- Value of Examining Sections of the Bone Marrow Aspirates
-
Mun Sok Soh
-
Korean J Cytopathol. 1968;2(1):45-50.
-
-
-
 Abstract
 PDF
- The purpose of this paper is to present some of the advantages of examining sections of bone marrow. For this study the impression received by examining 155 bone marrow smears from 154 patients are compaired with information gathered from sections of this marrow. Forty eight of the sections were of insufficient quantity for proper evaluation. Failure of the aspiration is probably related to both the individual’s technique and the disease.
The determination of cellularity made from smears were apparently wrong in 38 out of 110 of these cases. In 9 cases, the misinterpretation was considered extremely serious as hypercellular marrow was misjudged to be hypocellular. This was largely due to small amount of marrow being diluted with peripheral blood. In all cases, if the smear appears to be hypocellular, this should be confirmed by examination. This is especially important when making a diagnosis of aplastic anemia.
Also found in the sections were 2 cases of matastatic carcinoma, 2 cases of malignant lymphoma, and 4 cases of mucinous degeneration of the stromal adipose tissue, all of which were impossible to be diagnosed on the smear. In addition, the section is good for evaluation of the number of the megakaryocytes and mitotic figures, and for some extrahematopoietic cells or tissues besides those of malignant origin.
- Carcinoma of Stomach Undiagnosed Antemortem Because of Dominant Presenting Symptoms
-
Mun Sok Soh, Yeong Man Lee
-
Korean J Cytopathol. 1968;2(1):65-70.
-
-
-
Abstract
PDF
- Dominant presenting symptoms less associated with the primary disease sometimes have led the clinicians to the misdiagnoses. This paper is to report such three examples in which the stomach cancers were found to be primary in the postmortem examinations. Case 1, 29 years old male, was presented with the scapula mass of 6 months duration which was turned out to be metastatic nature. Case 2 was a 25 years old female who was admitted to the hospital with marked ascites and diagnosed as tuberculous peritonitis. This patient had largely serosal dissemination. Case 3 was a 50 years old man who came in with severe amebic colitis which interfered the correct diagnosis. The first two cases of ours, which may be classified as penetrating (or ulcerating) type according to Stout, were without or with insignificant. ulcer formation on the gastric mucosa. Both retreated more exophytic growth of the tumor and presented diagnostic problems. Bony metastasis of stomach cancer observed in Case 1 is reported to be relatively rare.
- Atheromatous Embolism -A Report of 12 Autopsied Cases-
-
Mun Sok Soh
-
Korean J Cytopathol. 1967;1(1):37-41.
-
-
-
Abstract
PDF
- Embolic phenomenon from atheromatous material of the aorta was first found as early as 1862 by Panum. However, it was not until 1945 that Flory described in detail the pathologic processes of atheromatous embolization in bath human and experimental animals and stressed the importance of its sequelae. Since that time, the cases have been recognized with increasing interest and frequency. Recently, Gore and Collins collected 84 cases and added 16 cases of their own. It Is a purpose of this paper to report 12 additional cases experienced at Georgetown University Hospital, Washington, D.C., U.S.A., and to reemphasize the clinicopathological correlations leading to the following conclusions.
Summary and Conclusions
1. Clinicopathological observations on 12 autopsied cases of atheromatous embolism were presented with review of the literatures.
2. Significant clinical implications of the embolism was discussed with particular emphasis on the necessity to differentiate it from true arteritis.
3. All the cases revealed severe ulcerative atherosclerosis of the aorta in common and had as sociated aneurysms in the 8 cases.
4. Many varieties of organs and tissues could be involved and especially the kidney, pancreas and spleen were the three major organs most frequently affected.
5. In none of the cases the atheromatous embolism were immediate cause of death. However, in 4 cases at least it was definitely contributory factor to death.
|
E-submission
