1.Comparison between PET and CT Findings for 7 Patients with a Pulmonary Lymphangitic Metastasis.
Hee Jin KWON ; Ki Nam LEE ; Ki Nam KIM ; Do Young KANG
Journal of the Korean Radiological Society 2007;57(4):331-336
PURPOSE: This study was conducted to compare the PET and CT findings for patients with a pulmonary lymphangitic metastasis. MATERIALS AND METHODS: We retrospectively reviewed the PET and CT findings of seven patients diagnosed with a pulmonary lymphangitic metastasis between May 2005 and May 2007. RESULTS: All patients had interstitial thickening, as seen on a CT scan, while the PET scans showed abnormal findings in only three patients. In these three patients, one patient had interlobular septal thickening of more than 10, another patient had interlobular septal thickening of more than 5 but less than 10, and another patient had interlobular septal thickening of less than 5. All of the patients had bronchovascular bundle thickening. However, among the four patients that had normal FDG uptake, no patient had interlobular septal thickening of more than 10, two of the patients had interlobular septal thickening of more than 5 but less than 10, and the remaining patients had interlobular septal thickening of less than 5. Only two of the patients had bronchovascular bundle thickening. CONCLUSION: All patients with pulmonary lymphangitic metastasis have typical CT findings, but some of the patients had FDG uptake, as seen in the PET scans. Thus, CT is a more useful modality for diagnosis for pulmonary lymphangitic metastases.
Diagnosis
;
Humans
;
Lung Neoplasms
;
Lymphatic Metastasis
;
Neoplasm Metastasis*
;
Positron-Emission Tomography
;
Retrospective Studies
;
Tomography, X-Ray Computed
2.Solid pseudopapillary tumor with hepatic metastasis.
Woo Seok NAM ; Yong Sung WON ; Dong Do YOU ; Jin Mo YANG ; Jee Han JUNG
Journal of the Korean Surgical Society 2011;81(Suppl 1):S55-S58
Solid pseudopapillary tumor of the pancreas is a rare tumor that affects young females with low malignant potential and good prognosis with more than 90% survival at 5 years. Metastasis is very rare. We report the case of a 74-year-old female who had pancreatic solid-pseudopapillary tumor and synchronous hepatic metastasis.
Aged
;
Female
;
Humans
;
Neoplasm Metastasis
;
Pancreas
;
Pancreatic Neoplasms
;
Prognosis
3.A new Technique of Posterior Closing Apical Correctional Osteotomy of the Thoracic of Lumbar Spine: A Report of Three Cases
Chung Nam KANG ; Jin Man WANG ; Kwon Jae ROH ; Yeo Hon YUN ; Do Yearn CHO
The Journal of the Korean Orthopaedic Association 1994;29(2):503-510
Kyphotic deformity of thoracic or lumbar spine is generally developed as a consequence of Scheuerman's kyphosis, ankylosing spondylitis, congenital kyphosis, tuberculous kyphosis, spinal tumor, senile kyphosis, trauma and extensive laminectomy etc. The method of treatment is usually conservative. However, in severe kyphosis, gross abnormaility and neurologic complications, and the compression of cardiopulmonary system are resulted and then surgery may be indicated. Since the report of spinal osteotomy by Smith-Peterson, several treatment options have been reported. Despite improved techniques for treating spinal kyphotic deformities, correction of severe and acutely angled deformities are less effective and resulting many complications. We propose the use of a new method of posterior closing spinal osteotomy for the treatment of severe and acutely angled kyphotic deformity to minimize the complications and for effective correction. We report the technique and results of this method in two cases of tuberculous kyphosis and a case of ankylosing spondylitis.
Congenital Abnormalities
;
Kyphosis
;
Laminectomy
;
Methods
;
Osteotomy
;
Spine
;
Spondylitis, Ankylosing
4.A Case of Congenital Lobar Emphysema.
Dong Hwan OH ; Eun Sil SHIN ; Jin Guk KIM ; In Hoon LEE ; Byung Do NAM ; Pil Jo CHOI
Journal of the Korean Society of Neonatology 1998;5(1):67-71
Congenital lobar emphysema has the clinical features of an air block' syndrome with- out the evidence of pulmonary infection or intrabronchial foreign body. The hyperinflated lung causes a compression of uninvolved lobes creating respiratory distress, cyanosis within the first weeks of life. We experienced a case of congenital lobar emphysema diagnosed incidentally by chest reontgenogram in an infant with frequent upper respiratory infection within a few weeks of life. Chest X-ray revealed extensive emphysematous changes in the left upper lobe, shifting of heart and medistinum to the right and compression of the right lung. Respiratory distress, cyanosis and chest wall retraction ensued and left upper lobe Lobectomy was performed successfully.
Cyanosis
;
Emphysema*
;
Foreign Bodies
;
Heart
;
Humans
;
Infant
;
Lung
;
Thoracic Wall
;
Thorax
5.A Case of Lupus Vulgaris Diagnosed with Interferon-gamma Release Assay.
Do Hun KIM ; Nam Hee SUNG ; Sang Yun JIN ; Hyoseung SHIN ; Ai Young LEE ; Seung Ho LEE
Korean Journal of Dermatology 2014;52(4):279-281
No abstract available.
Interferon-gamma Release Tests*
;
Lupus Vulgaris*
6.Survey on the Visual Impairments and Ocular Health Status in Urban School Students.
Jae Chan KIM ; Do Seok BYUN ; Tae Jin KIM ; Nam Ju MOON ; Han Nam YANG ; Bon Sool KOO
Journal of the Korean Ophthalmological Society 1987;28(3):503-508
As a partial effort of the survey in the National Plan for the Eye Health, the analysis of the visual impairment mainly refractive errors among 4,004 School Children in Seoul(1986) with the ancilliary questionnaire on various conditions was attempted. The number of the student with subnormal vision(0.7 or less) was 1,552(38.8 %), and this rate was increased with the higher school grade. Of the 2,551 eyes with subnormal vision(0.7 or less), the confirmed refractive errors consisted of myopia 2,170(78.7%), hyperopia 237(8.6%), and mixed astigmatism 144(5.2%) eyes. The number of glasses wearer among the students of vision 0.5 or below(1,129) was 770(63.2%), of which the under-corrected cases 380(49.3%) weregreater in number with the over corrected cases. The causes of not-wearing glasses in the students who belonged to the vision 0.5 or below indicated in prominence of numbers of 1) no complaints without glasses in 172(42.0%), 2) unwareness of the visual impairment in 77(20.0%), and 3) annoyance to wearing glasses in 51(13.4%), rather than economical reasons in 12(3.1%). The amblyopic components were estimated among 129 cases(3.2%) in combination of refractive errors. Further program to supply the glasses with appropriated prescription and the details on the practical aspects of related elements would be discussed.
Astigmatism
;
Child
;
Eyeglasses
;
Glass
;
Humans
;
Hyperopia
;
Myopia
;
Prescriptions
;
Surveys and Questionnaires
;
Refractive Errors
;
Vision Disorders*
7.Clinical Features and Prognosis of Lung Cancer with Brain Metastasis.
Kyung Eun LEE ; Eun Mi NAM ; He Jin LEE ; Seung Hyun NAM ; Do Yeun KIM ; Seock Ah IM ; Chu Myung SEONG ; Soon Nam LEE ; Kyung Ja LEE
Cancer Research and Treatment 2001;33(3):250-255
PURPOSE: Brain metastasis is estimated to occur in 20~40% of solid tumor patients and the most common primary tumor is lung cancer. Even though the prognosis of brain metastasis is grave and the 1-year survival rate is only 15%, symptom palliations are made with whole brain radiation therapy. We retrospectively evaluated the clinical features and prognostic factors of lung cancer with brain metastasis. MATERIALS AND METHODS: From January 1987 to October 1999, 50 lung cancer patients with brain metastasis underwent whole brain radiation therapy. We reviewed the improvement in neurologic symptoms and survival according to the following parameters; performance status, histological type, presence of brain metastasis at the initial diagnosis of lung cancer, presence of extracranial metastasis, multiplicity of brain lesion, presence of primary lung symptom and treatment modalities. RESULTS: The most frequent symptom with brain metastasis was a headache (50%). Palliation of the headache and other symptoms was achieved in 81% of the patients. Median overall survival after brain metastasis was 21 weeks and the 1 year survival rate was 15%. Patients without extracranial metastasis had a longer median survival than those with, 38 weeks versus 15 weeks, respectively (p=0.01). CONCLUSION: In lung cancer with brain metastasis, neurologic symptoms can be palliated with whole brain radiation therapy, and in this study among such patients, absence of extracranial metastasis can be a good prognostic factor.
Brain*
;
Diagnosis
;
Headache
;
Humans
;
Lung Neoplasms*
;
Lung*
;
Neoplasm Metastasis*
;
Neurologic Manifestations
;
Prognosis*
;
Retrospective Studies
;
Survival Rate
8.Relationship between the Echocardiographic Epicardial Adipose Tissue Thickness and Serum Adiponectin in Patients with Angina.
Kyeong Ho YUN ; Sang Jae RHEE ; Nam Jin YOO ; Seok Kyu OH ; Nam Ho KIM ; Jin Won JEONG ; Do Sim PARK ; Hyun Young PARK
Journal of Cardiovascular Ultrasound 2009;17(4):121-126
BACKGROUND: It is still unknown whether increased cardiac adiposity is related to the risk factors of coronary artery disease (CAD). We measured epicaridal adopose tissue (EAT) and mediastinal adipose tissue (MAT) using echocardiography and examined their correlations with CAD and serum adiponectin. METHODS: One hundred fifty three patients who underwent elective coronary angiography for chest pain were measured cardiac adiposity by transthoracic echocardiography. The correlations of cardiac adipose tissue with the presence and severity of CAD and the serum adiponectin level were examined. RESULTS: EAT was thicker in patients with CAD (1.8+/-1.4 vs. 3.8+/-1.9 mm, p<0.001), but MAT was not different according to the presence of CAD (2.9+/-2.8 vs. 3.5+/-2.5 mm, p=0.121). EAT showed a significant positive correlation with age (r=0.225, p=0.005), homocystein (r=0.289, p=0.001), fasting glucose (r=0.167, p=0.042), and fibrinogen (r=0.218, p=0.009), and a significant negative correlation with serum adiponectin (r=-0.194, p=0.016). EAT thickness (OR 11.53, 95% CI; 3.61-36.84, p<0.001) and low serum adiponectin (OR 2.88, 95% CI; 1.02-8.15, p=0.046) were independent predictors of obstructive CAD. However, MAT thickness was not associated with CAD. CONCLUSION: EAT was associated with the severity and risk factors of CAD and correlated with serum adiponectin level. In contrast with EAT, MAT was not associated with CAD and adiponectin.
Adiponectin
;
Adipose Tissue
;
Adiposity
;
Chest Pain
;
Coronary Angiography
;
Coronary Artery Disease
;
Echocardiography
;
Fasting
;
Fibrinogen
;
Glucose
;
Humans
;
Pericardium
;
Risk Factors
9.A Case of Type II Ehlers-Danlos Syndrome.
Dong Hwan OH ; Jin Kuk KIM ; Beuyng Do NAM ; Ju Eun LEE ; Je Hong PARK
Journal of the Korean Pediatric Society 1999;42(2):268-273
Ehlers-Danlos syndrome represents a group of inherited connective tissue disorders characterized by varying degrees of joint laxity, skin fragility and hyperextensibility, and a bleeding tendency. The essential defect is a quantitative deficiency of collagen. At present, 10 clinical forms have been recognized on the basis of extent and severity of the principal features, in combination with other abnormalities and the likely mode of inheritance. Type II Ehlers-Danlos syndrome is characterized by mild skin and joint manifestations, the latter limited to hands and feet, and inherited as an autosomal dominant pattern. We experienced a case of type II Ehlers-Danlos syndrome in 9-year-old girl with easy bruisability, skin hyperelasticity, thin, atrophic and a shiny scar, the so-called cigarette-paper scar on anterior side of lower extremities, and joint hypermobility limited to hand and feet. The diagnosis was made by characteristic clinical features and skin biopsy findings. A brief review of related literature was made.
Biopsy
;
Child
;
Cicatrix
;
Collagen
;
Connective Tissue
;
Diagnosis
;
Ehlers-Danlos Syndrome*
;
Female
;
Foot
;
Hand
;
Hemorrhage
;
Humans
;
Joint Instability
;
Joints
;
Lower Extremity
;
Skin
;
Wills
10.Prevalence of Autoimmune Thyroid Disease and Correlation Between Thyroid Autoantibody and Acetylcholine Receptor Antibody in Myasthenia Gravis Patients.
In Kyu LEE ; Sung Rae CHO ; Chan Kyu PARK ; Sung Jin NAM ; Choo Sung KIM ; Seung Yub HAN ; Jung Geun LIM ; Sang Do LEE ; Young Chun PARK
Journal of Korean Society of Endocrinology 1997;12(4):550-556
BACKGROUND: There were several reports that thyroid autoimrnune disease commonly found in myasthenia gravis patients. We performed this study to determine the prevalence of thyroid autoimmune disease as well as analyze correlation between acetylcholine receptor antibody and various thyroid autoantibadies among the myasthenia gravis patients in Korea. METHOD: The patient group, 48 patients, diagnosed as myasthenia gravis from January 1985 to December 1995 at the department of Neurology, Internal medicine at Dongsan Medical Center was compaired to the control group, 40 patients, with no age and sex difference from the patient group. The samples were collected from both group for the measure of the values of acetylcholine receptor antibody, thyroid autoantibody and thyroid hormones. RESULT: 1) The values of acetylcholine receptor antibody in myasthenia gravis group and control group were 5.78+-0.7nM and 0.05+-0.06nM respectively. Of 48 patients with myasthenia gravis, 38 patients have been measured acetylcholine receptor antibody value > 0.5nM, Their mean average value was 7.24+-0.66nM. 2) The severe myasthenia gravis group with value of acetylcholine receptor antibody 0.5nM and severe myasthenia gravis group with value of acetylcholine receptor antibody 0.5nM showed thyroglobulin antibody value of 159.6+-79.91IU/mL versus 56.86+-32.99IU/mL. also thyroid microsomal antibody value showed 159.0+-79.9IU/mL and 23.633+-0.19IU/mL respectively. 3) Of 48 myasthenia gravis patients, 12 patients (24%) had high value of antithyroglobulin antibody or anti-microsomal antibody and 5 patients (10%) had both antibodies at the same times. In contrast, only 3 patients (8%) were observed with high value of either one of antibodies. Patient with both antibodies was not observed in normal control group. CONCLUSION: According to the datas we have obtained, appearence of the thyroid autoantibody is significantly greater in severe myasthenia gravis group than normal control group. Therefore it is suggested that the prevalence of thyroid autoimmune disease is higher in severe myasthenia gravis group than mild myasthenia gravis group or normal control group.
Acetylcholine*
;
Antibodies
;
Autoimmune Diseases
;
Humans
;
Internal Medicine
;
Korea
;
Myasthenia Gravis*
;
Neurology
;
Prevalence*
;
Sex Characteristics
;
Thyroglobulin
;
Thyroid Diseases*
;
Thyroid Gland*
;
Thyroid Hormones