For the purpose of the precise diagnosis and proper treatment planning of obstructive jaundice, various techniques to obtain tissues from biliary strictrue sites have been proposed. We performed perutaneous transcatheter biopsies of biliary strictrues with a biotome in six patients with obstructive jaundice. The sites of biliary stricture were distal common bile ducts (n=3), common hepatic duct (n=1), and confluence of both intrahepatic ducts (n=2). Their histologic diagnoses were adenocarcinoma (n=2), chronic choledochitis (n=3), and atypical cell suspicious of malignancy (n=1). False positive or false results were not documented by other means (including laparotomy),when regarding atypical cell suspicious of malignancy as true positive for malignancy. Percutaneous transcatheter biliary biopsy with biotome is easy to perform in conjunction with percutaneous transhepatic biliary drainage procedure, and can be able to obtain specific tissues for correct diagnosis.
Adenocarcinoma ; Biopsy* ; Common Bile Duct ; Constriction, Pathologic ; Diagnosis ; Drainage ; Hepatic Duct, Common ; Humans ; Jaundice, Obstructive

For the purpose of the precise diagnosis and proper treatment planning of obstructive jaundice, various techniques to obtain tissues from biliary strictrue sites have been proposed. We performed perutaneous transcatheter biopsies of biliary strictrues with a biotome in six patients with obstructive jaundice. The sites of biliary stricture were distal common bile ducts (n=3), common hepatic duct (n=1), and confluence of both intrahepatic ducts (n=2). Their histologic diagnoses were adenocarcinoma (n=2), chronic choledochitis (n=3), and atypical cell suspicious of malignancy (n=1). False positive or false results were not documented by other means (including laparotomy),when regarding atypical cell suspicious of malignancy as true positive for malignancy. Percutaneous transcatheter biliary biopsy with biotome is easy to perform in conjunction with percutaneous transhepatic biliary drainage procedure, and can be able to obtain specific tissues for correct diagnosis.
Adenocarcinoma ; Biopsy* ; Common Bile Duct ; Constriction, Pathologic ; Diagnosis ; Drainage ; Hepatic Duct, Common ; Humans ; Jaundice, Obstructive

A 48 years old male was visited with complaining of painful swelling of the left knee joint for 2 weeks duration. On radiological finding of the patella, there was found local rarefaction and osteolytic change in the inferior pole. It was diagnosed as Salmonella osteomyelitis of the patella and was confirmed by bacteriological study. Osteomyelitis of the patella caused by Salmonella group C as an etiological factor has not been reported. It was treated by conservative method with satisfactory result.
Humans ; Knee Joint ; Male ; Methods ; Osteomyelitis ; Patella ; Salmonella

No abstract available.
Child* ; Fever* ; Humans

No abstract available.
Arginine ; Growth Hormone* ; Growth Hormone-Releasing Hormone ; Somatostatin

No abstract available.
Humans

BACKGROUND: A worshipper lives a well-regulated life with rigid discipline. This study aims at measuring the stress level of the acarins (preliminary monks) using BEPSI-K (Brief Encounter Psychosocial Instrument-Korea) and finding out their stress management. METHODS: One hundred forty six male acarins and 111 female acarins who participated in an educational program at a local temple in Sep. 2001 are included in this survey. Using BEPSI-K, we asked them how they use their spare time, their stress management and physical symptoms. SPSS ver. 10.1, one-way ANOVA and independent t-test were used for statistical process. RESULTS: Average BEPSI-K score was high among the age group of 15-19 by age (P<0.05). In academic career, the lower the average BEPSI-K score, the higher in education (P<0.01). In physical symptoms, the average score of headache (P<0.05), epigastric soreness (P<0.05), fatigue (P<0.01), GI problem (P<0.01) were significantly high. Prayer, Zen meditation, bowing, sutras study, and sound a wooden gong were counted as the stress management, which were not significant. CONCLUSION: The stress level of the acarins was lower than normal population. The physical symptoms from stress were significant. Zen meditation and prayer were similar to meditation as the stress management. Further study for releasing stress is needed.
Education ; Fatigue ; Female ; Headache ; Humans ; Male ; Meditation ; Religion

No abstract available.
Neoplasm Metastasis* ; Neuroblastoma*

No abstract available.
Aging*

Brunner's gland adenoma(or Brunneroma) is clinically relevant tumor-like lesion of the duodenum which is composed of submucosal Brunner's gland tissue. Since the first case by autopsy was described by Cruveihier in l935, there have been less than 190 reports in the world literature, Brunner's gland adenoma is an extremely rare entity that accounts for only 10.6% of benign duodenal tumors, which are themselves relatively rare representing 0.008% of all surgical and autopsy specimens. The clinical manifestation of this tumor are non-specific gastrointestinal complaints, such as bloating or epigastric pain, and tumor often gives rise to melena or obstruction, It is postulated that this tumor are hamartomas rather than true neoplasm. However, they undergo rarely malignant transformation. We report on a case of a large pedunculated Brunner's gland adenoma, which was successfully polypectomized.
Adenoma* ; Autopsy ; Duodenum ; Hamartoma ; Melena