세침흡인 세포검사로 진단된 복벽의 자궁내막증 -2예 보고-

정명자,정연준,황호명,장규윤,문우성,강명재,이동근,Chung, Myoung-Ja,Jeong, Yeon-Jun,Hwang, Ho-Myong,Jang, Kyu-Yoon,Moon, Woo-Sung,Kang, Myoung-Jae,Lee, Dong-Geun 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.1

The incidence of endometriosis in post-operative abdominal scars is rare. We describe two cases of abdominal endometriosis diagnosed by fine needle aspiration (FNA). Both patients presented with subcutaneous masses at previous cesarean section scars with cyclic symptoms of pain. The cytologic smears were cellular and comprised two distinct cell populations consisting of epithelial and stromal components. An epithelial component consisted of flat sheets of polygonal cells and the second stromal component showed crowded clusters of spindle cells or isolated single cells. Hemosiderin-laden macrophages were found in the background. FNA offers a safe and effective tool for diagnosis of abdominal wall endometriosis.

골격외 간엽성 연골육종의 세침흡인 세포학적 소견 - 1예 보고 -

정명자,오소영,강명재,이동근,최호열,김상호,Chung, Myoung-Ja,Oh, So-Yeong,Kang, Myoung-Jae,Lee, Dong-Geun,Choi, Ho-Yeul,Kim, Sang-Ho 대한세포병리학회 1997 대한세포병리학회지 Vol.8 No.2

Extraskeletal mesenchymal chondrosarcoma is a relatively rare tumor and its cytologic findings have rarely been reported. We experienced a case of mesenchymal chondrosarcoma of soft tissue of the right lateral neck diagnosed by fine needle aspiration biopsy in a 59 year-old man. Cytologic findings showed two cell components. One was an undifferentiated, small cell component with moderate amount of cytoplasm and spindle nuclei. The second population was a chondroid component. These cytologic findings were diagnostic to mesenchymal chondrosarcoma.

교사의 학교의사결정 참여 실제와 그 갈등

정명자(Chung Myung-Ja(),박세훈(Park Sae Hoon) 교육종합연구원 2006 교육종합연구 Vol.4 No.1

본 연구는 학교의사결정 과정에서 교사의 참여 실태와 그 수준을 보다 객관적으로 이해하고, 의사결정 참여 상황에서 교사들이 어떠한 갈등을 겪고 있는 지 심층적으로 분석하여, 의사결정 참여 과정에 익숙하지 못한 우리나라의 단위학교 상황에서 의사결정 참여체제의 확산과 정착을 위한 현실적인 행정실무의 발전 방안을 모색하는 데 목적을 두었다. 이를 위하여 120명의 교사를 대상으로, 의사결정 참여와 그 수준에 대해서는 설문을 통한 양적분석을, 의사결정 참여과정에서 겪는 갈등에 대해서는 면접을 통한 질적분석을 실시하였다. 그 결과 첫째, 학교의사결정의 실제에 있어서 아직도 학교장의 영향이 컸으며, 교무회의나 학교운영위원회의 영향은 같은 정도, 부장교사의 영향이 매우 크게 부각되고 있었다. 둘째, 교사들의 의사결정 참여 수준은 기대에 못 미치는 것으로 나타났는데, 특히 수업장학, 학교예산 편성, 교무분장, 학급담임 배정 등에 보다 높은 참여가 이루어지기를 바라고 있었다. 셋째, 의사결정 참여에 따른 갈등 요인은 교사 간에 누가 참여하고 누가 참여하지 않는가와 참여자간의 의사소통기술의 결여, 새로운 생각과 고정관념의 대립 현상, 그리고 최종 의사결정의 소재에 대한 혼돈 등이었다. The purposes of this study are delineated and briefed as follows; First, to figure out the realities and degrees of teacher participation in school decision making in a more objective way. Second, to analyze systematically how far and what the teacher conflicts are in participating the process of school decision making. Third, to present the practical methodologies and progressive ideas for proliferating and establishing the shared decision making in site-based management, which are not accustomed milieu especially in Korea. To meet these purposes, at first, the quantitative analyses are conducted through 120 teachers questionnaires which are to clarify the degree and level of participation in decision making. And then, the qualitative analyses are performed via intensive interviews with 30 selected teachers respectively about the natures and conflicts in the process of participative decision making in their schools. Major research findings and results are summarized as follows; First, the authorities of principals are by far the most influential in every respect, and then those of the faculty meeting or school governing body reached at the similar level, and the portion of department chairs lately increasing in shared decision making in school. Second, although the level of teacher participation is comparatively low, most of teachers demand the more active participation in the domains such as, school supervision, school budget policies, personnel administration, school facilities, and financial administration in school decision making, etc. Finally, several causes of conflicts embroiled are ① matter of whom to take part in and whom not to among, between and within teachers in decision making, ② lack of communication skills and art of negotiations among participants, ③ internal conflicts between the new ideas and old ones within the same individual, and ④ confusion about the locus of final decision making authorities, etc.

유아의 부정적 정서에 대한 부모의 반응에 관한 연구

정명자(Chung, Myoung Ja),임유경(Lim, You Kyoung),김동례(Kim, Dong Rye) 한국생활과학회 2011 한국생활과학회지 Vol.20 No.6

The purpose of this study was to examine the difference of the father’s and mother’s reactions to their children’s negative emotions, relations among the children’s variables, parent’s variables, and parent’s reactions. The subjects selected were 183 mothers and 183 fathers with children aged three to five-years-old, from a childcare center and kindergarten in Kwang-ju. Parental emotion-related practices regarding children’s negative emotions were assessed with an adaptation of the CCNES(Fabes et al, 1990) that was modified by Kim Hee-Jung(1994). Descriptives, Pearson’s correlation coefficient, were used for data analysis by using the SPSS 15.0 program. The results of this study can be summarized as follows: First, fathers and mothers used more positive reactions than negative reactions when their children showed negative emotions. The mothers were significantly higher than fathers on encouragement of expression, punitive, and distress reactions. Second, the children’s age and gender, parent’s age, level of education and income were negatively and positively correlated to the father’s and mother’s reactions to their children’s negative emotions.

지방모세포종의 세침흡인 세포학적 소견 - 2예 보고 -

오소영,정명자,문우성,강명재,이동근,Oh, So-Yeong,Chung, Myoung-Ja,Moon, Woo-Sung,Kang, Myoung-Jae,Lee, Dong-Geun 대한세포병리학회 1998 대한세포병리학회지 Vol.9 No.2

Lipoblastoma is a rare benign neoplasm occurring exclusively in children below the age of three years. It affects chiefly the upper and lower extremities, and less commonly head and neck area, trunk, mediastinum, mesentery, and retroperitoneum. We present two cases of lipoblastoma occurring in the mediastinum of a 21-month-old boy and in the back of a 15-month-old boy. The characteristic features of Fine needle aspiration cytology smears were the presence of immature fat cells in the form of spindle-shaped cells, stellate cells and vacuolated lipoblasts along with lipocytes against a myxomatous background. Two tumors were histologically confirmed to be lipoblastomas. Lipoblastoma can be cytologically diagnosed by considering the cytologic findings and the age of the patient.

경부에 전이한 Sex Cord Tumor with Annular Tubules의 세침흡인 세포소견 - 1예 보고 -

오소영,강명재,정명자,문우성,이동근,Oh, So-Yeong,Kang, Myoung-Jae,Chung, Myoung-Ja,Moon, Woo-Sung,Lee, Dong-Geun 대한세포병리학회 1997 대한세포병리학회지 Vol.8 No.2

A sex cord tumor with annnular tubules is a relatively rare ovarian neoplasm. The cytologic findings from a fine needle aspiration biopsy of neck metastasis of a sex cord tumor with annnular tubules are described. The origin of the neck metastasis was the right ovary, and the tumor was diagnosed six years ago. The cytologic findings were characterized by tumor cells arranged in solid or follicular patterns. The tumor cells formed rosette-like or complex tubular structures with central rounded or coalesced hyaline materials. It was difficult to distinguish this tumor cytologically from granulosa cell tumor, thyroid follicular neoplasm, Sertoli-Leydig cell tumor, and Brenner tumor, but complex tubular structures were helpful in discriminating between these tumors.

성상세포종에서의 p27^kip1 단백의 발현

김대용,손현진,정명자,강명재,Kim, Dae Yong,Son, Hyun Jin,Chung, Myoung Ja,Kang, Myoung Jae 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.4

Objective : The cyclin-dependent kinase inhibitor $p27^{kip1}$ protein is a negative regulator of the cell cycle, and its degradation is required for entry into the S phase. Loss of $p27^{kip1}$ expression has been reported to be associated with aggressive behavior in a variety of tumors of epithelial and lymphoid origin. However, its association with various astrocytic tumors has not been clearly demonstrated. We studied to investigate the relationship of $p27^{kip1}$ expression with the biological behavior of astrocytic tumors in addition to study on the role of $p27^{kip1}$ in the tumorigenesis of these tumors. Patients and Methods : From 1990 to 1998, a total of 29 astrocytic tumor of all grades obtained by operative resection were included for evaluation. We studied the expression of $p27^{kip1}$ protein immunohistochemical assay in astrocytic tumors and compared the findings with the clinicopathologic parameters. Immunohistochemical staining was performed on formalin-fixed paraffin-embedded sections by the avidin-biotin-peroxidase complex method. According to WHO classification, all cases were divided into astrocytomas(4 cases), anaplastic astrocytomas(9 cases), and glioblastomas(16 cases) by 3 pathologists. Clinical information was obtained from medical records, and others such as location and size of tumors from imaging studies. Results : Mean $p27^{kip1}$ protein labeling indexes(LI, mean${\pm}$standard deviation) of astrocytomas, anaplastic astrocytomas, and glioblastomas were $80.6{\pm}9.1$, $63.6{\pm}21.0$, and $28.9{\pm}18.7$, respectively, and were inversely correlated with grade of glial tumors(p<0.0001). Mean $p27^{kip1}$ protein LI in the recurrent group was lower than that in the nonrecurrent group, but there was no significant difference statistically(p=0.464). Additionally, $p27^{kip1}$ protein expression did not show any significant relationship to other prognostic factors such as age(p=0.1643), tumor size(p=0.8), or location(p=0.8). Conclusion : These results suggested that reduced expression of $p27^{kip1}$ protein may play a important role in the malignant transformation process of astrocytic tumor cells.

림프유상피형 말초 T세포 림프종의 세침흡인 세포학적 소견 - 결핵성 림프절염과 감별이 어려웠던 1예 -

박호성,홍종명,정명자,문우성,Park, Ho-Sung,Hong, Jong-Myung,Chung, Myoung-Ja,Moon, Woo-Sung 대한세포병리학회 1999 대한세포병리학회지 Vol.10 No.2

The diagnosis of peripheral T cell lymphoma is difficult due to the varying size and shape of the neoplastic lymphoid cells and the frequent admixture of nonneoplastic mature lymphyocytes, histiocytes, eosinophils, and plasma cells. We report a case of peripheral T cell lymphoma, lymphoepithelioid ceil type, which was difficult to differentiate from tuberculous lymphadenitis due to the aggregates of epithelioid histlocytes mimicking granuloma and the past history of pulmonary tuberculosis. Fine needle aspiration cytology of the inguinal lymph node in a 63-year-old male was characterized by hypercellular aspirates composed of a mixture of small and intermediate-size lymphoid cells and large lymphoid cells with background of confluent epithelioid histiocytes. The neoplastic lymphocytes demonstrated significant nuclear irregularity with protrusion and indentations of the nuclear membrane, prominent nucleoli, and frequent mitotic figures. The diagnosis of peripheral T cell lymphoma was confirmed by histological and immunohistochemical studios.

모기질종의 세침흡인 세포학적 소견 - 5예 보고 -

박호성,강명재,이동근,정명자,Park, Ho-Sung,Kang, Myoung-Jae,Lee, Dong-Geun,Chung, Myoung-Ja 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.1

Pilomatrixoma is a benign tumor which usually occur as a solitary, firm nodule in the head and neck, and upper extremities of young people. This tumor is occasionally encountered during aspiration biopsy of subcutaneous masses, but only a small number of cases are correctly diagnosed prior to excision. We report five cases of pilomatrixoma. Four cases occurred in the neck and one case in the back. The characteristic fine needle aspiration cytologic features are shadow cells and basaloid cells in the background of inflammatory cells, including some multinucleated giant cells. The shadow cells were recognized in all five cases. These cells were pale, anucleated cells with relatively distinct cell borders. $May-Gr\ddot{u}nbald-Giemsa$ stain is useful for the identification of shadow cells. The recognition of shadow cells appears to be essential for accurate diagnosis of pilomatrixoma.

양안 위눈꺼풀에 발생한 표피하 석회 결절

박영명(Young Myoung Park),정명자(Myoung Ja Chung),유인천(In Cheon You),조남천(Nam Chun Cho),안민(Min Ahn) 대한안과학회 2021 대한안과학회지 Vol.62 No.4

목적: 소아에서 발생한 양안 위눈꺼풀의 표피하 석회 결절 1예를 보고하고자 한다. 증례요약: 과거 외상의 기왕력이나 전신질환의 과거력이 없는 5세 여자 환자가 8개월 전부터 발생한 양안 상안검의 종괴를 주소로 내원하였다. 종괴는 통증 없이 서서히 크기가 커졌으며, 단단하고 황백색으로 돌출되어 있었다. 우안의 병소는 내안각 주변의 위눈꺼풀에 위치하였으며, 크기는 0.2 × 0.2 cm였다. 좌측의 병소는 우안에 비해 조금 더 내측에 위치하고 있었으며, 크기는 0.2 × 0.1cm였다. 소아황색육아종, 물사마귀로 의심하여 절제생검을 실시하였다. 병리검사상 병변은 다양한 크기의 칼슘 침착물을 포함하고 있었으며, 과증식되거나 과다각화증을 보이는 상피조직의 아래 혹은 과다각화증을 보이는 상피조직내에 위치하고 있었다. 표피하 석회 결절로 진단되었으며, 절제 후 재발 없이 잘 회복되었다. 결론: 눈꺼풀에서 발생한 통증이 없는 황백색의 융기성 병변에 대해서는 표피하 석회 결절을 감별진단으로 고려해야 한다. Purpose: To report a case of bilateral subepidermal calcified nodules of the upper eyelid in a child. Case summary: A 5-year-old girl with no history of trauma or systemic disease was referred for assessment of bilateral eyelid masses that had appeared 8 months prior. The masses grew slowly without pain, and were hard, elevated, and yellowish-white in color. The right eyelid mass was close to the medial canthus and measured 0.2 × 0.2 cm. The mass of the left upper eyelid was smaller (0.2 × 0.1 cm) and closer to the medial side. The clinical impression was juvenile xanthogranuloma and molluscum contagiosum. Excisional biopsy of the bilateral eyelid masses was performed. Histologic findings revealed that the lesions were composed of variable-sized multiple calcium deposits, lined by hyperplastic and hyperkeratotic epidermis or within the hyperkeratotic epidermis. The diagnosis was subepidermal calcified nodules (SCNs) for both of the bilateral eyelid masses. The patient made a complete recovery after the excision, without recurrence. Conclusions: SCNs should be considered during differential diagnosis of a painless, elevated, yellowish-white eyelid lesion.