최근 국내의 양식 메기에 표피 박리와 근육 괴사를 특징으로 하는 새로운 질병이 발생하였다. 그 폐사율은 낮으나 질병으로 인한 상품가치의 저하로 경제적 손실이 크다. 병어로부터 원인균을 분리하고 자연감염어와 인위감염어의 병리학적 변화를 관찰하였다. 원인균은 Aeromonas veronii로 동정되었으며, 원인균을 건강어에 인위감염시켜 폐사 및 증상의 발현을 매일 관찰하였다. 인위감염된 어류의 증상은 자연감염어와 유사하였으며 원인균을 감염시킨 후 7일 이내에 모두 폐사하였다. 병어의 조직표본을 제작하여 관찰한 결과, 자연감염어의 간, 비장, 신장의 울혈 및 간세포 변성과 비장 협조직의 초자적변성이 관찰되었으며, 특히 심장에서 염증성 변성과 세균응집체가 관찰되었다. 소화관에서의 울혈과 점막고유층의 섬유화 현상도 특징적이었다. 자연감염어에 비해 약한 경향이지만 인위감염어의 조직학적 변화도 관찰되었으며, 소화관에서의 조직학적 변성은 관찰되지 않았다.

It is well known that oral pathology is an essential bridge between basic and clinical science in dental field. Although oral pathology has been introduced to Korean dental science since 1945, there is not yet presented about oral pathologic history. The purpose of this study are to summarize and to introduce Korean oral pathologic history in serial form for Korean oral pathologists.

Recently, oteomyelitis from oral and maxillofacial region which is an acute or chronic inflammatory process in medullary spaces or cortical surfaces of bone is uncommon in Korea. And the clinicopatholgic study of osteomyelitis in Korea has been rarely reported. The purpose of this study were to examine the clinicopatholgic analysis of osteomyelitis patients and to apply its results for treatment. Retrospective analysis of 103 cases of osteomyelitis patients treated in the Department of Oral and Maxillofacial Surgery at DKUDH from 1991 to 2000. There was a male predominance with a 2.3:1 ratio. The mean age of onset of disease was almost the same in cases of acute and chronic osteomyelitis: 29.4 years(range 1-81 years). Swelling, pain, pus discharge, and sequestration were main characteristic features of this disease entity. Acute chronic osteomyelitis of the jaws is caused mostly by a bacterial focus(odontogenic disease, periapical lesion, pericoronitis, periodontal disease, postextraction wounds, and infected fractures). It suggested that acute and chronic osteomyelitis could be basically the same disease separated by the arbitrary time limit of 1 month after onset of the disease by a true bacterial infection. And these results could play an role in the diagnosis and treatment of osteomyelitis of the jaws

It is well known that oral pathology is an essential bridge between basic and clinical science in dental field. Although oral pathology has been introduced to Korean dental science since 1945, there is not yet presented about oral pathologic history. The purpose of this study are to summarize and to introduce Korean oral pathologic history in serial form for Korean oral pathologists.

Oral squamous papilloma (OSP) is a common benign lesion of the oral mucosa that is induced by the human papillomavirus. To investigate the clinicopathological characteristics of OSP, we selected 135 patients diagnosed at the Seoul National University Dental Hospital. OSPs occurring in Koreans had a slight female predilection, with the male to female ratio being 1:1.6. The age ranged from 4 to 80 years old (average age: 47 years). The most frequent location was the soft palate (43.7%), followed by the tongue and gingiva. 11.1% of all patients presented with pain. There have been no reported cases of recurrence. On microscopic examination, two‐thirds of the lesions were parakeratinized, with almost all cases (99%) containing the koilocytes. In conclusion, there were no significant differences between the clinicopathological features of OSP in Korean and findings from previous studies

It is well known that oral pathology is an essential bridge between basic and clinical science in dental field. Although oral pathology has been introduced to Korean dental science since 1945, there is not yet presented about oral pathologic history. The purpose of this study were to summarize and to introduce Korean oral pathologic history in serial form for Korean oral pathologist.

It is well known that oral pathology is an essential bridge between basic and clinical science in dental field. Although oral pathology has been introduced to Korean dental science since 1945, there is not yet presented about oral pathologic history. The purpose of this study was to summarize and to introduce Korean oral pathologic history in serial form for Korean oral pathologist.

Sialolithiasis consists of calcified structures in either the salivary gland or ductal system and alteration of salivary gland parenchyma. To investigate the clinicopathological features of sialolithiasis in Korean patients, we selected 60 patients with sialolithiasis diagnosed at the Seoul National University Dental Hospital. Their clinical records and radiographs were reviewed with the analysis of available histologic data from 32 cases. The male to female ratio was 1.1:1. Sialolithiasis is most common between the ages of 20 and 60 years and occurred most frequently in the submandibular gland (97%). Upon microscopic examination, most lesions showed moderate-to-severe inflammatory infiltration and parenchymal changes such as ductal metaplasia, acinar necrosis and fibrosis. Consequently, Korean patients exhibited clinicopathological features similar to those previously reported.

Elevated expression of survivin is strongly associated with tumorigenesis and even in human common cancers. The purpose of this study is to confirm whether survivin is associated with odontogenic tumor expecially in the development and growth in ameloblastomas. For the control group; 3 specimens obtained from normal oral mucosa without any inflammatory reaction were used. For the experimental group, specimens obtained from 17 subjects of ameloblastomas; follicular type, plexiform type, granular cell type, acantomatous type and unicystic ameloblastoma. All the specimens were embedded in paraffin, sectioned 5μm or more in thickness, and stained with hematoxylin- eosin stain method. For immunostain, the specimens were incubated with 1:200 diluted primary antibody, followed by the secondary antibody. The bound antibodies were visualized by addition of diaminobenzidine tetrahydrochloride (DAB) for 30 minutes at room temperature. The specimens were counterstained with Gill’s Hematoxylin and mounted. Intensity of survivin immunoreactivity specimens was quantitatively scaled using under the light microscope with the following criteria; Intensive reaction; +++, Moderate reaction; ++, Minimal reaction; +. Using the image analyzer (Korea Optical System), immunoreactivity of the tumor cells in various fields was measured and statistically analyzed with SPSS 17.0 Program. In control group, moderate positive reaction was noted in the cytoplasm of cells in the basal and spinous layer, but negative reaction was revealed in the nucleus. Expression of survivin was significantly increased in the cytoplasm of ameloblastomas as compared to that of control group (p<0.05). Expression of survivin in the nucleus and the cytoplasm of the tumor cells between subtype of ameloblastoma was not significantly different. These results suggest that expression of survivin is closely associated with the development, and growth of the ameloblastomas. However it is unlikely that survivin can be used as a marker for cellular malignancy.

Desmoplastic ameloblastoma (DA) and Ameloblastic fibroma (AF) show common histopathologic features such as enamel organ like epithelial islands or cords on the background of abundant fibrous stroma. Despite their similar histopathologic features, it was reported that they have different pathogenesis and clinical behavior. The purpose of this study was to rev iew clinicopathologic features of DA and AF among Korean subjects. 7 cases of DA and 4 cases of AF were retrieved from the files of Seoul National University Dental Hospital (SNUDH), and their clinical features, radiographic findings, and histopathologic features were reviewed and compared. DA occurred in 3 males and 4 females. They occurred from 24 to 62 years of age, showing the mean age of 42.7 years. 5 of the 7 tumors occurred in the maxilla, and all of them in the anterior region, showing predilection for the maxillary anterior regions. There was no recurrence. Radiographically, they showed well demarcated unilocular or multilocular radiolucency. AF occurred in 5 males and 2 female. They occurred from 6 to 29 years of age, showing the mean age of 14 years. All tumors occurred in the mandibular molar area. Recurrence was recognized in 1 case. Although DA and AF showed similar histopathologic features, they showed different clinical behaviors. While DA showed predilection for the anterior maxilla, AF did for posterior mandible. While DA occurred mainly in adults, AF did in adolescents. Recurrence was recognized not in DA but in AF. Therefore, DA and AF should be differentiated from each other in spite of similar histopathologic findings

Mucous retention cyst (MRC) is not uncommon in the pathology of maxillary sinus, which should be differentially diagnosed from chronic maxillary sinusitis. The main stream of diagnosis usually depends on the clinical symptoms and radiological findings. Thus it was sometimes puzzling to confirm the histological features of mucous retention phenomenon in the antral mucosa, when the specimen was from a limited portion or much degenerated by inflammatory reaction. This study aims to define the histopathological features of MRC through reevaluation of MRCs (n=19) and maxillary sinusitis (n=65) diagnosed previously. The present study classified three types of MRC, i.e., an extravasation type, a luminal retention type, and a mixed type of MRC. The extravasation type MRC showed clear pseudocyst cavity under sinus mucosa with infiltration of foamy macrophage, and the luminal retention type MRC showed mucous retention in the luminal cavity of maxillary sinus accompanied with inflammatory reaction, and the mixed type MRC showed the both features of extravasation and luminal retention type MRCs. Resultantly, among nineteen cases of MRC only three cases belonged to the extravasation type MRC, eleven cases belonged to luminal retention type MRC, and three cases belonged to mixed type MRC, while two cases were turned out to be postoperative residual cysts of maxillary sinus. The MRCs examined in this study showed different pathological features from ordinary maxillary sinusitis, exhibiting the typical mucin retention phenomenon of extravasation type or luminal retention type with relatively mild inflammatory reaction with infiltration of mucin-pooled macrophages. However, the luminal retention type MRC was predominant among the MRCs (11/17, 64.7%) and each of the extravasation and mixed type MRCs was only three cases out of 17 MRCs (17.6%). The extravasation type MRC characteristically produces a pseudocyst by the overexpressions of matrix metalloprotease-3 (MMP-3) and connective tissue growth factor (CTGF). Because not only the pathogenetic mechanism but also the prognosis of MRC is different from chronic maxillary sinusitis, we suggest that the MRC of maxillary sinus should be classified into extravasation, luminal retention, and mixed types in the histological observations in addition to the clinical and radiological informations.

The purpose of this study was to evaluate the role of survivin in various salivary gland tumors. For this study, total 18 cases of salivary gland tumors; 6 cases of benign and 12 cases of malignant tumors were used as experimental group. In benign tumors; pleomorphic adenoma, oncocytoma, and in malignant tumors; adenoid cystic carcinoma, mucoepidermoid tumor, high grade and low grade malignancy each, adenocarcinoma, acinic cell adenocarcinoma cases were included. And for the control group, fresh submandibular glands were attained from gnathosurgical specimen. All the specimens, experimental, control group were fixed in 10% neutral formalin solutions, embedded in paraffin, sectioned 5um or more in thickness, stained with the hematoxylin and eosin, mounted and examined under the microscope. For the immunohistochemical studies, all the specimens were activated with survivin monoclonal, and secondary antibodies as usual manners, and taken photos on various pathologic fields analysed with the image analysis system, and evaluated the positive and negative stained area in the tumors on each images and statistically analyzed with SPSS 15.0 program. Attained result as follows. In control group, in part, acini cells show positive reaction on the nuclei, negative on the all most of the cytoplasm, more intense reaction on the cytoplasm and nuclei on the serous demilune (47.33%). In experimental group, all the specimens show survivin positive reaction on the cytoplasm with/or without positive reaction on nuclei according to the tumors, in benign tumors; pleomorphic adenoma (63.48%), oncocytoma (56.31%), each and in malignant tumors; adenoid cystic carcinoma (87.6%), acinic cell adenocarcinoma (56.35%). adenocarcinoma (67.47%), mucoepidermoid carcinoma, low grade (70.76%). high grade (55.23%). Survivin expression shows higher in tumors compare to that on the control group (p<0.05), but between the malignant tumors no significant are not noted(p>0.005). Survivin expression is strongly related to the malignancy of salivary gland tumors

Elevated expression of survivin is strongly associated with tumorigenesis and even in human common cancers. Oral squamous cell carcinoma (OSCC) is the 7th most frequent cancer in human and responsible for more than 90% of all oral cancer. The purpose of this study is to confirm whether survivin is associated with oral carcinogenesis, expecially has a role in the development of OSCC. For the control group; 3 specimens obtained from normal oral mucosa without any inflammatory reaction were used a nd for the experimental group, specimens obtained f rom 18 sub jects of OSCC; 6 subjects from Well differentiated type OSCC; 4 subjects from Moderately differentiated type OSCC; 3 subjects from Poorly differentiated type OSCC; 3 subjects from Verrucous carcinoma: and 2 subjects from C arcinoma in situ were used. All the specimens were embedded in paraffin, sectioned 5 μm or more in thickness, and stained with hematoxylin- eosin. For immunostain, the specimens were incubated with 1;200 diluted primary antibody (anti-survivin monoclonal, Biocare Inc, USA), followed by the secondary antibody(NovoLink Polymer detection system, Novocastra Lab., UK). The bound antibodies were visualized by addition of diaminobenzidine tetrahydrochloride(DAB) for 30 minutes at room temperature. The specimens were counterstained with Mayerʼs Hematoxylin and mounted. Quantitation of immunoreactivity was performed under the light microscope with the following criteria ; Intensive reaction; +++, Moderate reaction; ++, Minimal reaction; +. Using the image analyzer(Korea Optical System), immunoreactivity of tumor cells in various field was measured and statistically analyzed with SPSS 15.0 Program. The results were as follows: Expression of survivin in OSCC was significantly increased in the nucleus and the cytoplasm of OSCC as compare to those of control group (p<0.05). Expression of survivin in the nucleus and the cytoplasm of the cells in OSCC is correlated with the cellular malignancy (p<0.05). Expression of survivin in Poorly differentiated type OSCC partly correlated to some extent to cellular malignancy (p<0.05). These results suggest that expression of survivin in OSCC is closely associated with to the development, and malignancy of the OSCC, b ut it is not enough to be used a s a marker f or the c ellular malignancy. Further studies are needed to relate the expression of survivin to cellular malignancy.

Most of mucous retention phenomena occurred in the mucous secretory glands, 1 e ‘ minor salivary gland, sublingual gland and submandibular gland. The mucous retention cyst from parotid gland has been very rarely reported in the literature As the parotid gland is composed of serous acini, the serous saliva is less likely to produce the retention phenomenon in the ducts or extraductal tissue. Here, a case of mucous retention cyst in parotid gland was demonstrated The patient of this case has been complaining of recurrent swelling of right cheek in parotid gland a'rea, and showed a feature of chronic sialadenitis or benign salivary gland tumor. The extravasated serous saliva was diffusely dispersed into the adjacent connective tissue, forming an ill-defined cyst cavity with hyalinized sclerotic luminal surface The inflammatory reaction was relatively mild compared to the extensive destruction of periglandular connective tissue However, the typical foamy macrophage was not seen but the infiltrated macrophages containing abundant eosi nophilic cytoplasm. The mucous retention phenomenon could be very rare in parotid gland, which is also easily distinguishable from chronic sialadenitis or benign tumor through path이ogical examination.

35 peri-implantitis recently referred for 10 years showed four types of inflammatory lesions, such as mild granulomatous lesion(n=5), severe granulomatous lesion(n=4), severe inflammatory fibrous scar tissue(n=15), severe abscess formation(n=11). However, the inflammatory lesions were usually localized at the peri-implant area accompanying compensatory hyperplasia of fibrous connective tissue. The fibrous scar and the necrotic abscess frequently occurred depend on the severity of inflammatory reaction. Among 30 cases of severe inflammatory lesions, only 2 cases involved condensing osteitis in adjacent alveolar bone. Thus, we suppose that the inflammatory progression of peri-implantitis could be partly inhibited by the hyperplastic fibrous stromal tissue stimulated by implant material. And more, the focal abscess formed around the implant can be easily drainaged through the fibrous tract of implant pathway, resulted in the chronic persistent inflammatory granulomatous lesion, that is contrast to the common socket granuloma after tooth extraction. However, depend on the degree of inflammatory reaction in the peri-implantitis the inflamed fibrous collagenous tissues, unregenerated graft materials, necrotic abscess and sequestra should be removed by surgical intervention and followed by antibiotic therapy, because the peri-implant tissue is as vivid as the normal periodontium for the inflammatory defense system. Therefore, we suggest that the inflammatory lesions of peri-implantitis be carefully treated to improve the prognosis for the following dental treatments