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요관 세척 세포학적 검사로 진단된 요관 아밀로이드증 - 1 예 보고 -
이원애,기정혜,진윤미,이미경,Lee, Won-Ae,Kie, Jeong-Hae,Jeen, Yoon-Mi,Lee, Mi-Kyung 대한세포병리학회 2002 대한세포병리학회지 Vol.13 No.1
Localized amyloidosis of the ureter is rare and clinically confused with neoplasm. We describe a case of localized amyloidosis of the ureter in which the presence of amyloid was detected in ureteral washing cytology. A 75-year-old female presented with gross hematuria. Abdominal CT and retrograde pyelography revealed hydronephrosis and hydroureter on the left side with abrupt narrowing of the distal ureter. Ureteral washing cytology yielded a hypocellular smear with many irregular clumps of amorphous, extracellar, waxy material. Biopsy sections demonstrated submucosal deposits of eosinophilic amorphous material which gave characteristic apple green birefringence with Congo-red stain under the polarized light. Familarity with the cytologic features of amyloid is helpful for preoperative diagnosis and proper treatment.
자궁경부 편평상피병변에서 자궁경부질도말 세포검사의 진단정확도 : 481예의 세포-조직 상관관계
진소영,박상모,김미선,진윤미,김동원,이동화,Jin, So-Young,Park, Sang-Mo,Kim, Mee-Sun,Jeen, Yoon-Mi,Kim, Dong-Won,Lee, Dong-Wha 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2
Background : Cervicovaginal cytology is a screening test of uterine cervical cancer. The sensitivity of cervicovaginal cytology is less than 50%, but studies of cytologic/histologic correlation are limited. We analyzed the diagnostic accuracy of cervicovaginal cytology in the detection of the squamous epithelial lesions of the uterine cervix and investigate the cause of diagnostic discordance. Materials and Methods : We collected a total of 481 sets of cervicovaginal cytology and biopsies over 5 years. The cytologic diagnoses were categorized based on The Bethesda System and the histologic diagnoses were classified as negative, flat condyloma, cervical intraepithelial neoplasia (CIN) I, CIN II, CIN III, or squamous cell carcinoma. Cytohistologic discrepancies were reviewed. Results: The concordance rate between the cytological and the histological diagnosis was 79.0%. The sensitivity and specificity of cervicovaginal cytology were 80.6% and 92.6%, respectively. Its positive predictive value and negative predictive value were 93.7% and 77.7%, respectively. The false negative rate was 19.4%. Among 54 false negative cytology cases, they were confirmed by histology as 50 flat condylomas, 2 CIN I, 1 CIN III, and 1 squamous cell carcinoma. The causes of false negative cytology were sampling errors in 75.6% and interpretation errors in 24.4%. The false positive rate was 7.4%. Among 15 false positive cytology cases, they were confirmed by histology as 12 atypical squamous cells of undetermined significance (ASCUS) and 3 low grade squamous intraepithelial lesions (LSIL). The cause of error was interpretation error in all cases. The overall diagnostic accuracy of cervicovaginal cytology was 85.7%. Conclusions : Cervicovaginal cytology shows high overall diagnostic accuracy and is a useful primary screen of uterine cervical cancer.
유병철 ( Byung Chul You ),정승원 ( Soung Won Jeong ),장재영 ( Jae Young Jang ),구소미 ( So Mi Goo ),김상균 ( Sang Gyune Kim ),김영석 ( Young Seok Kim ),전찬홍 ( Chan Hong Jeon ),진윤미 ( Yoon Mi Jeen ) 대한소화기학회 2012 대한소화기학회지 Vol.59 No.1
Systemic sclerosis (SSc) is a chronic systemic disease that affects the skin, lungs, heart, gastrointestinal tract, kidneys, and musculoskeletal system. Although up to 90% of patients with scleroderma have been estimated to have gastrointestinal involvement, liver disease has been reported only rarely. A 51-year-old woman was hospitalized due to esophageal variceal bleeding. Her serum was positive for anti-nuclear antibody and anti-centromere antibody. Sclerodactyly was noted on both hands, and she had recently developed Raynaud`s syndrome. Punch biopsy of the hand showed hyperkeratosis, regular acanthosis, and increased basal pigmentation in the epidermis, and thick pale collagenous bundles in the dermis. Liver biopsy showed chronic active hepatitis with bridging fibrosis. Consequently, she was diagnosed with liver cirrhosis due to autoimmune hepatitis (AIH) combined with SSc. AIH had subsided after administration of prednisolone at 40 mg per day. She received 5-10 mg/day of prednisolone as an outpatient, and her condition has remained stable. Patients with either AIH or SSc should be monitored for further development of concurrent autoimmune diseases. The early diagnosis of AIH combined with SSc will be helpful in achieving optimal management. (Korean J Gastroenterol 2012;59:48-52).
증례 : 소화기 ; 아메바 큰창자염을 동반한 급성 E형 간염 1예
김철 ( Chul Kim ),장재영 ( Jae Young Jang ),김화종 ( Hwa Jong Kim ),정철호 ( Chul Ho Chung ),정승원 ( Soung Won Jeong ),진윤미 ( Yoon Mi Jeen ),심찬섭 ( Chan Sup Shim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
본 증례는 유행지역을 여행한 후 발생한 급성 E형 간염 환자에서 다른 수인성 질환인 아메바성 장염이 병발한 증례였고 보존적 치료와 항생제 사용으로 치료에 성공한 경우이다. 유병률이 높은 지역을 여행 후 복합증상을 보이는 환자에 있어서 여러 가지 수인성 질환의 병발 가능성에 대하여 고려하여야겠다. Hepatitis E virus (HEV) is a major cause of outbreaks of water-borne hepatitis in developing countries and of sporadic cases of viral hepatitis. The transmission of HEV occurs predominantly by the fecal-oral route, although parenteral and perinatal routes have been implicated. The death rate is 0.5~3% among young adults and 15~20% for pregnant women. Intestinal amoebiasis is caused by the protozoan Entamoeba histolytica. Worldwide, approximately 40 to 50 million people develop colitis or extra-intestinal disease. Although most infections are asymptomatic, amoebic dysentery, amoebic liver abscesses and, rarely, other manifestations involving lung, heart, or brain can occur. We report a case of hepatitis E combined with amoebic colitis in a patient who traveled to an endemic area and review the literature. (Korean J Med 77:S1133-S1136, 2009)