No abstract available.
Maxillary Sinus* ; Maxillary Sinusitis*

A kidney containing more than 1,000ml fluid in its collecting system is generally defined as giant hydronephrosis. The clinical manifestations of giant hydronephrosis are indistinct. The patient seems to seek medical help late due to tolerable symptoms and particularly in the state of poor economic condition. We present a giant hydronephrosis of contents of 60 liters associated with ureteropelvic junction stricture on a 43-year-old woman. The final diagnosis was performed by exploration of abdomen and nephrectomy was done.
Abdomen ; Adult ; Constriction, Pathologic ; Diagnosis ; Female ; Humans ; Hydronephrosis* ; Kidney ; Nephrectomy

Syphilis is a communicahble disease caused by the motile microaerophilic spirochete Treponema pallidum, which is only a netural pathogen for human. Prevalence of syphilis and other sexually transmitted diseases has traditioially fluctuated with changes in sccia, conditions and sexual behavior. Although sexual contact is the main route of transmission, T. pallidum may also be infected through direct contact with syphilitic lesions, blood transfusion, ingestion of menstrual blood or vaginal secretions, or trsnsplacental transemission. Fomites as the means of transfer is only hypothetical and account for very few, if any, infection. Prosectors, blood handlers and laboratory technicians are at risk for accidental inoculation with infected materials. In extremely unusual circumstances, infection by means of contact with a skin lesion and human bite have been reported. We report two cases of eyphilis following the abnormal imposition of hands, which caused unnecessary erosive trauma with fingernails,
Bites, Human ; Blood Transfusion ; Eating ; Fomites ; Hand* ; Humans ; Laboratory Personnel ; Nails ; Prevalence ; Sexual Behavior ; Sexually Transmitted Diseases ; Skin ; Spirochaetales ; Syphilis* ; Treponema pallidum

The principle of surgery of the parotid gland is adequate removal of the tumor with functional and anatomical preservation of all blanches of the facial nerve. There are two main surgical approaches to superficial or total conservative parotidectomy. Anterior approach and posterior approach. Preliminary identification of the main trunk of the facial nerve is probably the most favoured techniques, but identification of the peripheral blanches of the facial nerve, with subsequent Proximal dissection to the main trunk, is long established but less popular technique. We have prospectively experienced the low incidence of facial nerve damage in series of 55 conservative parotidectomies performed using the anterior approach. The techniques employed is described with a deport of results obtained in the belief that this approach warrants greater popularity and saute technique.
Facial Nerve ; Incidence ; Parotid Gland ; Prospective Studies

BACKGROUND: A postoperative pain management has been considered as an important issue in surgery. However, any systematic information or standard method about it has not been so far provided for clinicians in Korea. This study aims to analyze the current practices of in-hospital postoperative pain controls and suggest clinical implications. METHODS: A descriptive statistical analysis was adopted to review a nationwide distribution of postoperative pain control methods for the types of patients, surgery, hospitals, specialties, and analgesia. The data is based on the medical claims database of Health Insurance Review Agency (HIRA), which covers all reimbursement claims from hospitals in Korea. All inpatient surgery cases implemented during one year were included in the analysis. RESULTS: It was reported that 1,539,662 cases out of total 1,891,596 inpatient surgery cases were associated with one or more types of analgesia in 2005. The most frequent type of inpatient surgery was bone surgery (24.4%). In all cases related with analgesia, bone surgery took the highest percentage of 28.6%. It was also revealed that the most frequently used postoperative pain management was oral or external use of NSAID (non steroidal anti-inflammatory drug), which was 75.0% of all analgesia treatments. An epidural PCA (patient controlled analgesia), IV PCA (intra-venous patient controlled analgesia) and epidural opioid bolus were 0.2%, 0.2% and 0.1%, respectively, of all analgesia treatments. CONCLUSIONS: The results would certainly be useful to develop a clinical practice guideline in postoperative pain management to enhance patient outcomes.
Analgesia ; Analgesia, Patient-Controlled ; Humans ; Inpatients ; Insurance, Health ; Korea ; National Health Programs ; Pain, Postoperative ; Passive Cutaneous Anaphylaxis

Pheochromocytoma is one of the surgically curable hypertensive syndrome and may arise wherever chromaffin cells are located. A case of a left large adrenal pheochromocytoma developed in a 49 year old male is presented with brief review of literatures.
Chromaffin Cells ; Humans ; Male ; Middle Aged ; Pheochromocytoma*

No abstract available.
Transposases*

No abstract available.

Biological behavior of transitional cell tumors of the urinary bladder is related to many parameters, such as clinical staging, vascular invasion, expression of blood group antigens or oncogenes and DNA ploidy as well as histopathological grading. In most. however, the parameters have been evaluated separately in relation to histopathological grading or prognosis. although it is well known that biological behavior of a tumor can be predicted more reliable by analysis multiple parameters. In this study. the author tried to see the prognostic Relation ship between histopathological grading and expression of c-ras oncogene and DNA ploidy which have been defined recently. Immunohistochemical staining for c-ras oncogene products was performed in 40 cases of transitional cell tumors and positive tumor cells were estimated by light microscopy. DNA ploidy was determined by flow cytometry using the paraffin-embedded tissue. 1. By immunohistochemistry For c-ras oncogene products. the mean value of the positive cells was 35.1% in papillomas. 79.4% in grade I. 81.9% in grade X and 87.6% in grade III transitional cell carcinomas. 2. Analysis of DNA ploidy revealed diploidy in 8 and aneuploidy in 2 of 10 cases of papilloma, diploidy in 7 and aneuploidy in 3 of 10 cases of grade I diploidy in 4. tetraploidy in 1 and aneuploidy in 6 of 10 cases of grade II , diploidy in 3, tetraploidy in 1 and aneuploidy in 6 10 cases of grade III transitional cell carcinoma. In conclusion, high grade tumors showed more marked augmentation of the oncogene expression and higher incidence of DNA aneuploidy and tetraploidy, suggesting a close relationship among the histopathological grading, oncogene expression and DNA ploidy.
Aneuploidy ; Blood Group Antigens ; Carcinoma, Transitional Cell ; Diploidy ; DNA* ; Flow Cytometry ; Immunohistochemistry ; Incidence ; Microscopy ; Oncogene Proteins ; Oncogenes* ; Papilloma ; Ploidies* ; Prognosis ; Ships ; Tetraploidy ; Urinary Bladder Neoplasms ; Urinary Bladder*

Wilms' tumor is composed of a mixture of epithelial, stromal and blastematous elements in varing proportions. Adult Wilms' tumor, unlike that of childhood is a rare disease. Spontaneous rupture of the kidney with subcapsular or perirenal hematoma also is rarely seen in malignant renal tumor. A case of adult Wilms' tumor in 65-year old female is here reported, associated with spontaneous renal rupture, which was treated with radical nephrectomy and chemotherapy (vincristine, actinomycin D and doxorubicin).
Adult* ; Aged ; Dactinomycin ; Drug Therapy ; Female ; Hematoma ; Humans ; Kidney ; Nephrectomy ; Rare Diseases ; Rupture* ; Rupture, Spontaneous ; Wilms Tumor*