Atypical fibroxanthoma(AFX) occurs most on sun-exposed area of the head and neck of elderly person. It has an excellent prognosis after conservative, but complete, excision. However, because of its potential, albeit small, for metastasis, it is widely regarded as a low-grade sarcoma. We present herein two cases of atypical fibroxanthoma. The case 1 was a 86-year-old female who had a small egg-sized, dome shaped nodule with eroive surface on the left cheek. The other case was a 60-year-old male who had solitry bean-sized, nodulo-ulcerative lesion on the vertex. Immunohistochemical studies revealed positive reaction for vimntin and a-antichymo trypsin. These patients have received completely total surgical ecis on and remained free of recurrence for a period of about, 2 years follow up.
Aged ; Aged, 80 and over ; Cheek ; Female ; Follow-Up Studies ; Head ; Humans ; Male ; Middle Aged ; Neck ; Neoplasm Metastasis ; Prognosis ; Recurrence ; Sarcoma ; Skin* ; Trypsin

No abstract available.
Colon* ; Humans* ; Morphine* ; Naloxone* ; Perfusion*

Isolated adrenocorticotropic hormone (ACTH) deficiency is an uncommon disorder for which the pathogenetic mechanism has not yet been identified. It has been reported that isolated ACTH deficiency (ICD) may be accompanied by deficiencies in other pituitary hormones; impaired growth hormone (GH) secretion was noted in 20 to 30% of ICD patients. Here, we describe a female patient with isolated ACTH deficiency accompanied by empty sella syndrome presenting as hypoglycemia, which was confirmed via various endocrine tests and magnetic resonance imaging (MRI) of the sella turcica. The patient's symptoms improved rapidly with prednisolone therapy and, during follow-up, her previously impaired GH response to provocative stimuli and high TSH levels were corrected by glucocorticoid replacement alone. However, treatment failed to normalize plasma IGF-1 levels, suggesting that physiological cortisol levels are necessary for a normal plasma GH response to provocative stimuli.
Adrenal Insufficiency ; Adrenocorticotropic Hormone ; Empty Sella Syndrome ; Female ; Follow-Up Studies ; Growth Hormone ; Humans ; Hydrocortisone ; Hypoglycemia ; Insulin-Like Growth Factor I ; Magnetic Resonance Imaging ; Plasma ; Prednisolone ; Sella Turcica

This paper reports a case of malignant histiocytic lymphoma mainly in the frontal region with intracranial extradural extension. Operation was performed to remove the mass but the tumor began to recur rapidly. And so under the condition that the operative wound was not fully healed, the patient received radiotheray and chemotherapy postoperatively, with remarkable regession of the tumor.
Drug Therapy ; Humans ; Lymphoma ; Lymphoma, Large B-Cell, Diffuse* ; Scalp* ; Wounds and Injuries

OBJECTIVES: Shift work disorder occurs when you have difficulties adjusting to a work schedule that takes place during a time which most people sleep. Some people may have diverse psychosomatic symptoms, such as sleep problems, depression, anxiety, and headaches even after the shift work schedule ends. The aims of this study are to compare difference of psychosomatic symptoms between rotating shift and daytime working nurse groups. METHODS: Volunteer nurses working in a general hospital were recruited in a general hospital. We collected sociodemographic data. We used questionnaires for headache type, headache frequency, and VAS(Visual Analog Scale) for headache intensity, BDI(Beck depression Inventory) and GSAQ(Global Sleep Assessment Questionnaire). We used Mann-Whitney test and Chi-square test for hypothesis testing. RESULTS: Data collected from 84 women nurses. Rotating shift(N=37) working nurses showed younger, more unmarried, and shorter work periods than daytime working nurses (N=47). Also rotating shift group showed more problems of headache, insomnia, excessive daytime sleepiness, depression and anxiety than daytime group. The above results were statistically significant. CONCLUSIONS: The rotating shift work women nurses produced more headache, insomnia, excessive daytime sleepiness, depression, and anxiety than daytime working ones.
Anxiety ; Appointments and Schedules ; Depression ; Female ; Headache ; Hospitals, General* ; Humans ; Questionnaires ; Single Person ; Sleep Initiation and Maintenance Disorders ; Volunteers

A rare case of teratoma occuring in the posterior cranial fossa is reported. The tumor was partially encapsulated, and a surgical removal was accomplished. Teratoma is defined as a true tumor, composed of several types of tissues representing more than one germinal layer, which are foreign to the part in which it arises. The literature on teratomas located in the posterior cranial fossa is reviewed.
Cranial Fossa, Posterior* ; Teratoma*

Oligodendroglioma that occurs in the ventricle has been reported uncommonly. The case is reported of a 38-year-old man who presented with severe headache and vomiting and was discovered to have an oligodendroglioma in the lateral and third ventricles. The clinical presentation, radiological finding, pathology and response to radiation are described with brief review of general biology in oligodendroglioma.
Adult ; Biology ; Headache ; Humans ; Lateral Ventricles ; Oligodendroglioma* ; Pathology ; Third Ventricle* ; Vomiting

We analyzed 54 cases of spontaneous intracerebral hematoma in the basal ganglia who had been admitted to Pusan National Hospital from June, 1991 to December, 1992 and underwent CT-guided stereotactic aspiration. Fifity four cases had basal ganglia hematoma with or without ventricular rupture. In 12 cases out of them, the residual hematoma could be completely evacuated by urokinase irrigation through a catheter introduced into the cavity of hematoma. Patients with preoperatively poor neurologic condition, large or deep-seated hematoma, or the operation undergone before 6 hours from ictus, had worse outcome. In the case whose hematoma was removed more than 60%, Glasgow Outome Scales were not changed significantly. Patients of spontaneous intracerebral hematoma mostly are older age, so careful observation and medical treatment are required to prevent postoperative complications and improve general condition.
Basal Ganglia* ; Busan ; Catheters ; Hematoma* ; Humans ; Postoperative Complications ; Rupture ; Urokinase-Type Plasminogen Activator ; Weights and Measures

Ganglionneuroma is slow-growing benign neoplasm that orignates from the sympathetic nervous system. A case of dumb-bell shaped Ganglionneuroma at first and second cervical areas is presented on this paper with chief complaint of neck pain and quadriparesis. The tumor was totally removed under operating microscope and the diagnosis was pathohistologically confirmed. The postoperative result was good and relative literatures were reviewed.
Diagnosis ; Ganglioneuroma* ; Neck Pain ; Quadriplegia ; Sympathetic Nervous System

Ganglionneuroblastoma is a rare neoplasm involving central nervous system. We have recently experienced a case of cervicothoracic extradural ganglionneuroblastoma invaded from upper posterior mediastinum. The patient presented with a progressive weakness of both lower extremities and had difficulty in voiding. The plain X-ray films, thoracic spine CT scan and myelography disclosed an extradural mass from C6 to T4 level. This extradural mass was communicated with upper posterior mediastinum. The mass was surgically removed and then the patient showed good recovery postoperatively.
Central Nervous System ; Humans ; Lower Extremity ; Mediastinum* ; Myelography ; Spine ; Tomography, X-Ray Computed ; X-Ray Film