No abstract available.
Social Workers

A case of bilateral absence of vas deference with sterility is reported. By new 15O cases of congenital absence of the vas deference, rather a rare congenital anomaly, were reported.
Infertility

No abstract available.

A study was made of the differences in clinical features and immunological aspects between herpes zoster patients with malignancies and those without malignant tumors. The results obtained from the retrospective review of medical records are as follows: Herpes zoster occurred more frequently in younger patients(less than twenty) with malignanciee as compared with the control group of the same ages,' Male was dominant among zoster patients with malignancies as is the contrary to contral group; Tihere were no marked differences in primarilly involved dermatomes between the two groups; Generalized varicelliform eruptiona were more common in zoster pa,tients with malignaneies than in control group, It seemed that zoster patients with malignancies complained of milder degree of pain. Zoeter patienta associated with malignancies were more frequently DNCB-negative and had decreased OKT3+ pan T cells, OKT4+ helper/inducer T cells as compared with control group, which suggest impaired cell mediated immunity in the former.
Herpes Zoster* ; Humans ; Immunity, Cellular ; Male ; Medical Records ; Retrospective Studies ; T-Lymphocytes

Single dose(1.0 cc) of 20 % 2, 6-diiodo-4-nitrophenol solution was injected to 82 hookworm infected cases and 79% of them became egg-negative within 2-3 weeks after the injection. Mild to severe local pain were experienced for several minutes in all cases. Two cases complained of paralysis of the arms of the same side. The tablet of the same formula was given orally to 21 cases for 1-4 days. The 2-4 day course with 360 mg/day were enough to eliminate the parasite, and showed no systemic side effects.
parasitology-helminth-nematoda ; hookworm ; chemotherapy ; 2, 6-diiodo-4-nitrophenol

Malignant melanoma is an uncommon tumor in Korea. To the best of our knowledge, we could not find malignant melanoma with multiple myeloma in Korean literature. A 57-year-old male patient had a 4×5 cm sized, irregular bordered, dark brownish plaque on the left sole, which has extended gradually since about 1 year ago and showed an occasional bleeding tendency. Laboratory examinations revealed a low hemoglobin level, rouleaux formation on peripheral blood, monoclonal gammopathy of IgG-kappa type and Bence-Jones proteinuria. Bone marrow aspiration findings showed markedly increased immature plasma cells suggesting multiple myeloma. Histopathologic findings of the skin biopsy from the left sole revealed proliferation of atypical melanocytes. We performed a surgical excision with a skin graft for malignant melanoma and chemotherapy (melphalan, vincristine and prednisolone) for multiple myeloma.
Biopsy ; Bone Marrow ; Drug Therapy ; Hemorrhage ; Humans ; Korea ; Male ; Melanocytes ; Melanoma* ; Middle Aged ; Multiple Myeloma* ; Paraproteinemias ; Plasma Cells ; Proteinuria ; Skin ; Transplants ; Vincristine

The purpose of this study was to assess the effectiveness of chemotherapy in addition to radiation therapy and surgical managements for Rhabdomyosarcoma in genitourinary fields. We have studied 11 cases of rhabdomyosarcoma who admitted to the Department of Urology. Korea University Medical Center, Anam and Kuro Hospital from March 1983 to March 1992 and concluded as follows: 1. 5 patients had prostatic Rhabdomyosarcoma, 4 patients in paratesticular Rhabdomyosarcoma, 1 patient in pelvic cavity and 1 patient in kidney. 2. Various radiologic imaging examinations were done: a. tumor sizes measured by CT scans ranged from 4 x 4 x 3 cm to 13 x 15 x 15 cm. b. paraaortic lymph node enlargement was found only in one patient. 3. According to IRS clinical grouping system, 4 patients belong to the group I ,one in group II. 5 in group m and one in group IV. 4. Grossly complete mass excision was done in 6 patients but it was impossible in another 5 patients due to bulky tumor mass. 5. The histologic classifications were embryonal( 7 patients), alveolar(2 patients) and pleomorphic type (2 patients). 6. 7 of 11 patients did not have adequate treatment: all 7 patients died of disease. The rest 4 patients were adequately treated with our protocol: 3 patients has responsed to prolocol and one patient had failed. 7. 6 of 11 patients treated with various modes of surgery initially such as complete excision of mass(3 patients), nephroureterectomy (one patient), urinary diversion (one patient), radical cystoprostatectomy (one patient)and 5 patients achieved complete remission with surgery for 40, 6. 14, 63 and 32 months, respectively. However 3 of these 5 patients had a local recurrence during the period of follow up: all 3 patients were died of Rhabdomyosarcoma and only 2 of5 patients were still alive without Rhabdomyosarcoma during follow up. 4 of 11 patients initially received pulse VAC chemotherapy, only one patient was achieved a complete remission for 72 months and he is still alive without Rhabdomyosarcoma. 3 patients achieved a partial response for 3, 8, 8 months but all patients died of disease.
Academic Medical Centers ; Classification ; Drug Therapy ; Follow-Up Studies ; Humans ; Kidney ; Korea ; Lymph Nodes ; Recurrence ; Rhabdomyosarcoma* ; Tomography, X-Ray Computed ; Urinary Diversion ; Urology

Clinical observation was made on 272 cases of urolithiasis who admitted in the department of Urology, Seoul Adventist Hospita1, during the period from Jan. 1976 to Dec. 1980. The results of this observation may be summarized as follows: 1. Among total admissions (969 cases), those with urolithiasis were 272 cases (28.2%) and the sex ratio of male and female was about 9.2 : 5.9. 2. The highest incidence on age distribution showed in 20 to 40 years (61.0%). 3. On seasonal distribution, occurence was prevalent in summer (3O.8%). 4. The ureter was he most favored predilection site of urinary stone (84.9%) and upper urinary stones were almost noted (95.6%). The most common location of ureteral stones was lower third of ureter (60.2%). 5. In the aspect of number of urinary calculi, the single was in 257 cases (91.8%) and the most common size was below 1.0cm in diameter (64.8%), weight in 0.6-1.0gm (38.4%). In shape, round or oval stones were more prevalent (38.9%) and the 2 cases of staghorn calculi were noted in renal region. 6. The clinical symptoms of upper urinary tact showed flank pain in 91.8%, nausea & vomiting: etc. in 57.8%. hematuria in 47.8% but in lower urinary tract, hematuria was in 83.3%, vesica1 irritability in some cases. 7. Microscopic hematuria showed in 88.8% and pyuria in 65.3% Positive urine cultures above ever 100,000 colony/ml were obtained in 158 cases (58.O%) and most common organisms were E. coli (56.8%), staphylococcus aureus (21.5%), Proteus mirabilis (8. 2%). 8. It upper urinary stones, hydronephrosis with or without functional deterioration were detected in 91% on excretory urogram or other X-ray films, Among them, moderate hydronephrosis showed in 34.9% 9. The 142 cases of urolithiasis (58.0%) were treated with surgical intervention. Among them, ureterolithotormy was made in 40.7%. 10. On chemical analysis of urinary calculi (107 cases), calcium phosphate and calcium oxalate in mixed type was most common (39.8%). On the chemical component of urinary calculi, most prevalent types were phosphate stone (72.2%). oxalate stone (61.7%), etc.
Age Distribution ; Calcium ; Calcium Oxalate ; Calculi ; Female ; Flank Pain ; Hematuria ; Humans ; Hydronephrosis ; Incidence ; Male ; Nausea ; Proteus mirabilis ; Pyuria ; Seasons ; Seoul ; Sex Ratio ; Staphylococcus aureus ; Ureter ; Urinary Calculi ; Urinary Tract ; Urolithiasis* ; Urology ; Vomiting ; X-Ray Film

We herein present a case of bullous lichen planus in a 56-year-old female. She had had a generalized eruption of lichen planus with violaceus papules and plaques. many of which had been surmounted by vesicles and bullae. The histopathologic findings of a bulla revealed hyperkeratosis, irregular acanthosis, subepidermal bulla and upper dermal band-like cell infiltration. The patient had been treated with dapsone but the lesions had not been significantly improved.
Dapsone ; Female ; Humans ; Lichen Planus* ; Lichens* ; Middle Aged

There was no definitive reported cases of urinary calculi. This study is to estate the value of urinary calcium, magnesium, uric acid and magnesium/calcium ratio in cases of urinary calculi. The amount of calcium, uric acid and magnesium in 24 hour urinary excretion was measured by OCPC, Uricase and titan yellow method in 56 cases of upper urinary calculi compared with 35 control group.The results were summerized as follows.l. The mean values of 24 hour urinary excretion of calcium were 193+/-26mg/day in stone formers and 15l+/-25mg/day in control group. The 24 hour urinary excretion of calcium in the stone formers were significantly higher than those of the control group. 2. The mean values of 24 hour urinary excretion of uric acid were 498+/-40mg/day in the stone formers and 371+/-6mg/day in the control group. The 24 hour urinary excretion of uric acid in the stone formers were significantly higher than those of the control group. 3. Urinary magnesium values have not been shown any significant differences between the group with urinary calculi and those of control group. 4. The mean values of 24 hour urine of magnesium to calcium ratio was 1.01+/-0.95 in stone formers and l.42+/-1.31 in the control group. The magnesium to calcium ratio in the stone formers were significantly lower than those of the control group. These results suggest that increased urinary calcium and uric acid level may play some role in the genesis of urinary stone but urinary magnesium value was not different in the two groups. We think that a decrease in the urinary magnesium to calcium ratio was the results of increased excretion of calcium rather than lowered excretion of the magnesium for the stone formers.
Calcium* ; Magnesium* ; Saturn ; Urate Oxidase ; Uric Acid* ; Urinary Calculi* ; Urolithiasis