Since Oct. 1, 1983 until April 15, 1986, authors analyzed variable combined imaging diagnosis andhistopathologic correlation for confirmed 100 breast carcinoma among 2773 patients whom authors took care of them.1. Incidence of female breast carcinoma was 3.6% among 2773 patients who visited Yong Dong Severance Hospital, andoverall breast carcinoma occupied 29.7% among 337 confirmed breast diseases. 2. Prevalent cancer age for Koreanwomen breast carcinoma was ages between 40-49 years old(42%) however authors experienced 5% breast carcinoma amongtwentieth, and 22% breast carcioma among thirtieth. 3. Most common histopathologic type for breast carcinoma wasinfiltrating ductal carcinoma, scirrhous type(65). And most common breast parenchymal pattern related to breastcarcinoma was DY pattern(42%) followed by N1 pattern(25%). 4. Common film mammographic findings of breastcarcinoma were: ill defined bordered mass(68.4%), spiculation of mass(82.9%), vessel dilatation (59.8%) and thencalcification (44.4%). 5. Frequently visible ultramammographic findings were; irregular mass contour(79.6%),nonuniform internal echoes(87.0%), and posterior wall shadowing (86.0%). 6. Trials of above combined imagingmodalities for breast carcinoma resulted in his sensitivity of diagnosis(93.3%).
Breast Diseases ; Breast Neoplasms ; Breast ; Carcinoma, Ductal ; Diagnosis ; Dilatation ; Female ; Humans ; Incidence ; Shadowing (Histology)

No abstract available.
Humans

No abstract available.
Burns* ; Congenital Abnormalities* ; Free Tissue Flaps*

A secondary cleft lip nasal deformity can be corrected by many procedures including central lip tissue transfer, forked flap, nasal floor and alar base advancement, nasal skin flaps and composite graft. These procedures have been applied for many years, but each one has some conspicuous residual problems. We propose triple V-Y advancement flaps, which we have performed on 13 secondary cleft lip and nasal deformity patients over the past 6 years. The W-shaped triple reverse V-shaped incision easily exposed the alar cartilages. We made the advancement and rotation of the nasal skin flap to lengthen the columella and project the nasal tip. Postoperatively, the columella length and nasolabial angle were found to be increased by an average of 3.7 mm and 42 degrees, respectively. In lateral view, a relatively natural nasal line was achieved. The scar in the nasal tip posed few problems. This procedure should be useful for the correction of the secondary cleft lip nasal deformity.
Cartilage ; Cicatrix ; Cleft Lip* ; Congenital Abnormalities* ; Humans ; Lip ; Skin ; Transplants

Hypertrophic scarring is common in burn patients. The treatment of such scarring is difficult, and recurrence of the hypertrophic change after scar revision is not uncommon. It has been done intramarginal excision to diminish the chances of recurrent hypertrophic scarring. Core scars in the auricle are easily separated from auricular cartilage and overlying soft tissue because there is loose areolar tissue between them. We therefore reviewed our experience with core extirpation of post-burn hypertrophic scars in the auricle. Between June 14, 1991, and August 6, 1994, we excised 10 hypertrophic scars in the auricle in 5 burn patients. Core extirpations of hypertrophic scars were performed under local anesthesia with longitudinal incision along long axis of scars. The wounds were closed directly in one layer after marginal trimming. We observed that core extirpation yielded good results in post-burn hypertrophic scars in the auricles.
Anesthesia, Local ; Axis, Cervical Vertebra ; Burns ; Cicatrix ; Cicatrix, Hypertrophic* ; Ear Cartilage ; Humans ; Recurrence ; Wounds and Injuries

No abstract available.
Ischemia* ; Skin*

A prospective study was done to evaulate the dfficacy of Silon-STS application on problemed scars. Silon-STS is one of various methods for the treatment of problemed scar. It is supplied in flat sheets composed of inner silicone layer and outer acrylic plate. It was pre-heated with an gas lighter and shaped over a mold of the anatomical region to be splinted. Silon-STS had been applied to 45 patients with hypertrophic scar, trapdoor, scar, irregular elevated scar, and keloid for 2 to 6 months. Color changes and thickness of the scars were evaluated by serial photography. Customory forming techniques to shape Sion-STS followed by trimming and strap attachment can also be used. The results have been successful in 43 cases(96%). Skin rash, pruritis were complained by two patients. Silon-STS application has been an effective method for the treatment of problemed scars in our experience.
Cicatrix* ; Cicatrix, Hypertrophic ; Exanthema ; Fungi ; Humans ; Keloid ; Photography ; Prospective Studies ; Pruritus ; Silicones* ; Splints

Infectious process involves infrequently the posterior compartment of the vertebra. Three cases of such condition are experienced at the Dept. of Orthopedic Surgery, Seoul National University during the period of August 1962 to June 1971 Two of three cases were from pyogenic infection invoIving the spinous process of third and fourth lumbar vertebra respectively, one of which was complicated by formation of paraspinal abscess and both were treated with total laminectomy of the involved vertebrae. Thee third case was tuberculosis on the transverse process of first thoracic vertebra which was accompanied by irritating sign of left ulnar nerve, and was treated with transversectomy and partial laminectomy. Excellent results were obtained without recurrence and no deformity nor instability of the spine developed postoperativeIy.
Abscess ; Congenital Abnormalities ; Laminectomy ; Orthopedics ; Recurrence ; Seoul ; Spine ; Tuberculosis ; Ulnar Nerve

It is well known that the medullary carcinoma of the breast is one of the special types of breast carcinoma with a good prognosis. At present, the medullary carcinoma of the breast is subclassified into 3 types: typical medullary, atypical medullary and nonmedullary carcinoma. Among them, the former has the best prognosis. We reviewed the film mammographic and ultrasonomammographic findings of 13 patients according to the reevaluated histopathologic diagnosis. Typical medullary carcinoma shows a well circumscribed mass with surrounding halo on film mammogram, and well defined mass with central intermediate echogenicity and peripheral low echogenicity and posterior acoustic enhancement on ultrasonomammogram. Atypical medullary carcinoma shows relatively well circumscribed mass with partial marginal obliteration on film mammogram, and irregular bordered mass with inhomogeneous echogenicity due to focal necrosis in the mass and associated findings of thick boundary, asymetrical lateral shadowing on ultrasonomammogram. Nonmedullary carcinoma shows lobulated mass with surrounding parenchymal distortion and skin thickening on film mammogram, and relatively well defined lobulating mass with surrounding parenchymal distortion and marked heterogeneous internal echogenicity on ultrasonomammogram. Therefore, differentiation between typical medullary carcinoma with good prognosis and atypical medulary or nonmedullary carcinoma with poor prognosis, may be possible by various diagnostic imaging modalities preoperatively. But further collective study shall be needed in near future.
Acoustics ; Breast Neoplasms ; Breast* ; Carcinoma, Medullary* ; Classification* ; Diagnosis ; Diagnostic Imaging ; Humans ; Necrosis ; Prognosis ; Shadowing (Histology) ; Skin

No abstract available.