• Title/Summary/Keyword: Pathological Entity

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Pathological Entity of Jueyin Disease and the Relationship between the Concept of Three-Yin-Three-Yang in 《Shanghanlun》 (《상한론(傷寒論)》 궐음병의 병리본질과 삼음삼양(三陰三陽) 개념과의 관계)

  • Chi, Gyoo Yong;Park, Shin Hyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.2
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    • pp.75-81
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    • 2019
  • In order to research the pathological entity of Jueyin disease in ${\ll}Shanghanlun{\gg}$, some sharing concept of three-yin-three-yang used in ${\ll}Neijing{\gg}$ and ${\ll}Shanghanlun{\gg}$ were investigated first, and then the meaning of jueyin and jueyin disease were analyzed. In cold damage disease, time-space factor is important because the pathological change is rapid and the symptoms along path are similar, therefore three-yin-three-yang having complex meaning of time and space can be used as an appropriate pathological concept. So to speak, it is able to be interpreted as various modes like variations of yin-yang, qi-blood, change of pulse condition, theories of opening, closing, pivot or exuberance and debilitation of form and qi manifested in the six districts of the human body following disease process. Jueyin is between front taiyin and rear shaoyin, and it's attribution is inherent in qi stagnation and yin exuberance in relative to the location of flank and liver. Putting together above descriptions, pathological entity of jueyin disease is that the symptoms mingled with cold and stagnant heat competing each other when a subject having qi stagnation in flank with cold in extremities and lower abdomen in particular is seized with cold influenza.

Spindle Cell Lipoma: A Rare, Misunderstood Entity

  • Seo, Bommie Florence;Kang, In Sook;Oh, Deuk Young
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.102-104
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    • 2014
  • Spindle cell lipoma, a rare variant of lipoma, is a benign tumor found in the posterior neck and shoulder. A 24-year-old man with a close family history of malignant lymphoma had presented with a large, firm, nodular mass found in the right supraclavicular area. Excision of the deeply located mass revealed a pale yellow, rubbery nodule which grossly resembled an enlarged lymph node, with a variant of lymphoma as a primary suspect. However, pathological studies revealed the lesion to be a spindle cell lipoma. Although atypical in location, spindle cell lipoma should always be kept in differential diagnosis of a newly-noted soft tissue mass, as this entity may be easily cured by simple excision.

Pseudosarcoma of the Esophagus - One Case Report - (가육종성 식도암;1례 보고)

  • 김창회
    • Journal of Chest Surgery
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    • v.24 no.12
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    • pp.1197-1200
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    • 1991
  • Polypoid lesions of the esophagus occur infrequently and may be benign or malignant. Pseudosarcoma, a malignant polypoid tumor of the esophagus is rare and appears to be a distinct pathological entity; the polypoid portion is composed of sarcomatous spindle cells and the base of the polyp shows in situ or invasive squamous cell carcinoma. We experienced a case of pseudosarcoma of the esophagus and report the case with the review of literature.

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Juxtacrine regulation of cellular senescence

  • Narita, Masashi
    • BMB Reports
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    • v.52 no.1
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    • pp.3-4
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    • 2019
  • Cellular senescence is defined as a state of stable cell cycle exit in response to various stimuli, which include both cytotoxic stress and physiological cues. In addition to the core non-proliferative aspect, senescence is associated with diverse functionalities, which contribute to the role of senescence in a wide range of pathological and physiological processes. Such functionality is often mediated by the capability of senescent cells to communicate with their surroundings. Emerging evidence suggests that senescence is not a single entity, but a dynamic and heterogeneous collective phenotype. Understanding the diverse nature of senescence should provide insights into the complexity of tissue homeostasis and its disruption, such as in aging and tumorigenesis.

Relation of Multiple Neurogenic Tumors in the Spinal Canal to Neurofibromatosis

  • Seol, Ho-Jun;Chung, Chun-Kee;Kim, Hyun-Jib;Lee, Yoon-Kyung;Park, Sung-Hye
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.16-22
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    • 2005
  • Objective : The authors characterize a syndrome of multiple neurogenic tumors in the spinal canal, which is unclassifiable by the current National Institute of Health[NIH] criteria for neurofibromatosis. Methods : We retrospectively examined cases in which two or more spinal neurogenic tumors were detected by magnetic resonance[MR] imaging and which had been pathologically confirmed. Eighteen patients were recruited between February 1986 and March 2002. According to NIH criteria, eight cases were neurofibromatosis type 1[NF1], four were type 2[NF2], and six were neither type 1 nor type 2 [Unclassifiable : UC]. The locations of lesions, clinical presentations, radiological findings, and pathological results with immunohistochemistry were reviewed. Results : In the case of NF2, three of four cases were intradural tumors. Pathological examinations revealed neurilemmomas in two of four NF2 and all of the UC cases. In the case of NF1, pathological examinations showed seven neurofibromas and one neurilemmoma. Concerning UC, the age at presentation was middle-aged to late [mean age 48.5, range 35 to 64], which contrasted with ordinary NF2, where patients tended to become symptomatic before 20years of age. The pathological examinations of UC cases revealed neurilemmoma similar to most of NF2 and the immunohistochemical study showed characteristic of NF1. Conclusion : Multiple neurogenic tumors in the spinal canal are an under-recognized disease entity. Further studies for genetic aberration in multiple spinal neurogenic tumors are needed.

Intracranial Pial Arteriovenous Fistulas

  • Lee, Ji-Yeoun;Son, Young-Je;Kim, Jeong-Eun
    • Journal of Korean Neurosurgical Society
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    • v.44 no.2
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    • pp.101-104
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    • 2008
  • Intracranial pial arteriovenous fistula (AVF) is a rare cerebrovascular lesion that has only recently been recognized as a distinct pathological entity. A 41-year-old woman (Patient 1) presented with the sudden development of an altered mental state. Brain CT showed an acute subdural hematoma. A red sylvian vein was found intraoperatively. A pial AVF was revealed on postoperative angiography, and surgical disconnection of the AVF was performed. A 10-year-old boy (Patient 2) presented with a 10-day history of paraparesis and urinary incontinence. Brain, spinal MRI and angiography revealed an intracranial pial AVF and a spinal perimedullary AVF. Endovascular embolization was performed for both lesions. The AVFs were completely obliterated in both patients. On follow-up, patient 1 reported having no difficulty in performing activities of daily living. Patient 2 is currently able to walk without assistance and voids into a diaper. Intracranial pial AVF is a rare disease entity that can be treated with surgical disconnection or endovascular embolization. It is important for the appropriate treatment strategy to be selected on the basis of patient-specific and lesion-specific factors in order to achieve good outcomes.

Simulation study for Bag-Valve-Mask application guideline on pathologic pulmonary condition (모형폐의 물리적 특성 변화에 따른 Bag-Valve-Mask의 사용방법 연구)

  • Choi, Hae-Kyung;Jung, Hyung-Keon
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.21-28
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    • 2013
  • Purpose: The purpose of this study is to get basic user guidelines of safe and efficient bag-valve-mask application on patients having abnormal pathophysiological pulmonary conditions. Methods: This study was performed by pre-qualified 35 EMS junior and senior students. Participants were instructed to compress ambulatory bag randomly about half, one-third, one-fourth within different airway resistance and pulmonary compliance. Resultant tidal volume and pulmonary wedge pressures on RespiTranier monitor were analysed in relation to pulmonary physiologic index. Results: At least over half compression of bag guaranteed minimal tidal volume regardless of pulmonary conditions. There was no increase of pulmonary wedge pressure above the level of barotrauma on half compression at any pulmonary conditions. Conclusion: Assisted ventilation with ambulatory bag on patients with pathological pulmonary conditions should be over half compressed regardless of respiratory disease entity.

Junctional Neural Tube Defect

  • Eibach, Sebastian;Pang, Dachling
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.327-337
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    • 2020
  • Junctional neurulation represents the most recent adjunct to the well-known sequential embryological processes of primary and secondary neurulation. While its exact molecular processes, occurring at the end of primary and the beginning of secondary neurulation, are still being actively investigated, its pathological counterpart -junctional neural tube defect (JNTD)- had been described in 2017 based on three patients whose well-formed secondary neural tube, the conus, is widely separated from its corresponding primary neural tube and functionally disconnected from corticospinal control from above. Several other cases conforming to this bizarre neural tube arrangement have since appeared in the literature, reinforcing the validity of this entity. The cardinal clinical, neuroimaging, and electrophysiological features of JNTD, and the hypothesis of its embryogenetic mechanism, form part of this review.

Intrapulmonary Solitary Fibrous Tumor Masquerade Sigmoid Adenocarcinoma Metastasis

  • Sakellaridis, Timothy;Koukis, Ioannis;Marouflidou, Theodora;Panagiotou, Ioannis;Piyis, Anastasios;Tsolakis, Konstantinos
    • Journal of Chest Surgery
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    • v.46 no.4
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    • pp.295-298
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    • 2013
  • Solitary fibrous tumor is a rare spindle cell mesenchymal tumor entity, with either benign or malignant behavior that cannot be accurately predicted by histological findings. An intrapulmonary site of origin is even rarer. We report a case of a 51-year-old woman in whom an abnormal nodule in the lower right lung was detected during staging for sigmoid adenocarcinoma. The nodule was excised and pathological examination revealed an intrapulmonary solitary fibrous tumor.

Suppurative mastoid lymphadenitis mimicking mastoiditis: a case report

  • Tymofieiev, Oleksii O.;Ushko, Natalia O.;Fesenko, Ievgen I.;Tymofieiev, Olexander O.;Yarifa, Maria O.;Cherniak, Olha S.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.5
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    • pp.398-402
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    • 2021
  • Mastoid lymph node inflammation is a rare entity. Pathological conditions in the vicinity of the mastoid processes can be challenging for maxillofacial head-neck surgeons to address. We report a case of suppurative mastoid lymphadenitis in an 18-year-old Caucasian male. To our knowledge, there are no publications that highlight the clinical, ultrasonographic, intra-, and postoperative data for any pathologic process that presented as mastoiditis.