A total of 212 cases of gastric carcinoma resected at Kang-Dong Sacred Heart Hospital during the period of 4 years from December 1986 to December 1990 were examined according to Borrmann, Mulligan-Rember, Ming and WHO methods based on histopathological investigations. In Mulligan-Rember (M-R) classification, intestinal cell type (IC) was frequently seen in Borrmann type I and II; pyloro-cardiac gland cell type (PC) in II and III, and mucous cell type (MC) in IV and III. Expanding growth pattern was more frequent in IC, infiltrative growth pattern in MC, and PC showed less infiltrative growth than MC. In gross type, the most expanding growth pattern was seen in Advanced gastric carcinoma type (AGC) I and the next one was in AGC II; the ratio of infiltrative versus expanding type was highest in AGC IV and next in AGC resembling early gastric carcinoma (EGC) and AGC III in order. On WHO classification except squamous type, all the papillary type showed expanding growth and infiltrative growth was frequently seen in signet-ring cell, undifferentiated, tubular and mucinous types in order. Lymphoid stroma was more frequently found in expanding type than infiltrative type. The frequency of angioinvasion of tumor cells observed was high in AGC resembling EGC, AGC II, III, IV, I and EGC in order. In WHO classification excluding squamous type, undifferentiated and signet-ring cell types occurred more frequently under the age of 60 and papillary type were more frequnetly seen over the age of 60. But tubular type had no difference between the two age groups. In Ming's classification, expanding type was more frequently seen than infiltrative type over the age of 60.

No abstract available.

Azithromycin* ; Doxycycline* ; Scrub Typhus*

Pnuemocystis jirovecii pneumonia (PJP) is one of leading causes of acute respiratory failure in patients infected with human immunodeficiency virus (HIV), and the mortality rate remains high in mechanically ventilated HIV patients with PJP. There are several reported cases who received extracorporeal membrane oxygenation (ECMO) treatment for respiratory failure associated with severe PJP in HIV-infected patients. We report a patient who was newly diagnosed with HIV and PJP whose condition worsened after highly active antiretroviral therapy (HAART) initiation and progressed to acute respiratory distress syndrome requiring veno-venous ECMO. The patient recovered from PJP and is undergoing treatment with HAART. ECMO support can be an effective life-saving salvage therapy for acute respiratory failure refractory to mechanical ventilation following HAART in HIV-infected patients with severe PJP.
Antiretroviral Therapy, Highly Active* ; Extracorporeal Membrane Oxygenation* ; HIV ; Humans ; Mortality ; Pneumocystis jirovecii* ; Pneumocystis* ; Pneumonia* ; Respiration, Artificial ; Respiratory Distress Syndrome, Adult* ; Respiratory Insufficiency ; Salvage Therapy

PURPOSE: To determine the MR and CT findings which differentiate cerebral septic embolism from thromboticinfarction. MATERIALS AND METHODS: Cerebral septic embolism was confirmed by blood culture in six patients andautopsy in two. The number, size, distribution, contrast enhancement, and hemorrhage of the lesions, as seen on MRand CT, were retrospectively analyzed, and four patients were followed up for between one week and seven months. RESULTS: In a total of eight patients, infective endocarditis (n=5) and sepsis (n=3) caused cerebral septicembolism. The number of lesions was 3~7 in six patients, over 10 in one, and innumerable in one; these varied insize from punctate to 6cm and were distributed in various aseas of the brain. Gyral infarction was noted in fivepatients; non-enhancing patchy lesions involving the basal ganglia or white matter were found in five, tinyisolated nodular or ring-enhancing small lesions involving the cortex and white matter in three, peripheralrim-enhancing large lesions in one, and numerous enhancing nodules disseminated in the cortex in one. Hemorrhagehad occurred in six. Follow-up studies in four patients showed that initial lesions had enlarged in two andregressed in two; new lesions had appeared in two. CONCLUSION: Multiple lesions of different sizes and variouspatterns which include gyral infarction, patchy or nodular lesion in the cortex, white matter or basal ganglia,and isolated small ring-like or nodular enhancement or frequent hemorrhage are findings which could be helpful inthe radiologic diagnosis of cerebral septic embolism.
Basal Ganglia ; Brain ; Diagnosis ; Embolism* ; Endocarditis ; Follow-Up Studies ; Hemorrhage ; Humans ; Infarction ; Intracranial Embolism ; Retrospective Studies ; Sepsis

Pnuemocystis jirovecii pneumonia (PJP) is one of leading causes of acute respiratory failure in patients infected with human immunodeficiency virus (HIV), and the mortality rate remains high in mechanically ventilated HIV patients with PJP. There are several reported cases who received extracorporeal membrane oxygenation (ECMO) treatment for respiratory failure associated with severe PJP in HIV-infected patients. We report a patient who was newly diagnosed with HIV and PJP whose condition worsened after highly active antiretroviral therapy (HAART) initiation and progressed to acute respiratory distress syndrome requiring veno-venous ECMO. The patient recovered from PJP and is undergoing treatment with HAART. ECMO support can be an effective life-saving salvage therapy for acute respiratory failure refractory to mechanical ventilation following HAART in HIV-infected patients with severe PJP.
Antiretroviral Therapy, Highly Active ; Extracorporeal Membrane Oxygenation ; HIV ; Humans ; Mortality ; Pneumocystis jirovecii ; Pneumocystis ; Pneumonia ; Respiration, Artificial ; Respiratory Distress Syndrome, Adult ; Respiratory Insufficiency ; Salvage Therapy