1.Management of Advanced Epithelial Ovarian Cancer.
Korean Journal of Obstetrics and Gynecology 1999;42(8):1647-1654
No abstract available.
Ovarian Neoplasms*
2.Pentazocine-induced dermatomyopathy.
Hyun Sook LEE ; Jean Yee NOH ; Young Ok PARK
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(1):125-129
No abstract available.
3.A case of Bilateral Near Blindness Secondary to Isolated Sphenoid Sinus Aspergillosis with Headache.
Jun Pil YOON ; Se Jin LEE ; Jun LEE ; Ju Hyun KIM ; Hyun Doo NOH
Yeungnam University Journal of Medicine 2007;24(1):79-84
Sphenoid sinus aspergillosis is notorious for its serious complications, such as permanent cranial nerve deficits and possible death. The most common associated symptoms are headache, followed by visual changes, and cranial nerve palsies. Because of an insidious onset, frequently resulting in missed and delayed diagnosis, sphenoid sinus aspergillosis is a potentially lethal medical condition. We report a case of visual loss secondary to isolated sphenoid sinus aspergillosis. A 69-year-old man presented to our hospital with the complaint of headache. The headache started one year previously and was described as severe dull pain localized bilaterally to the temporo-orbital region. The patient took daily NSAIDs for the pain. The neurological examination was normal. The MRI of the brain showed a left sphenoid sinusitis. A transnasal endoscopic superior meatal sphenoidotomy was performed. Aspergillosis was confirmed after a surgical biopsy was obtained. The patient was discharged from hospital without antifungal therapy. One month later, the patient complained of headache and loss of vision bilaterally. The orbital MRI showed a left cavernous sinus and bilateral optic nerve invasion. The loss of visions was permanent. In our case, the diagnosis was delayed; antifungal agents were not administered after surgery and the patient lost his vision as a result. Therefore, early diagnosis and proper treatment are important. Although the treatment of an invasive type of aspergillus has not been established, surgical removal of a nidus and aggressive antifungal therapy are recommended.
Aged
;
Anti-Inflammatory Agents, Non-Steroidal
;
Antifungal Agents
;
Aspergillosis*
;
Aspergillus
;
Biopsy
;
Blindness*
;
Brain
;
Cavernous Sinus
;
Cranial Nerve Diseases
;
Cranial Nerves
;
Delayed Diagnosis
;
Diagnosis
;
Early Diagnosis
;
Headache*
;
Humans
;
Magnetic Resonance Imaging
;
Neurologic Examination
;
Optic Nerve
;
Orbit
;
Sphenoid Sinus*
;
Sphenoid Sinusitis
4.The palato-gingival groove - anatomical anomaly occurred in maxillary lateral incisors: case reports.
Hyun Il KIM ; Young Shin NOH ; Hoon Sang CHANG ; Hyun Wook RYU ; Kyung San MIN
Journal of Korean Academy of Conservative Dentistry 2007;32(6):483-490
This report describes clinical cases of a palato-gingival groove on a maxillary lateral incisor with associated localized periodontal disease and pulp necrosis. The tooth of the first case was extracted because of severe bone destruction. The palato-gingival groove of the second case was eliminated using a round bur, and the resulting defect was filled with synthetic graft and covered by an absorbable membrane. Both diagnosis and treatment of palato-gingival groove were very difficult and usually extraction of the involved tooth is the treatment of choice, but combined endodontic-periodontic treatment allowed the tooth to be saved.
Dental Pulp Necrosis
;
Diagnosis
;
Incisor*
;
Membranes
;
Periodontal Diseases
;
Tooth
;
Transplants
5.Growth pattern of the newborn infants by gestational age.
Noh Hyun PARK ; Bo Hyun YOON ; Hee Chul SHIN ; Syng Wook KIM
Korean Journal of Obstetrics and Gynecology 1991;34(3):322-330
No abstract available.
Gestational Age*
;
Humans
;
Infant, Newborn*
6.Transesophageal Echocardiography(TEE) in the Normal Persons.
Jong Seong KIM ; Ki Hyun KIM ; Moo Hyun KIM ; Young Dae KIM ; Hyun Kuk DOH ; Myung Hwan NOH
Korean Circulation Journal 1991;21(3):504-511
Transesophageal echocardiogram (TEE) was performed in the 86 normal persons using a UM9 of ATL with a 3.5 MHZ transducer in the Heart Center of Dong-A University Hospital during March-September 1990. 1) The transesophageal basal short axis views in the normal were seen in the Fig. 2~6. The Fig. 2 showed 3 aortic valve cusps, Fig. 3 the left coronary artery, Fig. 4 the right pulmonary artery bifurcated from the main pulmonary artery, Fig. 5 3 major vessels of superior vena cava, aorta and pulmonary artery and Fig. 6 the Left atrial appendage. 2) The transesophageal 4-chamber views in the normal were seen in Fig. 7~10. The Fig. 7 showed the left ventricular outflow tract, Fig. 8 right and left atrium and ventricle, Fig. 9 the atrial septum containing the membrane of fossa ovalis and Fig. 10 right atrium and ventricle. 3) The transesophageal transgastric short axis view in the normal was seen in Fig. 11. Fig. 11 showed the transverse image of LV and RV. 4) The transesophageal ascending aorta image was observed in Fig. 3. descending aorta image in Fig. 12 and the transesophageal aortic arch image in Fig. 14. 5) From the transesophageal 4 chamber view the septum-lateral wall dimension of the left ventricle was 5.0cm and the dimension between the apex and the closed mitral valve 6.3cm. The medial-lateral dimension of the left atrial appendage was 3.0cm and the superior-inferior dimension 4.1cm. The dimension of the descending aorta was 2.7cm and the ascending aorta 3.0cm.
Aorta
;
Aorta, Thoracic
;
Aortic Valve
;
Atrial Appendage
;
Atrial Septum
;
Axis, Cervical Vertebra
;
Coronary Vessels
;
Echocardiography, Transesophageal
;
Heart
;
Heart Atria
;
Heart Ventricles
;
Humans
;
Membranes
;
Mitral Valve
;
Pulmonary Artery
;
Transducers
;
Vena Cava, Superior
7.Histological Changes in the Skin with Innate Ageing.
Kwang Ho HAN ; Kwang Hyun CHO ; Dong Young NOH ; Hee Chul EUN ; Jai Il YOUN
Korean Journal of Dermatology 1998;36(6):971-980
BACKGROUND: It is a popular notion that cutaneous ageing includes two distinct phenomenon; true ageing, a universal presumably inevitable change attributable to the passage of time alone, and photoageing, changes attributable to chronic habitual sun exposure that are neither universal nor inevitable. Numerous investigations with experimental animals, in vitro skin models have been conducted, although, few histological studies to date have attempted to announce fundamental morphological changes with innate ageing. OBJECTIVE: We compared skin derived from the breast of old and young persons using light microscopy to discern structural changes in epidermal and dermal morphology with advancing age. METHODS: The histological, immunohistochemical studies were performed with normal skin sections of thirty donors who were diagnosed with breast cancer. They were classified into three age cohort groups; nine into group I (22 to 38), twelve into group II(40 to 52), and nine into group III(54 to 87). We chose the breast as an area that might closely resemble intrinsically aged skin. This region is relatively shielded from photoageing by its anatomical location. Analysis of data was performed using the Kruskal-Wallis and ANOVA test for dermal parameters based on a 5-point rating scale, and a simple regression test for a positive rate of immunoreactants. Results : 1. Light microscopic appearance of aged skin revealed a more flattened epidermis than young skin. There was no trend for an increase in epidermal melanin content per unit area on Fontana-Masson staining. There was an age-associated decrease in the Ki-67 positive rate(p<0.001), the density of Ki-67 positive cells declined approximately 1.16% per decade in photoprotected skin(p<0.001). The number of S-100 positive cells declined approximately 4.4/mm width along the dermo-epidermal juction per decade in photoprotected skin(p<0.001). The expression of differentiation markers(keratin 1, involucrin, filaggrin, loricrin) were not different among the three age cohort groups. 2. With advancing age, there was an attenuation in the number and diameter of elastic fibers in the papillary dermis and an increase in the number and straightness of the same fibers in the reticular dermis. The collagen fibers are arranged in sparse bundles in disarray, and/or aggregates of loosely woven, straight fibers in the aged skin. There was an apparent, age-related decrease in the stainability of ground substances in the papillary dermis on colloidal iron staining. Conclusions : Our data documents semi-quantitative differences among three groups in intrinsically aged breast skin and provide the framework for future research to evaluate the ageing process.
Animals
;
Breast
;
Breast Neoplasms
;
Cohort Studies
;
Collagen
;
Colloids
;
Dermis
;
Elastic Tissue
;
Epidermis
;
Humans
;
Iron
;
Melanins
;
Microscopy
;
Skin*
;
Solar System
;
Tissue Donors
8.PNS CT in Symptomatic Patients without Mucosal Abnormality: The Relationship between Anatomic Variations and Symptomas.
Hyun Yang LIM ; Noh Kyoung PARK ; Kil Jun LEE ; Seok TAE ; Sang Chun LEE
Journal of the Korean Radiological Society 1994;30(3):459-464
PURPOSE: The purpose of the study is to investigate the correlation between the symptoms and the incidence of anatomical variant without mucosal abnormality. MATERIALS AND METHODS: Out of 892 patients with CT performed for the evaluation of sinus disease symptoms between March 1991 and March 1993, we observed the anatomic variations in 82 symptomatic patients without mucosal abnormality(male:female=43:39, mean age 36. 4 years). The control group included 88 patients with facial bone CT performed for the evaluation of trauma during the same period while patients with recent paranasal sinusitis were excluded. (male:female=76:12, mean age 22. 4 years). The scouis were performed with 5-ram section thickness from posterior margin of sphenoid sinus to anterior margin of posterior ethmoid and then with 3 mm thickness from anterior margin of posterior ethmoid to anterior margin of frontal sinus. The artatomic variations included nasoseptal deviation, concha bullosa, Hailer cells, Agger nasi cells, etc. RESULTS: The anatomic variations were demonstrated in 71 our of 82 symptomatic patients(86. 5%), whereas they were seen 26 of 88 patients(29. 5%) in control group. CONCLUSION: Our data suggest that there is a possible causal relationship between anatomic variations and symptomas. Even though without accompaning mucosal abnormalities, anatomic variations could contribute simply to its symptomas. ^natomic variants may obstruct or narrow the airway, leading to turbulating air flow or interrupting ucociliary movement, and finally may produce a series os symptoms.
Facial Bones
;
Frontal Sinus
;
Humans
;
Incidence
;
Sinusitis
;
Sphenoid Sinus
9.The Classification of Nasal Bone Fractures by CT.
Bok Kyun NOH ; Ho Beom AHN ; Dae Young KIM ; Sam Yong LEE ; Bek Hyun CHO
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(2):239-244
The reduction of nasal bone fracture has been done by a simple procedure. The nasal bone fracture was not a serious problem and patients are usually treated as outpatients. However it is causing increased demand for medical services far cosmetic reasons. We studied the nasal bone fracture by retrospective analysis, it comprising 606 patients with nasal bone fractures in various accidents and treated of Chonnam University Hospital from March 1995 to February 1998. We reviewed and analyzed the medical records and facial bone CT scans of 606 patients. The following results were obtained. 1. The prevalent age group was in the third decade, the most common cause was traffic accidents, while nasal swelling, tenderness, nasal deviation and crepitation were examined 2. The classification of nasal bone fracture was done by facial bone CT. Class 1: Nasal tip depressed fracture(16%) Class 2: Displaced nasal bone fracture without depression(30%) Class 3: Displaces nasal bone fracture with depression(12%) Class 4: Comminuted nasal bone fracture (10%) Class 5: Simple fracture of nasal bone and frontal process of maxilla(14%) Class 6: Comminuted fracture of nasal bone and frontal process of maxilla(11%) Class 7: Nasal bone fracture without displacement(9%) .
Accidents, Traffic
;
Classification*
;
Facial Bones
;
Fractures, Comminuted
;
Humans
;
Jeollanam-do
;
Medical Records
;
Nasal Bone*
;
Outpatients
;
Retrospective Studies
;
Tomography, X-Ray Computed
10.Cystic Nephroma: A Case Report and Comparing Literature Review with Mixed Epithelial and Stromal Tumor of Kidney.
Hyun Jung KIM ; Choong Hee NOH ; Giyoung KWON ; Eunah SHIN ; Jung Yeon KIM ; Kyeongmee PARK
Korean Journal of Pathology 2011;45(Suppl 1):S25-S28
Cystic nephroma (CN) is a benign cystic neoplasm composed of mixed epithelial and stromal elements. Less than 200 cases have been reported. We had a patient, a 41-year-old woman, who had a huge typical CN. The patient was admitted for a right renal mass that was found incidentally. On laparaoscopic right nephrectomy, there was an encapsulated 7 cm multilocular cystic mass at the upper pole. Microscopically, the cystic wall was lined by a single layer of low cuboidal or hobnail epithelium without a solid area. The thin septa were composed of bland, ovarian type spindle cells. The main differential diagnoses were mixed epithelial and stromal tumor (MEST), low grade multilocular renal cell carcinoma, and tubulocystic carcinoma. The results of immunohistochemical staining were cytokeratin 7/19(+/+) and CD10(-) in lining epithelium, estrogen receptor/progesterone receptor(+/+) in stromal cells. After surgery, she was free of recurrence for 10 months. We report this rare case and compare it with other cystic renal tumors, especially MEST.
Adult
;
Carcinoma, Renal Cell
;
Diagnosis, Differential
;
Epithelium
;
Estrogens
;
Female
;
Humans
;
Keratins
;
Kidney
;
Nephrectomy
;
Receptors, Estrogen
;
Recurrence
;
Stromal Cells