We report a case of hepatoma with duodenal metastasis in a 53 year-old male patient. Hepatoma was confirmed by fine needle aspiration cytology technique, and duodenal metastasis by gastrofiberscopic biopsy. Duodenal metastasis of hepatoma is rare. We briefly review the role of fine needle aspiration cytology technique in diagnosis of hepatoma.
Biopsy ; Biopsy, Fine-Needle ; Carcinoma, Hepatocellular ; Child* ; Diagnosis ; Endodermal Sinus Tumor ; Humans ; Male ; Mediastinum ; Middle Aged ; Neoplasm Metastasis ; Proteinuria* ; Specific Gravity*

No Abstract Available.
Filtering Surgery* ; Genistein* ; Glaucoma*

No abstract available.
Intestinal Obstruction*

Although febrile convulsion (FC) is a common clinical entity with a high recurrence rate, no specific factors have been identified to be highly predictive of its recurrence. A total of 114 cases of FC identified during a 28 month period (January, 1989-May, 1991) was analysed. A slight predominance of boys over girls (1.3 to 1.0) was observed. the majority of cases (89.4%) were under 3 years of age and the most common age range for the onset of FC was 1~2 years. The most common form of FC was tonic type (54.0%), followed by tonic-clonic (32.5%), clonic (5.3%), and complex partial type (5.3%). Most FC episodes lasted less than 5 minutes (81.6%), and common clinical diagnosis underlying FC were as follows: pharyngotonsillitis (64.0%), bronchitis and/or pneumonia(16.7%), and gastroenteritis (9.7%). The family history for seizure disorder was present in 27.2% of the cases: FC in 21.1%, epiepsy in 4.4%, and both in 1.8%. Among 78 cases of the first FC, 43 cases were followed for 5 to 29 months without prophylactic anticonvulsant therapy. The overall recurrence rate of FC in this group was 67.4% and the highest incidence was observed in patients less than one year old (86.7%). A higher recurrence rate (80%) was observed in patients whose body temperature was lower than 39degrees C, as opposed to higher than 39degrees C (50%). It is concluded that the recurrence of FC is positively correlated with factors such as younger age (less than one year old), and lower body temperature at the time of onset of FC.
Body Temperature ; Bronchitis ; Diagnosis ; Epilepsy ; Female ; Gastroenteritis ; Humans ; Incidence ; Recurrence ; Seizures, Febrile*

No abstract available.

No abstract available.
Anus, Imperforate* ; Bronchi* ; Esophageal Atresia*

No abstract available.
Cleidocranial Dysplasia* ; Leukemia*

To access the effects of trabeculectomy or medical treatment on automated visual field progression in glaucoma, a retrospective automated visual field data were obtained for those who underwent six Humphrey C30-2 field tests over at least 4 years. The first field data was excluded. Linear regression was performed with respect to mean deviation[MD], corrected pattern standard deviation[CPSD], and mean thresholds of Glaucoma Hemifield test[GHT]. Subjects were classified as progressive or stable based on the slope and statistical significance. There were 19 persons[25eyes]in surgery group and 16 persons [27eyes]in medication group. The levels of IOP in all subjects were maintained under 21 mms of mercury during all follow-up periods. There was no difference in mean postoperative IOP between both groups[p>0.05]. There were no significant dif-ferences in numbers of aggravation respect to MD, CPSD, and GHT between two groups of surgery and medication[p>0.01]. There was no differnce in the visual field outcome between two groups of surgery and medication with same level of IOP.
Filtering Surgery ; Follow-Up Studies ; Glaucoma ; Humans ; Linear Models ; Retrospective Studies ; Trabeculectomy* ; Visual Fields*

The 362 industrial eye injuries among the 14374 out-patient who visited to Dept. of Ophthalmology, Wonju Christian Hospital, Yonsei University, College of Medicine from Jan. 1975 to Dec. 1980 were statistically evaluated. 1. Industrial eye injuries occupied 2.52% of all eye injuries. 2. The majority of industrial eye injuries was due to flying particles including dust and stones(28.04%), explosives(24.66%) which resulted in corneal foreign bodies(10.27%). 3. The final visual acuity of 82 eyes(21.98%) was 20/400 or less. And 36 eyes(9.65%) were absolutIy blinded. 4. The trade-distribution of industrial eye injuries was as follows; Stope mm(36.82%), Assistant(11.15%), Miscellaneous service (7.09%), 38.53% of industrial eye injuries of Stope men was injured by explosives.
Diptera ; Dust ; Explosive Agents ; Eye Injuries* ; Gangwon-do ; Humans ; Male ; Ophthalmology ; Outpatients ; Visual Acuity

Paraquat (1, 1'-dimethy-14, 4' dipyridium chloride: Gramoxon(r)) was first discovered in England in 1955. It has been widely distributed for use in Korea since 1970 as a pesticide and also often the cause of accidental intoxications. The authors would like to report the following case of paraquat intoxicatio in a 13 year old female child admitted via emergency room with complaints of epigastric pain, vomiting and hematuria of four days duration. On admission the data of laboratory evaluation were as follows: BUN/Cr 126/11.6 mg/dl; sGOT/sGPT 641/641 IU/L; total bilirubin/direct bilirubin 3.9/2.4 mg/dl; alkaline phosphatase 396.1 U/L; fecal occult blood test-positive; pH 7.428, pCO2 26.2 mmHg, pO2 131.4 mmHg, base excess -5.0 mmol/L on arterial blood gas analysis (ABGA). Gastroendoscopy revealed esophageal ulcers, and as symptoms of renal failure could not be relieved by hemodialysis, kidney biopsy was performed on the otherwise previously healthy child to establish the cause of renal failure. The result of biopsy revealed tubular necrosis with eosinophilic infiltrations. A more detailed retrograde probe of the child's past medical history evoked that the patient had ingested paraquat in a suicidal attempt. Supportive therapy and hemodialysis were continued thereafter, but the symptoms of renal failure could not be reversed, and the patient eventually died due to acute respiratory distress syndrome.
Adolescent ; Alkaline Phosphatase ; Bilirubin ; Biopsy ; Blood Gas Analysis ; Child ; Emergency Service, Hospital ; England ; Eosinophils ; Female ; Hematuria ; Humans ; Hydrogen-Ion Concentration ; Kidney ; Korea ; Necrosis* ; Occult Blood ; Paraquat* ; Renal Dialysis ; Renal Insufficiency ; Respiratory Distress Syndrome, Adult ; Ulcer ; Vomiting