최진석(Jin Seok Choi),정경재(Kyung Jae Jeong),윤길숙(Ghil Suk Yoon),이태성(Tae Sung Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
Malignant mixed mullerian tumors (MMMTs) are unusual neoplasms occurring mostly in the endometrium. In the ovary, they are very rare and represent less than 1% of all ovarian malignancies. They are highly aggressive neoplasms comprising histologically of both epithelial and mesenchymal components. The cell type cannot be determined on the basis of appearance at magnetic resonance (MR) imaging, computed tomography (CT), or ultrasonography (US) but we diagnosed this case as endometrioid adenocarcinoma by MR imaging. Although the pathologic evaluation revealed the ovarian MMMT, mesenchymal components was very minute in the background of endometrioid adenocarcinoma components. The patient received the screening tests of ovarian carcinoma including transvaginal ultrasonography only 3months ago and she got negative results. During the exploration, a 15-cm sized mass looked like it has rapidly grown and ruptured spontaneously preoperatively. Herein we report a case of ovarian MMMT, which was diagnosed preoperatively as endometrioid adenocarcinoma by MR imaging with review of literatures.
난소에서 발생한 Malignant struma ovarii 2 예
김은진(Eun Jin Kim),한치동(Chi Dong Han),허창규(Chang Kyu Huh),윤길숙(Ghil Suk Yoon),고석봉(Suk Bong Koh),이태성(Tee Sung Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
Struma ovarii consists of thyroid tissue which is derived from germ cells in a mature teratoma. Five percent of struma ovarii are malignant, and of these only five percent metastasize. The rarity of this disease has resulted in difficulty in agreeing on treatment regimens and in limited imaging and monitoring difficulties encountered in their management. We have experienced two cases of malignant struma ovarii with brief review of the literature.
인설성 반의 양상으로 침윤된 T-cell lymphoblastic lymphoma
우민정 ( Min Jung Woo ),이성우 ( Sung Woo Lee ),김상원 ( Sang Won Kim ),윤길숙 ( Ghil Suk Yoon ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.2
Lymphoblastic lymphoma(LRL) is non-Hodgkin`s 1ymphoma with a high tendency of rapid progression to acute leukemia, but cutaneous infiltration is rare. Cutaneous lesions in LBL were largely red papules and nodules. We herein report a case of 24-year-old wo
김민 ( Min Kim ),차승익 ( Seung Ick Cha ),신경민 ( Kyung Min Shin ),윤길숙 ( Ghil Suk Yoon ),배정현 ( Jung Hyun Bae ),윤원경 ( Won Kyung Yoon ),이신엽 ( Shin Yup Lee ),김창호 ( Chang Ho Kim ),박재용 ( Jae Yong Park ),정태훈 ( Tae 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.4
Hot tub lung is a lung disorder associated with exposure to hot tub water contaminated with Mycobacterium avium complex (MAC). Although its pathogenesis remains unclear, it may be considered hypersensitivity pneumonitis (HP) rather than an infectious disease. We report a case which fulfilled the current diagnostic criteria of hot tub lung. A patient had worked as a cleaner in the public bath for approximately one year and presented with dyspnea for over one month. The computed tomographic finding of bilateral ground glass attenuation and pathologic finding of granulomatous inflammation were consistent with HP. MAC was isolated from bronchoalveolar lavage fluid and hot tub water. After corticosteroid treatment without antimycobacterial medication, the patient improved and there has been no recurrence. The patient has since discontinued working in the public bath.
원발성 전신형 Ki-1 ( CD30 ) 양성 대형세포 림프종 1 예
우민정(Min Jung Woo),이성우(Sung Woo Lee),정현(Hyun Chung),김상원(Sang Won Kim),윤길숙(Ghil Suk Yoon) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.5
We report a case of Ki-J(CD30) positive large cell lymphoma which developed on the skin of the right inguinal area in an 8-year-old boy. The lesion was a 3.0×5.0㎝ sizde ulecrative tumor with elevated margin, rapidly growing during 2 week period and was associated with enlargement of the left ingutinal lymph nodes. Histopathologic feature showed anaplastie cells with abundant cytoplasm and multinueleated giant cells with wreath-like muelei in the dermis and subeutis. Immunohistoehimieally, tumor cells were CD30 positive. He was treated with ehemotheraty through RFM-NHI. protocol, with good response.
사마귀양혈관종과 혈관각화종: 임상병리조직학적 유사점과 차이점
정홍대 ( Hong Dae Jung ),박경덕 ( Kyung Duck Park ),지성근 ( Seong Geun Chi ),이석종 ( Seok Jong Lee ),최윤석 ( Yoon Seok Choe ),김병수 ( Byung Soo Kim ),김도원 ( Do Won Kim ),정호윤 ( Ho Yun Chung ),윤길숙 ( Ghil Suk Yoon ) 대한피부과학회 2009 大韓皮膚科學會誌 Vol.47 No.4
Background: Verrucous hemangioma (VH) and angiokeratoma (AK) are vascular birthmarks of an unclear nosology and these birthmarks commonly show a superficial hyperkeratotic vascular component. There are both similarilities and differences between VH and AK with some confusion concerning their overlapping features. Objective: This study was undertaken to review the clinicopathological features of VHs and AKs and to determine the similarilities and differences between them. Methods: We retrospectively reviewed 11 VHs and 7 AKs at the Vascular Anomaly Clinic of our hospital over the past 10 years. They were evaluated from the clinicopathologic point of view for factors such as the age of onset, location, size, symptoms, the histopathological epithelial change and involvement of deeper tissue. Results: These birthmarks share common clinical features with the exception of gender and lesion size. Histopathologically, hyperkeratosis, acanthosis and capillary dilatation in the upper dermis were commonly seen. Yet lobular proliferation and dilatation of blood vessels in the deep dermis, or more importantly, the subcutis were detected in VH only. Furthermore there was a case of VH that showed diffusely scattered increased blood vessels in the subcutis, suggesting an evolving stage of VH and there was another case of VH that was erroneously diagnosed as AK via the initial biopsy, and the final diagnosis was changed according to the excised lesion. Conclusion: The two diseases share most of their clinicopathological features, but small parts of features like gender, the clinical size and the histological deep dermis/subcutis involvement were differences. Making the correct differential diagnosis between VH and AK through a deep biopsy with appropriate timing and long term follow up and/or radiological examination is helpful to avoid erroneous management. (Korean J Dermatol 2009;47(4):419~424)
면역적격환자에서 발생한 위막성 아스페르길루스 기관기관지염
차승익 ( Seung Ick Cha ),신경민 ( Kyung Min Shin ),유승수 ( Seung Soo Yoo ),정지윤 ( Ji Yun Jeong ),윤길숙 ( Ghil Suk Yoon ),이신엽 ( Shin Yeop Lee ),김창호 ( Chang Ho Kim ),박재용 ( Jae Yong Park ),정태훈 ( Tae Hoon Jung ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5
Aspergillus tracheobronchitis (ATB), a variant of invasive pulmonary aspergillosis, is characterized by extensive tracheobronchitis and pseudomembrane formation. ATB usually occurs in immunocompromised patients with a high fatality rate. We report a case of ATB in a previously healthy patient who responded well to antifungal therapy.
Capillary Aneurysm 4예 -흑색종과의 임상적 감별진단-
지성근 ( Seong Geun Chi ),정홍대 ( Hong Dae Jung ),이석종 ( Seok Jong Lee ),김병수 ( Byung Soo Kim ),이원주 ( Weon Ju Lee ),김도원 ( Do Won Kim ),윤길숙 ( Ghil Suk Yoon ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.12
Capillary aneurysm is classically described as a suddenly growing dark papule, and is also known as thrombosed capillary or vein. It is clinically significant that the clinical features of capillary aneurysm are closely similar to those of malignant melanoma or dysplastic nevus. The histopathological finding of capillary aneurysm reveals dilated thin-walled venule(s) just beneath the hyperplastic epidermis, lined by a single layer of endothelium and a thrombus in the lumen. This abstract focuses on four patients who presented with a dark black-colored dome-shaped nodule and clinical impression included malignant melanoma, dysplastic nevus, angiokeratoma and lymphangioma circum-scriptum. We herein report four cases histologically diagnosed as capillary aneurysm, which should be considered for differential diagnosis. (Korean J Dermatol 2007;45(12):1265∼1269)
귀 이개에 발생한 근혈관주위세포종(Myopericytoma)
김호연 ( Ho Youn Kim ),임현정 ( Hyun Jung Lim ),박병철 ( Byung Cheol Park ),이석종 ( Seok Jong Lee ),김병수 ( Byung Soo Kim ),이원주 ( Weon Ju Lee ),김도원 ( Do Won Kim ),윤길숙 ( Ghil Suk Yoon ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.11
The concept of perivascular myomas was recently proposed to designate perivascular myoid tumors arising from pleuripotent perivascular cells like smooth muscle cell cells, pericytes and glomus cell. They represent a histological continuum between three categories; myofibromatosis, glomangiopericytoma and myopericytoma. Myopericytoma is a rare, soft tissue tumor that primarily occurs in the skin and the subcutaneous and soft tissues of the extremities, but very few cases have been reported in other locations, which occurred in our present case. We herein report on a rare case of myopericytoma that developed on an unusual location, that is, the ear. The patient was a 35-year-old man who had a painless, slowly-growing red nodule on the upper auricle of the right ear for 5 years. The nodule was revealed to be a well-circumscribed mass composed of round to oval cells that strongly expressed smooth muscle actin. These cells were arranged in the concentrically multilayered pattern and they were surrounded by small to medium-sized vessels. (Korean J Dermatol 2009;47(11):1304~1308)