1.Fibroadenoma with Formation of Epidermal Cyst: A case report.
Jong Jae JUNG ; Ji Shin LEE ; Seung HYUN
Korean Journal of Pathology 2000;34(7):537-539
Epidermal cyst in the fibroadenoma of the breast is very rare. A 29-year-old woman presented with a lump in the upper outer quadrant of the right breast. Clinically it was a fibroadenoma and the excisional specimen showed an encapsulated, firm lobulated lesion with a cystic area on cut surface. The cystic area showed squamous metaplasia of the ductal epithelium and keratinous cyst formation in the fibroadenoma. We report this unusual case with review of literatures.
Adult
;
Breast
;
Epidermal Cyst*
;
Epithelium
;
Female
;
Fibroadenoma*
;
Humans
;
Metaplasia
2.A Prospective Study of Comparison of Misoprostol and Dinoprostone for Cervical Ripening and Labor Induction.
Hyun Haing LEE ; Won Sik PARK ; Seung Joo SHIN
Korean Journal of Obstetrics and Gynecology 1999;42(11):2480-2485
OBJECTIVE: To compare the safety and efficacy of intravaginal misoprostol versus intracervical dinoprostone (prostaglandin E2 gel) for cervical ripening and labor induction. METHODS: 60 patients with indication for labor induction and unfavorable cervices were randomly assigned to receive either intravaginal misoprostol or intracervical dinoprostone. 50 microgram tablets of misoprostol were placed in the posterior vaginal fornix every 4 hours for a maximum of 3 doses or dinoprostone 0.5mg was placed into the endocervix every 6 hours for a maximum of 2doses. No more medication was given after either spontaneous rupture of membranes or beginning of active labor. RESULTS: Among 60 patients enrolled, 30 received misoprostol and 30 received dinoprostone. The average interval from start of induction to active labor was shorter in misoprostol group (6.5+/-3.2 hours) than in the dinoprostone group (10.7+/-7.3 hours) (p<0.05). Oxytocin augmentation of labor occurred more often in the dinoprostone group (36.7%) than in the misoprostol group (10.0%) (p<0.05). There was a higher prevalence of fetal distress (23.3% versus 3.3%) and tachysystole (16.6% versus 6.6%) in the misorprostol group than in the dinoprostone group(p<0.05). CONCLUSIONS: Vaginally administered misoprostol is an effective agent for cervical ripening and induction of labor. Furthermore, the cost of misoprostol ( 360/200microgram) is much less than that of dinoprostone ( 42,000/0.5mg). Cost benefits from administration of misoprostol are evident, especially in clinics under system of diagnosis-related group (DRG) : however when given at this dosage, it is associated with a higher prevalence of fetal distress and tachysystole than dinoprostone. Further studies to compare the safety of misoprostole to that of dinoprostone and to delineate an optimal dosing regimen for misoprostol are needed.
Cervical Ripening*
;
Cost-Benefit Analysis
;
Diagnosis-Related Groups
;
Dinoprostone*
;
Female
;
Fetal Distress
;
Humans
;
Membranes
;
Misoprostol*
;
Oxytocin
;
Pregnancy
;
Prevalence
;
Prospective Studies*
;
Rupture, Spontaneous
;
Tablets
3.Evaluation of left artial appendage function by transesophageal echocardiography.
Hyun Chul SHIN ; Seung Ho KANG ; Dong Gu SHIN ; Young Jo KIM ; Bong Sup SHIM ; Hyun Woo LEE
Journal of the Korean Society of Echocardiography 1993;1(1):109-118
No abstract available.
Echocardiography, Transesophageal*
4.Splenic Rupture Complicated by Infective Endocarditis.
Joon Han SHIN ; Sang Wook LIM ; Hyuck Moon KWON ; Hyun Seung KIM
Korean Circulation Journal 1992;22(2):330-334
In complication of infective endocaditis splenomegaly and splenic infarction are not uncommon but splenic rupture is very rare. We report a case of splenic rupture complicated by infective endocarditis in 1 71-yr-old man who had been suffered from rheumatic heart disease (aortic regurgitation and stenosis and mitral regurgitation). The patient was admitted to mild fever and generalized weakness for 20 days. Diagnosis of infective endocarditis due to Staphylococcus epidermidis was made by clinical manifestaions and blood culture study.On 34th day of admissionthe patient suddenly displayed the symptoms and signs of massive intraperitoneal hemorrhage. Splenic rupture was revealed by paracentesis and radiologic studies. Rupture of spleen is an uncommon and usually fatal complication of infective endocarditis. Therefore early diagnosis and prompt treatment must be performed.
Constriction, Pathologic
;
Diagnosis
;
Early Diagnosis
;
Endocarditis*
;
Fever
;
Hemorrhage
;
Humans
;
Paracentesis
;
Rheumatic Heart Disease
;
Rupture
;
Spleen
;
Splenic Infarction
;
Splenic Rupture*
;
Splenomegaly
;
Staphylococcus epidermidis
5.A case of fetal cystic hygroma colli.
I Chang WANG ; Hyun Mi BAE ; Yun Shul KANG ; Seung Joon SHIN ; Ki Ho MOON
Korean Journal of Obstetrics and Gynecology 1993;36(7):3164-3170
No abstract available.
Lymphangioma, Cystic*
7.Immunohistochemical Staining of Amyloid Deposit with Monoclonal Anti - keratin Antibodies in Primary Localized Cutaneous Amyloidosis.
Kwang Hyun CHO ; Seung Ho CHANG ; Jeong Aee KIM ; Yoo Shin LEE ; Eui Keun HAM
Korean Journal of Dermatology 1990;28(3):308-314
Nine cases of primary localized cutaneous amyloidosis were studied by immunoperoxidase technique (ABC method) employing anti-keratin antibodies. All specimens were examined using consecutive paraffin sections to confirm the correspondence between amyloid existing area and reactive sites. Anti-keratin antibody 34pE which recognize 68, 58, 56.5, 56kd keratin peptides reacted with amyloid deposits in both lichen amyloidosus and macular amyloidosis. However, anti-keratin antibodies 34pB4 and 35pH did not react with amyloids. In general, Dylon staining positive material, keratin reacted with 34pE and amyloid P showed similar distribution in serial sections, but did not show the same one. Several keratin bodies reacted with 34pE, which were not stained with Dylon staining or antiamyloid P were found in the dermis of one specimen. These results suggest that immunohistochemical staining with antikeratin antibody 34pE using formalin-fixed, paraffin-embedded sections appeared to be a useful method in studying the histogenesis of primary localized cutaneous arnyloidosis.
Amyloid*
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Amyloidosis*
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Antibodies*
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Catalytic Domain
;
Dermis
;
Immunoenzyme Techniques
;
Lichens
;
Paraffin
;
Peptides
;
Plaque, Amyloid*
8.A Case of Localized Axillary Syringomas.
Seung Hyun SOHNG ; Jeong Young PARK ; Dong Hoon SHIN ; Jong Soo CHOI ; Ki Hong KIM
Korean Journal of Dermatology 2012;50(5):489-490
9.A Study on Expression of Cytokeratins in Various Cutaneous Epithelial Tumors.
Kwang Hyun CHO ; Kyu Han KIM ; Seung Ho CHANG ; Yoo Shin LEE ; Eui Keun HAM
Korean Journal of Dermatology 1990;28(5):565-574
No abstract available.
Keratins*
10.An Anterior Approach to Entire Length of Humerus and to Distal Shaft for Fracture Fixation.
Chul Hyung LEE ; Hyun CHOI ; Tae In KIM ; Jun Beom KIM ; Sang Yeop SHIN ; Seung Koo RHEE
Clinics in Shoulder and Elbow 2016;19(4):223-228
BACKGROUND: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for fractures occurring along length of humerus. METHODS: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index (MEPI). RESULTS: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final follow-up (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site. CONCLUSIONS: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
Elbow
;
Follow-Up Studies
;
Fracture Fixation*
;
Humans
;
Humeral Fractures
;
Humerus*
;
Muscles
;
Peripheral Nervous System Diseases
;
Traction
;
Transplants
;
Treatment Outcome