No abstract available.
Transurethral Resection of Prostate*

A 25-year-old woman with focal seizure, intermittent morning headache and vomiting for 2 years showed microcytic hypochromic anemia on peripheral blood smear and a 6x7.5cm sized intracranial mass with cystic and solid portions at the right temporoparietal convexity on brain CT and MRI which was hypervascular on cerebral angiography. Histopathologic findings on light microscopy suggested chordoma, but it was confirmed as a chordold meningioma by immunohistochemical study. The present case suggests that the diagnosis of chordold meningioma shoud be considered in a juvenile or young adult who is presented with an extra-axial mass with typical location of meningiomas, findings of chordomas on light microscopy, and clinical findings of Castleman syndrome.
Adult ; Anemia, Hypochromic ; Brain ; Cerebral Angiography ; Chordoma ; Diagnosis ; Female ; Headache ; Humans ; Magnetic Resonance Imaging ; Meningioma* ; Microscopy ; Seizures ; Vomiting ; Young Adult

The ultrasonographic features in 26 cases of blunt testicular trauma were reviewed. Ultrasonography diagnosed correctly in 11 surgically proven cases of testicular rupture. There were three false-positive cases, two with a large scrotal hematocele and one with epididymis rupture. there were no false-negative cases. The sensitivity and specificity of ultrasonographic diagnosis were 100% and 80% respectively. The positive and negative predictive values were 78. 6% and 100% respectively. Therefore, the negative diagnosis by ultrasonography can warrant conservative therapy.
Diagnosis ; Epididymis ; Hematocele ; Male ; Rupture ; Sensitivity and Specificity ; Ultrasonography*

PURPOSE: The extent of ESWL(Extracorporeal Shock Wave Lithotripsy), a treatment for urinary calculus, shows gradual development and the treatment has become generally known as a noninvasive, safe, and efficacious method. Although the testicular effects are not within the vicinity of shock waves in carrying ESWL as a treatment for urinary calculus, research was initiated to examine effects which shock waves might cause on the testis. MATERIALS AND METHODS: After applying shock waves at intensity 4 for 1,000 times to the testis of Sprague Dawley immature rat, the histopathologic changes within the tissue of testis were observed after 1, 7, 14, 28 days, respectively. RESULTS: In the case of the experimental group having shock waves on the testis, destruction of seminiferous tubules, necrosis, and hemorrhage were found out a%or a day. One week later the atrophy of seminiferous tubules, interstitial fibrosis, and a small portion of chronic inflammatory cell appeared The capillary proliferation near the testis capsule also appeared. Two weeks later somewhat atrophied seminiferous tubules and proliferation of Leydig cells appeared. Diversely atrophied seminiferous tubules, diffusion of Leydig cell proliferation, calcified tubules, and foreignbody reaction were discovered after 4 weeks. As times went on, the tendency of recovery appeared. CONCLUSIONS: Noxious influences such as testicular atrophy and disturbance of spermatogenesis occurred in inflicting immediate shock wave on the testis. Therefore the need of more researches concerning long-term sequelae and the influences on the human body should be taken into consideration.
Animals ; Atrophy ; Capillaries ; Cell Proliferation ; Diffusion ; Fibrosis ; Hemorrhage ; Human Body ; Leydig Cells ; Male ; Necrosis ; Rats* ; Seminiferous Tubules ; Shock* ; Spermatogenesis ; Testis* ; Urinary Calculi

No abstract available.
Doxorubicin* ; Drug Therapy* ; Small Cell Lung Carcinoma*

The utility of computed axial tomography(CAT) in the diagnosis of spinal disorders has been the subject of considerable interest since the introduction of CAT scanning. Computed tomographic guided needle biopsy of 12 consecutive patients with a variety of undermined spinal disorders resulted in a 100% yield of positive tissue diagnoses, without signlficant complications. The principal advantage of cat guidance is the continuous direct observation of the needle tip position in relation to the target volume. We think that the application of computed tomographic guided needle biopsy in the lesions of the spine is of great value, because it is the single most accurate method of obtaining diagnosis other than by open surgical biopsy.
Animals ; Biopsy ; Biopsy, Needle ; Cats ; Diagnosis ; Humans ; Methods ; Needles ; Spine

Ten feet from 6 idiopathic congenltal clubfoot patients which had failed to respond to conservative mearsured were treated by aggreasive posteromedial release during infancy with generally good results. A modltication of Denis-Browne splint by splitting both aides and using dial lock to hold the foot still ln correeted position was found quite useful for post-operative maintenance.
Clubfoot ; Foot ; Humans ; Splints

The fractures of the supracondylar region of the femur are difficult to manage because of the wide range of potential complications. In the past, conservative treatment was considered superior to internal fixation of the supracondylar fractures of the femur in adults. Recently the new fixation devices and techniques were developed. After then, the accurate anatomical reduction, rigid internal fixation, and early ambulation have more improved results of the treatments than the past. However the management of supracondylar fractures of the femur remains controversial. The following clinical results was shown by analysis of 48 cases of supracondylar fractures of the femur treated in the Department of Orthopedic Surgery, Chosun University Hospital during the past 6 years from Jan. 1979 to Dec. 1984. 1. The ratio between males and females was 3: 1, and the most case was active age. 2. The most common casue of injury was traffic accident(32 cases). 3. A classification of supracondylar fractures was divided according to Schatzker's classification, and the most common type was type II (20 cases). 4. In the methods of treatment, surgical treatment by open reduction and internal fixation was used for 32 cases, the conservative management by using skeletal traction for 16 cases. 5. The satisfactory result of surgical treatment was 60% and conservative treatment was 43.7% respectively. 6. The most common complication was the ankylosis of the knee joint.
Adult ; Ankylosis ; Classification ; Early Ambulation ; Female ; Femur ; Humans ; Knee Joint ; Male ; Orthopedics ; Traction

The purpose of this study was to investigate the ontogeny of oxytocin- and vasopressin-specific neurons in the supraoptic and paraventricular nuclei of the human fetal hypothalamus. Eight human fetuses, 17- to 22-week gestation, were used in this study. Tissues of fetal hypothalami were fixed with 10% neutral buffered formalin, embedded in paraplast, and cut serially in coronal planes. Representative sections were stained with cresyl violet for the contour of both nuclei and monoclonal antibodies to oxytocin and vasopressin were used for immunohistochemistry. In the hypothalamus, oxytocin- and vasopressin-specific neurons were first observed in a 18-week fetus. In the fetus oxytocin-specific neurons were observed in both supraoptic and paraventricular nucleus and vasopressin-specific neurons were observed only in the supraoptic nucleus. Both neurons were observed in both nuclei of the fetuses and after 19-week of gestation. In both nuclei, oxytocin-specific neurons predominate in number in each stages. The shape of two cell types was mostly oval, and no significant differences of the size between two in each stages.
Antibodies, Monoclonal* ; Fetus* ; Formaldehyde ; Humans* ; Hypothalamus ; Immunohistochemistry ; Neurons* ; Oxytocin ; Paraventricular Hypothalamic Nucleus ; Pregnancy ; Supraoptic Nucleus ; Vasopressins ; Viola

Hemangiomas of the skin are common, but intrascrotal hemangioma is a rare Complications include hemorrhage, ulceration, skin infection, thromboses and phlebitis. We report a case of intrascrotal hemangioma with spontaneous bleeding.
Hemangioma* ; Hemorrhage* ; Phlebitis ; Scrotum ; Skin ; Thrombosis ; Ulcer