1.Correlation of Ki-67, p53 and bcl-2 Expression with Grade and Behavior of Ependymoma.
Korean Journal of Pathology 1999;33(9):723-728
Ependymomas constitute no more than 5 to 7% of all primary CNS neoplasm and their biologic behavior is difficult to predict by microscopic appearances. Recently, many studies have attempted to correlate biologic behavior with tumor proliferation index, tumor suppressor gene and oncogene using immunohistochemical stains. We evaluated 25 cases of surgically resected intracranial ependymomas for the proliferation activity using Ki-67, and expression of p53 and bcl-2 protein with regard to the prognosis. The cases were divided into 17 ependymomas (WHO Grade II), 3 papillary ependymomas (WHO Grade II), and 5 anaplastic ependymomas. Clinically, the patients were divided into two groups, recurrent (18 cases) or non-recurrent (7 cases). The Ki-67 proliferation index was significantly higher in the recurrent group (p<0.05) and in the younger ages (correlation index=0.534). Although Ki-67 proliferation index was higher in anaplastic ependymoma, it was not significant statistically (p>0.05). p53 protein expression tended to increase in the patients who had anaplastic ependymoma and in the recurrent group. bcl-2 expression was not correlated with histologic grade or recurrence of the tumor. We conclude that Ki-67 proliferation index and p53 expression are important markers for predicting biologic behavior of ependymoma.
Coloring Agents
;
Ependymoma*
;
Genes, Tumor Suppressor
;
Humans
;
Oncogenes
;
Prognosis
;
Recurrence
2.A Clinicopathologic Analysis of Pseudomyxoma Peritonei Originated from Mucinous Ovarian Tumors.
Ji Hyun PARK ; Young Ho YANG ; Jae Ho HAN
Korean Journal of Obstetrics and Gynecology 1999;42(8):1808-1814
OBJECTIVE: The aims of this study were to analyze the natural history of patients with pseudomyxoma peritonei originated from mucinous ovarian tumor, evaluate clinical and pathologic variables, and review our experience with available therapeutic modalities. METHODS: Six patients were treated for pseudomyxoma peritonei originating from mucinous ovarian tumor at Severance Hospital between 1990 and 1998. The data were collected retrospectively and all charts were reviewed RESULTS: The mean age at diagnosis was 51 years, and most common symptoms were abdominal distension. Pseudomyxoma peritonei was found in association with five mucinous ovarian tumors of borderline malignancy, and one ovarian mucinous adenoma. All patients underwent surgical staging and cytoreduction, three patients received postoperative adjuvant chemotherapy and, of these, two developed recurrence. With respect to survival, all patients were alive, four were alive and free of disease, two were alive with disease at the end point of study. CONCLUSION: Pseudomyxoma peritonei is commonly associated with borderline mucinous ovarian tumors, and is a frequently relapsing and protracted disease. But aggressive and repeated debulking surgery is recommended for long survival.
Adenoma
;
Chemotherapy, Adjuvant
;
Diagnosis
;
Humans
;
Mucins*
;
Natural History
;
Pseudomyxoma Peritonei*
;
Recurrence
;
Retrospective Studies
3.Clinical Case Conference.
Dong Ho CHOI ; Jae Min KIM ; Chang Su HAN
Journal of Korean Neuropsychiatric Association 2011;50(5):340-346
No abstract available.
4.Prognostic Implications of Ki-67 Labelling Index and p53, bcl-2 Protein Expression in the Primary Central Nervous System Lymphoma.
Jae Ho HAN ; Woo Ick YANG ; Tai Seung KIM
Korean Journal of Pathology 2000;34(6):456-464
It has been claimed that CNS lymphoma, a rare neoplasm accounting for only a small fraction of malignant brain tumors, occurs with increasing frequency in immunologically normal as well as immunocompromised individuals. We investigated the prognostic value of Ki-67 index, p53, and bcl-2 oncoprotein expression in relation to the clinicopathological parameters in the primary CNS lymphoma patients. The tumors were graded by Kiel classification and the Working formulation and included 33 high-grade, 4 intermediate-grade, and 5 low-grade lymphomas. The phenotype was determined in 38 cases: 30 were B cell type and 8 were T cell type. All cases displayed variable degrees of nuclear Ki-67 staining from 1.0% to 92.0% (mean 51.1%). A highly significant correlation was established between the proportion of Ki-67 positive cells and the classification into grades (p=0.0002) and phenotypes (p=0.0002). Overexpression of p53 and bcl-2 protein was found in 37.1% and 51.4% of 35 patients, respectively. And p53 expression was significantly increased in B cell type (p=0.02). On Kaplan-Meier survival curve, the phenotype, grade of tumors, and p53 and bcl-2 protein expression were not correlated with overall survival. On multivariate analyses, overall survival was independently influenced by Ki-67 index. In conclusion, it is suggested that Ki-67 proliferating index is the most important marker for predicting biologic behavior of the primary CNS lymphoma.
Brain Neoplasms
;
Central Nervous System*
;
Classification
;
Humans
;
Lymphoma*
;
Lymphoma, Non-Hodgkin
;
Multivariate Analysis
;
Phenotype
5.A Case of Multiple Intraosseous Lipomas
Kwon Ick HA ; Sung Ho HAN ; Jae Kyung KANG
The Journal of the Korean Orthopaedic Association 1981;16(2):480-483
Fatty tumours are,the most common soft tissue tumours whereas they are among the rarest tumours in bone. Dahlin quoted an incidence of 1 in 1, 000 of all bone tumours, and fatty tumours in bone are almost single intraosseous lipoma and of four types; I. Soft tissue lipomata or liposarcomata, secondarily affecting bone. 2. Parosteal lipomata. 3. Intraosseous lipomata. 4. Liposarcoma of bone. Here we report a case of multiple intraosseous lipomas in a 23 year old woman.
Female
;
Humans
;
Incidence
;
Lipoma
;
Liposarcoma
6.Clinical Study of the Fracture of the Carpal Scaphoid
Kwon Ick HA ; Sung Ho HAN ; Jae Kyung KANG
The Journal of the Korean Orthopaedic Association 1981;16(2):442-446
Ten cases of fracture of the carpal scaphoid analysed clinically and treated by admission at Department of Orthopedic Surgery, National Police Hospital during the period of 1975 to 1980. The results were summerized as follows: 1. The mode of the injury were consist of 3 in football game, 2 in judo, 2 in army training and 1 in fallen from height, 1 in slipping down, 1 in direct blow and almost falling down by outstretched hand. 2. Of the 10 cases, there were 9 male and 1 female patients. This result showed marked predominence of male over female patients and most commonly occured between 20 and 29 of age. 3. In 8 cases, the fracture was found on the waist of the carpal scaphoid. 4. Nonunion of the carpal scaphoid were noticed in 8 cases. 5. 2 cases of the recent fracture, there were appeared by rechecking X.-ray after 2 weeks. 6. The good results were obtained by bone graft according to method of Russe.
Accidental Falls
;
Clinical Study
;
Female
;
Football
;
Hand
;
Humans
;
Male
;
Martial Arts
;
Methods
;
Orthopedics
;
Police
;
Transplants
7.The posterior tibial nerve somatosensory evoked potentoals in the hemiplegic patients.
Jin ho KIM ; Tai Ryoon HAN ; Seong Jae LEE
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(4):525-533
No abstract available.
Humans
;
Tibial Nerve*
8.Surgical management of cardiac tamponade.
Jae Hyun CHANG ; Jae Ho CHO ; Han Yong KIM ; Won Young SONG ; Byung Ha YOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(1):66-72
No abstract available.
Cardiac Tamponade*
9.A Case of Modified Jensen Procedure in 6th Nerve Palsy.
Journal of the Korean Ophthalmological Society 1982;23(3):829-833
Because of the long intracranial course, the 6th nerve is vulnerable to increased intracranial pressure, trauma to the cranial floor, meningeal edema, inflammation in the base of the skull, and any displacement of the brain stem. The authors had experienced a case of abducens nerve palsy resulting non-concomittent esotropia and lateral gaze palsy due to brain trauma by traffic accident. We had performed modified Jensen procedure that had good result. That procedure is presented to aid in preserving the anterior segment blood supply. The anterior ciliary artery in the lateral rectus is not included in the union. The case report is reviewed with the pertinent literature.
Abducens Nerve Diseases*
;
Accidents, Traffic
;
Brain Injuries
;
Brain Stem
;
Ciliary Arteries
;
Edema
;
Esotropia
;
Inflammation
;
Intracranial Pressure
;
Paralysis
;
Skull
10.Juvenile Granulosa Cell Tumor Arising in Undescended Testis: A case report.
So Ya PAIK ; Hae Youn KANG ; Jae Ho HAN ; Woo Ick YANG ; Seok Joo HAN
Korean Journal of Pathology 1999;33(5):376-379
Juvenile granulosa cell tumor is rare but one of the common congenital testicular neoplasms. Although histological features are typical of its ovarian counterpart, testicular juvenile granulosa cell tumor has a distinctly different clinical presentation. We report a case of juvenile granulosa cell tumor arising in the cryptochid testis of a 4-day-old newborn. A 6 5 5 cm sized multilocular cyst containing thick, mucinous fluid was found in the peritoneal cavity. The external surface of the cyst was smooth and the septae were relatively thin. The cyst consisted of numerous mucin-filled, cystic follicles lined by cells having vacuolated cytoplasm and round to oval dark nuclei without grooves. Cells resembling granulosa cells of an ovarian follicle were also observed in the intervening stroma forming irregular solid nests.
Cryptorchidism*
;
Cytoplasm
;
Female
;
Granulosa Cell Tumor*
;
Granulosa Cells*
;
Humans
;
Infant, Newborn
;
Male
;
Mucins
;
Ovarian Follicle
;
Peritoneal Cavity
;
Testicular Neoplasms
;
Testis