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아밀로이드 갑상선종대의 세침흡인 세포학적 소견 - 1예 보고 -
채승완,남은숙,김덕환,신형식,손진희,Chae, Seoung-Wan,Nam, Eun-Sook,Kim, Duck-Hwan,Shin, Hyung-Sik,Sohn, Jin-Hee 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.2
Amyloid golfer is a rare disease entity that is defined as a symptomatic mass or clinically detectable thyroid enlargement because of amyloid deposition. We present a case of amyloid golfer diagnosed in the fine needle aspiration cytology(FNAC) in a 73-year-old Korean woman presented with nephrotic syndrome and thyroid enlargement. The thyroid function was in normal range. Thyroid scan showed a nodule, $4{\time}2cm$ in the right lobe with underlying diffuse golfer. Aspirates revealed benign looking follicular cells and scattered eosinophilic material. The sections of the cell block showed nodular deposit of eosinophilic hyalinized material in the interfollicular area. It showed apple-green birefringence under polarization with Congo red stain. The renal biopsy also exhibited deposition of eosinophilic materials in the glomeruli and interstitial vascular wall, which were confirmed as amyloidosis. This material was morphologically distinct from the colloid.
세침흡인 세포검사와 조직검사의 진단 일치율 및 정확도에 대한 조사
손진희,채승완,조은윤,김어진,Sohn, Jin-Hee,Chae, Seoung-Wan,Cho, Eun-Yoon,Kim, Eo-Jin 대한세포병리학회 2003 대한세포병리학회지 Vol.14 No.2
Fine needle aspiration cytology (FNAC) has been known as a very sensitive and effective method for preoperative diagnosis. We studied cases preoperatively diagnosed by FNAC and confirmed by the histopathologic examination to define the effectiveness of FNAC. A total of 567 cases including breast, thyroid gland, lymph node, and soft tissue confirmed histologically after FNAC were enrolled, among 2,844 FNAC cases from January 1996 to March 2000. Overall sensitivity and specificity of FNAC were 93% and 100%, respectively. Sensitivity and specificity of FNAC by sites or organs were 91% and 100% in breast, 100% and 100% in thyroid, 97% and 100% in lymph node, and 71% and 100% in soft tissue, respectively. Nine cases showed diagnostic discrepancy; eight cases of sampling error and one case of interpretation error. Five cases, diagnosed as fibrocystic change at FNAC but invasive ductal carcinoma after the histopathologic examination, were categorized as sampling error due to the presence of diffuse fibrosis or deep seated location. One case of breast, diagnosed descriptively as atypical ductal and stromal cells suggesting invasive ductal carcinoma at FNAC but malignant phyllodes tumor histologically, was categorized as interpretation error. Other cases of sampling errors were two cases of soft tissue, a case of lymph node, and a case of salivary gland.
김동훈,김민경,채승완,이경분,한은미,강성희,손진희,Kim, Dong-Hoon,Kim, Min-Kyung,Chae, Seoung-Wan,Lee, Kyoung-Bun,Han, Eun Mee,Kang, Sung-Hee,Sohn, Jin-Hee The Korean Society for Cytopathology 2007 대한세포병리학회지 Vol.18 No.2
Sono-guided fine needle aspiration (FNA) of the thyroid is widely used, but the aspirated samples are typically not well preserved and low cellularity makes diagnosis difficult in many cases. The object of the current study is to evaluate the adequacy and diagnostic accuracy of the use of $SurePath^{TM}$ liquid-based cytology (SP-LBC) in the sonoguided fine needle aspiration of the thyroid nodule and to compare its use with that of the use of a conventional smear (CS). A total of 172 sono-guided FNAs of thyroid nodules from April to June, 2006 were prepared by the use of the split method with either SP-LBC or CS; the samples were stained with the use of hematoxylin-eosin (H&E) and Papanicolaou (Pap) stains. A cyto-histological correlation was performed in 69 (30 SP and 39 CS) cases that had been histologically confirmed. The rate of producing unsatisfactory slides by the use of the SP-LBC method (9.3%) was less than that of the use of the CS method (20.9%). The diagnostic accuracy of the SP method (93.3%) was better than that of the CS method (85.3%). The sensitivity and specificity of the SP method (94.4% and 92.3%) was better than that of the CS method (83.3% and 70%), respectively (p < 0.05). The CS of sono-guided aspirated specimens had some unavoidable limitations related to inadequate sampling such as a bloody background, low cellularity and an indication that some clinicians smeared many useless slides (averaging four to ten slides), and that most slides showed only blood that included few follicular cells. The SP method resulted in more thinly smeared slides and showed cleaner background and greater cellularity than the use of the CS method. Each follicular cell shows superior nuclear detail, and more distinct cytoplasmic features than with the use of the CS method. SP-LBC appears to be an easy, highly accurate, and reliable cytological method for employ for a diagnostic approach of thyroid disease and thyroid nodules. The SP-LBC method is a suitable alternative to the CS method to overcome diagnostic difficulties.
조은윤,박희대,김선희,박운선,채승완,김어진,손진희,Cho, Eun-Yoon,Park, Hee-Dae,Kim, Sun-Hee,Park, Woon-Sun,Chae, Seoung-Wan,Kim, Eo-Jin,Sohn, Jin-Hee 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.2
To analyze the accuracy and usefulness of sputum cytology as a screening method, 103 cases of histologically proven lung cancer registered from 1998 to 2000 at Kangbuk Samsung Hospital were retrospectively examined. We reviewed the original cytologic and surgical diagnoses for the cases, and the cytology slides of all cytologically negative cases. The overall sensitivity of sputum cytology was 0.83 ; the sensitivity of prebronchoscopy sputum cytology for bronchogenic carcinoma was 0.87. Central tumor location (P=0.002), tumor size (>2.4 cm), (P=0.027) and the number of sputum samples $(\geq3)$ (P=0.001) were associated with a positive cytologic diagnosis. Of the 18 cytologically negative cases, 9 cases(38% of smears) were determined to be insufficient for diagnosis, due strictly to low cellularity and saliva. After a review of the cytology slides of cytologically negative cases, we identified several atypical clusters in one case of bronchioloalveolar carcinoma. This negativity was thus attributed to an interpretation error (1/18, 5.6%). Our results suggest that its sensitivity is more strongly related to the specimen adequacy and the times of sampling than to interpretation error. In terms of sensitivity, specificity, accessibility, cost, and morbidity associated with the screening tests, sputum cytology was found to be an accurate effective screening method for lung cancer.
김유진(Eugene Kim),채승완(Seoung Wan Chae),이호석(Hoseok Lee),이석원(Seok Won Lee) 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.4
가성통풍으로 인한 수근관 증후군은 드물게 발생한다. 저자들은 수근관 내 종괴로 인한 급성 정중신경 압박 증세로 내원한 65세 여자환자에게 종괴 절제술과 횡수근 인대 절개술을 시행하고 조직검사를 통해 가성통풍으로 진단된 증례를 경험하여 문헌 고찰과 함께 보고하고자 한다. Carpal tunnel syndrome (CTS) caused by pseudogout is an uncommon disease. The authors report a 65-year-old female who complained of sudden pain and neurological symptoms on her left hand. Surgical decompression was performed. In the histologic study, a calcium pyrophosphate dihydrate crystal deposit was confirmed. Her pain and neurological symptoms were relieved. Because CTS caused by pseudogout is rare, it is difficult to differentiate it from other diseases. This paper reports an uncommon case of CTS caused by pseudogout.
갑상샘의 소포샘종과 소포암종의 세포 소견: 세침흡인 세포 진단의 가능성에 대한 연구
박희대,박운선,김선희,최석현,조영혜,강성희,이경분,김민경,김동훈,채승완,손진희,Park, Hee-Dae,Park, Woon-Sun,Kim, Sun-Hee,Choi, Seock-Hyun,Cho, Young-Hye,Kang, Sung-Hee,Lee, Kyung-Bun,Kim, Min-Gyeong,Kim, Dong-Hoon,Chae, Seoung-Wan,Shon 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.2
Fine-needle aspiration cytology (FNAC) cannot differentiate follicular adenoma from follicular carcinoma since this distinction can only be based on the presence of capsular or vascular invasion, and this can¬not be detected on a cytologic smear. The goal of this study was to define the diagnostic cytologic findings of follicular neoplasm and the possibility of diagnosing follicular neoplasm by performing FNAC. The cases of histologically diagnosed follicular adenoma and follicular carcinoma on the thyroidectomy specimens were retrieved. Among them, the cases with preoperative FNAC that was done within 3 months of the operation were finally selected. Then we reviewed the FNAC and histologic slides of 19 cases: 9 follicular adenomas and 10 follicular carcinomas. Our results suggest that for cases of follicular neoplasm, the aspirates show high or abundant cellularity, frequent follicle formation and occasional cellular atypism of the follicular cells. However, the atypism is more pronounced and more frequently noticed in the cases of follicular carcinoma, which reveals more higher anisocytosis (7/10, 70%), nuclear pleomorphism (9/10, 90%), coarse clumping of chromatin (8/10, 80%) and cellular overlapping (8/10, 80%).
원발성 폐 수막종과 지연성으로 발생된 뇌수막종 -증례보고-
정연구 ( Yeon Gu Chung ),양재영 ( Jae Young Yang ),최천식 ( Chun Sik Choi ),채승완 ( Seoung Wan Chae ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2009 대한뇌종양학회지 Vol.8 No.1
Primary extracranial and extraspinal meningiomas are rare tumors that usually occur in the head and neck region, and few cases have been reported in the chest. In the described case, a complete central nervous system evaluation eliminated meningioma at other locations, and allowed a diagnosis of primary pulmonary meningioma. We describe a case of primary pulmonary meningioma(PPM) treated by excision. A complete central nervous system evaluation eliminated the possibility of multiple involvement. However, 9 years later meningioma developed in the brain. Solitary primary pulmonary meningioma is rare, and delayed onset brain meningioma is extremely rare. A search of the literature failed to reveal a similar case. Accordingly, this may be the first description of a primary pulmonary meningioma associated with the delayed development of brain meningioma.