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명나혜,조경자,장자준,조재일,심영목,Myong, Na-Hye,Cho, Kyung-Ja,Jang, Ja-June,Zo, Jae-Il,Shim, Young-Mog The Korean Society for Cytopathology 1990 대한세포병리학회지 Vol.1 No.2
70세 여자의 늑막에 발생한 점액양 연골육종의 세침흡인세포학적 소견을 기술하였다. 환자는 4개월간의 좌측 흉통과 2개월간의 호흡곤란을 호소하였고 흉부 X-선 및 전산화 단층촬영상 좌측 늑막강에 위치하여 흉벽을 침범하는 커다란 분엽상 저음영성 종괴와 늑막 삼출액이 관찰되었다. 종괴의 세침 흡인 도말은 세포 밀도가 매우 높았고, 세포질이 풍부한 나원형 세포들이 점액성 물질내에 산재되거나 간혹 뭉쳐 있었다. 풍부한 세포질은 불투명한 청색으로 소포를 함유하기도 하였으며 그 경계는 흩어진 세포에서는 비교적 분명했으나 세포집단에서는 불분명하였다. 핵들은 한쪽으로 치우쳐져 둥글거나 난원형을 보였고 염색질은 미세하였으며 다수의 작은 핵소체를 갖고 있었다. 세포들간의 다형성이나 유사분열은 잘 관찰되지 않았다. 이상의 소견은 연공육종의 세포학적 특징과 유사했으나 연골 성분이 관찰되지 않았고 점액성 물질이 매우 풍부하여 확진을 위한 생검이 시행되었고 조직학적으로 점액양 연골육종임이 확인되었다. A 70-year-old female who was diagnosed as myxoid chondrosarcoma by fine needle aspiration of a pleural mass is described. She presented with left chest discomfort of 4 months' duration and aggravating dyspnea and chest pain for 2 months. Chest X-ray and CT scan revealed a large lobulated low density mass invading chest wall at the left pleural cavity and massive pleural fluid. Fine needle aspiration was done under the impression of mesothelioma or metastatic cancer. The aspirates from the mass were very cellular and composed of isolated or clustered forms of large plump cells. Abundant cytoplasm was blulsh opaque and the margin was rounded in the isolated cells, whereas clustered cells show ill-defined ceil borders and aggregating tendency. The nuclei were eccentric, round to ovoid, and had fine chromatin pattern and multiple small nucleoli. Cellular pleomorphism or mitotic figure was not definite. These findings were consistent with cytologic features of chondrosarcoma. Final diagnosis was confirmed as myxoid chondrosarcoma by mediastinoscopic biopsy and the tumor showed strong positivity for S-100 protein.
폐암조직에서 중성자 방사화 분석법을 이용한 미량 원소 분석
임상무(Sang Moo Lim),조재일(Jae Il Zo),심영목(Young Mog Shim),정영주(Young Ju Chung),조승연(Seung Yeon Cho),정용삼(Yong Sam Chung) 대한핵의학회 1993 핵의학 분자영상 Vol.27 No.1
N/A Trace elements are important components in the biological system, as a structural material and metabolic controller. Neutron activation analysis (NAA) with high neutron flux and high energy resolution Ge (Li) detector coupled to multichannel analyzer (MCA) has been one of the most accurate method for the determination of ultra-trace level components, and is applicable to biological material. In human body, the NAA can be used for quantitation of trace elements in various organs and tissue with endocrinological and metabolic disease and industrial metal poisoning. In this study, Triga Mark III nuclear reactor in Korea Atomic Research Institute was used for quantitation of trace element in human lung cancer tissues by neutron activation analysis. In the squamous cell carcinoma tissues, Br, Hg, La, Sb, Sc, C1, Fe and I content were lower than normal lung tissues, and K, Rb and Se content were higher. In the adenocarcinoma tissues, Fe, Au, La, Sc and Zn content were lower than normal lung tissues, and Rb, Co and Se content were higher. Rb content was higher in the adenocarcinoma tissues than in the squamous cell carcinoma tissues. Fe and Na content were higher in the squamous cell carcinoma tissues than in the adenocarcinoma tissues.
조경자,김영환,장자준,이진오,강태웅,조재일,심영목,은진호,조희준 대한내과학회 1990 대한내과학회지 Vol.39 No.3
Since its early description by O' Brien and Staut in 1964 as a distinct form of sarcoma, malignant fibrous histiocytoma is the most common disease of a pleomorphic sarcoma occurring in the deep-seated soft tissue of late-life adults. The histiogenesis of malignant fibrous histiocytoma has been considered to be of histiocytic origin or primitive mesenchymal cell origin. This tumor involves principally the extremities, abdominal cavity, and retroperitoneum and usually metastasizes to the lung and lymphnodes, but primary lung lesion is extremely rare. The reported prognosis in patients with primary lung lesion is very poor, but early surgical resection does offer the possibility of cure. We report a case of primary malignant histiocytoma of the lung, confirmed pathologically by operation, along with a review of the literature.