췌장의 낭종성 질환은 현재 영상기술의 발달로 인하여 우연히 발견되는 경우가 많다. 그리고 췌장 낭종성 질환은 다양한 질환으로 이루어져 있으며 그 종류에 따라 다양한 악성 도를 보인다 췌관의 편평세포낭종은 내층이 비각화 편평 상피로 이루어져 있는 췌관의 낭성 확장을 특징으로 한다. 현재까지 이 질환은 재발이나 악성 변화가 관찰되지 않는 양성 질환으로 알려져 있다. 그러나 저자들은 수술 전 영상검사에서 타 장기 침습 의심 소견을 보이며, 수술 후 경과에서 악성 형태를 보이는 췌관의 편평세포낭종 1예를 경험하였기에 문헌고찰과 함께 보고한다.

한국 연안 해역의 와편모조류 시스트의 연구 현황과 특성을 파악하기 위해 한국 연안과 내만은 물론 제주도 남부와 황해 일부해역을 포함한 동중국해를 대상으로 수행한 45편의 학술연구논문을 분석하였다. 결과 한국의 와편모조류 시스트는 1980년대 후반부터 연구가 시작되었고, 대상 해역은 적조발생 등 부영양화 해역이나 연안 개발이 이루어지는 해역에 집중되었으며, 동해를 대상으로 한 연구결과는 없었다. 연구 내용도 단순한 출현 종분석에서 부영양화 진행 등 해양환경의 변화과정 추적, 적조 발생에서 종자군으로서 역할, 세디맨트 트랩을 이용한 시스트의 형성과 변화양상 추적, 수소이온 농도 등 해양환경 변화에 따른 형태변화, 실험실에서 특정 종의 발아 특성 등 국제적 수준의 다양한 연구가 진행되고 있었다. 출현종이나 출현 세포밀도 역시 해역에 따라 매우 다양한 특성을 보인다. 그러나 한국의 와편모조류 시스트 연구는 아직 체계적 연구가 이루어지지 못하고 있고, 단편적이면서 개별적 내용으로 매우 제한적인 연구 성격을 나타내었다. 특정 해역에 편중된 연구결과와 특정 연구 연구 집단에 의해 산발적인 연구가 수행되는 경향을 나타내었다. 해양에서 표층퇴적물의 와편모조류 시스트는 표영 환경의 누적지표를 나타내는 것으로 해양 환경 변화를 효율적으로 추적하는 데 유용한 지표가 되고 있음을 고려할 때, 국내에서도 조직적인 인력양성과 함께 해양생태계의 구성인자로서 필수 해양생물 분야로 취급하는 연계적인 연구 추진이 절실하게 요구된다.

The nasopalatine duct, the most dominant developmental tubule formed by the emergence of premaxilla and both sides of anterior palatal processes. This duct normally disappears in humans but remains latent and provides communication between the oral and nasal cavities in some mammals. However, the duct is obliterated and degenerated before birth in human, thus the persisting or patent nasopalatine duct in postnatal life is considered a developmental anomaly. Two cases of patent nasopalatine duct were presented in this study. Although the ducts were not sectioned longitudinally, they were probably connected each other and contained mucous materials secreted from the associated mucous glands. In the immunohistochemical study the ductal epithelium was consistently positive for the growth-related biomarkers including TGFβ1, c-erbB2, EGFR, CTGF, FGFb, HGF, eiF5A, FAK, and pAKT. And many columnar epithelial cells of the duct were positive for PCNA. Particularly, TNFα was clearly positive in the ductal epithelium together with β-defensin-2, -3 and MMP-3, -9. These findings may imply that the ducts have a growth potential postnatally and also can induce inflammatory reaction. Therefore, it was presumed that the present cases of patent nasopalatine ducts were caused by the latent proliferation of ductal epithelia in the vascular environment of nasopalatine canal without cyst formation, and also suggested that the patent nasopalatine ducts connected with functioning mucous glands were partly open to oral/nasal cavity and should be differentially diagnosed from the nasopalatine duct cyst.

Rushton bodies are known to be the aberrant keratinization and calcification in the epithelium of odontogenic cyst, which are similar to the features of calcifying odontogenic cyst and pilomatricoma. However, the pathogenetic mechanism of keratinization and calcification of Rushton bodies has not been clearly elucidated. Here, a case of Rushton bodies found in dentigerous cyst was examined by immunohistochemical method using antisera of PCNA, pAKT, HIF, PIM1, and PARP. The globular keratinization in lamellate fashion showed weak birefringency under polarizing microscope, and the Rushton bodies frequently underwent the dystrophic calcification. The polygonal keratinocytes of Rushton bodies were strongly positive for HIF and PARP, and the cyst epithelium was diffusely positive for pAKT and PIM1. Particularly, the cyst epithelium was hyperplastic and focally invaginated into cyst wall with positive reaction of PCNA. These findings may indicate the active response of odontogenic epithelium against the apoptotic stress of the cyst, producing the globular keratinization and irregular calcification in the polygonal keratinocytes. Therefore, it is presumed that the lamellate keratinization and dystrophic calcification of Rushton bodies are aberrant products of retrograding keratinocytes slowly undergoing apoptotic progresses similar to the phenomena of the ghost cells in calcifying odontogenic cyst and pilomatricoma, and also may have a potential for oncogenic proliferation.

Although the mechanism of the abnormal calcification in the calcifying odontogenic cyst (COC) was not elucidated so far, it has been known that the ghost cells are closely related to the calcification, producing dystrophic globular cementum-like materials, comparable to pilomatricoma in epithelium1). Here, we presented a case of COC occurred in left maxillary canine area of 23 years old female, exhibiting a collection of aberrant ossification admixed with basophilic ghost cells in comparison with seven cases of COC. In the polarizing microscope observation with Masson trichrome stain the present case clearly disclosed the typical birefringence of bony tissue, stained red in von Gieson stain, indicating the collagenous backbone. Some ghost cells showed the features of interdigitating epithelial attachments, empty spaces of nuclei, and reticular basophilic cytoplasms, which were similar to the basophilic ghost cells of philomatricoma. The present case demonstrated the aberrant ossification by basophilic ghost cells in COC similar to the ossification of pilomatricoma

콩 씨스트 선충은 콩 수량에 가장 심각한 피해를 입히는 선충이며, 콩 씨스트 선충으로 입는 피해가 연 간 전 세계적으로 9백만 메가그램이나 되는 것으로 추정되고 있다. 콩 씨스트 선충은 식물 영양분을 먹어 뿌리의 성장을 지연시키고 근류균의 고정을 억제함으로서 수량의 감소를 가져 오게 된다. 콩 씨스트 선충을 방제하는 근본적인 방법은 저항성 품종을 재배하거나 윤작을 하는 것이다. 유전적으로 콩 씨스트 선충의 다양한 레이스들과 상업적 품종들의 제한된 저항성 품종들이 오랜 시간에 걸쳐 레이스 전환을 가져왔고, 이러한 이유로 콩 씨스트 선충의 방제가 매우 어려운 실정이다. 이 논문은 콩의 중요성, 콩 씨스트 선충, 콩 씨스트 선충 저항성에 대한 연구현황, 그리고 전망에 관해 고찰하였다.

A dentigerous cyst (DC) and an odontogenc fibroma (OF) in the jaws are well known entities, which have been reviewed extensively. However, the presence of OF components in the wall of dentigerous cyst is a very rare event. A case of DC in the left mandible displaying the foci of an OF-like lesion is described. It is unclear whether the two lesions were just coincidental or were actually related to each other. However, OF-like proliferation may be arised from secondary epithelial and mesenchymal interactions in a pre-existing DC, although the initiating stimulus could not be identified.

A 17-year-old male patient was referred for the extraction of impacted mesiodens and canine (#23) before orthodontic treatment. In the radiologic examination, an ovoid-shape radiolucent lesion was found with well-defined hyperostotic rim involved the teeth in left maxillary area. After biopsy examination the lesion was diagnosed as glandular odontogenic cyst (GOC) differentially from non-odontogrnic cysts, i.e., nasopalatine duct cyst. In the immunohistochemistry the cyst epithelium was freguently positive for PCNA, clearly positive for amtloblastin, slightly positive for β-catenin, but rarely positive for amelogenin and cytokeratin 7. Mucin and PRP were positive in the secretory cells of the cyst epithelium. On the other hand, TNFα was strongly positive in the macropahges infiltrated into the mucin-filled cyst lumen, and CD68 and CD31 were positive in the mucin-filled macropahges. These findings may indicate that the glandular elements are derived from hamartomatous secretory organ and that this odontogenic cyst is arisen from the embryonal rests of enamel epithelium, which has a potential to be differentiated into not only the enamel organ but also the secretory gland. Taken together, we assumed that the present case of GOC was originated from the odontogenic epithelium of impacted teeth, but showed the cytodifferentiation of glandular cells.

Both synovial cysts and synovial chondromatoses originate from synovial tissue, and only one case has been reported to occur simultaneously in a patient. Our patient presented with a swelling of the right preauricular area and pain on opening the mouth. Magnetic resonance images demonstrated two cystic structures in the superficial lobe of right parotid gland. Under the clinical impression of a cyst in the salivary gland, an enucleation was performed. However, the final diagnosis based on microscopic examination was a synovial cyst associated with the right temporomandibular joint and a synovial chondromatosis arising within the cystic wall. Awareness of this combined lesion will help make a diagnosis and establish a proper treatment plan.

A rare case of primary intraosseous squamous cell carcinoma(PISCC) arising from lining epithelium of a dentigerous cyst is described. The case occurred at the left mandibular 3rd molar region in a 56-year-old Japanese woman. Clinical observation revealed cyst formation with an impacted 3rd molar, a common finding in dentigerous cyst, in the left mandible. Histopathologically, the lining epithelium of the cyst demonstrated transition from epithelial dysplasia to invasive squamous cell carcinoma(SCC). This case was diagnosed as PISCC arising from lining epithelium of a dentigerous cyst.

This report describes a case of odontogenic cyst with keratinization and dysplastic change of lining epithelium, which showed the manifestation of inflammatory radicular cyst, clinically. A 28-year-old man complained of dull pain in the right mandibular molar region. Radiographically a well-defined oval cystic lesion with non-vital teeth, a common finding in radicular cyst, was observed. Microscopically, the lining epithelium of the cyst demonstrated both keratinization and severe epithelial dysplasia. Atypical findings such as hyperchromatic nuclei, increase of N/C ratio and drop shaped rege ridge were observed in the lining epithelium. However, definite invasion into fibrous connective tissue was not found. Immunohistochemically, the dysplastic lining epithelium was highly positive for proliferative marker, Ki-67. Based on the dysplastic changes of lining epithelium, this periapical lesion would be considered to be signs of malignant change. From this case, we conclude that definitive diagnosis by microscopical examination should be made, even if the periapical lesion would be clinically considered as inflammatory radicular cyst.

난포낭종은 소 번식 장애의 주요 원인 중의 하나이며, 다양한 유전자의 변화는 여러 세포와 조직 기능에 영향을 준다. 이러한 유전자 변화는 낭종성 난소에서도 나타날 수 있다. 이온 및 수송체와 관련된 유전자 변화가 한우의 난포낭종을 유발할 수 있을 것이라는 가설 하에 난포낭종성 난포에서 발현 변화를 보이는 유전자를 찾기 위하여 마이크로어레이 분석을 수행하였다. 마이크로어레이 분석 결과, 난포낭종성 난포에서 FGG와 LRP8이 증가하고, SLC44A4, S

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 dentigerous cyst(DC) and giant cell granuloma(GCG) in the jaws are well known entities that have been extensively reviewed. However, a search of the literature failed to reveal simulataneous occurrence of these two lesions. We describe a case of DC displaying foci of GCG-like lesion of a 11-year-old Korean girl. The lesion exhibited the characteristic histologic features of DC, which included a lining epithelium with underlying fibromyxoid stroma. The most intersting aspect of this lesion, however, was the presence of a prominant histologic component that resembled GCG. The most probable diagnosis was GCG-like lesion in association with a DC.

남해 중앙부해역의 해양환경특성을 파악하기 위해 표층 퇴적물중의 와편모. 조류 시스트와 유기물 분포에 대한 조사를 2002년 4월부터 2003년 1월가지 총 6회 실시하였다. 분석 항목 중 함수율, 강열감량, 화학적 산소요구량, 입자성 유기탄소, 입자성 유기질소, 식물색소량은 각각 38.7~68.9% 3.9~ 12.5%, 9.60~44.05 m9O2 gdry-1, 3.12~13.14mgC gdry-1, 0.49~

Florid cemento-osseous dyspl잃ia with concommitant traumatic bone cyst is uncommon condition. We report a case of florid cemento 。，sseous dysplasia involving four quadrants of the jaws and associated with large cystic lesion of the mandible misdiagnosed as a multiple odontogenic keratocysts in a 37-year-old Korean woman. Histological examination revealed unencapsulated fibroblastic proliferation with formation of bone and cementum, showing different developmental stages, and cys디c lesions resembling a traumatic bone cyst.

2002년 가을에 제주도를 중심으로한 동중국해 18개 정점에서 그랩으로 채니한 표층 퇴적물 속의 와편모조류시스트 분포 특성을 조사하였다 현미경 잔찰시 해상력을 좋게 하기 위하여 퇴적물을 HCl과 HF로 처리하여 그 속의 시스트를 관찰하였다 총 13속 21종의 와편모조류시스트가 출현하였는데, Spiniferites bulloideus가 우점종을 차지하고 있었다. 임의로 나눈 제주도 북부 해역인 Part 1정점들에서의 평균 시스트 농도(1,144 cysts

A case was reponed in which an odontogenic cyst that appeared to be a dentigerous cyst associated with an impacted mandibular third molar was found histologically to demonstrate characteIistics of glanclu lar odontogenic cyst with para- and orthokeratinization. 까1ese histologic cliversities were interpreted as a reflection of the pluripotentiality of the epithelial remnants of the mandibular thircl molars or clentigerous cyst epithelium. It was conceivable that it would have the capacity of inclucing the fonnation of cysts with both squamous and glandular epithelium.

The purpose of this study was to evaluate the role of EGF(Epidermal Growth Factor), EGFR(Epidermal Growth Factor Receptor), aFGF(acidic Fibroblast Growth Factor, FGF-1), bFGF(basic Fibroblast Growth Factor, FGF-2), FGFR(Fibroblast Growth Factor Receptor) in the development of radicular cyst. For this study 37 subjects, diagnosed as radicular cysts. referred to the Dept. of Oral Path. College of Dentistry, Kyung Hee University, were used as experimental group. And for control group, 2 subjects of normal oral epithelium without any inflammatory changes were used. All the tissues; experimental and control group were neutral formation fixed and paraffin embedded. serial tissue section were made at 5㎛ and processed in the standard way for immunohistochemical method, using primary antibodies against, EGF(Antirabbit Ig G at 1:100 dilution), EGFR(Antimouse Ig G at 1:100 dilution), aFGF(Antirabbit Ig G, rabbit kit at 1:100 dilution), bFGF(Antirabbit Ig G, mouse kit at 1:100 dilution), FGFR(Antimouse Ig G mouse kit at 1:100 dilution), all BioGenex U.S.A. made except EGFR(Chemicon U.S.A.) followed by the Streptavidin - Horse Radish Peroxidase (InnoGenex Human-avidin kit) application, counter stained with Meyer's hematoxylin stain method. And examined under microscope, graded 0(no epithelial stain), +(weak or focal epithelial stain), ++(moderate or focal intensive epithelial stain), +++(intense generalized epithelial staining) for the epithelium, and connective tissue of cyst wall. 1. EGF, EGFR, aFGF, bFGF, FGFR showed more intense staining on radicular cysts compare to that on the normal mucosa. 2. EGF, EGFR, aFGF, bFGF, FGFR stained in mucosa, submucosa of the control group and also stained on the lining epithelium, connective tissues of cyst wall in the experimental group. EGF, EGFR, aFGF, bFGF, FGFR take a part in the development of the radicular cyst.