1.Standing Laparoscopic Cryptorchidectomy in a Jeju Horse
Eun-bee LEE ; Jiwoong YOON ; Masaaki TAGAMI ; Jong-pil SEO
Journal of Veterinary Clinics 2025;42(4):210-213
This case report documents the first standing laparoscopic cryptorchidectomy performed on a Jeju horse. A 3-year-old Jeju horse underwent the procedure after pre-operative fasting and sedation. Three portals were created:one for the laparoscope and two for instruments. The first undescended testis was located, double ligated for blood flow control, and then transected. Hemostasis was confirmed. The procedure was repeated for the other undescended testis. The time required for this procedure was approximately 2 hours. The horse was hospitalized overnight for monitoring before being discharged the following day. No complications were observed during or after surgery.
2.A case of feline extramedullary plasma cell tumor with T cell infiltration
Jung-Hyun KIM ; Jiwoong YOON ; Sol-Ji CHOI ; Woo-Jin SONG ; Youngmin YUN ; Myung-Chul KIM
Korean Journal of Veterinary Research 2024;64(3):e25-
A 7-year-old castrated male Persian cat presented with a cutaneous mass and an increase in serum amyloid A concentration. Fine needle aspirates of the mass indicated lymphoma, which was also the top differential diagnosis on histopathologic examinations. Immunohistochemically, neoplastic cells tested negative for anti-CD3, PAX5, CD20, and c-Kit, but positive for MUM1, CD79α, and CD138, suggesting extramedullary plasmacytoma. There were tumor-infiltrating non-neoplastic CD3+ T and CD20+ B cells. Practitioners should be aware of feline plasmacytoma characterized by lymphoma-like cytologic and histologic features. The present study is valuable in providing the first clinical evidence that proves the immunogenicity of feline plasmacytoma.
3.A case of feline extramedullary plasma cell tumor with T cell infiltration
Jung-Hyun KIM ; Jiwoong YOON ; Sol-Ji CHOI ; Woo-Jin SONG ; Youngmin YUN ; Myung-Chul KIM
Korean Journal of Veterinary Research 2024;64(3):e25-
A 7-year-old castrated male Persian cat presented with a cutaneous mass and an increase in serum amyloid A concentration. Fine needle aspirates of the mass indicated lymphoma, which was also the top differential diagnosis on histopathologic examinations. Immunohistochemically, neoplastic cells tested negative for anti-CD3, PAX5, CD20, and c-Kit, but positive for MUM1, CD79α, and CD138, suggesting extramedullary plasmacytoma. There were tumor-infiltrating non-neoplastic CD3+ T and CD20+ B cells. Practitioners should be aware of feline plasmacytoma characterized by lymphoma-like cytologic and histologic features. The present study is valuable in providing the first clinical evidence that proves the immunogenicity of feline plasmacytoma.
4.A case of feline extramedullary plasma cell tumor with T cell infiltration
Jung-Hyun KIM ; Jiwoong YOON ; Sol-Ji CHOI ; Woo-Jin SONG ; Youngmin YUN ; Myung-Chul KIM
Korean Journal of Veterinary Research 2024;64(3):e25-
A 7-year-old castrated male Persian cat presented with a cutaneous mass and an increase in serum amyloid A concentration. Fine needle aspirates of the mass indicated lymphoma, which was also the top differential diagnosis on histopathologic examinations. Immunohistochemically, neoplastic cells tested negative for anti-CD3, PAX5, CD20, and c-Kit, but positive for MUM1, CD79α, and CD138, suggesting extramedullary plasmacytoma. There were tumor-infiltrating non-neoplastic CD3+ T and CD20+ B cells. Practitioners should be aware of feline plasmacytoma characterized by lymphoma-like cytologic and histologic features. The present study is valuable in providing the first clinical evidence that proves the immunogenicity of feline plasmacytoma.
5.A case of feline extramedullary plasma cell tumor with T cell infiltration
Jung-Hyun KIM ; Jiwoong YOON ; Sol-Ji CHOI ; Woo-Jin SONG ; Youngmin YUN ; Myung-Chul KIM
Korean Journal of Veterinary Research 2024;64(3):e25-
A 7-year-old castrated male Persian cat presented with a cutaneous mass and an increase in serum amyloid A concentration. Fine needle aspirates of the mass indicated lymphoma, which was also the top differential diagnosis on histopathologic examinations. Immunohistochemically, neoplastic cells tested negative for anti-CD3, PAX5, CD20, and c-Kit, but positive for MUM1, CD79α, and CD138, suggesting extramedullary plasmacytoma. There were tumor-infiltrating non-neoplastic CD3+ T and CD20+ B cells. Practitioners should be aware of feline plasmacytoma characterized by lymphoma-like cytologic and histologic features. The present study is valuable in providing the first clinical evidence that proves the immunogenicity of feline plasmacytoma.
6.A case of feline extramedullary plasma cell tumor with T cell infiltration
Jung-Hyun KIM ; Jiwoong YOON ; Sol-Ji CHOI ; Woo-Jin SONG ; Youngmin YUN ; Myung-Chul KIM
Korean Journal of Veterinary Research 2024;64(3):e25-
A 7-year-old castrated male Persian cat presented with a cutaneous mass and an increase in serum amyloid A concentration. Fine needle aspirates of the mass indicated lymphoma, which was also the top differential diagnosis on histopathologic examinations. Immunohistochemically, neoplastic cells tested negative for anti-CD3, PAX5, CD20, and c-Kit, but positive for MUM1, CD79α, and CD138, suggesting extramedullary plasmacytoma. There were tumor-infiltrating non-neoplastic CD3+ T and CD20+ B cells. Practitioners should be aware of feline plasmacytoma characterized by lymphoma-like cytologic and histologic features. The present study is valuable in providing the first clinical evidence that proves the immunogenicity of feline plasmacytoma.
7.A Case of Canine Colorectal Carcinoma In Situ with Regulatory T Cell Infiltration
Yunhee JOUNG ; Jiwoong YOON ; Dong Ju LEE ; Woo-Jin SONG ; Jongtae CHEONG ; Hyunjung PARK ; Young-min YUN ; Gee Euhn CHOI ; Myung-Chul KIM
Journal of Veterinary Clinics 2024;41(4):207-214
An adult castrated male dog was presented with persistent hematochezia. Digital rectal examination and endoscopy found multiple colorectal masses. Complete blood count and serum biochemical results were within the reference interval. Fine needle aspirate of the masses indicated a diagnosis of inflamed polyps with a primary differential of malignancy. Histopathologic examination using endoscopy-guided incisional biopsy of the masses revealed an inflamed neoplasm with ossification. A colectomy was performed to remove the tumor. Subsequent histopathologic examination of the surgically resected masses resulted in a diagnosis of colorectal carcinoma in situ (CiS) with immune infiltrates, which were subject to immunohistochemical and flow cytometric immunophenotyping. The immunohistochemistry confirmed intraepithelial CD3 + T cells within CiS. The flow cytometric analysis indicated tumor-infiltrating CD4 + T, CD8 + T, and CD11b + myeloid subsets. The flow cytometric analysis of circulating and tumor-infiltrating leukocytes demonstrated a preferential expansion of CD25 + FOXP3 + regulatory T cells within CiS. To the author’s knowledge, this is the first report to show clinical evidence emphasizing the immunogenicity and immune-suppressive environment of canine colorectal CiS. Our case will be valuable in providing a rationale for basic research that dissects the immune environment for canine colorectal cancers for the future development of cancer immunotherapy.
8.A Case of Canine Mammary Comedocarcinoma with Regulatory T Cell Infiltration
Siwon JEONG ; Jiwoong YOON ; Woo-Jin SONG ; Jongtae CHEONG ; Young-min YUN ; Gee Euhn CHOI ; Myung-Chul KIM
Journal of Veterinary Clinics 2024;41(4):215-222
An adult female dog was presented for evaluation of rapid growth of mammary gland masses. Complete blood count, serum biochemistry, and diagnostic imaging results were unremarkable. Fine needle aspirates of the mammary masses indicated mammary carcinoma characterized by large globoid cells with finely granular eosinophilic globules or Melamed-Wolinska-like bodies. A regional mastectomy was performed on the masses. Subsequent histopathologic examination of the surgically resected masses resulted in a diagnosis of mammary comedocarcinoma with nodal metastasis and distinct perivascular immune infiltrates, which were subject to immunohistochemical and flow cytometric immunophenotyping. Immunohistochemical examination confirmed the infiltration of CD3 + T and PAX5 + B lymphocytes. Flow cytometric analysis demonstrated tumor-infiltrating CD4 + CD25 + FOXP3 + regulatory T, CD8 + T, CD11b + myeloid, and CD21 + B cells. Of note, paired flow cytometric analysis of peripheral blood and tumor tissues showed a preferential tumor infiltration of regulatory T and B cells. Approximately two months after the mastectomy, the tumor reoccurred at the surgery site. The dog died due to deteriorating conditions. We report a rare case of canine mammary comedocarcinoma, providing clinical, clinicopathologic, histologic, and immunophenotypic characteristics. Our case is valuable in providing a rationale for basic research that maps the immune landscape of mammary comedocarcinoma to identify key immune subsets for cancer progression.
9.A Rare Case of Canine Pericardial Malignant Mesothelioma: Clinicopathologic Findings, Diagnostic Investigations, and Clinical Course with Epirubicin Treatment
Jun-Hyuk MIN ; Jiwoong YOON ; Sooyoung SON ; Woo-Jin SONG ; Siheon LEE ; Youngmin YUN ; Hyunjung PARK ; Jongtae CHEONG ; Alba Maria M. SHANK ; Myung-Chul KIM
Journal of Veterinary Clinics 2024;41(3):170-177
An adult male dog was presented for hemorrhagic pericardial effusion. Echocardiography and computed tomography revealed nodule-like lesions on the pericardium. Cytology of pericardial effusion and excisional pericardial lesions indicated neoplastic effusion. Histopathology indicated an inflamed neoplasm with a primary differential diagnosis of hemangiosarcoma and malignant mesothelioma (MM). Immunohistochemistry showed that atypical cells were positive for cytokeratin and vimentin, but negative for CD31, strongly favoring pericardial MM. Postoperative NT-proBNP level remained increased, which led to the administration of epirubicin to minimize potential cardiotoxicity. During the 4 cycles of epirubicin treatment, a total cumulative dose of 108 mg/m 2 was administrated and no effusion recurrence was observed. After a month post-completion of chemotherapy, however, pleural effusion was detected with cardiac masses. The owner requested no further diagnostic investigations and chemotherapy. Due to deteriorating conditions, the dog died 132 days after the first presentation. Our case is the first notable attempt to treat canine malignant mesothelioma with epirubicin, providing the clinicopathologic, diagnostic routine, and clinical course of the affected dog.
10.The Unique Relationship between Neuro-Critical Care and Critical Illness-Related Corticosteroid Insufficiency : Implications for Neurosurgeons in Neuro-Critical Care
Yoon Hee CHOO ; Moinay KIM ; Jae Hyun KIM ; Hanwool JEON ; Hee-Won JUNG ; Eun Jin HA ; Jiwoong OH ; Youngbo SHIM ; Seung Bin KIM ; Han-Gil JUNG ; So Hee PARK ; Jung Ook KIM ; Junhyung KIM ; Hyeseon KIM ; Seungjoo LEE
Journal of Korean Neurosurgical Society 2023;66(6):618-631
The brain houses vital hormonal regulatory structures such as the hypothalamus and pituitary gland, which may confer unique susceptibilities to critical illness-related corticosteroid insufficiency (CIRCI) in patients with neurological disorders. In addition, the frequent use of steroids for therapeutic purposes in various neurological conditions may lead to the development of steroid insufficiency. This abstract aims to highlight the significance of understanding these relationships in the context of patient care and management for physicians. Neurological disorders may predispose patients to CIRCI due to the role of the brain in hormonal regulation. Early recognition of CIRCI in the context of neurological diseases is essential to ensure prompt and appropriate intervention. Moreover, the frequent use of steroids for treating neurological conditions can contribute to the development of steroid insufficiency, further complicating the clinical picture. Physicians must be aware of these unique interactions and be prepared to evaluate and manage patients with CIRCI and steroid insufficiency in the context of neurological disorders. This includes timely diagnosis, appropriate steroid administration, and careful monitoring for potential adverse effects. A comprehensive understanding of the interplay between neurological disease, CIRCI, and steroid insufficiency is critical for optimizing patient care and outcomes in this complex patient population.

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