1.Treatment of tuberculous bronchostenosis: Balloon bronchoplasty.
Joong Mo AHN ; Jung Gi IM ; Joon Koo HAN ; Jae Hyung PARK
Journal of the Korean Radiological Society 1993;29(3):431-436
The purpose of this study is to evaluate the efficacy of the balloon bronchoplasty in the treatment of the tuberculous bronchostenosis. Balloon bronchoplasty was performed in thirteen patients with stenosis of the left main bronchus (two with combined left upper and lower lobar bronchostenosis) using a inflatable balloon catheter under a fluoroscopic guide. We analysed the changes in the changes in the severity of dyspnea and wheezing, serial FEV1/FVC as a parameter of the airflow obstruction, and bronchial diameter and lung volume on chest radiographs. The extent of pulmonary tuberculosis was correlated with the improvement of FEV1/FVC. There was an improvement of dyspnea in 69%(9/13), decrease of wheezing in 69%(9/13), significant increase of FEV1/FVC in 18% (2/11). The increase of the bronchial diameter and lung volume were seen in 84%(11/13) and 53% (7/13), respectively. The significant increase of FEVI/FVC was seen in 28% (2/7) of the patients with lung involvement of tuberculosis less than one third of left upper lobe, whereas there was no increase in those of more than one third. There was no complication except transient leukocytosis, fever and blood-tinged sputum. In conclusion, balloon bronchoplasty is effective in the treatment of medically intractable tuberculous bronchostenosis, and can be considered as an initial method of treatment.
Bronchi
;
Catheters
;
Constriction, Pathologic
;
Dyspnea
;
Fever
;
Humans
;
Leukocytosis
;
Lung
;
Methods
;
Radiography, Thoracic
;
Respiratory Sounds
;
Sputum
;
Tuberculosis
;
Tuberculosis, Pulmonary
2.Treatment of tuberculous bronchostenosis: Balloon bronchoplasty.
Joong Mo AHN ; Jung Gi IM ; Joon Koo HAN ; Jae Hyung PARK
Journal of the Korean Radiological Society 1993;29(3):431-436
The purpose of this study is to evaluate the efficacy of the balloon bronchoplasty in the treatment of the tuberculous bronchostenosis. Balloon bronchoplasty was performed in thirteen patients with stenosis of the left main bronchus (two with combined left upper and lower lobar bronchostenosis) using a inflatable balloon catheter under a fluoroscopic guide. We analysed the changes in the changes in the severity of dyspnea and wheezing, serial FEV1/FVC as a parameter of the airflow obstruction, and bronchial diameter and lung volume on chest radiographs. The extent of pulmonary tuberculosis was correlated with the improvement of FEV1/FVC. There was an improvement of dyspnea in 69%(9/13), decrease of wheezing in 69%(9/13), significant increase of FEV1/FVC in 18% (2/11). The increase of the bronchial diameter and lung volume were seen in 84%(11/13) and 53% (7/13), respectively. The significant increase of FEVI/FVC was seen in 28% (2/7) of the patients with lung involvement of tuberculosis less than one third of left upper lobe, whereas there was no increase in those of more than one third. There was no complication except transient leukocytosis, fever and blood-tinged sputum. In conclusion, balloon bronchoplasty is effective in the treatment of medically intractable tuberculous bronchostenosis, and can be considered as an initial method of treatment.
Bronchi
;
Catheters
;
Constriction, Pathologic
;
Dyspnea
;
Fever
;
Humans
;
Leukocytosis
;
Lung
;
Methods
;
Radiography, Thoracic
;
Respiratory Sounds
;
Sputum
;
Tuberculosis
;
Tuberculosis, Pulmonary
3.MR Findings of Recurred Giant Cell Tumor.
Joong Mo AHN ; Heung Sik KANG ; Chu Wan KIM ; Jong Gi SONG ; In Cheol JO ; Joon Beom SEO
Journal of the Korean Radiological Society 1995;32(6):965-970
PURPOSE: To describe MR findings of recurred giant cell tumor of bone. MATERIALS AND METHODS: MR imagings of ten cases of pathologically proven recurrence of giant cell tumor were retrospectively analyzed. Location of recurrence, multiplicity of recurred tumor, signal intensity and homogeneity, pattern of gadolinium enhancement, soft tissue and articular surface involvement were evaluated. RESULTS: Tumors were located in peripheral portion of previous operation site(80%). Six cases recurred as multiple lesions. Tumor showed low signal intensity on T1 weighted images(100%), high signal intensity on T2 weighted images(100%) and inhomogeneous peripheral rim enhancing pattern(75%). Soft tissue and articular surface involvement were also demonstrated. CONCLUSION: We concluded that characteristic MR findings of recurred giant cell tumor could be helpful in early detection and precise evaluation of tumor recurrence.
Gadolinium
;
Giant Cell Tumor of Bone
;
Giant Cell Tumors*
;
Giant Cells*
;
Recurrence
;
Retrospective Studies
4.A Case of Tuberculosis of the Duodenum Associated with Pulmonary Tuberculosis.
Joon Mo CHUNG ; Yong Hwan CHOI ; Young Oh KWEON ; Young Mee YUN ; Byeong Cheal AHN ; Sung Kook KIM
Korean Journal of Gastrointestinal Endoscopy 1994;14(4):471-475
Intestinal tuberculosis has been known since antiquity. After about 1950's, effective antituberculous chemotherapy and an improved standard of living resulted in a steady decline in all forms of tuberculosis. However, intestinal tuberculosis has been reported with impressive frequency in developing countries including Korea. Disease affecting the duodenum is reported to be rare and isolated duodenal tuberculosis sparing the rest of the intestine is uncommon. We experienced a case of tuberculosis of duodenal bulb associated pulmonary tuberculosis. The diagnosis was made on the basis of the histological study of the endoscopic biopsy specimen. We have confirmed the healing of the duodenal lesion by the follow-up endoscopy after 9 months treatment of antituberculous medication.
Biopsy
;
Developing Countries
;
Diagnosis
;
Drug Therapy
;
Duodenum*
;
Endoscopy
;
Follow-Up Studies
;
Intestines
;
Korea
;
Socioeconomic Factors
;
Tuberculosis*
;
Tuberculosis, Pulmonary*
5.Synchronous Double Primary Cancer of Esophageal Small Cell Carcinoma and Gastric Adenocarcinoma.
Joon Mo CHUNG ; Yong Hwan CHOI ; Young Oh KWEON ; Young Mee YUN ; Byeong Cheal AHN ; Sung Kook KIM
Korean Journal of Gastrointestinal Endoscopy 1995;15(3):495-500
Double primary cancer means that more than two cancers with different origin exist independently in an individual. The diagnosis of double primary cancer was determined by following criteria. Each of the tumors must present a definite picture of malignancy, and each must be distinct, and the probability of one being a metastasis of the other must be excluded. Small cell carcinoma has a distinct biological behavior such as, early invasion and metastasis, a rapid clinical course, and significant sensitivity to chemotherapy. Small cell carcinoma in the esophagus is relatively rare, and rarer when it is combined with other malignant disease. We have experienced a case of double primary cancer, a 70-year-old man with esophageal small cell carcinoma and gastric adenocarcinoma, which were diagnosed by gastrointestinal endoscopic biopsy. A review of the Korean medical literature failed to reveal any previously described case of esophageal small cell carcinoma with gastric adenocareinoma. We report this case with review of literatures.
Adenocarcinoma*
;
Aged
;
Biopsy
;
Carcinoma, Small Cell*
;
Diagnosis
;
Drug Therapy
;
Esophagus
;
Humans
;
Neoplasm Metastasis
6.Emollient Phototherapy of Pityriasis Lichenoides Chronica.
Kyoung Chan PARK ; Joon Mo YANG ; Kea Jung KIM ; Seung Chul LEE ; Kyu Joong AHN ; Won Suk KIM
Korean Journal of Dermatology 1982;20(1):53-57
Pityriasis lichenoides Chronica is a cutaneous disorder of unknown etiology and characterized pathologically by vasculitis and clinically by its marked chronicity and lack of specific treatment. Emollient-phototherapy is a recently introduced effective treatment for psoriasis. The authors treated 3 patients with pityriasis lichenoides chronica by the emollient-phototherapy technic with quite satisfactory results.
7.A Case of Congestive Splenomegaly(Banti Syndrome) with Hypersplenism.
Hyun Mo CHEONG ; Jae Kwang HONG ; Joon Taek PARK ; Jung Sik MIN ; Chang Hee CHOI ; Seung Hye AHN ; Sang Chull KIM
Journal of the Korean Pediatric Society 1987;30(4):416-421
No abstract available.
Estrogens, Conjugated (USP)*
;
Hypersplenism*
8.CT Findings of Hepatoblastoma Before and After Chemotherapy: Correlation with Pathologic Features.
Joon Beom SEO ; Woo Sun KIM ; In One KIM ; Ja June JANG ; Chong Jai KIM ; Hyo Seop AHN ; Kyung Mo YEON
Journal of the Korean Radiological Society 1998;38(5):941-948
PURPOSE: The purpose of this study was to analyze the CT findings of hepatoblastoma before and afterchemotherapy, and to compare them with surgical and pathologic features. MATERIALS AND METHODS: Twelvehepatoblastoma patients underwent chemotherapy prior to surgery; in all cases, CT scanning was performed beforeand after chemotherapy. We reviewed the findings with special attention to changes in tumor volume, the extent andpattern of contrast enhancement, the extent of low-attenuation area in the tumor, the presence of a septum, andcalcification or ossification within the mass before and after chemotherapy. Post-chemotherapy CT findings werecompared with operative and pathologic findings. RESULTS: After chemotherapy, the volume of the tumor massdecreased in all patients, and the extent of involved segments decreased in nine(75%), the non-enhancing areawithin the mass, on the other hand, increased in nine (75%). On pre-chemotherapy CT, calcifications were detectedin seven patients(58%), and on post-chemotherapy CT, in nine (75%); the extent of calcification increased in sevenpatients. On the basis of CT findings, viable tumor and necrosis areas could not be distinguished. Massivecalcification or an osteoid mixed with loose connective tissue was noted in the mesenchymal component of thetumor; the whirling pattern of enhancement within the area of low density asen on CT scanning corresponded toosteoid mixed with loose connective tissue, which contained rich blood vessels. CONCLUSION: We describe the CTfindings of hepatoblastoma both before and after chemotherapy, highlighting the changes which occurred. Anunderstanding of these changes is helpful for the proper management of this condition.
Blood Vessels
;
Connective Tissue
;
Drug Therapy*
;
Hand
;
Hepatoblastoma*
;
Humans
;
Necrosis
;
Tomography, X-Ray Computed
;
Tumor Burden
9.A comparison of intravaginal misoprostol with intravenous oxytocin for labor induction at term.
Hyo Sang HAN ; Jeong Jae LEE ; Ahn Joon MO ; Jib Kwang CHUNG ; Im Soon LEE ; Kwon Hae LEE
Korean Journal of Obstetrics and Gynecology 2003;46(1):138-143
OBJECTIVE: To compare the safety and efficacy of intravaginally administered misoprostol (PGE1 analogue) versus intravenously administered oxytocin for labor induction at term. METHODS: Among 63 patients over 37 weeks, randomly selected 42 patients were vaginally administered 25 micro gram of misoprostol every 3 hours and the other 21 patients were intravenously administered every minute from 1 mIU/min to 10 mIU/min increasingly. RESULT: The average interval from initiation of induction to labor was notably shorter in oxytocin group than in misoprostol group (204.5+/-332.6 min versus 528.1+/-591.8 min, p<0.02). The average interval from initiation of induction to vaginal delivery was shorter in oxytocin group than in misoprostol group (414.4+/-309.4 min versus 528.1+/-519.8 min, P<0.01) and the difference has statistical meaning. Procedure of labor were divided by 3 stages. We checked the duration of each stage between the two comparative groups. 1st stage (242.7+/-150.14 min versus 605.5+/-805.8 min, P<0.05) 2nd stage (12.6+/-11.9 min versus 19.5+/-11.2 min, P<0.05) The stage duration of oxytocin group was shortened. There was no difference between two groups at the third stage. The incidence of tachysystole, hypertonics, hyperstimulation, meconium passage, abnormal fetal heart rate, fetal weight, apgar score, neonatal morbidity were not different between two group. CONCLUSION: Intravenously administered oxytocin was more effective in shortening labor time than intravaginally administered misoprostol in overall induction labor, but there was no notable difference in the effects on mothers and babies. Considering various situational factors, careful selection should be administered.
Apgar Score
;
Female
;
Fetal Weight
;
Heart Rate, Fetal
;
Humans
;
Incidence
;
Meconium
;
Misoprostol*
;
Mothers
;
Oxytocin*
;
Pregnancy
10.A Pseudoaneurysm of Superior Mesenteric Artery: Successfully Treated by Aorto-Mesenteric Bypass: A case report.
Jin Mo KANG ; Seung HUH ; Moon Sang AHN ; Seung Kee MIN ; Jung Kee CHUNG ; Sang Joon KIM
Journal of the Korean Society for Vascular Surgery 2000;16(1):128-132
Aneurysms of superior mesenteric artery (SMA) represent an uncommon but important vascular disease. High mortality rates from rupture of aneurysm and thrombosis of SMA are reported. These lesions are most often infectious in etiology. In the case of relatively abundant collaterals, aneurysm exclusion or SMA ligation is a safe surgical method to prevent serious complications. But in insufficient collaterals, stent-grafting of aneurysm or reconstruction of mesenteric blood flow is unavoidable. Recently we treated a 49-year-old man with SMA pseudoaneurysm and its large orifice located at near the enlarged jejunal branch which is a main collateral of mesenteric blood flow.
Aneurysm
;
Aneurysm, False*
;
Humans
;
Ligation
;
Mesenteric Artery, Superior*
;
Middle Aged
;
Mortality
;
Rupture
;
Thrombosis
;
Vascular Diseases