1.Pathological Study on the Early Gastric Cancer.
Weon Young CHOI ; Dong Su SUK ; Sun Keong LEE
Korean Journal of Pathology 1991;25(3):206-214
Pathological study was performed on the 135 cases (137 lesion) of early gastric cancer (EGC) diagnosed during the period from 1970 to 1988. The gastrectomy specimens were obtained from Pusan National University Hospital and Pusan Paik Hospital. The statistical analysis was applied on the point of pathological and epidemiological aspects. The results obtained were summarized as follows: 1) The proportion of patients with EGC of all gastric cancer diagnosed in Pusan area during the period of 1970 to 1974 was 1.3%, those during 1975 to 1979 was 1.7%, those during 1980 to 1984 was 7.8%, and those during 1985 to 1988 was 20.0% respectively. 2) The model age group was 6th decade in both sexes. The average age of patients with EGC was 50. 1-year-old in men and 47. 9-year-old in women respectively. The sex ratio (M/F) was 2 : 1 but it was lower for young people than for old people. 3) The proportion of sites involved by the EGC in the stomach was as follows : the antrum 61%, the body 39%, and the cardia and fundus 0.01%. The intestinal type cancer more frequently involved the lower portion than the upper portion of the stomach. 4) Regarding the distribution of the gross types of EGC, the elevated group (Type I, IIa) accounted for 14%, the flat type (Type IIb) accounted for 4%, and the depressed group (Type IIc, III) accounted for 82%. There was no correlation between the gross type and the depth of the lesion. The elevated group was more frequent in intestinal type than in diffuse type. 5) The size distribution of the EGC was as follows : 46% of the lesions were smaller than 2.0 cm in diameter, 47% were between 2.1 to 5.0 cm, and 7% were larger than 5.1 cm. There was no correlation between the size of the lesion and the gross type. 6) The intestinal type of EGC was 77 lesions (56.2%) and the diffuse type 60 lesions (43.8%). The ratio of both types (I/D) was 1.3 : 1, and it was lower for younger people than for old people. 7) Ten of 135 cases (7%) had lymph node metastases. The metastatic rate of EGC confined to submucosa was much higher than that of EGC confined to mucosa only, but the metastatic rate was not related with the size of the lesion.
Female
;
Male
;
Humans
;
Neoplasm Metastasis
;
Stomach Neoplasms
2.A Case of Intestinal Tuberculosis with Huge Retroperitoneal Tuberculous Lymphadenitis Simulating Neoplasm.
Yong Suk KIM ; Dong Seok CHOI ; Keon Su RHEE ; Young Hun CHUNG
Journal of the Korean Pediatric Society 1988;31(10):1385-1389
No abstract available.
Tuberculosis*
;
Tuberculosis, Lymph Node*
3.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
4.Transurethral prostatectomy syndrome.
Yeoun Su JEOUN ; Dong Suk CHUNG
Korean Journal of Anesthesiology 1995;28(1):171-174
A 70-year-old male was performed TURP (Transurethral resection of the prostate) under the diagnosis of benign prostate hyperplasia. Under general anesthesia, two times of TURP and suprapubic prostatectomy were performed for bleeding control during 8 hours. At the end of the operation, hypotension with bradycardia, severe ST elevation, QRS widening, T wave inversion and ventricular tachycardia on EKG appeared. Under the assumption of the diagnosis of hyponatremia, we treated with NaHCO3 and lasix, but cardiac arrest was followed by cardiopulmonary resuscitation. During postoperative five days, patient's cardiopulmonary status was supported by cardiotonic drugs and mechanical ventilation. We report this case to recall TURP syndrome and its management with the review of the relevant literatures.
Aged
;
Anesthesia, General
;
Bradycardia
;
Cardiopulmonary Resuscitation
;
Cardiotonic Agents
;
Diagnosis
;
Electrocardiography
;
Furosemide
;
Heart Arrest
;
Hemorrhage
;
Humans
;
Hyperplasia
;
Hyponatremia
;
Hypotension
;
Male
;
Prostate
;
Prostatectomy
;
Respiration, Artificial
;
Tachycardia, Ventricular
;
Transurethral Resection of Prostate*
;
Water Intoxication
5.Diagnosis of Thoracic Lesions in Children by Fine Needle Aspiration Biopsy.
Dong Nam KIM ; Nam Su KIM ; Hahng LEE ; Jong Sung KIM ; Suk Chul JEON
Journal of the Korean Pediatric Society 1994;37(11):1559-1564
To elucidate the clinical avaiability of FNAB, we reviewed retrospectively medical records of 30 patients who had infiltrative pulmonary lesion or pulmonary nodule or mediastinal mass, and got percutaneous fine needle aspiration biopsy using Westcott needle, 20~22 gauge, at the department of Pediatrics, Hanyang university hospital from July, 1986 to June, 1993. The obtained results were as follows: 1) There were 30 patients, aged 6 months to 15 years. 2) There were 17 male patients and 13 female patients with sex ratio of 1.3:1 3) Among 30 cases, we discovered 16 cases of infiltrative lesions, 7 cases of pulmonary nodules and 7 cases of mediastinal mass lesions. In mediastinal there were 4 cases of anterior mediastinum and 3 cases of posterior mediastinum. 4) Overall success rate on fine needle aspiration biopsy was 60% (18/30). The success rate was 50% (8/16) in infiltrative lesions, 50% (8/15) in pulmonary nodules and 71% (5/7) in mediastinal mass lesions, respectively. 5) Eight infiltrative lesione were diagnosed as Pneumocystis carinii pneumonia. Five pulmonary nodules were diagnosed as aspergillosis (2 cases), tuberculosis (1 case), mucormycosis (1 case), lung metastasis of metastasis of neuroblastoma (1 case). Five mediastinal mass lesions were diagnosed as teratoma (2 cases), lymphoma (1 case), malignant neurogenic tumor (1 case), ganglioneuroblastoma (1 case). 6) The complications occured in 20% (6 cases) among 30 procedures. All cases were due to pneumothorax: 3 cases spontaneously resolved, and 3 cases needed chest tube insertion. There were no death related with this procedures.
Aspergillosis
;
Biopsy*
;
Biopsy, Fine-Needle*
;
Chest Tubes
;
Child*
;
Diagnosis*
;
Female
;
Ganglioneuroblastoma
;
Humans
;
Lung
;
Lymphoma
;
Male
;
Mediastinum
;
Medical Records
;
Mucormycosis
;
Needles
;
Neoplasm Metastasis
;
Neuroblastoma
;
Pediatrics
;
Pneumonia, Pneumocystis
;
Pneumothorax
;
Retrospective Studies
;
Sex Ratio
;
Teratoma
;
Tuberculosis
6.Supplementary nutrients for prevention of vascular calcification in patients with chronic kidney disease
The Korean Journal of Internal Medicine 2019;34(3):459-469
Vascular calcification (VC) and malnutrition associated with cardiovascular disease are common in patients with chronic kidney disease (CKD) treated with dialysis. VC, which reflects vascular aging, and malnutrition are also encountered in the non-CKD elderly population. This similarity of clinical findings suggests that the progression of CKD is related to aging and the existence of a causal relationship between VC and malnutrition. To retard renal progression, a low- or very-low-protein diet is usually recommended for CKD patients. Dietary education may induce malnutrition and deficiency of important nutrients, such as vitamins K and D. Menaquinone-7, a type of vitamin Kâ‚‚, is under investigation for inhibiting VC in elderly patients without CKD, as well as for prevention of VC in patients with CKD. Nutritional vitamin D, such as cholecalciferol, may be considered to decrease the required dose of active vitamin D, which increases the risk of VC due to increased calcium and phosphate loads. Omega-3 fatty acids are important nutrients and their ability to inhibit VC needs to be evaluated in clinical trials. This review focuses on the ability of supplementary nutrients to prevent VC in patients with CKD, in whom dietary restriction is essential.
7.Treatment of Retinal Detachment occurring in Two Cases of von Hippel-Lindau Syndrome.
Dong Su LEE ; Yun Young KIM ; Suk Young KIM ; Si Dong KIM
Journal of the Korean Ophthalmological Society 2001;42(11):1636-1640
PURPOSE: To report two cases of retinal detachment associated with von Hippel-Lindau syndrome, one case of rhegmatogenous retinal detachment combined with mild proliferative vitreoretinopathy and a case of tractional retinal detachment. METHODS: Case reports. Pars plana vitrectomy with membrane peeling and silicone oil tamponade were performed in all cases. Lens aspiration was also performed in one case. RESULTS: Successful retinal reattachment was obtained in all cases. Case 2 developed cataract and secondary glaucoma and was treated with phacoemulsification with posterior chamber lens insertion and YAG laser iridotomy. CONCLUSIONS: In two patients with retinal detachment occurring in von Hippel-Lindau syndrome, we could obtain successful retinal reattachment with stabilized visual acuity after performing pars plana vitrectomy and silicone oil injection.
Cataract
;
Glaucoma
;
Humans
;
Lasers, Solid-State
;
Membranes
;
Phacoemulsification
;
Retinal Detachment*
;
Retinaldehyde*
;
Silicone Oils
;
Traction
;
Visual Acuity
;
Vitrectomy
;
Vitreoretinopathy, Proliferative
;
von Hippel-Lindau Disease*
8.The Effect of Lovastatin(Mevacor(R)) in Patients with Hypercholesterolemia.
Su Young LEE ; Chun Suk KYOUNG ; Dong Chan KIM ; Kye Heui LEE ; Sang Joon CHOI ; In SON ; Seong Hoon PARK
Korean Circulation Journal 1991;21(2):328-336
Lovastatin is a potent inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase, which catalyzes the conversion of hydroxymethylglutaryl-coenzyme A to mevalonate, anearly and rate-limiting step in the synthesis of cholesterol. We studied the therapeutic effect and safety of lovastatin in 18 patients with nonfamilial primary hypercholesterolemia. Patients received 20mg/day lovastatin therapy as a single evening dose. If the total cholesterol level exceeded 200mg/dl after 2weeks of lovastatin therapy, the dosage of lovastatin was doubled. Mean percent total cholesterol level reductions from baseline were 26.4% and 31.9% after 4, and 8 weeks of lovastatin therapy respectively. Mean percent HDL-cholesterol level increase from baseline were 12% and 13% after 4, and 8 weeks of lovastatin therapy respectively. Adverse effects attributable to lovastatin were mild and temporary and no patient was withdrawn from therapy. We concluded that lovastatin was a well tolerated and effective agent for the treatment of nonfamilial primary hypercholesterolemia. Further studies are needed to establish the long-term safety and effectiveness of this drug.
Cholesterol
;
Coenzyme A
;
Humans
;
Hypercholesterolemia*
;
Lovastatin
;
Mevalonic Acid
;
Oxidoreductases
9.A clinical study of acute appendicitis in pregnancy.
Lee Su KIM ; Young Cheol LEE ; Dong Kun KIM ; Sung KIM ; Won Jin CHOI ; Jung Mu LEE ; Hong SUK
Journal of the Korean Surgical Society 1993;44(6):847-856
No abstract available.
Appendicitis*
;
Pregnancy*
10.Miliary Tuberculosis: HRCT Findings in 14 Patientst.
Byung Su KIM ; Soon Kew PARK ; Kun Il KIM ; Hyun Ju SON ; Dong Hi JUHNG ; Suk Hong LEE
Journal of the Korean Radiological Society 1994;31(5):863-867
PURPOSE: To evaluate high-resolution CT(HRCT) findings of the miliary tuberculosis and their significancy. MATERIAL AND METHOD: We retrospectively studied clinical records, HRCT and chest radiographs of 14 patients with miliary tuberculosis. RESULTS: On HRCT, nodules were seen in all 14 cases, 10 of them evenly, and 4 were irregularly distributed. The size of each nodule was less than 1 mm in 7 cases, 1 --2ram in 6 cases, and 3mm or more in 1 case. The ground - glass opacity was accompanied in 8 cases, and fine reticular opacity was also noted in 8 cases. Other associated findings were pleural effusion (n=4), hilar and mediastinal lymphadenopathy (n=3), consolidation of the exudative tuberculosis (n=4). CONCLUSION: HRCT findings of miliary tuberculosis are diffusely distributed micronodules of variable size, less than 5mm in diameter. The ground-glass opacity can be combined.
Glass
;
Humans
;
Lymphatic Diseases
;
Pleural Effusion
;
Radiography, Thoracic
;
Retrospective Studies
;
Tuberculosis
;
Tuberculosis, Miliary*