1.Transurethral Resection of Prostate in Benign Prostatic Hyperplasia Patients with Large Prostate Volume.
Ho Song YU ; Won Tae KIM ; Won Sik HAM ; Young Deuk CHOI
Korean Journal of Urology 2008;49(10):906-911
PURPOSE: We investigated the safety and efficacy of transurethral resection of the prostate(TURP) in benign prostatic hyperplasia(BPH) more than 60cc by single surgeon for the relief of infravesical obstruction. MATERIALS AND METHODS: We evaluated 211 patients treated with TURP in BPH with large prostate by single surgeon. Each group was divided by prostate volume(group 1; 60-69.9, group 2; 70-79.9, group 3; 80-89.9, group 4; 90-99.9, group 5; >100cc of prostate volume). Various parameters such as International Prostate Symptom Score(IPSS), maximal flow rate(Qmax.), postvoid residual volume(PVR), prostate volume, adenoma volume, resection time, resection prostate volume, irrigation fluid volume and complications were evaluated and compared. RESULTS: Age of each group was not significantly different. Prostate volume, adenoma volume, resection time, Resection volume, irrigation volume of each groups were different significantly. But, resection volume/resection time and irrigation volume/resection time were not different significantly. Mean resection volume/resection time was 1.34g/min, and mean irrigation volume/resection time was 315.8ml/min. And intraoperative and postoperative complications of each group were not different. Mean postoperative change of Hb was 2.0+/-1.1g/dl. Postoperative parameters(IPSS, Qmax, PVR) were improved significantly. Only 2 patients needed transfusion in group 5. No urinary incontinence and TUR syndrome in each group was observed. CONCLUSIONS: TURP by experienced surgeon is a safe and effective treatment in BPH patients with large prostates for relief of infravesical obstruction.
Adenoma
2.Unexpected Sudden Death due to Post-traumatic Apoplexy of Preexisting Pituitary Adenoma; Blunt Force to the Face.
So Hyung PARK ; Hong Il HA ; Hyoung Joong KIM
Korean Journal of Legal Medicine 2008;32(2):124-128
Pituitary adenomas are frequent intracranial tumors with generally benign prognosis but acute hemorrhage into tumor with necrosis is a severe complication and can potentially result in fatal outcome, if not diagnosed or treated early. While many precipitating factors have been known, even a mild blunt force shown in this case could play a role in the catastrophic complication of the pituitary adenoma. We report a rare forensic case of post-traumatic apoplexy sustained in a preexisting pituitary adenoma with a mild blunt force to the face.
Adenoma
3.Mucous Gland Adenoma of the Bronchus: A case report.
Korean Journal of Pathology 1985;19(3):368-373
Mucous gland adenoma, one type of bronchial adenoma, is first introduced by Rosenblum and Klein2) in 1935 and very rare. Only twenty-one cases had been reported in english literature. This tumor must be differentiated from other types of bronchial adenoma because of completely benign clinical course. A case of mucous gland adenoma is presented which showed marked secondary calcification.
Adenoma
4.A Case of Multiple Tubular Apocrine Adenoma.
Min Young YOU ; Seok Kweon YUN ; Chull Wan IHM
Korean Journal of Dermatology 2000;38(5):659-663
No Abstract Available.
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5.Expression of Somatostat in Receptor in GH-Producing Pituitary to Adenoma.
Journal of Korean Society of Endocrinology 1997;12(4):504-507
No abstract available.
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6.Brunner's Gland Adenoma: Case Report, & Review of Etiopathogenesis and Clinical Features.
Yeungnam University Journal of Medicine 1985;2(1):265-269
No abstract available.
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7.Submucosal Saline-Epinephrine Injection in Colonoscopic Polypectomy: What is the Proper Application?.
Sang Huyb LEE ; Kyoung Soo LEE ; Yeol Keun WOO ; Byong Duk YE ; Jong Yeul LEE ; Su Cheol PARK ; Kwang Hyuck LEE ; Young Soo PARK ; Jin Hyeok HWANG ; Sook Hyang JUNG ; Nayoung KIM ; Dong Ho LEE ; Sang Gyun KIM ; Joo Sung KIM ; Hyun Chae JUNG ; In Sung SONG
Korean Journal of Gastrointestinal Endoscopy 2006;33(2):77-84
BACKGROUND/AIMS: Indications for submucosal saline-epinephrine injection (SSEI) for prevention of postpolypectomy bleeding, in the colon, is variable among endoscopists. The aim of this study was to determine the proper indication for SSEI. METHODS: Clinical data of 1,745 polypectomies was evaluated. Postpolypectomy bleeding after snare polypectomy were evaluated in 1,039 polypectomies. Subgroup analysis was performed in 4 subgroups by size (< or = 8 mm or >8 mm) and gross morphology (pedunculated or sessile), also. RESULTS: Submucosal saline-epinephrine injection was used in 679 snare polypectomies. The size of polyps was 9.5+/-4.3 mm. Distribution of polyps showed left side shift in the colon. Sessile polyps (79.4%) and benign adenoma (75.3%) were predominant. Twenty seven episodes (2.6%) of bleeding occurred after snare polypectomy. Rectal polyp, malignant polyp and procedure without SSEI increased bleeding after snare polypectomy with odds ratio 4.71, 10.48 and 3.44, respectively. However, SSEI significantly reduced the bleeding only in patients who had >8 mm sized sessile polyps with odds ratio 16.41 regardless of location and histopathology. CONCLUSIONS: SSEI should be performed in colonoscopic snare polypectomy for >8 mm sized sessile polyps, and might be performed in others for prevention of bleeding at the discretion of the clinician.
Adenoma
8.The Aberrant Expression of p53 Protein in Liver Cell Carcinoma.
Woo Young JANG ; Dong Sug KIM ; Ki Kwon KIM ; Tae Sook LEE ; Chang Yoon KIM ; Hong Jin KIM
Korean Journal of Pathology 1995;29(5):607-614
This study was carried out to evaluate the aberrant expression of p53 protein using immunobistochemical method in 54 surgically resected liver cell carcinomas and to correlate it with clinical and pathological findings. Twenty five out of 54 cases(46%) showed positive reaction in the nucleus of liver cell carcinoma and negative reaction in associated 30 cases of cirrhosis, one case of adenoma and two cases of adenomatous hyperplasia. The p53 protein expression was associated with alpha-FP level(p<0.05), but not associated with HBsAg positivity. It was significantly associated with WHO classification, Edmondson-Steiner grade and nuclear grade p53(p<0.05), but not associated with tumor size, capsule formation, portal vein invasion, cirrhosis in surrounding tissue, Eggel classification, special cell type and mitosis. In conclusion, our results suggest that the aberrant expression of p53 protein can be an advisory factor, at least, for prognosis evaluation.
Adenoma
9.Ureteral Fibroepithelial Polyp: A report of four cases (One case with nephrogenic adenoma).
Won Mee LEE ; Seung Sam PAIK ; Eun Kyung HONG ; Moon Hyang PARK ; Jung Dal LEE
Korean Journal of Pathology 1996;30(8):715-720
Fibroepithelial polyps of the ureter are usually acquired rather than congenital. Most polyps are hamartomatous growths which tend to arise in the proximal portion of the left ureter. Most patients exibit either hematuria or persistent flank pain secondary to partial ureteral obstruction. Because of false positivity of urine cytology, as well as intravenous pyelogram, the correct diagnosis is confused with malignancy. Herein we report four cases of ureteral fibroepithelial polyp, which are associated with stones resulting in partial obstruction of the ureter. One of the four cases is associated with nephrogenic adenoma in the lamina propria of the adjacent ureter. The following report describes clinicopathologic findings of fibroepithelial polyp with review of literatures.
Adenoma
10.Vestibular Adenoma of the Vulva: A case report.
Korean Journal of Pathology 1992;26(2):197-200
A vestibular adenoma arising in mucin-secreting glands of the vulva is described. Grossly, the adenoma was a firm, well-demarcated solid mass with mucoid cut surface, measuring 3.5x3x3 cm, which was associated with an adjacent Bartholin's duct cyst. Microscopically, the solid mass was composed of proliferated mucous acini separted by fibromuscular septa and ducts lined by mucin-secreting columnar epithelium, transitional epithelium or metaplastic squamous epithelium. To our knowledge, less than 20 cases of such cases have been reported in the English literatures. However, whether the nature of proliferation is neoplastic or non-tumorous is still unclear.
Adenoma