Primary Pulmonary leiomyosarcomas are rare tumors. These tumors may arise at any level of the lung in which smooth muscle fibers are found. The highest incidence of sarcoma is during the fourth decade whereas for bronchogenic carcinoma the maximum incidence is during the sixth and seventh decades. Leiomyosarcomas are aggressive and progressive. Treatment is mainly surgical. The chemotherapy is ineffective and the effectiveness of radiotherapy depends on the total dose of irradiation. Prognosis and significant survival rate are related to the size of the lesion. We report one patient with primary pulmonary leiomyosarcoma involving the right lower lung.
Carcinoma, Bronchogenic ; Drug Therapy ; Humans ; Incidence ; Leiomyosarcoma* ; Lung ; Muscle, Smooth ; Prognosis ; Radiotherapy ; Sarcoma ; Survival Rate

Degenerate oligonucleotide primed PCR is an useful technique to amplify whole genome and its the applications for fluorescent in situ hybridization and comparative genomic hybridization (CGH) were reported. For the CGH, topoisomerase and sequenase were recommended to use for the better hybridization. But adding the enzymes to PCR reaction per every cycle is labor-intensive and can easily contaminate PCR reaction. This study was carried out to prove the possibility of application of DOP-PCR to CGH without use of sequenase. Several combinations of CGH e.g., DOP-PCR amplified normal DNA vs. DOP-PCR amplified normal DNA, DOP-PCR amplified normal DNA vs. non-DOP normal DNA, DOP-PCR amplified normal DNA vs. DOP-PCR amplified MCF-600 cell line DNA, and non-DOP normal DNA vs. non-DOP MCF-600 DNA were performed. In addition, randomly selected microsatellite loci were tested to know whether DOP-PCR covers whole genome amplification. Apparently the DOP-PCR provides enough amount and size of DNA for CGH application and covers whole genome amplification. These results suggest that DOP-PCR can be used for CGH and genotyping.
Cell Line ; Comparative Genomic Hybridization* ; DNA ; Genome ; In Situ Hybridization, Fluorescence ; Microsatellite Repeats ; Polymerase Chain Reaction*

No abstract available.
Prune Belly Syndrome*

PURPOSE: We conducted this research to make an earlier diagnosis and identify better treatment for Kikuchi-Fujimoto disease (KFD) by comparing clinical findings with nonspecifically enlarged cervical lymph nodes in children. METHODS: Nineteen patients were diagnosed with KFD by tissue pathology from a fine needle aspiration biopsy and/or excisional biopsy and were compared with the clinical, radiological, and pathological findings of reactive hyperplasia. RESULTS: The average onset age of onset for patients with KFD was 11.8+/-3.61 years, and the male to female ratio was 1:1.1, whereas patients with reactive hyperplasia were 11.8+/-5.96 years, and the male to female ratio was 1.7:1. Patients with KFD suffered more from fever than patients with reactive hyperplasia (68% vs. 13%, P=0.002). Patients with KFD showed perinodal infiltration (P=0.001) and necrosis on computed tomography, whereas patients with reactive hyperplasia did not show any of these findings. Ultrasonographic findings were similar between the two study groups. In contrast, the histopathological examinations of biopsied cervical lymph nodes were enormously helpful for distinguishing the findings of KFD from those of patients with reactive hyperplasia. CONCLUSION: We recommend a histopathological examination to distinguish KFD from reactive hyperplasia in children with significantly enlarged cervical lymph nodes.
Age of Onset ; Biopsy ; Biopsy, Fine-Needle ; Child ; Discrimination (Psychology) ; Female ; Fever ; Histiocytic Necrotizing Lymphadenitis ; Humans ; Hyperplasia ; Lymph Nodes ; Lymphadenitis ; Male ; Necrosis

OBJECTIVES: To analyze chromosomal abnormalities according to patient's age and indications of patients in midtrimester amniocentesis for prenatal genetic diagnosis. METHODS: We retrospectively analyzed 1,565 cases of midtrimester prenatal genetic amniocentesis cases which were done in the cytogenetics laboratory at Kangnam St. Hospital, Catholic University Medical College from November1997 to May 2000. RESULTS: In 1,565 cases, the most common maternal and gestational age distributions were 35 to 39 years old and 17 to 17+6 weeks (32.78% and 21.47%, respectively). Abnormal maternal serum markers were the most common indication for amniocentesis (43.64%), and followed by advanced maternal age (40.45%) and abnormal ultrasonographic findings (3.64%). The overall incidence of chromosomal abnormalities was 4.47% (70 cases), of which numerical abnormalities and structural abnormalities were 1.86% (29 cases) and 2.61% (41 cases), respectively. Among the autosomal abnormalities, Down syndrome was most common (10 cases, 0.65%), and followed by Edward syndrome (9 cases, 0.59%). Among the sex chromosomal abnormalities, both of 47,XXX and 47,XXY were most common (3 cases, 0.20%, respectively). Chromosomal abnormalities were most frequently noted in the maternal age of 25 to 29 years old (5.10%), 30 to 34 years old (4.82%), 40 to 44 years old (4.31%), and followed by 35 to 39 years old (3.90%). On the other hand, chromosomal abnormalities were most frequently noted in abnormal ultrasonographic findings (7.02%), previous history of aneuploidy (5.88%), and followed by advanced maternal age (3.95%). CONCLUSION: This study suggested that although advanced maternal age is still important indication in midtrimester amniocentesis for prenatal diagnosis, abnormal maternal serum markers and ultrasonographic findings might be also important as indications. Therefore, they should be considered in prenatal genetic counseling.
Adult ; Amniocentesis* ; Aneuploidy ; Biomarkers ; Chromosome Aberrations ; Cytogenetic Analysis* ; Cytogenetics* ; Diagnosis ; Down Syndrome ; Female ; Genetic Counseling ; Gestational Age ; Hand ; Humans ; Incidence ; Maternal Age ; Pregnancy ; Pregnancy Trimester, Second* ; Prenatal Diagnosis ; Retrospective Studies

Potassium balance in chronic hypokalemia is regulated by ion channels, ion transporters, and various related genes. We isolated general transcription factor IIA (GTF IIA) gene using a DNA chip microassay, a useful method in cloning genes. Northern analysis and in situ hybridization (ISH) were carried out to analyze the expression and localization of GTF IIA mRNA in rat in relation to the amount of potassium in the diet. Isoform-specific 32P-labeled cDNA (Northern analysis) or digoxigenin-labeled cRNA (ISH) probes were used. Northern analysis demonstrated that GTF IIA mRNA was expressed abundantly in testis; modestly in heart, kidney, lung, adrenal gland, liver, and spleen; and weakly in brain, distal colon, duodenum, salivary gland, and stomach. In potassium-restricted animals, GTF IIA expression was decreased in the kidney, adrenal gland, and spleen, but expression was restored to normal levels in L3w. The expression level in the lung was decreased in L3d and L2w, and increased in L1w and L3w. ISH showed that mRNA for the GTF IIA gene was detected in the distal convoluted tubule, S3 segment of the proximal tubule, and cortical collecting duct in the normal group. In potassium-restricted groups, the hybridization signal was detected in the distal convoluted tubule, S3 segment of the proximal tubule, and entire collecting tubule. The signal intensity of the outer and inner medullary collecting ducts was higher in the potassium-restricted group than in the normal group but was decreased in the distal convoluted tubule and S3 segment of the proximal tubule. In the normal group, mRNA of the GTF IIA gene was detected in the zona glomerulosa cells of the adrenal gland, lymphocytes of the marginal zone, germinal center of the spleen, and bronchial epithelium and lymphocytes of the lung. mRNA for the GTF IIA gene was also detected in the cells of the basal portion of the intestinal glands of the distal colon and stomach, and in spermatogonia and spermatocytes of the seminiferous tubule. These results suggest that expression of GTF IIA differs between various tissues and that increased expression of the GTF IIA gene in the outer and inner medullary collecting ducts of the hypokalemic kidney might regulate the ion transporter genes in these segments.
Adrenal Glands ; Animals ; Brain ; Chimera ; Clone Cells ; Cloning, Organism ; Colon ; Diet ; DNA, Complementary ; Duodenum ; Epithelium ; Germinal Center ; Heart ; Hypokalemia ; In Situ Hybridization ; Intestinal Mucosa ; Ion Channels ; Ion Transport ; Kidney ; Liver ; Lung ; Lymphocytes ; Oligonucleotide Array Sequence Analysis ; Potassium ; Prothrombin ; Rats ; RNA, Complementary ; RNA, Messenger ; Salivary Glands ; Seminiferous Tubules ; Spermatocytes ; Spermatogonia ; Spleen ; Stomach ; Transcription Factors ; Zona Glomerulosa

The distribution of carbonic anhydrase (CA) isoenzymes I, II, IV, and IX was investigated in pancreatic islet of the rat using Western blotting analysis and immunohistochemistry. Western blotting analysis demonstrated strong CAI and II expression, but weak CAIV and no CAIX expression. Immunohistochemical reaction of pancreatic islet revealed no staining for CAI and II. CAIV was detected in the peripheral cells of the islet. CAIX was detected in the peripheral cells and occasional in the centrally located cells. Signals for CAIV were observed at the plasma membrane and/or in the cytoplasm of islet cells. Location of CAIV in the A cells was confirmed by subjecting serial sections of pancreas to staining for CAIV and glucagon, which showed colocalization in the A cells. Immunohistochemical staining of pancreatic acinus revealed abundant staining for CAI in interacinar blood vessels and CAII in ductal and acinar cells. These results demonstrate the differential distribution of CA isoenzymes in pancreatic islet, and suggest that A cells of pancreatic islet might contain both CAIV and IX.
Acinar Cells ; Animals ; Blood Vessels ; Blotting, Western ; Carbon* ; Carbonic Anhydrases* ; Cell Membrane ; Cytoplasm ; Glucagon ; Immunohistochemistry ; Islets of Langerhans* ; Isoenzymes* ; Pancreas ; Rats*

PURPOSE: The purpose of this study was to assess the current therapeutic status of attention deficit-hyperactivity disorder (ADHD) in children with epilepsy. METHODS: A cross-sectional survey of 178 patients aged 4-20 years from ten pediatric neurology clinics in eight cities in South Korea from January 2005 to July 2010 was used to assess clinical characteristics of ADHD patients with epilepsy and risk factors associated with ADHD. RESULTS: A total of 178 pediatric epileptic patients were recruited for this study. One hundred seventy-four subjects' (M:F=4:1, mean age: 12.2+/-3.3 yrs old) records were evaluated excluding four patients due to incomplete data. One hundred twenty-five of 174 patients (71.8%) had partial epilepsy and 45 had generalized epilepsy. Eighty of 112 patients showed ADHD combined type from the DSM IV. The mean prevalence rate of ADHD treatment among the epileptic patients was 1.9%. Over 45% of patients showed complete or persistent symptoms without difficulties in school life with CNS stimulants. Adverse reactions were reported in 19.8% of patients who received ADHD medication, and 18 patients discontinued ADHD medication due to severe adverse effects such as aggravated seizures (5.6%) or ADHD symptoms (3.7%). About 60% of children with ADHD and epilepsy had psychiatric comorbid disorders. CONCLUSION: The results indicate that ADHD treatment in epilepsy patients is safe and effective. However, these data also show that ADHD in pediatric epilepsy patients in Korea is under-diagnosed and under-treated.
Aged ; Attention Deficit Disorder with Hyperactivity ; Child ; Cross-Sectional Studies ; Epilepsies, Partial ; Epilepsy ; Epilepsy, Generalized ; Humans ; Korea ; Neurology ; Prevalence ; Republic of Korea ; Retrospective Studies ; Risk Factors ; Seizures

PURPOSE: Vitamin C among antioxidants in human is a physiological antioxidant for protection against diseases. We measured the vitamin C concentrations of whole blood and plasma among children in early childhood at normal condition in order to know the presence of vitamin C deficiency. METHODS: The venous blood was collected from 471 subjects at 1-6 years of ages in Chinju. Concentrations of vitamin C in whole blood and plasma were measured by the 2,4-dinitrophenylhydrazine method. RESULTS: Concentrations of vitamin C in whole blood and plasma were 1.68mg/dL and 0.94mg/dL, respectively. While concentrations of vitamin C in the whole blood and plasma of males were 1.69 mg/dL and 0.92mg/dL, respectively. Those of females, were 1.68mg/dL and 1.00mg/dL, respectively. The concentrations did not significantly differ by gender. Concentrations of vitamin C in plasma were positively correlated with the age of the entire study group and of female(P=0.01). Percentages of subjects with vitamin C concentrations of the whole blood less than 1.0mg/dL were 1.9%, and those of the plasma of below 0.6mg/dL were 20.6%. CONCLUSION: Concentrations of vitamin C in whole blood and plasma did not show normal distribution. And there were no relationship among age, gender, and vitamin C concentrations at early childhood. A significant number of children in Chinju had suboptimal plasma vitamin C concentration. These findings suggest a need for an increased vitamin C intake in this area.
Antioxidants ; Ascorbic Acid Deficiency ; Ascorbic Acid* ; Child* ; Female ; Gyeongsangnam-do* ; Humans ; Male ; Plasma* ; Vitamins*

PURPOSE: Recommended dietary allowance of vitamin C was determined without considering the important function of vitamin C as a first-line antioxidant. We measured the whole blood and plasma vitamin C concentrations of healthy middle and high school students in Chinju to assess the optimal daily vitamin C requirement in these age groups. METHODS: Whole blood and plasma vitamin C concentrations were measured by the 2, 4-dinitrophenylhydrazine method in 780 students from 1st to 3rd grade of at a middle school and high school in Chinju during June 1996. RESULTS: Whole blood and plasma vitamin C concentrations were 1.42+/-0.40mg/dL and 0.92+/-0.40 mg/dL, respectively. Whole blood and plasma vitamin C concentrations decreased as the school grade became higher. Whole blood and plasma vitamin C concentrations did not differ between females and males in the middle school. However, female high school students had a significantly higher whole blood and plasma vitamin C concentrations than male high school students(P<0.001). Fourteen of 390 middle school students(3.4%) and 23 of 390 high school students(5.9%) had whole blood vitamin C concentrations of less than 0.8mg/dL. Forty-six of 390 middle school students (11.7%) and 113 of 390 high school students(29.0%) had plasma vitamin C concentrations less than 0.6mg/dL. Especially, 45.2% of male high school students had plasma vitamin C concentrations of less than 0.6mg/dL. CONCLUSION: Some adolescents, especially almost half the male high school students, didn't have satisfactory plasma vitamin C levels.
Adolescent ; Ascorbic Acid* ; Female ; Gyeongsangnam-do* ; Humans ; Male ; Plasma* ; Recommended Dietary Allowances ; Vitamins*