A clinical observation was made on 121 cases of urinary tract tuberculosis in the Department of Urology Hanyang University Hospital during the 8 year period from May, 1972 to April, 1980. The following results were obtained: 1. The incidence of urinary tract tuberculosis was 5.7% of total in-patients and the proportion of male to female was 1.7:1. 2. 34.4% were affected in the right kidney, 34.2% in the left and 31.4% in both. 3. Age and sex distribution showed that 33.9% were from 20 to 29 years old, 27.3% from 30 to 39 and 17.4% from 40 to 49. Regarding the sex, 76 cases (62.8%) were male and 45 cases (37.2%) were female. 4. Initial symptoms were mostly those of vesical irritable symptoms and hematuria (25.6%). 5. From past history 17.4% had pulmonary tuberculosis or pleurisy, 4.1% had tuberculous epididymitis, and 2.5% bone tuberculosis. 6. 25.6% of the cases visited the hospital within 1 month to 6 months after the onset of symptoms. 7. Other presenting active tuberculous lesions were pulmonary (14 cases), bony (3 cases) and lymphatic (1 case). 8. Ordinary urine cultures revealed mixed infection in 12 cases (15.2%), 4 cases of these 12 cases also had E. coli (5.1%). 9. A.F.B. was found in 67.5%. The total of all negative cases by the staining and culture method was 18.2%. 10. On cystoscopic findings 29 of 85 cases (34.1%) revealed a contracted bladder, but 5 cases (5.9%) showed normal finding. 11. Excretory urography showed calyceopelvic dilatation in 20.7% of cases, non-visualization in 19.3%, hydroureteronephrosis in 14.5%, contracted bladder in 12.4%, calcification in 7.6% and most cases had multiple changes in the kidneys. 12. Urographic findings based on the Lattimer classification showed far advanced tuberculous lesions in almost all cases. 13. Operative procedures were simple nephrectomy in 32 cases (69.6%), ureteroneocystostomy in 6.5% and ileocystoplasty with ureteroneocystostomy in 4.3% of 46 cases.
Adult ; Classification ; Coinfection ; Dilatation ; Epididymitis ; Female ; Hematuria ; Humans ; Incidence ; Kidney ; Male ; Nephrectomy ; Pleurisy ; Sex Distribution ; Surgical Procedures, Operative ; Tuberculosis* ; Tuberculosis, Osteoarticular ; Tuberculosis, Pulmonary ; Urinary Bladder ; Urinary Tract* ; Urography ; Urology

No abstract available.
Guillain-Barre Syndrome* ; Recurrence*

PURPOSE: To determine whether the compression technique is a valuable additional method for differentiating between benign and malignant breast masses. MATERIALS AND METHODS: The ultrasonographic findings of 95 benign and 53 malignant masses, all pathologically proven, were prospectively analyzed with regard to five diagnostic criteria: shape (regular/irregular), retrotumoral acoustic phenomena (posterior enhancement/posterior attenuation), internal echo pattern (homogeneous/inhomogeneous), compression effect on shape (distortion/no change), and compression effect on internal echo pattern (more homogeneous/no change). RESULTS: The number of cases of benign and malignant masses, respectively, was as follows: regular / irregular shape: 84/11, 9/44; posterior acoustic enhancement/posterior attenuation: 82/13, 16/37; homogeneous/inhomogeneous internal echo pattern: 78/17, 14/39; distortion/no change in shpae: 76/19, 5/48; and more homogeneous/ no change in internal echo pattern: 71/24, 3/50. For all diagnostic criteria for the differentiation of benign and malignant masses, the differences were statistically significant (p<.05). CONCLUSION: Ultrasonography is helpful for differentiating between benign and malignant breast masses. The compression technique is a valuable additional diagnostic method.
Acoustics ; Breast* ; Prospective Studies ; Ultrasonography*

Sixty-two patients with primary liver cancer were treated by surgical resection during a period of 10 years. There were 41 hepatocellular carcinomas, 19 cholangiocellular carcinomas, one mixed hepatocellular and cholangiocellular carcinoma, and one hepatoblastoma. Liver cirrhosis and positive hepatitis B surface antigen were noted in 78.0% and 75.7%, respectively, of the patients with hepatocellular carcinomas. In cholangiocellular carcinomas, clonorchiasis and hepatolithiasis were common associated diseases. The tumor was larger than 5 cm in 61.3% of the patients, and was multiple in 21.0%. Multiplicity of the tumor was more common in hepatocellular carcinomas, and regional lymph node metastases were present in 47.4% of the cholangiocellular carcinomas. The types of surgical procedures were a trisegmentectomy in one patient, an extended lobectomy in four, a lobectomy in 24, a segmentectomy in 12, a subsegmentectomy in 11, and a partial resection in 10. A curative resection with a negative resection margin was obtained in 75.8% of the patients. Operative morbidity developed in 29 patients (46.8%), and pulmonary problems, wound infection, and intra-abdominal abscess were common complications. The operative mortality was 3.2% (two out of 62 patients). The overall cumulative 5-year survival rate was 24.6%, and the median survival time was 14.0 months. The cumulative 5-year survival rate for hepatocellular carcinomas and cholangiocellular carcinomas were 28.2% and 20.0%, respectively. The presence of capsule formation, the absence of vascular invasion, a tumor-free resection margin, and the absence of associated liver cirrhosis were favorable prognostic factors. In patients with hepatocellular carcinomas, a high level of serum alpa -fetoprotein and a large tumor (over 5 cm) were significantly related to a shorter survival time.
Abdominal Abscess ; Carcinoma, Hepatocellular ; Cholangiocarcinoma ; Clonorchiasis ; Hepatectomy ; Hepatitis B Surface Antigens ; Hepatoblastoma ; Humans ; Liver Cirrhosis ; Liver Neoplasms* ; Liver* ; Lymph Nodes ; Mastectomy, Segmental ; Mortality ; Neoplasm Metastasis ; Survival Rate ; Wound Infection

Henoch-Sch nlein purpura(HSP) occurs frequently in childhood and is a few occurrence in adults. The occurrence of nephrotic syndrome is rare in HSP patients and the association of renal disease with HSP is very important to prospect longterm clinical outcome. The causes of HSP have been diversely reported such as foods, drugs, sensitivity to infections, vaccination, insect bite, cold exposure etc and recently immune complex is studing as representative cause of HSP, but nothing is verified of definite mechanism of HSP until now. The occurrence of HSP associated with cancer has been rarely reported in the literature but there is no report in Korea. The patient was 31 year-old woman with stomach cancer who was operated in our hospital. 5 months after operation of stomach cancer, the massive proteinuria, generalized edema were developed and thereafter abdominal pain, generalized purpuric lesion on extremities were also occurred. We have done kidney biopsy and biopsy findings were compatible with HSP pathologically. After administration of prednisolone, spontaneous bacterial peritonitis was occurred suddenly, patient was recovered after ceasation of administration of prednisolone and proper antibiotic therapy but patient died of cachexia 3 months after diagnosis of HSP. We report a case of HSP presenting as nephrotic syndrome in patient with stomach cancer and complicated with spontaneous bacterial peritonitis.
Abdominal Pain ; Adult ; Antigen-Antibody Complex ; Biopsy ; Cachexia ; Diagnosis ; Edema ; Extremities ; Female ; Humans ; Insect Bites and Stings ; Kidney ; Korea ; Nephrotic Syndrome* ; Peritonitis* ; Prednisolone ; Proteinuria ; Purpura* ; Stomach Neoplasms* ; Stomach* ; Vaccination

Anomalous unilateral single pulmonary vein is a rare abnormality of the pulmonary venous system characterized by a tortuous pulmonary venous confluence which never crosses the diaphragm and drains all arterialized blood from a lung to the left atrium, into which it normally flows. Cardiac and pulmonary anomalies are not associated. We report a case in which this condition was comfirmed by the findings of chest radiography, computed tomography, and magnetic resonance angiography.
Diaphragm ; Heart Atria ; Lung ; Magnetic Resonance Angiography ; Pulmonary Veins* ; Radiography ; Thorax

OBJECTIVE: To determine the effects of respiration on the size of lung cysts by comparing inspiratory and expiratory high-resolution CT (HRCT) scans. MATERIALS AND METHODS: The authors evaluated the size of cystic lesions, as seen on paired inspiratory and expiratory HRCT scans, in 54 patients with Langerhans cell histiocytosis (n = 3), pulmonary lymphangiomyomatosis (n = 4),confluent centrilobular emphysema (n = 9), paraseptal emphysema and bullae (n= 16), cystic bronchiectasis (n = 13), and honeycombing (n = 9). Using paired inspiratory and expiratory HRCT scans obtained at the corresponding anatomic level, a total of 270 cystic lesions were selected simultaneously on the basis of five lesions per lung disease. Changes in lung cyst size observed during respiration were assessed by two radiologists. In a limited number of cases (n = 11), pathologic specimens were obtained by open lung biopsy or lobectomy. RESULTS: All cystic lesions in patients with Langerhans cell histiocytosis, lymphangiomyomatosis, cystic bronchiectasis, honeycombing, and confluent centrilobular emphysema became smaller on expiration, but in two cases of paraseptal emphysema and bullae there was no change. CONCLUSION: In cases in which expiratory CT scans indicate that cysts have become smaller, cystic lesions may communicate with the airways. To determine whether, for cysts and cystic lesions, this connection does in fact exist, paired inspiratory and expiratory HRCT scans are necessary.
Comparative Study ; Cysts/*radiography ; Female ; Human ; Lung Diseases/*radiography ; Lung Diseases, Interstitial/radiography ; Male ; Middle Age ; Pulmonary Emphysema/radiography ; Respiration ; Support, Non-U.S. Gov't ; Tomography, X-Ray Computed/*methods

OBJECTIVE: To determine the effects of respiration on the size of lung cysts by comparing inspiratory and expiratory high-resolution CT (HRCT) scans. MATERIALS AND METHODS: The authors evaluated the size of cystic lesions, as seen on paired inspiratory and expiratory HRCT scans, in 54 patients with Langerhans cell histiocytosis (n = 3), pulmonary lymphangiomyomatosis (n = 4),confluent centrilobular emphysema (n = 9), paraseptal emphysema and bullae (n= 16), cystic bronchiectasis (n = 13), and honeycombing (n = 9). Using paired inspiratory and expiratory HRCT scans obtained at the corresponding anatomic level, a total of 270 cystic lesions were selected simultaneously on the basis of five lesions per lung disease. Changes in lung cyst size observed during respiration were assessed by two radiologists. In a limited number of cases (n = 11), pathologic specimens were obtained by open lung biopsy or lobectomy. RESULTS: All cystic lesions in patients with Langerhans cell histiocytosis, lymphangiomyomatosis, cystic bronchiectasis, honeycombing, and confluent centrilobular emphysema became smaller on expiration, but in two cases of paraseptal emphysema and bullae there was no change. CONCLUSION: In cases in which expiratory CT scans indicate that cysts have become smaller, cystic lesions may communicate with the airways. To determine whether, for cysts and cystic lesions, this connection does in fact exist, paired inspiratory and expiratory HRCT scans are necessary.
Comparative Study ; Cysts/*radiography ; Female ; Human ; Lung Diseases/*radiography ; Lung Diseases, Interstitial/radiography ; Male ; Middle Age ; Pulmonary Emphysema/radiography ; Respiration ; Support, Non-U.S. Gov't ; Tomography, X-Ray Computed/*methods

We have experienced two cases of renal vessel malformation caused by congenitally, one is extrarenal artery aneurysm with hypertension and the other is intrarenal arteriovenous fistula. We report two cases of renal vessel malformation and the literature has been reviewed.
Aneurysm ; Arteries ; Arteriovenous Fistula ; Hypertension

PURPOSE: To evaluate factors related to the recurrence of TCC(transitional cell carcinoma) in the urinarybladder after transurethral resection of bladder tumor(TUR-BT). MATERIALS AND METHODS: We retrospectivelyreviewed 54 patients in whom TCC(transitional cell carcinoma) after TUR-BT had been confirmed. Recurrence wasevaluated by US, CT, cystoscopy and urine smear during the follow-up period of 6 months. The multiplicity, shape,size, and calcification of TCC, as revealed by radiologic studies, were evaluated retrospectively before TUR-BT.After TUR-BT, the histologic grade and pathologic stage of TCC were evaluated. RESULTS: According to themultiplicity of TCC, the recurrence rate was 66.7% in the multiple type and 28.6% in the single type(p=0.039) ;according to shape, this rate was 61.5% in the sessile type and 29.3% in the pedunculated type(p=0.0505), andaccording to mass size, the rate was 41.7% in tumors more than 3cm in diameter and 35.7% in tumors less than3cm(p=0.706). In the presence of calcification, the recurrence rate was 40.0% and in its absence, this rate was36.7%(p=0.885). Pathologically, the higher the grade and stage of TCC, the higher the recurrence rate(respectivelyp=0.010 and 0.041). CONCLUSIONS: Radiologically, multiple and/or sessile type TCC had a higher recurrence ratethan the single and/or pedunculated type. Pathologically, when the grade and stage of bladder tumor were higher,recurrence rates were higher.
Carcinoma, Transitional Cell* ; Cystoscopy ; Follow-Up Studies ; Humans ; Recurrence* ; Retrospective Studies ; Urinary Bladder Neoplasms ; Urinary Bladder*