No abstract available.
Humans

PURPOSE: To analyse the risk factors for recurrence of hemangiomas in extremities after surgical treatment and to compare with those of trunk. MATERIALS AND METHODS: 120 cases of hemangioma with surgical treatments from June 1998 to September 2009 were analysed. 53 cases with surgical treatment on trunk in the same period were set to be the control group. We analyze several factors: age, location, site, size, histologic types and correlation between recurrence and each risk factor using logistic regression analysis. RESULTS: Recurrence rate was 11.7% in extremities and 9.4% in trunk. There were no correlation between recurrence and age, site, size, histologic type. But, there was stastically significant correlation between recurrence rate and location, especially hand, forearm, feet in extremities and head and neck in trunk. CONCLUSION: Recurrence after surgical treatment of hemangioma is highly prevalent in anatomical location such as, hand, foot and forearm those are difficult to achieve complete resection because of close to neurovascular structures. Careful observation should be needed owing to incomplete resection can occurs recurrence.
Extremities ; Foot ; Forearm ; Hand ; Head ; Hemangioma ; Logistic Models ; Neck ; Recurrence ; Risk Factors

Kasabach-Merritt syndrome is the association of thrombocytopenia, disorder of coagulation, spontaneous bleeding and enlargement of a hemangima or extensive hemangiomatosis, which can be often life threatening. We experienced a three years-old girl with suddenly enlarging hemangioma of right cheek, complicated by severe thrombocytopenia, consumptive coagulopathy and hemorrhagic cystitis. Generalized petechia and ecchymosis were noted on the overlying skin of hemangioma, trunk and extremities. But the study of MRI and angiography, hypevascular was located within the right masseter muscle extending to temporalis muscle and anterior to parotid gland. So selective embolization with PVA (polyvinyl alcohol) was performed through the distal branch of internal maxillary artery and facial artery. She was medicated with oral corticosterioid for 3 weeks. After embolizationn, blood flow to hemangioma and facial swelling were markedly decreased. Patient was followed up for 7 years and she showed normal contour of face and no bleeding diathesis.
Angiography ; Arteries ; Cheek ; Cystitis ; Disease Susceptibility ; Ecchymosis ; Extremities ; Female ; Hemangioma ; Hemorrhage ; Hemorrhagic Disorders* ; Humans ; Kasabach-Merritt Syndrome* ; Magnetic Resonance Imaging ; Masseter Muscle ; Maxillary Artery ; Parotid Gland ; Skin ; Thrombocytopenia

Removal of blunt esophageal foreign bodies using Foley catheter under a fluoroscopic guidance is a well-recognized procedure. However, since this procedure is rather cumbersome and uncomfortable to the patient, the authors tried to find an easier and more convenient modified technique. For 10 patients with esophageal foreign body, we tried the method to the patients who is lying in the right lateral decubitus position and 3 assistants hold head. arms, trunk and legs of the patients without tilting the table and without using immobilizer. Foley catheter is inserted through nostril, nasal cavity and pharynx to esophagus. In order to identify the Foley catheter in esophagus, 0.025 inch short wire was inserted in the Foley catheter. The balloon of a Foley catheter was inflated by 10cc of air, and the syringe was kept attached to the Foley catheter during the procedure. After passage of the foreign body through the upper esophageal sphincter, the balloon was deflated immediately and the foreign body was removed through the mouth. We successfully removed in removing all the blunt esophageal foreign body with ease. This modified method is also fast, safe and efficient.
Arm ; Catheters* ; Deception ; Esophageal Sphincter, Upper ; Esophagus ; Foreign Bodies* ; Head ; Humans ; Leg ; Methods* ; Mouth ; Nasal Cavity ; Pharynx ; Syringes

No abstract available.
Esophageal Achalasia*

We report a rescently experienced case with atypical radiologic manifestation of solid and papillary epithelial neoplasm of the pancreas in a 37 years old female patient. The tumor had heavy calcification on its capsule wall and septa. Instead of the usual encapsulated lesion with partly solid and partly cystic-hemorrhagic components, the lesion consisted of numerous fine cavitations containing air without fluid component except focal abscess fluid.
Abscess ; Female ; Humans ; Neoplasms, Glandular and Epithelial* ; Pancreas* ; Pancrelipase*

Trichilemmal carcinoma is a rare malignant neoplasm of the hair follicle, which is derived from or differentiates towards cells of the outer root sheath. We report a case of trichilemmal carcinoma in an 83-year-old female patient. She presented with a tender dome-shaped crusted papule showing a feature of cutaneous horn on the forehead, which was first detected 6 months before. nstopathologically, lobular patterned tumor cells with peripheral palisade of basaloid cells, nuclear atypia, and clear or pale, PAS-positive, diastase-sensitive cytoplasm were observed beneath the marked hyperkeratosis. After the diagnosis, total excision was done. The patient has been free of recurrence or metastasis till now.
Aged, 80 and over ; Animals ; Cytoplasm ; Diagnosis ; Female ; Forehead ; Hair Follicle ; Horns* ; Humans ; Neoplasm Metastasis ; Recurrence

Plain chest films are the most useful modality in diagnosis of primary lung cancer, but it is difficult tointerpret the radiologic findings by histological types. Authors reviewed chest films of 324 cases ofhistologically confirmed primary lung cancer from Jan. 1974 to April 1982 at Seoul National University. The resulsare as follows; 1. Incidence was most common in the 6th decade as 34.4%. Male to female sex ratio was 3.8:1 andthere was no sex difference in Adenocarcinoma. 2. Distrubution of histologic types of primary lung cancer asfollows; Squamous cell Carcinoma 50.6%, Small Cell Carcinoma 22.5% lange Cell Carcinoma 9.3% Bronchegenic adenocaranoma 10.5% Bronchioloalveolar Cell Carcinoma 1.9%. Adenosquamos Carcinoma 0,6%, Carcinoid Tumor 0.3%, AdenoidCystic Carcinoma 0.3%. 3. Radiologic findings by histologic types as follows; a) Squamous cell carcinoma commonlypresent as collapse(51.8%) peripheral mass (40.8%), pneumonitis(37.2%), hilar involvement(34.8%), and in singleabnormality, peripheral mass (44.4%). b) Small cell carcinoma commonly present as hilar involvement(78.1%),mediastinal wideing or mass (53.4%) and in single abnormality, hilar involvement(58.3%). c) Large cell carciomacommonly present as hilar involvement(50%) pneumonia(46.7%), collapse (40%), peripheral mass(36.7%) and in singleabnormality, large peripheral mass (33.3%). d) Bronchogenic Adenocarcinoma commonly present as peripheralmass(44.1%), collapse (41.2%), pleural effusion (35.2%) and in single abnormality, peripheral mass(50%). e)Solitary peripheral mass commonly present as lobulation(48%) and spiculated margin (51%), but no specific findingsby histologic types. Cavitary formation was most common in Squamous cell carcinoma.
Adenocarcinoma ; Carcinoid Tumor ; Carcinoma, Small Cell ; Carcinoma, Squamous Cell ; Diagnosis ; Female ; Humans ; Incidence ; Lung Neoplasms ; Lung ; Male ; Pleural Effusion ; Seoul ; Sex Characteristics ; Sex Ratio ; Thorax

Total 32 cases of pulmonary atresia were diagnosed radiographically at Seoul National Uniersity Hospital fromMarch 1979 to August 1982. Some characteristic radiological findings were analyzed in chest PA andcineangiograhies. The resusls were as follows; 1. In the evaluation of chest PA, cardiomegaly was noticed in 16cases, dextrocardia in 8 cases, elevated cardiac apex in 7 cases and right-side aortic arch in 6 cases. Thepulmonary vascularties were mildly decreased in 20 cases, markedly decrased in 9 cases and decreased withreticular pattern in 3 cases. 2. As final diagnoses after cineangiography, pulmonary atresia was associated withTetralogy of Fallot variant in 17 cases, transposition of great vessels in 7 cases, single ventricle in 5 cases,tricuspid atresia in 2 cases and intact ventricular septum in 1 case. 3. The classification according to thepattern of pulmonary artery is main pulmonary trunk with PDA(Type Ia) in 10 cases, pulmonary arterial confluencewith PDA(Type Ib) in 10 cases, no pulmonary arterial confluence with PDA (Type Ic) in 5 cases, main pulmonarytrunk without PDA(Ttpe IIa) in 0 case, pulmonary arterial confluence without PDA (Type IIb) in 5 cases, and nopulmonary arterial confluence without PDA (Ttpe IIc) in 2 cases. 4. Pulmonary wedge venography was done andsuccessful in 8 cases. Among them, confluence between right and left pulmonary arteries was noticed in 5 cases. 5.Biventricular cineangiography and/or pulmonary wedge venography, if necessary, is essential for the accuratediagnosis of pulmonary atresia to demonstrate detailed anatomy of pulmonary artery.
Aorta, Thoracic ; Cardiomegaly ; Cineangiography ; Classification ; Dextrocardia ; Diagnosis ; Phlebography ; Pulmonary Artery ; Pulmonary Atresia ; Seoul ; Thorax ; Transposition of Great Vessels ; Ventricular Septum

We obtained the following results by reviewing the radiographic findings of 15 cases of Sinus Valsalva rupturewho were diagnosed surgically at Seoul National University Hospital since 1979. 1. Among distribution was from 15years to 40 yeass with the mean age of 24 years. Among the 15 cases, 9 cases were male and 7 were female. 2.Ruptured sinus is right coronary sinus projecting to right ventricle in all 15 cases. Combined diseases areventricular septal defect in 12 cases, Aortic Valvular heart disease in 4 cases, and narrowing of rightventricular outflow tract in 2 cases, and aneurysmal dilatation of right pulmonary artery in 1 case. 3. Chestx-ray findings were that of left to right shunt, i.e, cardiomegaly, increased pulmonary vascularity but werenormal in 3 cases. 4. Aortography showed sequential leakage of dye form right coronary sinus to right ventricleand finally to pulmonary artery in 9 cases, and in 9 cases of them the leakage is directly to right ventricularoutflow tract without filling of sinus portin of the ventricle, i.e., type I. 5. The leakage was well shown inleft ventricular diastolic phase and not shown in systolic phase. 6. Ventricular septal defects were not detecteddefinitely in spite of taking left ventriculography. 7. Cineangiography is essential for detecting accurate site,degree and direction of sinus valsalva rupture and other associated cardiac abnormality.
Aneurysm ; Aortography ; Cardiomegaly ; Cineangiography ; Coronary Sinus ; Dilatation ; Female ; Heart Septal Defects, Ventricular ; Heart Valve Diseases ; Heart Ventricles ; Humans ; Male ; Pulmonary Artery ; Rupture ; Seoul