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년도별 일람

Total 768건 22 페이지
516 2013

반상악절제술과 deep circumflex iliac artery flap을 이용한재건으로 치료한 상악골 골모세포종

저자 최유리, 윤정훈, 문성용

초록

"Osteoblastoma is a very rare disease and in case of the jaw, maxilla infrequently occurs more than mandible. On account of difficulty to discriminate from other benign tumor or sarcoma, we need to pay attention to make differential diagnosis based on clinical, radiographic, pathological findings. A tumor on the maxilla and maxillary sinus could lead to a bad result for aesthetic appreciation and function. Therefore, reconstruction after maxillectomy is one of the most important issues concerning a surgery. The aim of this study is to report a case of osteoblastoma on the left maxilla which was misdiagnosed as ossifying fibroma and was treated with hemimaxillectomy and reconstruction using deep iliac circumflex artery musculo-osseous flap which resulted in satisfactory result."

515 2013

우측 하악체에 발생한 비전형적 방사성 혼재 병소

저자 백준석, 김도영, 정태영, 박상준

초록

"A Mixed tumor is a tumor that derives from multiple tissue types. This lesion appears to be mostly Mixed Radiolucent and Radiopaque aspect and typical examples are odontoma, ameloblastic fibroodontoma, ameloblastic fibroma etc. A odontogenic tumor is a neoplasm of the cells or tissues that initiate Odontogenic processes. Typical example is a odontoma. The odontoma is a hamartoma of odontogenic origin. There are two types: compound and complex. A compound odontoma still has the three separate dental tissues (enamel, dentin and cementum), but may present a lobulated appearance where there is no definitive demarcation of separate tissues between the individual "toothlets". It usually appears in the anterior maxilla. The complex type is unrecognizable as dental tissues, usually presenting as a radioopaque area with varying densities. It usually appears in the posterior maxilla or in the mandible. We reported 20-years old male patient who had an atypical mixed radiolucent and radiopaque lesion on right mandibule body tentative diagnosed as complex odontoma and excised."

514 2013

보통의 구강백반증에 비하여 암단백질들의 과다발현을 보이는 구강 홍색백반증

저자 김연숙, 송원섭, 이석근

초록

"Oral erythroleukoplakia is characterized by severe dyskeratosis intermingled with multifocal erosive spots on the buccal mucosa, dorsal tongue, and lower lip, etc. A case of oral erythroleukoplakia was diagnosed among 83 cases of common oral leukoplakia since 1997. The pathological examination showed the typical features of leukoplakia with severe epithelial dysplasia, exhibiting dyskeratosis, acanthosis, and basal hyperplasia. The oral erythroleukoplakia was explored in comparison with a representative common oral leukoplakia by the immunohistochemical method using PCNA, β-catenin, EGFR, p53, TNFα, pAKT, and STAT3. Oral erythroleukoplakia showed strong positive reaction of PCNA, p53, EGFR, TNFα, pAKT1 and STAT3 in its spinous layer cells and these reactions were reduced in its basal layer cells, while common oral leukoplakia showed diffusely weak reaction of those proteins. Particularly, β-catenin was positive in the nuclei of some basal and spinous layer cells of oral erythroleukoplakia contrast to the common oral leukoplakia. These findings indicated that the present oral erythroleukoplakia was proliferative with the activation of β-catenin pathway, revealed the dysplastic changes of epithelium by the overexpression of EGFR, p53, and pAKT, and also produced inflammatory reaction through the activation of cytokine-dependent signalings of TNFα and STAT3. These data indicated that the present oral erythroleukoplakia might undergo the early stage of multi-step carcinogenesis via the overexpression of different oncoproteins, especially β-catenine, p53, pAKT, and STAT3. "

513 2013

치과위생인식 확산을 위한 위상차 현미경의 사용

저자 김명진, Martha E. Nunn, 최정유, 류은하, 이효정

초록

"Poor oral hygiene can cause severe periodontal disease. Therefore, it is necessary to educate individuals regarding the importance of maintaining good oral hygiene. To this end, in this study, we evaluated the efficacy of using a phase contrast microscope as an instructional tool for oral hygiene. Forty patients, randomly divided into test and control groups, were recruited 6 months after receiving oral prophylaxis. A phase control microscope was used as a demonstration tool for the test group, and a dentiform model was used to demonstrate the ideal tooth-brushing method for the control group. In the test group, awareness regarding the importance of proper oral hygiene was found to increase by 30%, and in the control group, awareness was increased by 20%. The overall satisfaction with the instructional program was 80% in the test and 70% in the control group. The level of understanding was 99% in the test and 80% in the control group. Instructions were easily followed by 80% of the test and 60% of the control group. Understanding of the program was significantly higher in the test group than in the control group (p < 0.05). The overall satisfaction and understanding of proper oral hygiene was over 70% for both the groups. The phase contrast microscope-based instructional program yielded higher actual practice rates. The phase contrast microscope is desirable tool for motivating patients and spreading awareness regarding the importance of maintaining good oral hygiene. "

512 2013

유로키나제 플라스민노젠 활성화 수용체의 RNAi-형질감염이 구강편평세포암종 세포주에 미치는 영향

저자 유철환, 이종헌

초록

"New therapeutic measure are needed to improve the outcome for patients with oral squamous cell carcinoma(OSCC) because OSCC continues to portend a relatively unfavorable prognosis. Recently RNA interference(RNAi) has emerged as an effective method to target specific genes for silencing. Although overexpression of urokinase-type plasminogen activator receptor(uPAR) has been implicated in progression and metastasis of OSCC, the transfection effect of RNAi- uPAR on OSCC has been rarely reported. The purpose of this study were to examine the efficient and specific inhibition of uPAR mRNA and protein expression by siRNA targeting of uPAR through RT-PCR and immunoslot blotting, and to study cell proliferation activity, adhesion, invasion and migration in vitro compared to the controls. In MTT assay, siRNA-uPAR transfected cells showed about 70-80% cell proliferation compared to OSCC cell lines after 2 days. In adhesion assay, siRNA-uPAR transfected cells showed about 20-30% adhesion activity compared to OSCC cell lines, but similar features to those of BSA coated wells. In migration assay, siRNA-uPAR transfected cells showed about 60% migration activity compared to OSCC cell lines, but higher 3.5 folds to those of BSA coated wells. In invasion assay, siRNA-uPAR transfected cells showed about 55% invasive activity compared to parental cell lines. mRNA expression of siRNA-uPAR transfected cells showed about 10-15 % compared to parental cell lines by RT-PCR. Protein expression of siRNA-uPAR transfected cells showed about 25% compared to parental cell lines by ELISA assay. It suggested that RNAi-uPAR tranfection might be used as a potent and specific therapeutic tool for the treatment of oral squamous cell carcinoma, especially in inhibiting invasion and metastasis."

511 2013

나와 생을 같이한 구강병리학 Ⅲ

저자 임창윤

초록

"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."

510 2013

하악골에 발생한 염증성 근섬유모세포종

저자 이의묵, 신동은, 안지위, 이준, 윤정훈

초록

"Abstract. Inflammatory myofibroblastic tumor (IMT) is considered as a benign tumor with local aggressive course, consisting of myofibroblastic spindle cells with an inflammatory cells infiltration. IMTs are more usually found in the lung and very rarely in the mandible. We report an IMT of the mandible in a 54-year-old man. The patient complained of pain on the right side of mandible. Radiographically, the lesion was occupied in the right mandible with bone destruction. Although the initial diagnosis was an osteomyelitis, the histopathologic examination and immunohistochemistry revealed it to be an IMT. Histologically, the lesion was composed of inflammatory cells infiltration within a variably fibroblastic or myofibroblastic spindle cell background. Immunohistochemically, spindle cells stained with smooth muscle actin (SMA) and CD68 (KP1), but uniformly negative with desmin and cytokeratin. "

509 2013

하악 전방부에 발생한 소세포 골육종의 증례보고

저자 양동현, 김형준, 박혁, 양우익, 김현실

초록

"Small cell osteosarcoma of bone, which was first described in 1979, is an unusual variant of osteosarcoma. Osteoid production by tumor cells is frequently focal or minimal, making the differential diagnosis with other small round cell tumors of bone difficult. Here, we present a rare case of small cell osteosarcoma of the mandible appearing as bony bulging mass in 31-year-old male who has neither tenderness nor paresthesia. Histologically, the tumor contains hypercellular cartilage and abnormal osteoid associated with small round to ovoid malignant cells. Awareness of small cell osteosarcoma should be emphasized because it has worse prognosis than both other small round cell tumor and conventional osteosarcoma. "

508 2013

구강에 발생한 신경화 멜라닌세포성 모반의 면역조직화학적 특성: 신경섬유종과의 비교

저자 박현도, 조영아, 신의정, 홍성두, 이재일, 홍삼표, 윤혜정

초록

"Neurotized melanocytic nevus (NMN) is categorized into intradermal/intramucosal type of acquired melanocytic nevus. In contrast to typical intramucosal nevus which has relatively distinct histological features, the diagnosis of NMN requires more attention due to its mimicry of benign neural tumors such as neurofibroma. The majority of lesional cells, NMN cells, showed a spindle cell morphology and abundant, eosinophilic cytoplasm which were positive for S-100, vimentin, and collagen type IV. Positive reaction for MART-1 was detected in the NMN cells as well as in the epithelioid nevus cells beneath the epithelium. Neurofibroma exhibited diffuse positivity for S-100, vimentin, CD34 and collagen type IV, but never expressed MART-1. Toluidine blue stained the numerous mast cells scattered in the lesion of neurofibroma, compared to the relatively minor detection of mast cells in NMN. Therefore, MART-1 is a useful marker in differentiating NMN from neurofibroma. "

507 2013

HO-1 유도 Sappanchalcone의 당뇨병성 혈관 염증 억제 효능

저자 이윤정, 리빈, 윤정주, 이소민, 이용표, 김윤철, 강대길, 이호섭

초록

"Sappanchalcone, a biologically active compound isolated from Caesalpinia sappan L., is reported to exert a variety of biological activities, such as neuroprotective, anti-inflammatory actions and inhibitory effect on antigen-induced beta hexosaminidase release. However, the vascular protective effects of this compound are not fully understood. The present study examined the effects of sappanchalcone in suppressing cell adhesion molecules expression in high glucose stimulated human umbilical vein endothelial cells (HUVEC). Sappanchalcone significantly decreased 25 mM high glucose-induced vascular cell adhesion molecule-1 (VCAM-1) and intracellular adhesion molecule-1 (ICAM-1) expression in a dose-dependent manner. Sappanchalcone also significantly inhibited the formation of intracellular reactive oxygen species (ROS). Furthermore, we found that the vascular protective effects of sappanchalcone were linked to the up-regulation of heme oxygenase-1 expression in HUVEC. The effects of sappanchalcone on the high glucose-induced expression of VCAM-1 and ICAM-1 were partially reversed by treatment of the cells with an inhibitor of HO-1, tin protoporphyrin IX (SnPP). Based on these results, these findings suggest that sappanchalcone-induced HO-1 expression plays a key role in the vascular protective effects of sappanchalcone in HUVEC."

506 2013

여주(Bitter melon) 추출물이 구강편평암세포의 증식에 미치는 영향

저자 김보경, 홍지수, 윤혜정, 홍성두, 홍삼표, 이재일

초록

"Oral squamous cell carcinoma (OSCC) is one of the most common carcinomas in the head and neck area. Bitter melon extraction (Momordicacharantia, BME) has been used as a functional food to prevent and treat human health related issues. It has recently been reported that BME inhibits breast cancer cell growth by arresting cell cycle and promoting apoptosis. In this study, we aimed at proving the inhibitory action of BME on OSCC proliferation. We used two OSCC cell lines, SCC4 and Ca9-22. Both cell lines were treated with different concentrations (1%, 2%, and 5%) of BME. Cell viability was examined by MTT assay. DNA condensation was visualized by immunofluorescence microscope to determine the signs of the cell apoptosis. Cell numbers were significantly decreased in a dose-dependent manner by bitter melon at concentration of 1% of BME on Ca9-22 cell line (P=0.001) but no significant effect on SCC4 (P=0.124) at the same concentration. 2% BME treatment of the Ca9-22 cell line induces chromatin condensation and DNA fragmentation after 20 hours. It seems that BME inhibits the proliferation of Ca9-22 cell line by inducing apoptosis. Thus, BME may be used as a dietary supplement for prevention of OSCC."

505 2013

TLR2의 활성이 MDPC-23 세포의 부착과 이동에 미치는 영향

저자 안미영, 신동은, 권성민, 안지위, 이준, 윤정훈

초록

"Odontoblasts and/or dental pulp cells are responsible for tooth repair as well as dentin formation. Adhesion and migration are critical processes for tissue regeneration. This study was performed to clarify whether Pam3 modulates adhesion and migration of a murine odontoblast-like cell line, MDPC-23 cell and TLR2 signaling is engaged in this process. TLR2 expression in MDPC-23 cells was examined by RT-PCR. Adhesion assay was performed using type Ⅰ collagen-coated plates. Migration ability was determined by a commercial assay kit. Phosphorylation of IκB-α, JNK, p38, and ERK was examined by Western blot analysis. TLR2 was functionally expressed in MDPC-23 cells. Pam3CSK treatment enhanced adhesion and migration of MDPC-23 cells in a dose-dependent manner. Blockade of TLR2 using its antibody restored Pam3CSK-induced adhesion and migration of MDPC-23 cells. These findings indicate that Pam3CSK, an immune activator from gram negative bacteria, can promote adhesion and migration ability of MDPC-23 cells via TLR2. "

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