No abstract available.
Anesthetics*

No abstract available.
Amnion* ; Hydrocortisone* ; Pregnancy*

No abstract available.
Cryptococcosis* ; Sputum*

No abstract available.
Humans ; Poroma* ; Tissue Donors*

Malignant eccrine poroma is a rare malignant tumor arising from the intraepidermal ductal portion of the eccrine sweat gland, which develops either spontaneously or from a long-standing benign eccrine poroma. It usually affects older people and is located most commonly on the lower extremities. We describe a typical case of malignant eccrine poroma developing from benign eccrine poroma, which had been present for 10 years or more, with subsequent regional lymph node metastasis. A biopsy specimen revealed many well-defined intraepidermal nests of poroma cells with dermal invasion and lymphatic involvement of tumor cells. Immunohistochemical studies showed staining with cocktail cytokeratin, carcino-embryonic antigen, epithelial membrane antigen in intracellular vacuoles of tumor cells and early embryonic stages of eccrine duct formation. Local excision with postoperative adjuvant radiation therapy showed only a temporary response.
Biopsy ; Eccrine Porocarcinoma ; Keratins ; Lower Extremity ; Lymph Nodes ; Mucin-1 ; Neoplasm Metastasis ; Poroma ; Sweat Glands ; Vacuoles

PURPOSE: Heme oxygenase-1 (HO-1), an inducible heat shock protein, catalyzes the heme to iron, biliverdin and carbon monoxide. It also has an inhibitory effect on necrosis and inflammation. Cobalt (III)-protoporphyrin IX (CoPP) is known to be a HO-1 inducer. Our intension was to find whether CoPP has an anti-inflammatory effect through the induction of HO-1 in rats with epididymitis. MATERIALS AND METHODS: Thirty two Sprague-Dawley male rats (age: 8-12 weeks, weight: 200-250gm) were selected for the experiments. Anesthesia was performed with an intraperitoneal injection of ketamine hydrochloride (140mg/kg). Four rats were taken and used as a control group. Epididymitis was induced in 28 rats by an injection of E. coli (1 x 10(5)/ml) to the epididymis. In the first step, groups of 4 rats were sacrificed serially after 4, 12, 48, and 72 hours for Hematoxylin & Eosin (H&E) staining and Western blot for inducible nitric oxide synthase (iNOS) and cyclooxygenase (COX)-2. In the second step, groups of 4 rats were injected with either dimethyl sulphoxide (DMSO) 7 microliter, DMSO 7 microliter with 50mg/ml CoPP or DMSO 7 microliter with 100mg/ml CoPP. They were then sacrificed 72 hours later for H&E staining and Western blot for iNOS and COX-2. RESULTS: In the first step, increased inflammation was evident H&E staining over time. Western blots, iNOS expression was detected after 48 hours and COX-2 was after 12 hours. In the second step, decreased inflammation was evident H&E staining, and the expressions of iNOS and COX-2 were suppressed in the CoPP treated group. CONCLUSIONS: CoPP can reduce the inflammation of epididymis in rats, and the mechanism may be related with HO-1.
Anesthesia ; Animals ; Biliverdine ; Blotting, Western ; Carbon Monoxide ; Cobalt ; Dimethyl Sulfoxide ; Eosine Yellowish-(YS) ; Epididymis ; Epididymitis* ; Escherichia coli Infections* ; Escherichia coli* ; Escherichia* ; Heat-Shock Proteins ; Hematoxylin ; Heme ; Heme Oxygenase (Decyclizing) ; Heme Oxygenase-1 ; Humans ; Inflammation ; Injections, Intraperitoneal ; Iron ; Ketamine ; Male ; Necrosis ; Nitric Oxide Synthase Type II ; Prostaglandin-Endoperoxide Synthases ; Rats* ; Rats, Sprague-Dawley

A testicular Sertoli cell tumor is a very rare, usually benign, testicular neoplasm. Of the total number of reported Sertoli cell tumors, only 30 cases were malignant. Usually, these patients have a history of a slowly growing scrotal mass and gynecomastia. These neoplasms vary greatly in size and in their microscopic appearances. A radical inguinal orchiectomy is the initial treatment, with the efficacy of chemotherapy or radiotherapy being controversial. They have an aggressive metastatic behavior and a poor prognosis. Herein, the case of 67-year-old man with a malignant Sertoli cell tumor is reported.
Aged ; Drug Therapy ; Gynecomastia ; Humans ; Male ; Orchiectomy ; Prognosis ; Radiotherapy ; Sertoli Cell Tumor* ; Testicular Neoplasms ; Testis*

PURPOSE: Although percutaneous aspiration and sclerotherapy is a simple, noninvasive and cost-effective therapy for symptomatic renal cysts, the recurrence rate is high. Recently, a laparoscopy has been attempted on symptomatic renal cysts. To assess the clinical efficacy and safety of the laparoscopic cyst marsupialization, the clinical characteristics and operative parameters were evaluated, and compared with the results of sclerotherapy. MATERIALS AND METHODS: Between November 1993 and February 2003, 71 patients with symptomatic simple renal cysts were treated with either laparoscopic marsupialization or sclerotherapy. Respectively, 26 of 31 laparoscopy patients and 27 of 40 sclerotherapy patients were followed-up over a 2 months period and included in this study. The laparoscopic marsupialization was accomplished with either transperitoneal (15 patients) or retroperitoneal approaches (11). The sclerotherapy was composed of percutaneous aspiration followed by an injection of 99% ethanol. RESULTS: The clinical characteristics, including cyst size, location and laterality, were no different in either group. The mean follow-up durations were 19.7 and 18.1 months in laparoscopy and sclerotherapy groups, respectively. Comparing the laparoscopy with the sclerotherapy group, the operation time (106.2 vs. 15.3 min.), hospital stay (7.8 vs. 4.6 days) and complication rate (23.1 vs. 3.7%) were significantly decreased in the sclerotherapy group. However, the success rate (96.2 vs. 77.8%) was significantly increased in the laparoscopy group. With either the transperitoneal or retroperitoneal approaches in the laparoscopy group, there was no statistical difference in the operative time, hospital stay and complication and success rates. CONCLUSIONS: For a symptomatic renal cyst, laparoscopic marsupialization is an effective therapy, with a high success rate on the long-term follow-up. The clinical results, according to the approach method, were not different for the transperitoneal and retroperitoneal approaches.
Ethanol ; Follow-Up Studies* ; Humans ; Laparoscopy ; Length of Stay ; Operative Time ; Recurrence ; Sclerotherapy*

No abstract available.
Angina, Unstable*

Here we report a case of a pediatric priapism in a 6-year-old boy. He presented with a painless priapism for 7 days after a blunt perineal trauma. The blood gas analysis of the cavernosum indicated a high-flow priapism. An angiogram revealed and characterized the exact site of the arterio-cavernosal fistula and a superselective embolization was done using gelatin sponge pledgets. A complete detumescence was achieved two days after the embolization.
Blood Gas Analysis ; Child* ; Fistula ; Gelatin ; Humans ; Male ; Porifera ; Priapism*