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Original Article
Colorectal epithelial neoplasm associated with gut-associated lymphoid tissue
Yo Han Jeon, Ji Hyun Ahn, Hee Kyung Chang
J Pathol Transl Med. 2020;54(2):135-145.   Published online January 29, 2020
DOI: https://doi.org/10.4132/jptm.2019.11.06
  • 6,070 View
  • 209 Download
AbstractAbstract PDF
Background
Colorectal epithelial neoplasm extending into the submucosal gut-associated lymphoid tissue (GALT) can cause difficulties in the differential diagnosis. Regarding GALT-associated epithelial neoplasms, a few studies favor the term “GALT carcinoma” while other studies have mentioned the term “GALT-associated pseudoinvasion/epithelial misplacement (PEM)”.
Methods
The clinicopathologic characteristics of 11 cases of colorectal epithelial neoplasm associated with submucosal GALT diagnosed via endoscopic submucosal dissection were studied.
Results
Eight cases (72.7%) were in males. The median age was 59 years, and age ranged from 53 to 73. All cases had a submucosal tumor component more compatible with GALT-associated PEM. Eight cases (72.7%) were located in the right colon. Ten cases (90.9%) had a non-protruding endoscopic appearance. Nine cases (81.8%) showed continuity between the submucosal and surface adenomatous components. Nine cases showed (81.8%) focal defects or discontinuation of the muscularis mucosae adjacent to the submucosal GALT. No case showed hemosiderin deposits in the submucosa or desmoplastic reaction. No case showed single tumor cells or small clusters of tumor cells in the submucosal GALT. Seven cases (63.6%) showed goblet cells in the submucosa. No cases showed oncocytic columnar cells lining submucosal glands.
Conclusions
Our experience suggests that pathologists should be aware of the differential diagnosis of GALT-associated submucosal extension by colorectal adenomatous neoplasm. Further studies are needed to validate classification of GALT-associated epithelial neoplasms.
Case Report
Primary Perivascular Epithelioid Cell Tumor (PEComa) of the Liver: A Case Report and Review of the Literature.
Ji Hyun Ahn, Bang Hur
Korean J Pathol. 2011;45:S93-S97.
DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.S1.S93
  • 4,131 View
  • 36 Download
  • 8 Crossref
AbstractAbstract PDF
Perivascular epithelioid cell tumor (PEComa) is a mesenchymal tumor consisting of distinctive perivascular epithelioid cells, and is commonly detected in the uterus. The liver is an uncommon site for primary PEComa. In this study, we report a case of primary hepatic PEComa in a 36-year-old woman. Upon gross examination, the tumor was a well-defined, brownish solid mass, measuring 6.5x5.2x4.5 cm. Microscopically, the tumor consisted largely of epithelioid cells and some spindle cells with a clear to eosinophilic cytoplasm and a rich network of delicate capillaries in the stroma. With the exception of their relatively large size and microscopically sinusoidal infiltrative growth pattern, all other histopathologic features of the tumor were consistent with their being benign. The tumor cells were positive for human melanoma black-45 and smooth muscle actin, and negative for cytokeratin-cocktail and c-kit.

Citations

Citations to this article as recorded by  
  • Primary Liver Perivascular Epithelioid Cell Tumor (PEComa): Case Report and Literature Review
    Mindaugas Kvietkauskas, Austeja Samuolyte, Rokas Rackauskas, Raminta Luksaite-Lukste, Gintare Karaliute, Vygante Maskoliunaite, Ruta Barbora Valkiuniene, Vitalijus Sokolovas, Kestutis Strupas
    Medicina.2024; 60(3): 409.     CrossRef
  • Unresectable hepatic PEComa: a rare malignancy treated with stereotactic body radiation therapy (SBRT) followed by complete resection
    Simon Kirste, Gian Kayser, Anne Zipfel, Anca-Ligia Grosu, Thomas Brunner
    Radiation Oncology.2018;[Epub]     CrossRef
  • Hepatic perivascular epithelioid cell tumor (PEComa): a case report with a review of literatures
    Hyun Jin Son, Dong Wook Kang, Joo Heon Kim, Hyun Young Han, Min Koo Lee
    Clinical and Molecular Hepatology.2017; 23(1): 80.     CrossRef
  • Malignant hepatic perivascular epithelioid cell tumor (PEComa) – Case report and a brief review
    Banerjee Abhirup, Kundalia Kaushal, Mehta Sanket, Nagarajan Ganesh
    Journal of the Egyptian National Cancer Institute.2015; 27(4): 239.     CrossRef
  • Hepatic falciform ligament clear cell myomelanocytic tumor: A case report and a comprehensive review of the literature on perivascular epithelioid cell tumors
    Zu-Sen Wang, Lin Xu, Lin Ma, Meng-Qi Song, Li-Qun Wu, Xuan Zhou
    BMC Cancer.2015;[Epub]     CrossRef
  • Improving recognition of hepatic perivascular epithelioid cell tumor: Case report and literature review
    Toshiya Maebayashi
    World Journal of Gastroenterology.2015; 21(17): 5432.     CrossRef
  • Primary perivascular epithelioid cell tumor of the liver: new case report and literature review
    Hassania Ameurtesse, Laïla Chbani, Amal Bennani, Imane Toughrai, Nouhad Beggui, Imane Kamaoui, Hinde Elfatemi, Taoufik Harmouch, Afaf Amarti
    Diagnostic Pathology.2014;[Epub]     CrossRef
  • Hepatic perivascular epithelioid cell tumor (PEComa): dynamic CT, MRI, ultrasonography, and pathologic features—analysis of 7 cases and review of the literature
    Yan Tan, En-hua Xiao
    Abdominal Radiology.2012; 37(5): 781.     CrossRef
Original Article
Expression of Minichromosome Maintenance Protein 7 and Smad 4 in Squamous Cell Carcinoma of the Esophagus.
Ji Hyun Ahn, Hee Kyung Chang
Korean J Pathol. 2010;44(4):346-353.
DOI: https://doi.org/10.4132/KoreanJPathol.2010.44.4.346
  • 3,405 View
  • 20 Download
  • 4 Crossref
AbstractAbstract PDF
BACKGROUND
Minichromosome maintenance protein 7 (MCM 7) performs a direct role in the initiation of DNA replication, which suggests that it may prove useful as a marker of cell proliferation. Smad 4 is a tumor suppressor gene that mediates the transforming growth factor beta pathway. The principal objective of this study was to characterize the expression of MCM 7 and Smad 4 and to analyze their relationship to clinicopathological parameters in patients with esophageal squamous cell carcinoma.
METHODS
Expression levels of MCM 7 and Smad 4 were evaluated via immunohistochemistry on formalin-fixed and paraffin-embedded tissues from 67 cases of esophageal squamous cell carcinoma.
RESULTS
High levels of MCM 7 expression were detected in 53 cases (74.6%), and were associated with higher T stages (p = 0.030). Kaplan-Meier survival curves demonstrated that patients with higher levels of MCM 7 expression had poorer prognoses, although this association was not significant (p = 0.086). Loss of Smad 4 expression was noted in 18 cases (23.4%), and was not associated with clinicopathological characteristics, including MCM 7 expression, or prognosis.
CONCLUSIONS
MCM 7 expression is associated with the invasiveness of esophageal squamous cell carcinoma. Altered expression of Smad 4 does not appear to have pathobiological significance in esophageal carcinoma.

Citations

Citations to this article as recorded by  
  • Immunohistochemical analysis of proliferating cell nuclear antigen and minichromosome maintenance complex component 7 in benign and malignant salivary gland tumors
    Nafiseh Shamloo, Nasim Taghavi, Samane Ahmadi, Soudeh Shalpoush
    Dental Research Journal.2022; 19(1): 17.     CrossRef
  • Expression of Minichromosome Maintenance Proteins in Actinic Keratosis and Squamous Cell Carcinoma
    Jelena Stojkovic-Filipovic, Dimitrije Brasanac, Martina Bosic, Novica Boricic, Branislav Lekic
    Applied Immunohistochemistry & Molecular Morphology.2018; 26(3): 165.     CrossRef
  • Ki-67 protein predicts survival in oral squamous carcinoma cells: an immunohistochemical study
    Verena Karla Monteiro LOPES, Adriana Souza de JESUS, Lucas Lacerda de SOUZA, Ligia Akiko Ninokata MIYAHARA, Douglas Magno GUIMARÃES, Helder Antônio Rebelo PONTES, Flavia Sirotheau Correa PONTES, Pedro Luiz de CARVALHO
    Brazilian Oral Research.2017;[Epub]     CrossRef
  • Immunohistochemical Expression of MCM2 in Nonmelanoma Epithelial Skin Cancers
    Asmaa Gaber Abdou, Mohammed Gaber Abd Elwahed, Marwa Mohammed Serag El-dien, Dina Sharaf Eldien
    The American Journal of Dermatopathology.2014; 36(12): 959.     CrossRef

J Pathol Transl Med : Journal of Pathology and Translational Medicine