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갑상선의 원주세포형 유두상 암종의 세침흡인 세포학적 소견 - 1예 보고 -
정지한,강창석,심상인,김병기,이교영,Jung, Ji-Han,Kang, Chang-Suk,Shim, Sang-In,Kim, Byung-Kee,Lee, Kyo-Young 대한세포병리학회 1999 대한세포병리학회지 Vol.10 No.2
The columnar cell variant of papillary carcinoma is a rare tumor of the thyroid, associated with aggressive behavior, early metastasis, and a rapidly fatal course. We present the fine needle aspiration cytologic(FNAC) findings of columnar ceil variant of papillary carcinoma with cytohistologic correlation. In the smears, the tumor fragments showed mainly papillary pattern and a few scattered individual cells were present around the papillary fragments. The tumor cells were columnar or cuboidal and exhibited pseudostratification of the nuclei. The nuclei were oval to elongated with finely stippled chromatin and inconspicous nucleoli. Neither nuclear grooves nor intracytoplasmic inclusion was found. The FNAC diagnosis was consistent with papillary carcinoma. Total thyroidectomy was done and the histologic finding of the mass showed a predominantly papillary and focal solid proliferation of columar cells with marked nuclear pseudostratification. The unique histopathologic features and highly aggressive nature of columnar ceil variant of papillary carcinoma require that this variant should be differeniated from common papillary carcinoma of the thyroid.
정지안 ( Ji Ann Jung ),손가현 ( Ga Hyun Son ),이미경 ( Mi Kyung Lee ),김영한 ( Young Han Kim ),박용원 ( Yong Won Park ),권자영 ( Ja Young Kwon ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.2
Estimated incidence of round ligament varicosities in pregnancy is not known and often times it is confused with inguinal hernia due to their clinical similarities. When a patient is presented with inguinal mass especially in association with varicosity in the genital region or lower extremity, round ligament varicosity must be considered as a plausible diagnosis. Depiction of bag of worms on color Doppler ultrasonography is diagnostic of the round ligament varicosity and it is known to resolve spontaneously following delivery. We report a case of round ligament varicosities that was diagnosed at 29 weeks of gestation with a brief review of the literatures.
암종으로 오진하였던 모기질종의 세침흡인 세포학적 소견 - 1예 보고 -
정지한,김영신,이교영,강창석,심상인,Jung, Ji-Han,Kim, Young-Shin,Lee, Kyo-Young,Kang, Chang-Suk,Shim, Sang-In 대한세포병리학회 1999 대한세포병리학회지 Vol.10 No.1
Sometimes a pilomatrixoma on upper neck can be misdiagnosed as primary salivary gland tumor, skin adnexal tumor or metastatic carcinoma. On fine needle aspiration cytology(FNAC), characteristic features are ghost cells, basaloid cells, and calcium deposits, among which presence of ghost cells seems to be the key to recognize it. Here we present a cytologically misdiagnosed case of pilomatrixoma. A 32-year-old man presented a subcutaneous mass on the right posterior neck. It has grown slowly for 1 year, and was nontender, well circumscribed, hard, and movable mass. An Initial FNAC yielded only monomorphic population of highly mitotic basaloid cells, without anucleated ghost cells, chronic inflammatory cells or foreign-body giant cells, suggestive of a poorly differentiated carcinoma. However, that was inconsistent with patient's clinical findings. For further correct diagnosis, FNAC was repeated, which yielded the basaloid cells and foreign-body giant cells. The diagnosis of pilomatrixoma could be made and the mass was excised. This case demonstrates that the pilomatrixoma should be considered in the differential diagnosis of subcutaneous aspirates containing not ghost cells but a dominant population of basaloid cells.
임상 ; 초극소 미숙아에서 조기 장관영양의 임상적 효과
정지미 ( Ji Mi Jung ),한성우 ( Seong Woo Han ),구수현 ( Mi Lim Chung ),정미림 ( Soo Hyun Koo ),전가원 ( Ga Won Jeon ),신종범 ( Jong Beom Sin ) 대한주산의학회 2011 Perinatology Vol.22 No.2
목적: 초극소 미숙아에서 조기 장관영양이 장점막의 위축을 방지하고 장운동을 성숙시킨다는 연구는 많지만 이로 인한 괴사성 장염, 패혈증 등의 우려로 실제로 환자에게 적용하기는 어렵다. 이에 초극소 미숙아에서 조기장관영양이 이들의 예후에 미치는 영향에 대해 알아보았다. 방법: 2007년 1월부터 2009년 10월까지 부산백병원 신생아 집중치료실에 입원한 출생체중 1,000 g 미만의 초극소저출생체중아 61명의 의무기록을 후향적으로 분석하였다. 2008년 4월부터 조기장관영양을 시작하여 2007년 1월부터 2008년 3월까지를 대조군, 2008년 4월부터 2009년 10월까지 조기장관영양군으로 나누었다. 결과: 재태연령과 출생체중은 두군간의 차이가 없었고, 장관영양 시작시기와 완전장관영양 도달시기는 대조군과 조기영양군에서 각각7±2일, 2±1일과 68±6일, 22±2일로 조기장관영양군에서 유의하게 빨랐다(P<0.05). 정맥영양 시행기간은 대조군 58±6일, 조기장관영양군 22±2일로 조기장관영양군에서 유의하게 짧았고, 28병일째 체중증가율은 조기장관영양군에서 의미있게 높았다. 괴사성 장염과 패혈증의 발생빈도는 두군간의 차이가 없었고, 담즙정체증(대조군; 44%, 조기장관영양군; 7%)과 중등도 이상의 기관지폐이형성증(대조군; 78%, 조기장관영양군; 24%)은 조기장관영양군에서 유의하게 감소하였다. 결론: 초극소 미숙아에서 조기 장관영양은 괴사성 장염이나 패혈증의 증가 없이 완전장관영양에 빨리 도달하게 하였으며 기관지폐이형성증, 담즙정체증을 의미있게 감소시켰다. Purpose: This study investigated the effects of early enteral feeding on the morbidities of extremely low birth weight infants (ELBWI) weighing less than 1,000 g. Methods: We conducted a retrospective review of the medical records of sixty one ELBWI who were admitted to the neonatal intensive care unit of Inje University Busan Paik Hospital from January 2007 to October 2009. ELBWI were divided into two groups; the control group included ELBWI from January 2007 to March 2008, for whom enteral feeding was started beyond 3 days and the early feeding group included ELBWI from April 2008 to October 2009, for whom enteral feeding was started within 3 days. Results: Gestational age and birth weight did not differ between the two groups. In the early feeding group, start day of enteral feeding (control group vs. early feeding group; 7±2days vs. 2±1days), time to achieve full enteral feeding (68±6 days vs. 22±2 days), and the duration of parenteral nutrition (58±6 days vs. 22±2 days) were significantly shorter, and weight gain at postnatal day 28 was significantly higher than that of the control group (P<0.001). No differences were observed in the incidence of sepsis and necrotizing enterocolitis and duration of hospitalization; however, the incidence of total parenteral nutrition induced cholestasis (44% vs. 7%) and bronchopulmonary dysplsia (78% vs. 24%) was significantly lower in the early feeding group. Conclusion: Early enteral feeding in ELBWI shortened the time to achieve full enteral feeding, improved weight gain, and decreased the incidence of brochopulmonay dysplasia and cholestasis.
혈관면역모세포 T세포 림프종의 세침흡인 세포소견 -짧은 증례 보고-
정지한,최현주,강석진,강창석,이교영,유진영,Jung, Ji-Han,Choi, Hyun-Joo,Kang, Seok-Jin,Kang, Chang-Suk,Lee, Kyo-Young,Yoo, Jin-Young 대한세포병리학회 2006 대한세포병리학회지 Vol.17 No.2
Recently, we experienced a case of Angioimmunoblastic T-cell lymphom (AITL) in a 60-year-old man presented with lymphadenopathy, which is first cytological report in Korea. The cytological features showed a heterogeneous population of small to medium-sized lymphocytes, immunoblasts, and plasma cells. Characteristically, there were also a distinct population of follicular dendritic cells admixed with lymphoid cells, forming the so-called dendritic cell-lymphocyte complexes. Histological features showed the classic morphologic features of AITL. Recognition of the characteristic cytological features can suggest the possibility of AITL.
A Case of Metastatic Eccrine Porocarcinoma with a Review of the Literatures
Jung Hwan Lee(이정환),Joo Han Lim(임주한),Lucia Kim(김루시아),Chul Soo Kim(김철수),Hyeon Gyu Yi(이현규),So Yun Nah(나소연),Seong Hyun Kim(김성현),Ji Joong Jeong(정지중),Myung Dong Lee(이명동),Jea Ho Ye(예재호),Moon Hee Lee(이문희) 대한두경부종양학회 2011 대한두경부 종양학회지 Vol.27 No.2
에크린 한공암종은 흔하지 않으며, 전이성 에크린 한공암종은 매우 드문 암이다. 에크린 한공암종은 표피내 한관에서 기원하는 피부 부속기 악성 종양으로, 대부분 에크린 한공암종은 항암치료와 방사선치료에 효과가 없으며, 따라서 유일한 치료방법은 전이되기 전에 국소 및 광범위 절제술을 시행하여야 한다. 본 환자는 두피에 발생한 에크린 한공암종이 점점 진행하여 피부, 림프절, 폐 등으로 전이하였고, 다수의 광범위 절제술에 이어 항암치료와 방사선치료를 받았지만, 결국 폐전이가 악화되어 사망하였다. 본 저자들은 항암치료와 방사선치료에 불응한 에크린 한공암종 1예를 치료에 대한 문헌고찰과 더불어 보고하는 바이다.