1.A case of leiomyosarcoma of the broad ligament.
Young Ho JEONG ; Dong Ho JEON ; Eu Sun RO ; Yong Pil KIM ; Sun Uk KWON
Korean Journal of Obstetrics and Gynecology 1991;34(8):1166-1172
No abstract available.
Broad Ligament*
;
Female
;
Leiomyosarcoma*
2.STA-MCA Anastomosis with Gradual Ligation of ICA in the Management of Aneurysm, Cavernous Portion.
Dong Pil JEONG ; Hyung Dong KIM ; Jae Hong SHIM
Journal of Korean Neurosurgical Society 1981;10(2):583-588
An aneurysm in the intracavernous portion was treated with EIAB and gradual ligation of ICA. Carotid ligation historically has been successful in controlling the mass effects from an aneurysm and in minimizing the risk of an acute, recurrent SAH. However, ICA ligation alone carries a higher risk, esp, ischemic complication. In an attempt to minimize these ischemic complications, EIAB procedure was added to the ICA ligation for the treatment of inoperable or inaccessible aneurysm.
Aneurysm*
;
Ligation*
3.A Case of Arnold-Chiari Malformation.
Keun Ho JEONG ; Il Nam SUNWOO ; Dong Ik KIM ; Pil Ja JO
Journal of the Korean Neurological Association 1985;3(1):116-120
This is a case report of Arnold-Chiari malformation. The patient is 34 years old male who is revealing slowly progressive walking difficulty, occipital headache, cerebellar signs and sensory symptoms. The CTMM findings are bilateral herniated tonsils behind cervical cord with compression on posterior margin of cord.
Adult
;
Arnold-Chiari Malformation*
;
Headache
;
Humans
;
Male
;
Palatine Tonsil
;
Walking
4.Prognosis of Recurrence after Complete Resection in Early-Stage Non-Small Cell Lung Cancer.
Pil Jo CHOI ; Sang Seok JEONG ; Sung Sil YOON
The Korean Journal of Thoracic and Cardiovascular Surgery 2013;46(6):449-456
BACKGROUND: Tumor recurrence is the most common cause of treatment failure, even after complete resection of early-stage non-small cell lung cancer (NSCLC). In this study, we investigated the prognosis of patients with early recurrence in order to identify independent risk factors related to early recurrence. METHODS: Between February 1995 and December 2012, 242 patients who underwent surgical resection for stage I NSCLC at Dong-A University Hospital were reviewed. The factors predicting overall survival (OS) and early recurrence were investigated. We also investigated the relationship between the patterns and period of recurrence and clinicopathological factors. RESULTS: For patients with stage IA and IB NSCLC, the 5-year OS rate was 75.7% and 57.3% (p=0.006), respectively. A multivariate Cox proportional hazards model demonstrated that gender (p=0.004), comorbidity number (p=0.038), resection type (p=0.002), and tumor size (p=0.022) were the statistically significant predictors of OS. Moreover, the multivariate analysis revealed that smoking history (p=0.023) and histologic grade (p=0.012) were the independent predictors of early recurrence. Additionally, only histologic grade (poor differentiation) was found to be significantly associated with a higher frequency of distant metastasis; there was no relationship between the patterns and period of recurrence and clinicopathological factors. CONCLUSION: The present study demonstrated that smoking history and histologic grade were independent prognostic factors for early recurrence within two years in patients with early-stage NSCLC. Patients with these predictive factors may be good candidates for adjuvant therapy.
Carcinoma, Non-Small-Cell Lung*
;
Comorbidity
;
Humans
;
Multivariate Analysis
;
Neoplasm Metastasis
;
Prognosis*
;
Proportional Hazards Models
;
Recurrence*
;
Risk Factors
;
Smoke
;
Smoking
;
Treatment Failure
5.Factors Affecting the Improvement of the Initial Peak Urinary Flow Rate after Transurethral Resection of the Prostate or Photoselective Vaporization of the Prostate for Treating Benign Prostatic Hyperplasia.
Hwa Sub CHOI ; Dong Jun KIM ; Dong Suk KIM ; Kyoung Pil JEON ; Tae Yoong JEONG
International Neurourology Journal 2011;15(1):35-40
PURPOSE: We evaluated the factors that affect the improvement of the initial peak flow rate after transurethral resection of the prostate (TURP) or photoselective vaporization of the prostate (PVP) for benign prostatic hyperplasia (BPH) patients by using noninvasive tools. METHODS: One hundred and twenty seven BPH patients who had undergone TURP or PVP between January 2005 and May 2009 were evaluated. They were divided into 2 groups: the postoperative initial peak urinary flow rate (Qmax) was less than 10 mL/sec (Group 1; n=37, TURP=11, PVP=26) and more than 10 mL/sec (Group 2; n=90, TURP=41, PVP=49). We confirmed the patients' preoperative check lists. The check list were the international prostate symptom score (IPSS), the quality of life score, a past history of acute urinary retention (AUR), body mass index and/or pyuria, the serum prostate-specific antigen (PSA) level and the prostate volume, the prostate transitional zone volume and prostatic calcification. The initial Qmax was measured at the outpatient clinic one week after discharge. RESULTS: The improvement rate was not significant difference between the TURP group (78.8%) and the PVP group (65.3%). The efficacy parameters were the IPSS-storage symptom score, the prostate volume, the PSA level and a past history of AUR. The IPSS-storage symptom scores of Group 1 (12.3+/-3.3) was higher than those of Group 2 (10.5+/-1.7). The prostate volume of Group 2 (42.3+/-16.6 g) was bigger than that of Group 1 (36.6+/-7.8 g). The PSA level of Group 2 (3.8+/-2.6 ng/mL) was higher than that of Group 1 (2.6+/-2.6 ng/mL). A past history of AUR in Group 1 (35.1%) was more prevalent than that of Group 2 (15.6%). CONCLUSIONS: The non-invasive factors affecting the initial Qmax after TURP or PVP were the IPSS-storage symptom score, the prostate volume and a past history of AUR. Accordingly, in patients who have a higher IPSS-storage symptom score, a smaller prostate volume and a history of AUR, there might be a detrimental effect on the initial Qmax after TURP or PVP. These factors might also be used as long-term prognostic factors.
Ambulatory Care Facilities
;
Body Mass Index
;
Humans
;
Laser Therapy
;
Prostate
;
Prostate-Specific Antigen
;
Prostatic Hyperplasia
;
Pyuria
;
Quality of Life
;
Transurethral Resection of Prostate
;
Urinary Retention
;
Volatilization
6.Angiographically Occult Arteriovenous Malformation Mimicking Brain Tumor: Case Report.
Seok Min CHOI ; Byung Kook MIN ; Jeong Taik KWON ; Jong Sik SUK
Journal of Korean Neurosurgical Society 2002;31(2):181-183
The authors report a case of angiographycally occult intracranial vascular malformation. The patient had huge calcified mass at left frontoparietal area. The preoperative diagnosis was a slowly growing benign tumor. The mass was very hard and so vascular malformation was not suspected even during the operation. Pathologic report revealed arteriovenous malformation.
Arteriovenous Malformations*
;
Brain Neoplasms*
;
Brain*
;
Diagnosis
;
Humans
;
Vascular Malformations
7.Studies of the Change of Antibody Titers after Vaccination of Haemophilus Influenzae PRP-T Conjugate Vaccine.
Pil Soon YANG ; Jeong Il SEO ; Kyu Tae NOH ; Jae Ho YOO ; Kwang Soo HWANG ; Kyu Geun HWANG
Journal of the Korean Pediatric Society 2002;45(8):987-993
PURPOSE: This study was carried out to survey the serum anti-PRP titers after the completion of a primary series with 3 doses of the PRP-T conjugate vaccine(ACT-HIBTM), to evaluate the necessity of booster vaccination. METHODS: One hundred twenty healthy infants who went for consultations at Moon Hwa hospital between December 1999 to May 2001 were vaccinated at two, four and six months after birth. The serum antibody levels were measured at 7-8 months and 19-20 months of age by the "Farr" type of radioimmunological method at Aventis Pasteur International in France. RESULTS: The geometric mean of Anti-PRP titers were 24.6 microgram/mL at 7-8 months and then fell to 2.10 microgram/mL at 19-20 months. Minimum Anti-PRP titer was 0.75 microgram/mL at 7-8 months, and 0.1 microgram/mL at 19-20 months. Maximum Anti- PRP titer was 99.2 microgram/mL at 7-8 months, and 9.1 microgram/mL at 19-20 months. Subjects of Anti-PRP titers more than 0.15 microgram/mL were 100% at 7-8 months, and 97.0% at 19-20 months, and subjects of Anti-PRP titers more than 1.0 microgram/mL were 98.3% at 7-8 months, and 61.6% at 19-20 months. CONCLUSION: The Anti-PRP titers at 7-8 months were very high but rapidly decreased at 19-20 months of age, so the necessity of booster vaccination could be considered in Korean children.
Child
;
France
;
Haemophilus influenzae*
;
Haemophilus*
;
Humans
;
Infant
;
Parturition
;
Referral and Consultation
;
Vaccination*
8.Treatment of Unruptured Intracranial Aneurysms in South Korea in 2006 : A Nationwide Multicenter Survey from the Korean Society of Cerebrovascular Surgery.
Jeong Eun KIM ; Dong Jun LIM ; Chang Ki HONG ; Sung Pil JOO ; Seok Mann YOON ; Bum Tae KIM
Journal of Korean Neurosurgical Society 2010;47(2):112-118
OBJECTIVE: There have been no clinical studies regarding the epidemiology and treatment outcome for unruptured intracranial aneurysm (UIA) in South Korea yet. Thus, The Korean Society of Cerebrovascular Surgery (KSCVS) decided to evaluate the clinical and epidemiological characteristics, and outcome of the treatment of UIA in 2006, using the nationwide multicenter survey in South Korea. METHODS: A total of 1,696 cases were enrolled retrospectively over one year at 48 hospitals. The following data were obtained from all patients : age, sex, presence of symptoms, location and size of the aneurysm, treatment modality, presence of risk factors for stroke, and the postoperative 30-day morbidity and mortality. RESULTS: The demographic data showed female predominance and peak age of seventh and sixth decades. Supraclinoid internal carotid artery was the most common site of aneurysms with a mean size of 5.6 mm. Eight-hundred-forty-six patients (49.9%) were treated with clipping, 824 (48.6%) with coiling, and 26 with combined method. The choice of the treatment modalities was related to hospital (p = 0.000), age (p = 0.000), presence of symptom (p = 0.003), and location of aneurysm (p = 0.000). The overall 30-day morbidity and mortality were 7.4% and 0.3%, respectively. The 30-day mortality was 0.4% for clipping and 0.2% for coiling, and morbidity was 8.4% for clipping and 6.3% for coiling. Age (p = 0.010), presence of symptoms (p = 0.034), size (p = 0.000) of aneurysm, and diabetes mellitus (p = 0.000) were significant prognostic factors, while treatment modality was not. CONCLUSION: This first nation-wide multicenter survey on UIAs demonstrates the epidemiological and clinical characteristics, outcome and the prognostic factors of the treatment of UIAs in South Korea. The 30-day postoperative outcome for UIAs seems to be reasonable morbidity and mortality in South Korea.
Aneurysm
;
Carotid Artery, Internal
;
Diabetes Mellitus
;
Female
;
Humans
;
Intracranial Aneurysm
;
Korea
;
Republic of Korea
;
Retrospective Studies
;
Risk Factors
;
Stroke
;
Treatment Outcome
9.Effect of Embryo Number and Incubation Volume on the Development of Pre- and Post-implantation Mouse Embryos In Vitro.
Byung Moon KANG ; Yong Pil CHEON ; Ji Young KIM ; Jeong Hee KIM ; Ji Yun LEE ; Hee Dong CHAE ; Chung Hoon KIM ; Yoon Seok CHANG ; Jung Eun MOK
Korean Journal of Fertility and Sterility 1997;24(3):377-383
The effects of embryo number and incubation volume on the development of mouse embryos were evaluated. The growth rate of two-cell mouse embryos to attached blastocyst stage and the growth rate of blastocysts to early somite stage were assessed after culture in different incubation volumes and embryo densities. Embryos were collected from ICR female mice superovulated with pregnant mare serum gonadotropin and human chorionic gonadotropin and mated by ICR males. In experiment 1, groups of one, five, ten, twenty 2-cell embryos were cultured in 10-, 50-, 500-, 1000-microliter drops of BWW media under mineral oil at 37 degrees C in a humidified atmosphere of 5% CO2 and 95% air. As the incubation volume decreased, significantly (p<0.05) higher rates of embryos reached morular and blastocyst stage on day 3 and 4 culture, respectively In experiment 2, groups of one, five, ten, twenty blastocysts were cultured in 1- and 2-ml volumes of CMRL 1066 media under same condition as in experiment 1. However the reverse was the result. Decreasing the number of embryos incubated per volume from 1 to 20 significantly (p<0.05) increased the number of blastocysts reaching the late egg cylinde. (LEC) and early somite (ES) stage on day 6 and 8 culture, respectively, regardless of incubation volume. Blastocysts cultured in 2ml had higher (p<0.05) development rates to LEC and ES stage on day 6 and 8 culture, respectively, than embryos cultured in 1ml. Our results suggest that the effects of embryo number and incubation volume on the development of mouse embryos are stage specific and the shifting point was between hatching and EEC stage.
Animals
;
Atmosphere
;
Blastocyst
;
Chorionic Gonadotropin
;
Embryonic Structures*
;
European Union
;
Female
;
Gonadotropins
;
Humans
;
Male
;
Mice*
;
Mineral Oil
;
Ovum
;
Somites
10.A Case of Aortic Dissection Ocurring in a Hypertensive Patient.
Chong Wook PARK ; Hyun Chul KWAK ; Hae Jin YOO ; Soon Hee PARK ; Dong Jun WON ; Jeong Sik PARK ; Gun Pil CHOI ; Hyo Jin LEE ; Soon Gil KIM
Korean Circulation Journal 1997;27(1):113-119
Primary aldosteronism is present in approximately 1% of unselectd hypertensive patients. Adrenal adenoma is a known as one of the surgically curable form of the hypertension. Hypertension is one of the contributing factors for the development of aortic dissection. Cincurrence of aortic dissection in patient with primary aldosteronism is extemely rare. Only one case wasconfirmed by autopsy and reported in the world literature. We report a case of DeBakey type 3 anortic aneursm in a 49-year old hypertensive female patient with primary aldosteronism due to left adrenal adenoma. She underwent left adrenalectomy uneventfully after stabilization of her blood pressure with maximal medical management including nitroprusside, aldactone, enalapril and inderal.
Adenoma
;
Adrenalectomy
;
Autopsy
;
Blood Pressure
;
Enalapril
;
Female
;
Humans
;
Hyperaldosteronism
;
Hypertension
;
Middle Aged
;
Nitroprusside
;
Propranolol
;
Spironolactone