No abstract available.
Anus, Imperforate*

Skin tags are very common skin tumors in middle age. In spite of their frequent occurrence, there was no reported cases of verruca vulgaris developing on the soft fibroma. We report a case of verruca vulgaris developing on the bag-like skin tag. We think that the incidence of HPV infection on the large skin tags may be higher than on normal skin due to their protrusion and repetitive irritation.
Fibroma ; Humans ; Incidence ; Middle Aged ; Skin* ; Warts*

To examine the influence of the duration of menopause on bone loss, 60 healthy women, aged 34~74 years in 1995 were studied. After exclusion of past or present hormonal replacement therapy or past history of chronic disease, 60 women formed the final study population. Bone masses were measured at 3 sited of femur(femoral neck, Wards triangle and trochanter) and in the L2~L4 lumbar spine by Dual energy X-ray bone densitometry(DEXA). Correlation analysis and multiple linear regression analysis were used to analyze the relationships of gynecological variables(age, body mass index:BMI), and years since menopause(YSM) with bone mineral density(BMD) of lumbar spin and the three different sites of femur. The coefficients of correlation(r) of the bone mineral density(%) at the lumbar spine and the three different sites of femur with YSM were ranged -0.37~-0.48(p < 0.01). Only YSM was independently related to BMD(%) data at all sites, except Wards triangle by multiple linear regression analysis(p < 0.01). In conclusion, the menopause and the duration of menopause have a great effect on bone mineral loss.
Bone Density* ; Chronic Disease ; Female ; Femur ; Humans ; Linear Models ; Menopause ; Neck ; Spine

A case of intravenous leiomyomatosis (IVL) invading the vena cava and extending to the right atrium, a rare benign smooth-muscle tumor, is described. Despite their histological benignity, these lesions have a tendency to metastasize and are closely related to the condition called "benign metastasizing leiomyoma" and "intracaval mass and cardiac extension". A 50-year old woman was admitted to the hospital with dyspnea beginning 6 months ago and previous history of hysterectomy due to uterine myoma. Echocardiography revealed severe tricuspid valve insufficiency and a mobile elongated mass which occupied the inferior vena cava and was extending into the right ventricular cavity. Pelvic ultrasonography and pelvic MRI identified suspicious metastasis to both ovaries and peritoneum. She underwent resection of the cardiac tumor, concomitant tricuspid annuloplasty with a closure of the foramen ovale and both salphyngo-oophorectomy with vaginal stump mass biopsy. All of them could be histologically identified as IVL.
Biopsy ; Dyspnea ; Echocardiography ; Female ; Foramen Ovale ; Heart Atria ; Heart Neoplasms ; Humans ; Hysterectomy ; Leiomyoma* ; Leiomyomatosis ; Magnetic Resonance Imaging ; Middle Aged ; Neoplasm Metastasis ; Ovary ; Peritoneum ; Tricuspid Valve Insufficiency ; Ultrasonography ; Vena Cava, Inferior

OBJECTIVE: This study was performed to evaluate the results of conization by loop electrosurgical excision procedure (LEEP) and cold coagulation as a definitive treatment in the patients with FIGO stage Ia1 squamous cell carcinoma of the cervix. METHODS: One hundred eighty-seven patients were diagnosed as stage Ia1 cervical squamous cell carcinomas from 1995 to 2004 by conization with LEEP and cold coagulation. Fifty-nine patients who wanted to preserve fertility and/or refused further surgical treatment were followed-up without further treatment. Eleven patients of the 59 had involved ectocervical resection margins. All patients were followed-up with cervicovaginal smear and colposcopic examination at a regular interval. Disease recurrence was defined as a histologic diagnosis of dysplasia or more. RESULTS: The median follow-up period was 69.0 months (range 8 to 103). All 59 patients had no lymphvascular space invasion (LVSI). In four patients, the ectocervical margins were involved by dysplasia, in seven patients, by carcinoma in-situ. There were no specific differences in ages, depth of stromal invasion and HPV status between the groups with and without involved margins. All 59 patients did not recur during follow-up period. CONCLUSION: Conization with LEEP and cold coagulation was feasible and could be used as a definitive therapy for the patients with stage Ia1 cervical squamous cell carcinoma. This study suggests that conization might play a role in a patient with positive margins (dysplasia or CIS) when LVSI is not demonstrated.
Carcinoma, Squamous Cell* ; Cervix Uteri* ; Conization* ; Diagnosis ; Female ; Fertility ; Follow-Up Studies ; Humans ; Recurrence

It has been well known that several kinds of intracranial lesions can be assoiated with cerebral aneurysms. Among them, each case of cerebral arteriovenous malformation, moyamoya disease and pituitary adnoma has been respectively reported as associated lesions with cerebral aneurysms. And we have added the other two cases of sylvian arachnoid cyst and nodular enhancing lesion, which might be coincidental association with cerebral aneurysms. We have reviewed literatures and discussed associated lesions with cerebral aneurysms.
Arachnoid ; Intracranial Aneurysm* ; Intracranial Arteriovenous Malformations ; Moyamoya Disease ; Pituitary Neoplasms

It has been well known that several kinds of intracranial lesions can be assoiated with cerebral aneurysms. Among them, each case of cerebral arteriovenous malformation, moyamoya disease and pituitary adnoma has been respectively reported as associated lesions with cerebral aneurysms. And we have added the other two cases of sylvian arachnoid cyst and nodular enhancing lesion, which might be coincidental association with cerebral aneurysms. We have reviewed literatures and discussed associated lesions with cerebral aneurysms.
Arachnoid ; Intracranial Aneurysm* ; Intracranial Arteriovenous Malformations ; Moyamoya Disease ; Pituitary Neoplasms

Malignant mixed mullerian tumors (MMMT) of the ovary are rare, constituting less than 1% of all primary ovarian tumors. Histologically, tumors include malignant epithelial and sarcomatous elements. MMMT of the ovary is a highly aggressive and rapidly progressive tumor with a poor long-term prognosis. The survival rate is very low inspite of surgery, chemotherapy and radiotherapy. The prognostic factors and optimal treatments for this tumor are still controversial because of its rarity. We experienced ten cases of malignant mixed mullerian tumors of the ovary and report our experiences with a brief review of literature.
Drug Therapy ; Female ; Ovary ; Prognosis ; Radiotherapy ; Survival Rate

PURPOSE: This study was performed to evaluate the treatment results, prognostic factors and complication rates in patients with locally advanced cancer of uterine cervix after radiotherapy with high-dose rate (HDR) brachytherapy. MATERIALS AND METHODS: One hundred and twenty patients with a locally advanced (stages IIB~IVA according to FIGO classification) carcinoma of the uterine cervix were treated with radiotherapy at the Department of Radiation Oncology, Samsung Medical Center between September 1994 and December 2001. The median age of the patients was 61 years (range 29 to 81). Sixty-one, 56 and 3 patients had FIGO stage IIB, III, and IV diseases, respectively. All patients were given external beam radiotherapy over the whole pelvis (median 50.4 Gy) and HDR intracavitary brachytherapy, with a median of 4 Gy per fraction, to point A. Twenty-one patients received chemotherapy, of which 13 and 21 received neoadjuvant chemotherapy and concurrent chemotherapy, respectively, during the first and fourth weeks of external beam radiotherapy. The chemotherapy was not randomly assigned and the median follow-up time was 28.5 months (range: 6~100 months). RESULTS: The three- and 5-year overall survival (OS) and disease-free survival (DFS) rates were 64.4 and 57.0%, and 63.7 and 60.2%, respectively. The 5-year OS and DFS rates of the patients at stages IIB, III and IV were 602, 57.9 and 33.3%, and 57.4, 65.4 and 33.3%, respectively. Univariate analysis indicated that the FIGO stage, overall treatment time (OTT) and treatment response were significant variables for the OS (p=0.035, p=0.0649 and p=0.0009) and of the DFS (p=0.0009, p=0.0359 and p=0.0363). Multivariate analysis showed that the treatment response was the only significant variable for the OS (p=0.0018) and OTT for the DFS (p=0.0360). The overall incidence of late complications in the rectum and bladder were 11.7 and 6.7%, respectively. In addition, insufficiency fractures were observed in 7 patients (5.8%). CONCLUSION: The results of this study suggest that radical radiotherapy with HDR brachytherapy was appropriate for the treatment of locally advanced uterine cervix cancer. Also, the response after treatment and OTT are significant prognostic factors.
Brachytherapy ; Cervix Uteri* ; Disease-Free Survival ; Drug Therapy ; Female ; Follow-Up Studies ; Fractures, Stress ; Humans ; Incidence ; Multivariate Analysis ; Pelvis ; Radiation Oncology ; Radiotherapy* ; Rectum ; Urinary Bladder

An extremely rare case of squamous cell carcinoma with sarcomatoid features of the vulva in a 43- year-old woman is reported. Squamous cell carcinoma with sarcomatoid features of the vulva is known as a rapidly growing tumor with poorer clinical outcomes than squamous cell carcinoma. To date only 15 cases of squamous cell carcinoma with sarcomatoid features of the vulva have been reported in the world literature, none in our country. We report a case of a squamous cell carcinoma with sarcomatoid features that we have experienced recently with a brief review of the literature.
Carcinoma, Squamous Cell* ; Female ; Humans ; Vulva ; Vulvar Neoplasms