Cornual pregnancy is very rare and its diagnosis is very difficult due to the distensibility of the uterus at the cornu. However, tender cystic enlargement at one horn of the uterus is suggestive of this type of ectopic gestation in this case. A case is reported of unruptured cornual pregnancy, diagnosed before operation, with a review of the literatures.
Adult ; Case Report ; Female ; Human ; Pregnancy ; Pregnancy, Ectopic/diagnosis* ; Pregnancy, Ectopic/surgery

Twenty nine cases of wrist tuberculosis were reviewed(19 joint involvement cases and 4 tendon involvement cases) and twenty three cases were followed up more than one and half years. The mean follow up period was 26.7 months. Synovectomies were not satisfactory in cases of joint involvement and they were useful only in cases of tendon involvement. Arthrodesises were used for 16 cases of joint involvement and were satisfactory in 87,5 percent by Robin's criteria. Finger stiffness was most serious complication(initially, 8.7 percent and finally, 34.8 percent) and it is suggested that early motion of fingers after arthrodesis can prevent this complication.
Arthrodesis ; Fingers ; Follow-Up Studies ; Joints ; Tendons ; Tuberculosis ; Wrist

No abstract available.
Bronchopulmonary Sequestration*

OBJECTIVES: The aim of the present study was to evaluate changes in the management and 5-year survival rates of patients with oral cancer in our department over a 30-year period. MATERIALS AND METHODS: We investigated the patient distributions, treatment methods, method of neck dissection according to cancer stage, and 5-year survival rates for 700 oral cancer patients over the periods of 1982-1996 (256 patients), 1999-2006 (248 patients), and 2007-2011 (196 patients). RESULTS: Stage IV patients were the largest group in all of the time periods evaluated. Although surgery and radiotherapy were the most common methods in all periods (over 50%), the prevalence of patients who underwent concomitant chemoradiotherapy increased from 7.0% to 16.2%. The use of radical neck dissection decreased from 43.0% to 5.3%, while conservative surgical methods increased from 24.1% to 76.3%. Lastly, the overall 5-year survival rate increased from 31.6% to 63.5% during the study period. CONCLUSION: Although the 5-year survival rate reached the same level as that of other developed countries during the course of our study, most patients continue to come to the hospital with stage IV disease. In order to increase the 5-year survival rate of oral carcinoma, it may be necessary to improve public education and social efforts relevant to early diagnosis.
Chemoradiotherapy ; Developed Countries ; Early Diagnosis ; Education ; Humans ; Mouth Neoplasms* ; Neck Dissection ; Neoplasm Staging ; Prevalence ; Radiotherapy ; Survival Rate*

We herein describe a 70-year-old woman who presented with respiratory failure due to extensive lung adenocarcinoma. Despite advanced disease, care in the intensive care unit with ventilator support was performed because she was a newly diagnosed patient and was considered to have the potential to recover after cancer treatment. Because prompt control of the cancer was needed to treat the respiratory failure, empirical treatment with an oral epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor was initiated before confirmation of EGFR-mutant adenocarcinoma, and the patient was successfully treated. Later, EGFR-mutant adenocarcinoma was confirmed.
Adenocarcinoma* ; Aged ; Female ; Humans ; Intensive Care Units ; Lung* ; Protein-Tyrosine Kinases ; Receptor, Epidermal Growth Factor ; Respiration, Artificial ; Respiratory Insufficiency* ; Ventilators, Mechanical ; Erlotinib Hydrochloride

Castleman's disease or angiofollicular lymph node hyperplasia is a rare lymphoproliferative disorder. Complete surgical resection was recommended in unicentric Castleman's disease. Radiotherapy was considered alternative therapeutic option. However, there have been consistent favorable responses to radiotherapy. We also experienced two cases of uncentric Castleman's disease salvaged successfully with radiotherapy. This paper described these cases and reviewed the literature about Castleman's disease treated with radiotherapy. Reviewed cases showed that radiotherapy is a successful treatment option in unicentric Castleman's disease. Furthermore, our report confirms the radiotherapy role in uncentric Castleman's disease.
Giant Lymph Node Hyperplasia ; Lymphoproliferative Disorders

The epidemiological study to evaluate the prevalence rate and the morphological classification was performed in Do Bong-Gu, Seoul from May 9, 1989 to May 25, 1989. However, this report was a part of preliminary data to make a further population based epidemiological study to evaluate the prevalence rate and morphological classification of the age-related cataract in Korea. The results of this study are as follow: 1. The total examinees were 100;39 male and 61 female, and they were over 40 years of age who complained of recent visual acuity decrement. 2. 91 persons had lens opacity in different decement. 3. The prevalence rate of cataract was 89.7% in male and 93.4% in female and the sexual difference shows that the female had more higher frequency of lens opacity. 4. The classification of lens opacity according to the stage showed that the immature cataract was the most frequent type. The cortical cataract was the most frequent type and the mixed type was second in order by the morphological classification. 5. The prevalence rate of cataract in age had strong tendency to increase in older age and in 80s the rate was in 100%.
Cataract* ; Classification* ; Epidemiologic Studies ; Epidemiology ; Female ; Humans ; Korea ; Male ; Prevalence ; Seoul* ; Visual Acuity

The epidemiological study to evaluate the prevalence rate and the morphological classification was performed in Do Bong-Gu, Seoul from May 9, 1989 to May 25, 1989. However, this report was a part of preliminary data to make a further population based epidemiological study to evaluate the prevalence rate and morphological classification of the age-related cataract in Korea. The results of this study are as follow: 1. The total examinees were 100;39 male and 61 female, and they were over 40 years of age who complained of recent visual acuity decrement. 2. 91 persons had lens opacity in different decement. 3. The prevalence rate of cataract was 89.7% in male and 93.4% in female and the sexual difference shows that the female had more higher frequency of lens opacity. 4. The classification of lens opacity according to the stage showed that the immature cataract was the most frequent type. The cortical cataract was the most frequent type and the mixed type was second in order by the morphological classification. 5. The prevalence rate of cataract in age had strong tendency to increase in older age and in 80s the rate was in 100%.
Cataract* ; Classification* ; Epidemiologic Studies ; Epidemiology ; Female ; Humans ; Korea ; Male ; Prevalence ; Seoul* ; Visual Acuity

Total extrusion of the talus is a very rare injury. If the talus is found in a short time, it can be restored to its original position. If the talus is missing or found too late, however, surgeons may attempt tibiocalcaneal arthrodesis or use a pseudoarthrosis without repositioning the talus. As direct tibiocalcaneal arthrodesis may shorten the lower extremity, tibiocalcaneal arthrodesis using a sandwich block can be performed. We performed tibiocalcaneonavicular arthrodesis using a sandwich block to treat a patient with open talus extrusion caused by a motorcycle accident and obtained good clinical results.
Arthrodesis ; Humans ; Lower Extremity ; Motorcycles ; Pseudarthrosis ; Talus

PURPOSE: The aim of this study is to examine whether conventional primary closure of the bile duct without routinely inserting a T-tube could be performed after all the surgeries used to treat choldocholithiasis. METHODS: From April 2002 to July 2005, we retrospectively analyzed 125 bile duct stone disease patients who underwent primary closure of the bile duct. RESULTS: Wound infection was the most frequent surgical complications, and it showed a higher trend in the patients who had a history of previous biliary operation, and it showed a trend to be slightly higher in the recurrent biliary stone cases than that in the de novo cases. However, these findings were not statistically significant. In addition, surgical complications developed in 16 of 100 patients who were older that 60 years, whereas there was only 1 of 25 patients who developed complications for the patients younger than 60 years. The development of complications has a tendency to be higher for the older patients, yet the level was not statistically significant. In regard to postsurgical hyperamylasemia, although a statistically significant difference could not be detected, this malady developed in 3 of 12 cases in whom endoscopic nasobiliary drainage (ENBD) tubes were inserted. This showed a trend to be higher than that for 13 cases of 113 patients for whom endoscopic nasobiliary drainage tubes were not inserted. Concerning the postsurgical hospitalization period, it was significantly longer in the cases who developed complications (p=0.018), and there was a tendency for a prolonged hospitalization period for the patients who were older than 60 years, for women, recurrent cases and the cases with a history of the bile duct surgery. Yet these had no statistical significance CONCLUSION: It appears that the primary closure of bile duct is a technique that could be performed safely for all choledocolithotomy patients , and this is regardless of the size of bile duct diameter, history of surgery on the bile duct system, gender, emergency operation, age, recurrent biliary stones, the presence of presurgical nasobiliary drainage tube and the presence of concomitant diseases.
Bile Ducts* ; Bile* ; Choledocholithiasis ; Drainage ; Emergencies ; Female ; Hospitalization ; Humans ; Hyperamylasemia ; Length of Stay ; Retrospective Studies ; Wound Infection