1.A Case of Ectopic ACTH Syndrome Caused by Wilms Tumor.
Dong Hun CHI ; Sang Bong HAN ; Young Jong WOO ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1988;31(8):1071-1078
No abstract available.
ACTH Syndrome, Ectopic*
;
Wilms Tumor*
2.Prognostic Relevances of Bone Marrow Features in Patients with Multiple Myeloma.
Sang Hyun HWANG ; Chan Jeoung PARK ; Hyun Sook CHI ; Je Hwan LEE ; Woo Kun KIM ; Sang Hee KIM
Korean Journal of Clinical Pathology 1999;19(1):8-14
BACKGROUND: Survival time of patients with multiple myeloma has been reported to be closely related to the cytology of bone marrow smears and the histologic features of bone marrow biopsies. However, there have been many differences in morphological criteria applied by various authors. In this study, we evaluated the prognostic relevance of bone marrow features in patients with multple myeloma by investigation of the cytologic feature and the histologic patterns. MATERIALS AND METHODS: One hundred and seven previously untreated patients with multiple myeloma, admitted to Asan Medical Center, between 1989 and 1997, were studied. Bone marrow aspirations and biopsies were analyzed according to the criteria such as cytologic differentiation, volume of infiltration, pattern of infiltration, degree of hematopoiesis, and presence of fibrosis. RESULTS: 64 cases (59.8%) of 107 patients with multiple myeloma were plasmacytic type and 43 cases (40.2%) were plasmablastic type. Each median survival time was 35.0 months and 18.0 months (P<0.05). The patients with more than 25% of plasmablasts showed shorter median survival time than those with 1ess than 25% (18 months vs 38.9 months, P<0.05). The patients with nodular or packed marrow pattern revealed poorer prognosis than those with interstitial or interstitial/nodular pattern (P<0.05). The patients of plasmablastic type disclosed larger volume of myeloma cell infiltration and more packed marow pattern than those of plasmacytic type. CONCLUSIONS: The cytologic differentiation, the volume of infiltration and the patterns of infiltration were reliable predictors of survival in myeloma patients. Thus, for the prognostic evaluation and therapeutic plans, the descriptions for cytologic differentiation (especially percentage of plasmablasts), volume of infiltration and pattern of infiltration should be included in the bone marrow interpretation of multiple myeloma.
Aspirations (Psychology)
;
Biopsy
;
Bone Marrow*
;
Chungcheongnam-do
;
Fibrosis
;
Hematopoiesis
;
Humans
;
Multiple Myeloma*
;
Prognosis
3.Effects of Low Oxygen Condition on the Development of Mouse Embryos Cultured In Viro.
Jong Hyun WOO ; Kyung Joo HWANG ; Hyun Won YANG ; Chi Hyeong LEE ; Jeong In YANG ; Hyuck Chan KWAN ; Kie Suk OH
Korean Journal of Obstetrics and Gynecology 1998;41(12):2962-2968
OBJECTIVE: It is known that mouse embryos before implantation develop in a low oxygen environment of 3- 8% concentration and with antioxidant materials such as vitamins, antioxidant enzymes, ferrous binding proteins, and albumin in follicular and tubal fluids. However, the 20% oxygen culture condition with chemically defined media might be produce an abundance of ROS, and leads to developmental delay or developmental block in vitro. In this study, we attempt to elucidate the relationship between intracellular H2O2 production and embryo development in different oxygen culture conditions of mouse embryos. METHODS: Prenuclear embryos from C57BL/CBA Fl hybrid and ICR mouse were cultured in incubators which provided 5% carbon dioxide, 20% oxygen and 5% carbon dioxide, 5% oxygen. Measurement of H2O2 level in a embryo was performed with DCHFDA(2, 7 -dichlorodihydroflourescein diacetate)and analyzed with Quanti-cell 700, and the number of blastomeres was counted with DAPI( 4, 6'-diamidino-2-phenylindole). RESULTS: Oxygen concentration of the culture medias was significantly higher in the 20% oxygen environment compared to that of 5% oxygen environment. Culture of mice embryos in high oxygen condition leads to high HO concentrations at 2 cell stage and developmental delay or ""2-cell block"" regardless of the strain. But in a 5% oxygen environment, which is similar to in-vivo conditions HO production was suppressed continuously through out culture and development of embryos was definitely improved. CONCLUSION: These results suggest that there is a difference in the production of ROS or protective mechanism according to the mouse strains and stage of development, and it is thought that in-vitro culture in 5% oxygen environment provides stable in vivo equilibrium but in a 20% oxygen environment there is production of ROS which overcome the protective mechanism which leads to cellular damage and embryo developmental delay.
Animals
;
Blastomeres
;
Carbon Dioxide
;
Carrier Proteins
;
Culture Media
;
Embryonic Development
;
Embryonic Structures*
;
Female
;
Incubators
;
Mice*
;
Mice, Inbred ICR
;
Oxygen*
;
Pregnancy
;
Vitamins
4.An evaluation of frozen section biopsy in 4434 cases.
Tae Sook HWANG ; Eui Keun HAM ; Chul Woo KIM ; Je G CHI ; Seong Hoe PARK
Journal of Korean Medical Science 1987;2(4):239-245
Frozen section diagnosis is a highly useful method of diagnosis. There were 4434 frozen sections, 24 false positive diagnosis, 65 false negative diagnosis and 30 deferred diagnosis. This method achieves the highest accuracy when there is a cooperation between experienced surgeon and reliable and careful pathologist. It is wise to defer the diagnosis of consult to other pathologist in difficult situation.
Biopsy/*standards
;
False Negative Reactions
;
False Positive Reactions
;
*Frozen Sections
;
Humans
;
*Microtomy
;
Neoplasms/*diagnosis/pathology
;
*Predictive Value of Tests
5.Delayed-onset Wernicke Encephalopathy in a Patient with Gastrectomy.
Byung Su KIM ; Chi Hun KIM ; Woo Sub HWANG ; Chin Sang CHUNG ; Dae Won SEO
Journal of the Korean Neurological Association 2008;26(1):59-62
A 62-year-old man was transferred to our emergency room because of acute encephalopathy. He was a nondrinker with history of a gastrectomy nineteen years ago. Two weeks before his visit, he had experienced transient poor oral intake due to gastroesophageal reflux (GER). His brain MRI showed definite lesions compatible with Wernicke Encephalopathy (WE). A trivial event like GER can complicate the marginal equilibrium of thiamine and, after a long latent interval following a gastrectomy, may induce delayed-onset WE.
Brain
;
Emergencies
;
Gastrectomy
;
Gastroesophageal Reflux
;
Humans
;
Middle Aged
;
Thiamine
;
Wernicke Encephalopathy
6."Extended" Distal Pancreatectomy with Segmental Resection of Both Splenic Vessels; Extended Warshaw's Procedure.
Dong Hyun KIM ; Chang Moo KANG ; Ho Kyoung HWANG ; Woo Jung LEE ; Hoon Sang CHI
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2010;14(4):248-253
PURPOSE: We would like to assess the safety and feasibility of extended spleen-preserving distal pancreatectomy with segmental resection of both splenic vessels (SPDP-SRSV) in patients with large, benign and borderline malignant pancreas body tumors. METHODS: We encountered seven extended SPDP-SRSV cases from January 2006 to March 2010. Among them, three were excluded due to combined pylorus-reserving pancreaticoduodenectomy (PPPD). For the extended surgical technique, the pancreas was divided above the confluence of the superior mesenteric vein-splenic vein-portal vein (SMV-SV-PV), and vascular control was achieved at the origin of the splenic artery and the junction of the splenic vein with the SMV. The segments of both splenic vessels were then extracted along with the specimen. RESULTS: All the patients were female with a median age of 57 years (range: 24~70 years). The median tumor size was 5.5 cm (range: 5~11 cm), the median operation time was 362 minutes (range: 337~441 min), the median estimated blood loss was 150 ml (range: 50~300 ml) and the median hospital stay was 9 days (range: 7~20 days). One patient underwent robot-assisted extended Warshaw procedures. No mortality was noted, but one partial intestinal obstruction occurred and this was resolved with conservative management. On the recent follow-up, the CT scans showed no evidence of tumor recurrence or spleen infarction, but newly developed perigastric varix was noted, but it was without variceal bleeding. CONCLUSION: SPDP-SRSV with division of the pancreatic neck portion above the confluence of the SMV-SV-PV in patients with large, benign and borderline malignant pancreatic body tumors appears to be an ideal approach because of the expected long-term survival and preserving the role of the spleen.
Female
;
Follow-Up Studies
;
Humans
;
Infarction
;
Intestinal Obstruction
;
Length of Stay
;
Neck
;
Pancreas
;
Pancreatectomy
;
Pancreaticoduodenectomy
;
Recurrence
;
Spleen
;
Splenic Artery
;
Splenic Vein
;
Varicose Veins
;
Veins
7.Erratum: Staged Surgical Treatment of Primary Aortoesophageal Fistula
Sun Hyun HWANG ; Chul Ho LEE ; Jun Woo CHO ; Chi Hoon BAE ; Jae Seok JANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(4):247-247
One author was missed.
8.Staged Surgical Treatment of Primary Aortoesophageal Fistula
Sun Hyun HWANG ; Jun Woo CHO ; Chi Hoon BAE ; Jae Seok JANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(3):182-185
Aortoesophageal fistula (AEF) is a rare and potentially fatal disease that causes massive gastrointestinal bleeding. Therefore, early diagnosis and treatment are essential to prevent mortality. Controlling the massive bleeding is the most important aspect of treating AEF. The traditional surgical treatment was emergent thoracotomy, but intraoperative or perioperative mortality was high. We report a case of a patient presenting with hematemesis who was successfully treated by a staged treatment, in which bridging thoracic endovascular aortic repair was followed by delayed surgical repair of the esophagus and aorta.
9.Staged Surgical Treatment of Primary Aortoesophageal Fistula
Sun Hyun HWANG ; Jun Woo CHO ; Chi Hoon BAE ; Jae Seok JANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(3):182-185
Aortoesophageal fistula (AEF) is a rare and potentially fatal disease that causes massive gastrointestinal bleeding. Therefore, early diagnosis and treatment are essential to prevent mortality. Controlling the massive bleeding is the most important aspect of treating AEF. The traditional surgical treatment was emergent thoracotomy, but intraoperative or perioperative mortality was high. We report a case of a patient presenting with hematemesis who was successfully treated by a staged treatment, in which bridging thoracic endovascular aortic repair was followed by delayed surgical repair of the esophagus and aorta.
Aorta
;
Early Diagnosis
;
Esophagus
;
Fistula
;
Hematemesis
;
Hemorrhage
;
Humans
;
Mortality
;
Thoracotomy
10.Erratum: Staged Surgical Treatment of Primary Aortoesophageal Fistula
Sun Hyun HWANG ; Chul Ho LEE ; Jun Woo CHO ; Chi Hoon BAE ; Jae Seok JANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(4):247-247
One author was missed.