1.Electroencephalography, brain CT and evoked potentials in cerebral palsy.
Chang Il PARK ; Eun Sook PARK ; Shin Young YIM ; Jung Soon SHIN ; Mi Ryeong JIN ; Dong Sik PARK
Journal of the Korean Academy of Rehabilitation Medicine 1992;16(3):230-238
No abstract available.
Brain*
;
Cerebral Palsy*
;
Electroencephalography*
;
Evoked Potentials*
2.Hurthle Cell Tumor of the Thyroid Gland in an Infant: A case report.
Kyoung Ho KIM ; Mi Kyung LEE ; Dong Hwan SHIN ; Tae Seung KIM ; Eui Ho HWANG
Korean Journal of Pathology 1989;23(4):476-481
Hurthle cell tumors are an infrequent neoplasm of the thyroid gland in adults. Hurthle cell tumors represent 4. 5% to 10% of all primary thyroid epithelial neoplasms in the foreign literature. It has been known as Hurthle cell tumor since Ewing was the first to use this term in 1928. Tumor occurring in an infant was described by Symmers(1941) and Morrow(1945). The authors experienced a case of congenital Hurthle cell tumor of the thyroid gland in a 2 months old boy. He was admitted to the pediatric surgical department because of a growing mass in the neck since birth. Ultrasonogram showed a huge lobulated homogenous solid mass with medium level echogenicity in the region of the thyroid gland. Subtotal thyroidectomy of right lobe and total thyroidectomy of left lobe were done. The specimen measures 2x3x1.5 cm and 7x3x3 cm, respectively. It was an encapsulated, yellow gray firm and solid mass. The cut surface was smooth, glistening and homogenous. Microscopicully, the tumor was composed of tightly packed regular follicles lined by polyhedral, cuboidal, large cells with a granular acidophilic cytoplasms. The nuclei are vesicular, usually only a little bit larger than those of normal thyroid cells.
Infant
;
Adult
;
Male
;
Female
;
Humans
3.Extrapleural Solitary Fibrous Tumor A clinical & pathological study of 8 cases.
Mi Kyung LEE ; Dong Hwan SHIN ; Min Sun CHO ; Yuon Mee KIM ; Jin KIM
Korean Journal of Pathology 1999;33(2):108-114
We reviewed eight solitary fibrous tumors occurring at sites other than pleura (three orbit, two retroperitoneum, one each hard palate, thyroid, and tongue) which shared the histologic and immunohistochemical features of solitary fibrous tumors of pleura. Six patients were women, and two were men, aged from 26 to 74 years. The tumors ranging from 1.5 to 19 cm in diameter presented as well-circumscribed, unencapsulated, soft to rubbery tissue masses. Histologically they were characterized by a proliferation of spindle or ovoid cells intervened by a dense bundles of collagen. A variety of growth patterns was identified but the so-called patternless pattern was the predominant one. One tumor exhibited highly cellular sarcomatous areas with extensive necrosis, which was diagnosed as malignant solitary fibrous tumor. Immunohistochemical studies showed that all of the tumors were strongly positive for both CD34 and vimentin, but negative for cytokeratin, S-100 protein, EMA, and desmin. One case examined ultrastructurally showed features of fibroblast. All but one showed no evidence of recurrence or metastasis over follow-up period of 14 to 32 months. We conclude that extrapleural solitary fibrous tumors represent a distinct mesenchymal tumor with variable histologic features and should be differentiated from other spindle cell mesenchymal tumors.
Collagen
;
Desmin
;
Female
;
Fibroblasts
;
Follow-Up Studies
;
Humans
;
Keratins
;
Male
;
Necrosis
;
Neoplasm Metastasis
;
Orbit
;
Palate, Hard
;
Pleura
;
Recurrence
;
S100 Proteins
;
Solitary Fibrous Tumors*
;
Thyroid Gland
;
Vimentin
4.Anesthetic Management of the Patient with Paraneoplastic Pemphigus: A case report.
Dong Chul LEE ; Sang Gun HAN ; Ki Young LEE ; Mi Young CHOI ; Yang Sik SHIN
Korean Journal of Anesthesiology 1997;33(2):385-389
Paraneoplastic pemphigus is a distinct and rare autoimmune disease characterized by extensive and painful mucosal ulcerations and polymorphic desquamated skin lesions in the setting of an underlying neoplasm, typically of lymphoreticular origin. Thus difficulties in the management of anesthesia can be expected. A 66-years-old man was scheduled for removal of intraabdominal sarcoma associated with paraneoplastic pemphigus. Physical examination showed multiple erythematous bullae, crusts, plaques and target-like lesions on the whole body and desquamated erythematous skin lesions on the back and extremities. In the operating room, his right femoral artery was cannulated with a 20 G, 12.7 cm CVP catheter and left femoral and subclavian veins with 14 G, 20 cm CVP catheters, respectively. After application of 4 % lidocaine spray, his oropharynx and supraglottic area were evaluated under direct laryngoscopy and revealed multiple ulcerations on oral mucosa, but no distinct lesion on supraglottic area. Anesthesia was induced by rapid-sequence method with fentanyl, thiopental sodium and succinylcholine followed by endotracheal intubation. The endotracheal tube was held by a roll gauze around the neck and its cuff was minimally inflated to avoid overpressure against his tracheal wall. After the end of surgery, his oral cavity was suctioned with no remarkable bleeding, and tracheal wall including cuff-contacted area was evaluated under fiberoptic bronchoscopy, revealed intact wall without any bulla or ulceration. The patient was transferred to intensive care unit for proper postoperative management after extubation of endotracheal tube.
Anesthesia
;
Autoimmune Diseases
;
Bronchoscopy
;
Catheters
;
Extremities
;
Femoral Artery
;
Fentanyl
;
Hemorrhage
;
Humans
;
Intensive Care Units
;
Intubation, Intratracheal
;
Laryngoscopy
;
Lidocaine
;
Mouth
;
Mouth Mucosa
;
Neck
;
Operating Rooms
;
Oropharynx
;
Pemphigus*
;
Physical Examination
;
Sarcoma
;
Skin
;
Subclavian Vein
;
Succinylcholine
;
Suction
;
Thiopental
;
Ulcer
5.A case of thanatophoric dysplasia.
Bum Seung PARK ; So Mi YOO ; Tae Woong KIM ; Young Kwan SHIN ; Dong Jin KIM
Korean Journal of Obstetrics and Gynecology 1993;36(7):2383-2388
No abstract available.
Thanatophoric Dysplasia*
6.A case of thanatophoric dysplasia.
Bum Seung PARK ; So Mi YOO ; Tae Woong KIM ; Young Kwan SHIN ; Dong Jin KIM
Korean Journal of Obstetrics and Gynecology 1993;36(7):2383-2388
No abstract available.
Thanatophoric Dysplasia*
7.The Assessment of Acquired Dyschromatopsia among Organic-Solvents Exposed Workers.
Mi Jung KANG ; Su Hee KANG ; Suk Kwon SUH ; Dong Hoon SHIN ; Jong Young LEE
Korean Journal of Preventive Medicine 1996;29(3):529-538
We investigated the occurrence of color vision loss in 70 organic solvent mixtures exposed workers and in 47 controls. Color Vision was assessed with a color arrangement test designed to identify the defective color sense, the Han Double 15-Hue Test. The results of the test were no significant difference between exposed workers and controls in the proportion of subjects who committed one or two errors. Quantitative analysis, using color confusion index(CCI), showed no signifiant difference between exposed workers and controls. A significant linear correlation was present between age and CCI in both exposed workers(CCi=0.0056age + 0.94; r=0.23; p<0.05) and controls(CCI=0.0066age + 0.86; r=0.33; p<0.05). Qualitative analysis of the patterns on the hue circle showed that the prevalence of acquired dyschromatopsia was 21% in both and no significant difference. Multiple regression analyses showed that age was significantly related to color vision loss. These results did not provide evidence of a relationship between organic solvents exposure and incidence of color vision loss. In field studies for monitor the people at risk of the acquired color vision loss involving low-dose organic solvents exposed workers, both quantitative and qualitative information should be considered.
Color Vision
;
Incidence
;
Prevalence
;
Solvents
8.Oral Health-Related Quality of Life (OHQoL) and Related Factors among Elderly Women.
Journal of Korean Academy of Fundamental Nursing 2008;15(3):332-341
PURPOSE: The purpose of this study was to identify factors associated with oral health-related quality of life among elderly women living in the community. METHOD: The participants were 162 elderly women aged 65 and older who lived in D city. Descriptive statistics, ANOVA, Pearson correlation coefficients and stepwise multiple regression were used with SPSS/PC windows program to analyze the data. RESULTS: The major findings of this study are as follows: 1) there were statistical differences in OHQoL for spouse presence, educational level, monthly income, self-rated health, number of teeth and chronic disease, and types of denture. 2) OHQoL was positively related to age, number of chronic disease and nutrition. Also, OHQoL was negatively related to educational level, monthly income, number of teeth, and diet habit. 3) Significant factors influencing OHQoL were self-rated health and nutritional status. CONCLUSION: Based on these results, it is necessary to do further study on oral health of those who have 20 or more teeth. Oral health promotion programs focusing on prevention are necessary for elderly women in the high risk group.
Aged
;
Chronic Disease
;
Dentures
;
Female
;
Food Habits
;
Humans
;
Nutritional Status
;
Oral Health
;
Quality of Life
;
Spouses
;
Tooth
9.A Study of 3 Cases of Synovial Sarcoma by Immunohistochemical Stain and Electron Microscopy
Sang Ho HA ; Sang Hong LEE ; Dong Min SHIN ; Mi Sook LEE ; Ho Jong JEON
The Journal of the Korean Orthopaedic Association 1996;31(2):381-387
Synovial sarcoma is a distinct and generally recognized soft tissue tumor that it’s origin still raises controversy. The synovial origin of synovial sarcoma has not been determined despite the accepted terminology implying synovium as stem cell. Three cases of primary synovial sarcoma (2 fibrous monophasic, 1 biphasic type) were studied with a panel of antibodies against different types of cytokeratin and other markers (EMA, CEA, vimentin, S-100 protein, lysozyme, 1-antichymotrypsin). Spindle shaped-cell in monophasic synovial sarcoma showed reactivity for CK7 and pancytokeratin. Epithelial cells lining of glands in biphasic synovial sarcoma reactive for CK7, pancytokeratin, EMA, and focally CEA but spindle cells only positive for vimentin. By electron microscopy, fibrous monophasic synovial sarcoma showed pseudogland formation with intercellular junctions of paired subplasmalemmal destiny and discontinuous basal lamina. These results indicate that synovial sarcoma showes epithelial differentiation. We believe that synovial sarcoma arises in pluripotential connective tissue cells that is able to be differentiated into both mesenchymal and epithelial components. So, synovial sarcoma have been considered carcinosarcoma of soft tissues depending on the type of differentiation.
Antibodies
;
Basement Membrane
;
Carcinosarcoma
;
Connective Tissue Cells
;
Epithelial Cells
;
Immunohistochemistry
;
Intercellular Junctions
;
Keratins
;
Microscopy, Electron
;
Muramidase
;
S100 Proteins
;
Sarcoma, Synovial
;
Stem Cells
;
Synovial Membrane
;
Vimentin
10.A Case of Bilateral Macronodular Adrenocortical Hyperplasia
Yoon Sang CHOI ; Soo Mi KIM ; Shin Gon KIM ; Ie Byung PARK ; Sei Hyun BAIK ; Dong Seop CHOI ; Seung Woon RHA ; Dong Hyun SHIN
Journal of Korean Society of Endocrinology 1996;11(4):523-530
Cushing's syndrome associated with nodular adrenal glands will be divided into four main categories: adrenal adenoma, adrenal carcinoma, primary pigmented nodular adrenal dysplasia (PPNAD) and macronodular adrenal hyperplasia(MAH). The term macronodular adrenal hyperplasia is restricted to the presence of multiple nodules visible to the naked eye, ranging in size from 0.5 to 7.0 cm. We report a case of Cushings syndrome caused by bilateral macronodular adrenal hyperplasia (MAH). A 45-year-old man presented with Cushingoid features, hypertension and diabetes mellitus. Urine free cortisol was 449.9 mmol/day(27-276) and were not suppressed after administration of low-dose and high-dose dexamethasone. Plasma ACTH was very low(1.87 pmol/L(18)) and was not stimulated by administration of ovine CRH. In abdominal CT, both adrenal glands were markedly enlarged and nodular in appearance. Pituitary MRI showed no abnormal finding. Bilateral adrenalectomy was done. Histologic examination revealed multiple nodules and internodular hyperplasia. This case and other reports suggested that because of variable biochemical, radiologic and pathologic findings, macronodular adrenal hyperplasia represents a heterogeneous group of patients with varying degrees of adrenal autonomy.
Adenoma
;
Adrenal Glands
;
Adrenalectomy
;
Adrenocorticotropic Hormone
;
Cushing Syndrome
;
Dexamethasone
;
Diabetes Mellitus
;
Humans
;
Hydrocortisone
;
Hyperplasia
;
Hypertension
;
Magnetic Resonance Imaging
;
Middle Aged
;
Plasma
;
Tomography, X-Ray Computed