1.Congenital malignant melanoma: a case report.
Kye Y SONG ; Hyung G SONG ; Je G CHI ; James G GRAHAM
Journal of Korean Medical Science 1990;5(2):91-95
Herein reported is a case of congenital malignant melanoma in a premature male baby from a 25-year-old healthy mother who was found to have hydramnios at the 29th week of gestation. The pregnancy was interrupted because of a large posterior neck mass detected by ultrasonography. The large neck mass of the baby was a malignant melanoma involving deep dermis and subcutaneous tissue. The skin over the mass showed a large area of pigmentation with hairs and the pigmentation involved the occipital scalp and posterior neck. Microscopically, the tumor cells were monotonous and showed polygonal and epithelioid appearance with prominent nucleoli indicative of malignant melanoma of a minimal deviation variety. Neither junctional components nor benign dermal nevus cells were noted. There were no distant metastasis or underlying leptomeningeal melanosis. This tumor is presumed to have developed from either preexisted congenital giant pigmented nevus with loss of benign components or de novo origin.
Abortion, Induced
;
Adult
;
Female
;
Head and Neck Neoplasms/*complications/pathology
;
Humans
;
Infant, Newborn
;
Male
;
Melanoma/*congenital/pathology
;
Polyhydramnios
;
Pregnancy
2.Lipoblastomatosis: A case with evidence of maturation.
Je G CHI ; Hyung Geun SONG ; Ill Hyang KO ; Hye Che CHO
Korean Journal of Pathology 1987;21(1):57-61
A case of lipoblastomatosis occuring in a 1 year and 10 month old boy is described. The tumor was first presented in the left foot at his age of 4 month, and was surgically removed. The tumor was grossly infiltrating skeletal muscle tissue, and was microscopically composed of lobulated fat tissue with prominent myxoid stroma and many immature mesenchymal cells and scattered multivacuolated lipoblasts. The tumor recurred 11/2 years later and was again removed. The tumor was equally lobulated and located inbetween skeletal muscle. However, this time lobulated tumor consisted almost entirely of mature fat tissue with scattered lipoblasts.
3.Neonatal Giant Cell Hepatitis: An autopsy case.
Sung Churl LIM ; Moo Young SONG ; Un Jun HYUNG ; Je G CHI
Korean Journal of Pathology 1991;25(2):147-152
We report an autopsy case of neonatal giant cell hepatitis that was presumed to be related to bacterial sepsis, endotoxemia and to the subsequent parenteral alimentation and antibiotics treatment. The patient died of candidal endocarditis and multiple brain infarcts. This female baby was born by a normal full term spontaneous delivery. Six days after delivery she developed fever and lethargy as she suffered from Cheyne-Stokes respiration with severe grunting. Blood culture grew Enterobacter and Acinetobacter. After management of the sepsis her general condition improved. On the 23rd day of admission she was found to have deep jaundice and hepatosplenomegaly. The liver became larger progressively and the edge was palpable at the umbilical level. Grade II systolic murmur was heard along the left lower sternal border. She died on the 31st day of hospitalization. Postmortem examination showed severe jaundice, hepatosplenomegaly, a large vegetation on the mitral valve and multiple petechial hemorrhages of the viscera. Microscopically the liver showed features of massive giant cell transformation, mild fibrosis and inflammatory cells, suggestive of giant cell hepatitis. Numerous yeasts and candidal pseudohyphae were seen in the cardiac vegetation, focally extending into the myocardium. There was a focus of candidal vasculitis in the bowel wall. In addition there were multiple bilateral organizing infarcts in the cerebral hemisphere as well as diffuse white matter damage associated with septicemia.
Female
;
Infant, Newborn
;
Humans
4.Negri Bodies in Rabid Dog: Light and Electron Microscopic Findings.
Eon Sub PARK ; Young Uk PARK ; Jae Hyung YOO ; Kye Yong SONG ; Je G CHI
Korean Journal of Pathology 1992;26(6):615-619
Rabies is a fetal viral encephalitis to which all mammals, including man are susceptible. This virus, the genus of Rhabdovirus, is usually present in the saliva of infected animals and is transmitted by their bite. As a rule the virus enter the CNS by ascending along peripheral nervous system and extremely variable in extent. Negri bodies are appear in about 75% of cases. These bodies are eosinophilic, usually rounded inclusions and is located in the cystoplasm of the neurons, most frequently in the pyramidal neurons of the Hippocampus and the Purkinje cells of the cerebellum. We have experienced a case of canine rabies that showed Negri bodies in the Purkinje cells along with diffuse degenerative encephalitis and perivascular mononuclear cells infiltration. The Negri bodies were best demonstrated by Negri body staining although routine H-E staind was also useful. There inclusion bodies were located exclusively in the cytoplasm, and were found occasionally. Electron microscopic findings of the Negri bodies showed aggregates of bulletshaped nucleocapsids. We report a Negri body found in the brain of rabid dog with the light and electron microscopic findings.
Male
;
Humans
;
Dogs
;
Animals
5.Immunohistochemical Study of Glial Fibrillary Acidic Protein in Glial Tumors of the Brain.
Kye Yong SONG ; Jae Hyung YOO ; Je G CHI
Journal of Korean Neurosurgical Society 1984;13(2):227-235
A total of 47 glial tumors of the brain was studied for the demonstration of glial fibrillary acidic protein(GFA) in tumor cells. This study was primarily aimed to confirm the applicability in the differential diagnosis of various glial tumors occuring in central nervous system. Intracellular positivity was observed only in well differentiated and moderately differentiated astrocytoma cells. GFA was negative in primitive glioma and oligodendroglioma. In glioblastoma multiforme pleomorphic cells were positive for GFA while spindle cells were negative. Elongated ependymoma cells arranged particularly around blood vessels were moderately positive for GFA while most cuboidal cells and round cells were negative. GFA was most helpful for the diagnosis of mixed glioma, where a sharp distinction could be made among different cellular component based on GFA staining. In conclusion it was confirmed that GFA is very useful tool for the diagnosis of different glial tumors of central nervous system.
Astrocytoma
;
Blood Vessels
;
Brain*
;
Central Nervous System
;
Diagnosis
;
Diagnosis, Differential
;
Ependymoma
;
Glial Fibrillary Acidic Protein*
;
Glioblastoma
;
Glioma
;
Oligodendroglioma
6.Liver cell adenoma in a neonate: report of an autopsy case.
Yeon Lim SUH ; Hyung Geun SONG ; Je G CHI
Journal of Korean Medical Science 1987;2(3):189-194
A case of liver cell adenoma that was incidentally found at postmortem examination of a neonate who died of E. coli sepsis is described. The adenoma was a sharply demarcated, not encapsulated mass located subcapsularly in the right lobe, and was pale tan to light yellowish round nodule of 0.9 cm in diameter. Microscopically, the tumor was composed of sheets and cords of uniform and slightly enlarged hepatocytes separated by dilated sinusoids. There were no portal zones or central veins to suggest the normal lobular architecture. The nuclei were bland and the cytoplasm varied from clear to acidophilic, containing lipid vacuoles. Ultrastructural examination showed that the hepatocytes of the tumor had highly differentiated organelles, reminiscent of normal hepatocytes.
Adenoma/*pathology
;
Female
;
Humans
;
Infant
;
Infant, Newborn
;
Infant, Newborn, Diseases/*pathology
;
Liver Neoplasms/*pathology