1.A Clinical Observation on Tumors of the Genitourinary Tract.
Korean Journal of Urology 1982;23(4):442-450
A clinical observation was made on patients with the tumors of the genitourinary tract, who were admitted to the Department of Urology, Kyungpook National University Hospital during 10 years period from January 1970 to December 1979. Out of 1606 total hospital admissions. 284 were due to the tumors of the genitourinary tract, giving rate of 17.68%, sex ratio, male to female, was 6.89:1 The most frequently involved age group was the 7th decade, being 31% of total, followed by the 6th decade (22%). About 85.21% was seen at age of 40 and over. Prostate was the most commonly involved organ comprising 122 (42.96%) out of 284 cases of the tumors of the genitourinary tract, followed in frequency by bladder in 77 (27.11%), kidney in 40 (14.08%), and penis in 24 (8.45%). The tumors were benign in 123 and malignant in 161, giving ratio of benign to malignant approximately 1:1.3. The most common type among benign group was B.P.H. and among malignant type, bladder carcinoma. Pathologic diagnosis was performed on 174 cases. Out of these, 52 were diagnosed as transitional cell carcinoma of bladder, followed in frequency by B.P.H. in 36 and squamous cell carcinoma of penis in 16.
Carcinoma, Squamous Cell
;
Carcinoma, Transitional Cell
;
Diagnosis
;
Female
;
Gyeongsangbuk-do
;
Humans
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Kidney
;
Male
;
Penis
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Prostate
;
Sex Ratio
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Urinary Bladder
;
Urology
2.The Angiographic Evaluation in Renal Pelvic Tumor.
Korean Journal of Urology 1982;23(3):305-310
Early detection of renal pelvic tumor is essential since the survival rate is markedly reduced if the lesion has invaded beyond the pelvic wall. Accurate preoperative diagnosis is of considerable practical importance. since the surgeon should choose an unique operative approach conducive to a nepbroureterectomy with removal of a cuff of bladder. Selective renal angiography plays an important role in the diagnosis of renal tumor, but little is known about the importance of selective renal angiography in renal pelvic tumor. We performed selective renal angiography in 9 patients with clinically diagnosed renal pelvic tumor in this department during 2 years and 4 months period from March 1979 to June 1981. 7 out of 9 patients were diagnosed with transitional cell carcinoma of the renal pelvis histologically and remaining 2, leiomyoma of the renal parenchyma and renal cell carcinoma. The angiographic findings in 7 patients with transitional cell carcinoma showed hypertrophy of the pelviureteral artery and a diminished branching of vessels in 5, respectively, and defects in the nephrographic phase, neovascularity and vascular displacement in 2 each.
Angiography
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Arteries
;
Carcinoma, Renal Cell
;
Carcinoma, Transitional Cell
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Diagnosis
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Humans
;
Hypertrophy
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Kidney Pelvis
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Leiomyoma
;
Survival Rate
;
Urinary Bladder
3.A Case of Right-sided Varicocele in Fertile Man with Situs Inversus.
Won He LEE ; Sung Kwang CHUNG ; Dae Kie HAN ; Tong Choon PARK ; Sae Kook CHANG
Korean Journal of Urology 1981;22(4):473-476
Right-sided varicocele is a relatively rare disease, which could be caused by retroperitoneal pathology, situs Inversus or ananomalous termination of the right internal spermatic vein into the right renal vein or the left renal vein. Herein we report a rare case of right-sided varicocele in a 31-year-old fertile man with situs inversus.
Adult
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Humans
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Pathology
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Rare Diseases
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Renal Veins
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Situs Inversus*
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Varicocele*
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Veins
4.Renal Cell Carcinoma in Children : Report of Two Cases.
Sung Kwang CHUNG ; Won Ho LEE ; Dae Kie HAN ; Kyu Hong CHO ; Tong Choon PARK
Korean Journal of Urology 1981;22(4):439-444
Renal cell carcinoma in children has been considered a rare clinical entity but perhaps not as rare as once thought. This neoplasm should be considered in the differential diagnosis of hematuria and/or abdominal masses in children. Herein two cases of histologically proven childhood renal cell carcinoma are presented.
Carcinoma, Renal Cell*
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Child*
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Diagnosis, Differential
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Hematuria
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Humans
5.Benign Hemorrhagic Renal Cyst Ruptured into Pyelocaliceal System Report of One Case.
Tae Sik CHANG ; Tong Choon PARK ; Dae Kie HAN ; Kyu Hong CHO ; Sei Kook CHANG
Korean Journal of Urology 1980;21(4):361-364
A rare case of benign hemorrhagic renal cyst ruptured into the pyelocaliceal system, which occurred in a 44-year-old male, is presented. The literature is reviewed briefly.
Adult
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Hemorrhage
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Humans
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Male
6.A case of IgA nephropathy with systemic lupus erythematosus.
Hyun Wook KIM ; Shin Wook KANG ; Kyu Hun CHOI ; Ho Yung LEE ; Dae Suk HAN ; Jeong Hae KIE ; Hyeon Joo JEONG
Korean Journal of Medicine 2004;66(2):190-194
In systemic lupus erythematosus patients, prevalence of renal involvement is high, even in the absence of overt clinical manifestation. Lupus nephritis can usually be categorized according to the widely used WHO classification. however, clinically significant renal disease unrelated to lupus nephritis have rarely been described in patients with SLE. Especially, there has been few reported cases of IgA nephropathy with SLE since first reported in 1995, but their relationship is not apparent yet. We experienced a 72-year-old female who was admitted to our hospital due to generalized edema, arthralgia, proteinuria, microscopic hematuria. Her diagnosis of IgA nephropathy was estabilished on biopsy. At the same time, she was diagnosed as SLE. in that the serology for ANA was positive at 1:640, lupus anticoagulant and anti-cardiolipin antibody were positive, hemolytic anemia, arthritis and oral ulcer. and eventually she was diagnosed end-stage renal disease 2 months later. In conclusion, atypical glomerular lesion in SLE should raise the possibility of a non-lupus glomerulopathy, including IgA nephropathy.
Aged
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Anemia, Hemolytic
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Arthralgia
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Arthritis
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Biopsy
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Classification
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Diagnosis
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Edema
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Female
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Glomerulonephritis
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Glomerulonephritis, IGA*
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Hematuria
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Humans
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Immunoglobulin A*
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Kidney Failure, Chronic
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Lupus Coagulation Inhibitor
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Lupus Erythematosus, Systemic*
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Lupus Nephritis
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Oral Ulcer
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Prevalence
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Proteinuria
7.Analysis of Treatment Patterns and Blood Pressure Changes According to Risk Stratification in Hypertensive Subjects.
Dong Kie KIM ; Dong Soo KIM ; Tae Hyun YANG ; Han Young JIN ; Young Wan CHO ; Young Kyeong SEO ; Yong Bok KIM ; Young Dae KIM ; Taek Jong HONG ; Sang Gon LEE ; Tae Joon CHA ; Tae Ik KIM ; Byung Soo KIM ; Dae Kyeong KIM ; Doo Il KIM
Korean Journal of Medicine 2011;80(3):298-307
BACKGROUND/AIMS: The aims of this study were to identify real world treatment patterns of hypertension according to cardiovascular risk stratification and to evaluate blood pressure changes with anti-hypertensive treatment in each risk group. METHODS: This study included patients who were newly-diagnosed with hypertension or known hypertensive patients with uncontrolled blood pressure (BP) at seven tertiary hospitals in Busan and Ulsan. World Health Organization/International Society of Hypertension (WHO/ISH) cardiovascular risk stratification was performed through retrospective chart review. RESULTS: Angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers were the most frequently prescribed drugs. The higher WHO/ISH risk group received a greater number of drugs at the initial treatment, and one year after treatment. Target BP was achieved less frequently in the higher risk group (68.2% vs. 85.2% vs. 89.0%, p < 0.001). The rate of attaining target BP was lower (50.7% vs. 81.6%, p < 0.001), and the time to attaining target BP was longer (106.5 +/- 79.2 days vs. 82.1 +/- 75.3, p = 0.001), in patients with renal disease or diabetes. Initial systolic BP above 160 mmHg (OR: 4.91, 95% CI: 2.27~10.65), renal disease (3.42, 1.60~7.32), medium or high risk group status (2.27, 1.23~4.20), initial diastolic BP above 100 mmHg (2.11, 1.11~4.04), and diabetes (2.06, 1.29~3.25) were independent factors that predicted failure of attaining the target BP. CONCLUSIONS: BP control was relatively unsatisfactory in patients with higher initial BP, renal disease, higher WHO/ISH risk group status, and diabetes. Individualized approaches for such patients are needed to improve BP control in routine clinical practice.
Angiotensin Receptor Antagonists
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Angiotensin-Converting Enzyme Inhibitors
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Blood Pressure
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Humans
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Hypertension
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Retrospective Studies
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Risk Factors
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Tertiary Care Centers
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World Health
;
World Health Organization
8.Neutrophil to Lymphocyte Ratio Predicts Long-Term Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention.
Yang Chun HAN ; Tae Hyun YANG ; Doo Il KIM ; Han Young JIN ; Sang Ryul CHUNG ; Jeong Sook SEO ; Jae Sik JANG ; Dae Kyeong KIM ; Dong Kie KIM ; Ki Hun KIM ; Sang Hoon SEOL ; Dong Soo KIM
Korean Circulation Journal 2013;43(2):93-99
BACKGROUND AND OBJECTIVES: A higher neutrophil to lymphocyte ratio (NLR) has been associated with poor clinical outcomes in various cardiac diseases. However, the clinical availability of NLR in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) has not been known. We evaluated the availability of NLR to predict clinical outcomes in patients with STEMI undergoing primary PCI. SUBJECTS AND METHODS: We analyzed 326 consecutive STEMI patients treated with primary PCI. The patients were divided into tertiles according to NLR: NLR< or =3.30 (n=108), 3.31
Cause of Death
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Creatinine
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Heart Diseases
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Humans
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Incidence
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Lymphocytes
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Myocardial Infarction
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Neutrophils
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Percutaneous Coronary Intervention
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Stroke
;
Stroke Volume
9.Papillary Fibroelastoma Presenting as a Left Ventricular Mass.
Jin Han PARK ; Sang Hoon SEOL ; Hwan Jin CHO ; Si Hyung PARK ; Dong Kie KIM ; Ung KIM ; Tae Hyun YANG ; Dae Kyeong KIM ; Doo Il KIM ; Dong Soo KIM
Journal of Cardiovascular Ultrasound 2010;18(2):66-69
Cardiac papillary fibroelastoma (CPF) is a benign cardiac tumor that usually affects cardiac valves. It is usually discovered incidentally on routine echocardiography. However, left ventricular CPF is rare. This report describes the case of a 73-year-old female, referred to a cardiology department for evaluation of a mass of the left ventricle. The mass was found routine echocardiography. The transthoracic echocardiography revealed a 2.2x1.3 cm highly oscillating mass, attached by stalk on the inferior wall of the left ventricle. Cardiac magnetic resonance imaging demonstrated a non-enhanced, 1.8x1.0 cm mass on the inferior wall of the left ventricle. The patient underwent surgical resection of the mass, histopathologic examination of the mass confirmed the diagnosis of a CPF.
Aged
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Cardiology
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Echocardiography
;
Female
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Heart Neoplasms
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Heart Valves
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Heart Ventricles
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Humans
;
Magnetic Resonance Imaging
10.Comparison of Plaque Composition in Diabetic and Non-Diabetic Patients With Coronary Artery Disease Using Multislice CT Angiography.
Yong Seop KWON ; Jae Sik JANG ; Chang Won LEE ; Dong Kie KIM ; Ung KIM ; Sang Hoon SEOL ; Doo Il KIM ; Young Wan JO ; Han Young JIN ; Jeong Sook SEO ; Tae Hyun YANG ; Dae Kyeong KIM ; Dong Soo KIM
Korean Circulation Journal 2010;40(11):581-586
BACKGROUND AND OBJECTIVES: Plaque composition rather than degree of luminal narrowing may be predictive of future coronary events in high risk patients. The purpose of this study was to compare degree of plaque burden and composition with multislice computed tomography (MSCT) angiography between diabetic and non-diabetic patients. SUBJECTS AND METHODS: A total of 452 consecutive MSCT angiography examinations were performed between July 2007 and June 2009. Of these, the patients who underwent invasive coronary angiography were evaluated for the presence and type of atherosclerotic plaque and severity of luminal narrowing. RESULTS: Ninety two (46 in the diabetic group and 46 in the non-diabetic group) patients underwent both MSCT angiography and invasive coronary angiography. Among them, 30 patients (65.2%) in the diabetic group and 26 patients (56.5%) in the non-diabetic group had significant coronary narrowing on MSCT angiography. Sixteen patients (34.8%) in the diabetic group and 15 patients (32.6%) in non-diabetic group underwent coronary angioplasty and stenting. Forty-two patients (93.3%) in the diabetic group and 39 patients (88.6%) in the non-diabetic group had multiple types of coronary plaque (p=0.485). MSCT angiography was similar to conventional coronary angiography in its ability to predict significant coronary artery disease in that the area under the curve was 0.88 (95% confidence interval, 0.81 to 0.95). Diabetic patients had more mixed plaque compared with non-diabetic patients. CONCLUSION: Differences in coronary plaque composition between diabetic and non-diabetic patients can be determined noninvasively by MSCT angiography. In patients with diabetes, mixed plaque types contribute to the total plaque burden to a higher degree than in non-diabetic patients.
Angiography
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Angioplasty
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Coronary Angiography
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Coronary Artery Disease
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Coronary Vessels
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Humans
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Multidetector Computed Tomography
;
Phenobarbital
;
Plaque, Atherosclerotic
;
Stents