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비정상 자궁경부도말에서 AutoPap 300 QC System의 민감도와 Score에 영향을 주는 인자의 평가
홍성란,Hong, Sung-Ran 대한세포병리학회 1998 대한세포병리학회지 Vol.9 No.2
The AutoPap 300 QC System is an automated device for the analysis and classification of conventional cervical cytology slides for quality control purpose. These studies evaluated the sensitivity of the AutoPap 300 QC System, and estimated morphologic features other than epithelial abnormality to identify a high quality control(QC) score with the AutoPap 300 QC System. The sensitivity of the AutoPap 300 QC System at 10% review rate for 210 cases of cervicovaginal cytology with low grade squamous intraepithelial lesion(LSIL) and higher grade lesion was assessed, and compared with a 10% random rescreening. The morphologic features, such as presence of endocervical component, dirty background, atrophy, abnormal ceil size, and celluiarity of single atypical cells were estimated in 45 cases of no review and 30 cases of QC review cases. The AutoPap 300 QC System identified 119(56.7%) out of 210 cases with LSIL and higher grade lesion at 10% review rate. It was more sensitive to squamous cell lesions$(50{\sim}62%)$ than to glandular lesions(10%). The dirty background and the scanty cellularity of single atypical cells were significantly related to low QC score. Conclusively, AutoPap 300 QC System is superior to human random rescreen for the identification of false negative smears. The upgrading of this device is required to enhance the defection of glandular lesion and certain Inadequate conditions of the slides.
자궁내막증식증의 세포학적 고찰: 정상자궁내막세포 및 자궁내막선암종과 비교
홍성란,선미임,김의정,전이경,김혜선,김희숙,Hong, Sung-Ran,Seon, Mee-Im,Kim, Yee-Jeong,Chun, Yi-Kyeong,Kim, Hye-Sun,Kim, Hy-Sook 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.1
The purpose of this study is to describe the cellular characteristics of endometrial hyperplasia without/with atypia in cervical smears. These cellular features were compared with those of normal endometrium and endometrial carcinoma. We reviewed 265 cervical smears : 64 normal proliferative endometrium, 118 endometrial hyperplasia without atypia, 21 endometrial hyperplasia with atypia, and 62 endometrial adenocarcinoma. Of these smears, 72(27.2%) smears which had diagnostic endometrial epithelial cells were selected for this study. The cytologic abnormalities about cellularity, background, changes in cellular architecture, alterations in nuclear size, anisokaryosis, chromatin pattern, nucleoli, cytoplasmic vacuoles, and mitosis were observed. Nuclear enlargement(1.6 to 2 times of the nucleus in the intermediate squamous cell) and anisokaryosis(${\geq}$2 fold in size variation) were highly suggestive of endometrial hyperplasia without/with atypia. The nuclei from endometrial hyperplasia with atypia were more coarsely granular in chromatin patterns than hyperplasia without atypia(33.3% vs 3.4%). Micronucleoli were observed in all endometrial conditions, but the presence of macronucleoli were more suggestive of hyperplasia with atypia(22.2%) and adenocarcinoma(55%). The changes in cellular architecture(loss of polarity, uneven internuclear distance, overlapping and loose arrangement) were seen in hyperplasia with atypia and adenocarcinoma. Characteristically, bloody background was seen in endometrial hyperpiasia, and cellular detritus or granular proteinaceous material was only observed in endometrial adenocarcinoma. Mitoses were also observed in adenocarcinoma. In conclusion, although there is no single parameter useful for the cytologic differential diagnosis of endometrial lesions, combined cytologic evaluation can be used to diagnose hyperplasia cytologically.
질의 원발성 무색소성 악성흑색종의 세포학적 소견 - 1례 보고 -
홍성란,김희숙,박종택,Hong, Sung-Ran,Kim, Hy-Sook,Park, Chong-Tack 대한세포병리학회 1993 대한세포병리학회지 Vol.4 No.1
A case of primary amelanotic melanoma of the vagina diagnosed in scraping smear is described. A 64-year-old woman complained of vaginal bleeding with a $2.5\times2cm$ sized, fungating mass on the right lateral vaginal wall near the introitus for 2 months. Scraping smears from the mass showed scattered individual tumor cells with single, bi- or multi-nucleated eccentric nuclei having prominent macrouucleoli and occasional intranuclear inclusions. The cytoplasm was plump and cyanophilic with a indistinct rim. No melanin pigment was identified. Characteristic cytologic features of this case were very helpful to exclude more common squamous cell carcinoma in the vagina, which was strongly suggested in biopsy specimen.
Papanicolaou smear에서 자궁내막암의 세포학적 진단의 의의 : 조직유형, 분화도 및 병기와의 관련성
홍성란,김희숙,박종숙,Hong, Sung-Ran,Kim, Hy-Sook,Park, Jong-Sook 대한세포병리학회 1993 대한세포병리학회지 Vol.4 No.2
The cytologic detection of endometrial carcinoma in Papanicolaou(Pap) smear according to histologic type, grade and stage was studied in 49 patients. The smears of patients who had histologically confirmed were retrospectively evaluated by the Bethesda System. The cytologic diagnosis of endometrial carcinoma was made in 61% (39/49) of patients, atypical glandular cells of undetermined significance (AGCUS) in 16% (8/49) and within normal limits in 23% (11/49). The positive rate for AGCUS and carcinoma was correlated to the histologic type, grade and stage. The cytologic grade revealed a good correlation with histologic grade, too. In conclusion, the presence of cancer cells in Pap smear suggests the tumor in high grade and high stage. Additionally, cytologic detection of AGCUS or carcinoma needs a further diagnostic evaluation. The Pap smear is a valuable method to screen for endometrial carcinoma.
자궁경부세포진에 있어서 AutoPap 300 QC System의 임상경험과 민감도 검사
홍성란,박종숙,장회숙,김의정,김희숙,박종택,박인서,Hong, Sung-Ran,Park, Jong-Sook,Jang, Hoi-Sook,Kim, Yee-Jeong,Kim, Hy-Sook,Park, Chong-Taik,Park, In-Sou 대한세포병리학회 1998 대한세포병리학회지 Vol.9 No.1
OBJECTIVE: False negatives of cervical smears due to screening errors pose a significant and persistent problem. AutoPap 300 QC System, an automated screening device, is designed to rescreen conventionally prepared Pap smears initially screened by cytotechnologists as normal. Clinical experience and sensitivity of the AutoPap 300 QC System were assessed and compared with current 10% random qualify control technique. MATERIALS AND METHODS: In clinical practice, a total of 18,592 "within normal limits" or "benign cellular changes" cases classified by The Bethesda System were rescreened by the Autopap System. In study for sensitivity of The AutoPap System to detect false negatives, a total of 1,680 "within normal limits" or "benign cellular changes" cases were rescreened both manually and by the AutoPap System. The sensitivity of the AutoPap System to these false negatives was assessed at 10% review rate to compare 10% random manual rescreen. RESULTS: In clinical practice, 38 false negatives were identified by the AutoPap System and we had achieved 0.2% reduction in the false negative rate of screening error. In study for sensitivity, 37 false negatives were identified by manual rescreening, and 23 cases(62.2%) of the abnormal squamous cytology were detected by the AutoPap System at 10% review rate. CONCLUSONS: The AutoPap 300 QC System is a sensitive automated rescreening device that can detect potential false negatives prior to reporting and can reduce false negative rates in the laboratory. The device is confirmed to be about eight times superior to the 10% random rescreen in detecting false negatives.
시조(時調)의 개화기시대(開化期時代) 형식(形式) 전변(轉變) 양상(樣相)
홍성란 ( Hong Sung-ran ) 한국어문교육연구회 2007 어문연구(語文硏究) Vol.35 No.4
본고는 開化期라는 轉換期에 愛國과 啓蒙이라는 時代理念을 구현하기 위해 時調가 어떻게 대응하여 形式의 變化와 장르를 실현해나갔는가를 究明하는 데 目標를 둔다. 開化期時調는 대중매체를 통한 ‘읽는 時調’이나 時調唱의 傳統을 따른 내리박이 줄글형식으로써 終章 끝音步를 생략한 作品이 주를 이루고 主題語를 드러내는 名詞로 終結하여 主題 强調를 樣式化하고 있다. 또한 3장에 걸쳐 4음격의 等價性을 維持하는 連續性을 강하게 보이며 문장부호 등을 사용하여 章, 句, 音步를 구분하고 分行하는 詩的 形式을 보인다. 장르 實現 면에서는 「國風4首」 와 같이 平時調 樣式을 확대한 時調나 辭說時調의 連作으로 가거나 「봄마지」 와 같이 連時調로 장르를 운용하거나 助興句를 삽입한 「逐邪經」 같이 民謠와 장르 혼합을 꾀하거나 「勸酒歌」와 같은 歌辭를 수용·개량하여 變容하는 樣相을 보인다. This thesis aims at studying how a sijo had changed its form and realized its genre responding to the transition of the Enlightened Age in order to implement the period ideologies called patriotism and enlightenment. A sijo in the age is ‘a read sijo' through mass media. However, the work which omitted the final meter in the last of its three verses in the downward form of a long article following the tradition of a sijo formed the mainstream and stylized the stress put on its theme by being concluded with a thematic term. Also, it showed the strong continuity of maintaining four-meter equivalence through three verses, and also the poetic form of dividing verses, phrases and meters by using sentential punctuations and so on. In the aspect of realizing its genre, it was developed in the form of consecutive works of an ut sijo(a sijo whose first or second verse is one meter longer than that of a pyung sijo) or a sasul sijo(a sijo with unlimited length in the first two verses and with lengthened final verse) expanding the style of a pyung sijo(a standard sijo) as shown in Gukpung 4su, employed its genre with a yun sijo(a sijo whose two or more pyung sijos are connected under one title) as shown in Bommaji, tried to mix a folk song with its genre as shown in Chuksagyung with the phrases of adding amusement and showed transformational aspect by accepting and improving the words like Gwonjuga.
유관 상피내암(DCIS)에 대한 임상적, 병리학적 분석 및 생물학적 표지자들의 발현과 예후인자들과의 관계
강성수(Sung Soo Kang),고승상(Seung Sang Ko),조백현(Back Hyun Jo),허민희(Min Hee Hur),이해경(Hae Kyung Lee),이성공(Sung Kong Lee),전이경(Yi Kyeong Chun),김의정(Yee Jeong Kim),이경상(Kyung Sang Lee),홍성란(Sung Ran Hong),이지현(Jee Hyu 대한외과학회 2003 Annals of Surgical Treatment and Research(ASRT) Vol.64 No.4
Bethesda system에 의한 "atypical squamous cells of undertermined significance"의 평가
김의정,홍성란,김희숙,박종숙,김계현,임경호,심재욱,박종택,전종수,Kim, Yee-Jeong,Hong, Sung-Ran,Kim, Hy-Sook,Park, Jong-Sook,Kim, Kye-Hyun,Lim, Kyung-Ho,Shim, Jae-Uk,Park, Chong-Taik,Chun, Chong-Soo 대한세포병리학회 1993 대한세포병리학회지 Vol.4 No.2
The recently proposed Bethesda system for cervical/vaginal cytology has made a standardization related to "atypia". In cellular changes due to inflammation or repair, the word "benign cellular change" has been suggested as a substitute for atypia. Terminology related to atypical cells may become standardized, but the cytologic criteria has not been well defined yet. We evaluated 160 cases of atypical squamous cells of undetermined significance(ASCUS) by the Bethesda Sys4em(TBS). Among 30,428 cases screened, a cytologic diagnosis of ASCUS was made in 498 cases(1.6%) and 160 cases were histologically verified ASCUS was diagnosed based on nuclear enlargement and nonclassical signs of condyloma. The results are as follows: One hundred and twenty three cases(76.9%) revealed chronic cervicitis. Thirty seven cases(23.1%) demonstrated squamous intraepithelial lesion. Among intraepithelial lesions, condyloma and mild dysplasia were 28 cases(75.7%). Moderate and severe dysplasia were 5 cases(13.5%) and 4 cases(10.8%), respectively. it is concluded that patients with ASCUS should be colposcopically examined.
자궁경부와 질에 발생한 연화판증의 세포소견 -1예 보고-
전이경,홍성란,김혜선,김지영,김복만,김희숙,Chun, Yi-Kyeong,Hong, Sung-Ran,Kim, Hye-Sun,Kim, Ji-Young,Kim, Bok-Man,Kim, Hy-Sook 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2
Malakoplakia is an uncommon chronic granulomatous inflammation that usually involves the urinary and gastrointestinal tracts, but rarely affects the female genital tract. We experienced a case of malakoplakia in a cervicovaginal smear in a 54-year-old woman. Colposcopic examination showed a friable, easily bleeding tissue in the uterine cervix and the vaginal fornix. The cervicovaginal smear consisted of numerous isolated histiocytes, polymorphonuclear leukocytes, lymphocytes, and plasma cells. The histiocytes had an abundant, granular, and degenerated cytoplasm with inflammatory cell debris. Michaelis-Gutmann bodies were readily identified.