1.Computed tomographic evaluation of adrenal gland tumors
Moon Chul KIM ; Jong Tai LEE ; Hyung Sik YOO ; Hyung Sik CHOI
Journal of the Korean Radiological Society 1985;21(5):783-788
CT findings of twenty-four patients with adrenal gland tumors were analyzed to evaluate their location, size,shape, density etc. The post-surgical confirmation was made in 17 cases. The findings were as follows: 1. 4-10cmsized tumor messes were most common (42%). 2. Round or oval shaped forme were most common (59%). 3. Functionaltomors were 71% (17/24) including Cushing's syndrome of 10 cases, pheochromocytomas of 6 cases and aldosteronismof 1 case. 4. Abnormal adrenal glands were delineated in 88%(21/24), most effectively by CT. We concluded that CTwas the valuable study in the evaluation of the adrenal gland tumors and in the determination of surgicaloperation.
Adrenal Glands
;
Cushing Syndrome
;
Humans
;
Pheochromocytoma
2.Clinical Observation of Acute Myocardial Infarction.
Sang Yong LEE ; Jin Ho KIM ; Yun Sik YANG ; Hyung Il MOON ; Jong Sik KANG
Korean Circulation Journal 1984;14(2):333-342
A Clinical study was done on 90 cases of acute myocardial infarction admitted to Busan Wallace Memorial Baptist Hospital from January, 1977 to Febuary, 1983. The following results have been obtained. 1) The ratio of male to female was 2.2:1. The most age group were 5th decades(35.6%) and over 5th decades(5th decades and 6th decades) were two-thirds of all age group. And annual incidency were increasing tendencies, in 1980-1982 than 1977-1979. 2) Between the preceding diseases and the risk factors, the most common cause was the smoking (60%). And other associated diseases and factors were hypertension(54.4%), hypercholesterolemia (43.8%), hyperlipidemia(51.4%) and angina pectoris (34.4%). 3) The most common inducing factor was physical exertion(33.3%). And others were emotional stress(23.3%), alcohol drinking(10%), rest and sleeping(5.6%). 4) The major symptoms of acute myocardial infarction were precordial or epigastric pain(96.7%), dyspnea(53.3%), radiating chest pain (51.7%) and painless infarction(3.3%). 5) On laboratory data, there were leukocytosis in 50.5% increased SGOT in 68.6%, increased serum LDH in 75.9% and cardiomegaly in chest x-ray film were 82 percents. 6) The ratio between the anterior and inferior infarction on EKG was 1.9:1. 7) When admission, normal sinus rhythms on EKG were 59 percents. And the common associated electrocardiographic abnormalities were ventricular premature beat (23.6%), atrial fibrillation(15.7%), first degree A-V block (15.7%), left ventricular hypertrophy(15.7%). The most common abnormality was ventricular premature beat(23.6%). 8) The mortality rate of acute myocardial infarction was 10 percents. The causes of death were heart failure(33.3%), ventricular arrhythmia(33.3%), sudden death (22.2%) and cardiogenic shock(11.1%).
Angina Pectoris
;
Aspartate Aminotransferases
;
Busan
;
Cardiac Complexes, Premature
;
Cardiomegaly
;
Cause of Death
;
Chest Pain
;
Death, Sudden
;
Electrocardiography
;
Female
;
Heart
;
Humans
;
Hypercholesterolemia
;
Infarction
;
Leukocytosis
;
Male
;
Mortality
;
Myocardial Infarction*
;
Protestantism
;
Risk Factors
;
Smoke
;
Smoking
;
Thorax
;
X-Ray Film
3.A clinical study on openbite & relapse tendency after IVRO of the mandibular prognathism.
Hyung Sik PARK ; Jin Young HUH ; Gi Jung KIM ; Moon Key KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1997;23(1):35-42
IVRO is one of the most common procedures to setback prognathic mandible. Since 1993 we have set-up our own protocol for functional physiotherapy(Park's protocol) after IVRO. This is a study on openbite and relapse tendency after IVRO followed by our protocol. We obtained lateral cephalograms of twenty-seven patients which were taken immediately after surgery, 3 months, 6 months and 1 year postoperatively. Changes in positions of each point were analyzed. The results were as follows: 1. No remarkable openbite occured during the first year after IVRO. Upper teeth, lower teeth and anterior mandible moved upward, it seems to show that post-op orthodontic treatment did not contribute to reduce openbite tendency during post-op period. Rater, the lower teeth and mandible moved with the upper teeth as the compensation mechanism. 2. Lower Incisal Edge moved anteriorly up to 6 months, so overjet decreased from 3.3mm to 2.9mm during the first six months. Skeletal changes in anterior mandible showed slight anterior movement, therefore showing slight relapse tendency, but it represented no statistical significance. 3. The physiotherapy according to our protocol was used for only a month after operation, but there was no openbite tendency, and the occlusion was stable over one year.
Compensation and Redress
;
Humans
;
Mandible
;
Open Bite*
;
Prognathism*
;
Recurrence*
;
Tooth
4.Study of Cancer Cases by Industry in Kwangju-Chonnam Area: Based on Industrial Medical Insurance Record.
Yong Sik KIM ; Won Moon OH ; Hyung Cheol PARK ; Jin Su CHOI ; In Hyun SONG
Korean Journal of Preventive Medicine 1990;23(2):207-215
In order to investigate the occurrence characteristics of cancer in terms of industry in Kwangju-Chonnam area, medical utilization records of industrial medical insurance corporations during the period of 1987 to 1988 were reviewed for the identification of neoplastic disease. The cases obtained from the medical records were followed up for the verification and to get additional information. Standardized incidence data were compared by occupational characteristics. Multiple logistic regression analysis was applied to analyze the difference of incidence or distribution of cancer as a whole or of some selected cancer. Total cases of cancer identified were 242 during the study period. Annual incidence rate was calculated as 123.1 per 100,000 person. The frequent types of cancer were cancers of stomach, liver, lung, colon and rectum, bladder and lymphoma in descending order. Employees of mine and other sand handling industries showed significantly higher risks for cancer of stomach and cancer as a whole. Employees of the transportation industry showed the higher risk for cancer of liver. Workers in small-sized industry (< or = 100) had a higher risk for cancer than who in large-sized industry (>100). These findings suggested the effect of occupational environmental exposure to cancer development.
Colon
;
Environmental Exposure
;
Humans
;
Incidence
;
Insurance*
;
Liver
;
Liver Neoplasms
;
Logistic Models
;
Lung
;
Lymphoma
;
Medical Records
;
Occupations
;
Rectum
;
Silicon Dioxide
;
Stomach
;
Stomach Neoplasms
;
Transportation
;
Urinary Bladder
5.Multilocular Cystic Renal Cell Carcinoma: A case report.
Ki Jung YUN ; Weon Cheol HAN ; Chan CHOI ; Hyung Bae MOON ; Joung Sik RIM
Korean Journal of Pathology 1992;26(3):314-316
Multilocular cystic renal cell carcinoma appears to be a distinct and rare subtype of renal cell carcinoma with characteristic gross and microscopic features. Multilocular cystic renal cell carcinoma should be separated from multilocular cyst, multilocular cystic nephroma, and renal cell carcinoma with cystic degeneration. We present a case of multilocular cystic renal cell carcinoma. A 61-year-old man presented with right flank pain for 4 years. The computerized tomography revealed multilocular cystic mass in the upper pole of right kidney. The cystic mass measured 4.5x4 cm. The cyst was multilocular and locules not communicated with each other. The solid area was not present. Microscopically, the locules were lined by flat or cuboidal neoplastic clear cells. The clear cells were focally aggregated in the septa. The nephron was not present in the septa.
Male
;
Humans
;
Cysts
6.The Clinical Study of the Torsion of the Ovarian Tumor in Postmenopausal Women.
Seung Ryong KIM ; Soo Hyun CHO ; Kyung Tai KIM ; Hyung MOON ; Youn Yeung HWANG ; Joong Sik SHIN ; Young Jin MOON
Korean Journal of Obstetrics and Gynecology 2000;43(7):1139-1143
OBJECTIVE: The purpose of this study is to evaluate the clinicopathologic characteristics of the torsion of the ovarian tumor in postmenopausal women. METHODS: We reviewed the medical records of 20 postmenopausal patients with a postoperative diagnosis of torsion of the ovarian tumor in Department of Obstetrics and Gynecology, Hanyang University Hospital from January 1989 to December 1998. RESULTS: The postmenopausal patients with torsion of the ovarian tumor constitute 20/94 (21.3%) of all adnexal torsion patients encountered during this period. The mean (+/-SD) age of the 20 patients was 63.5+/-9.0 years, with a range of 52-90 years. The mean time since menopause was 16.5+/-10.3 years, with a range of 1-39 years. The mean parity was 5.4+/-2.0 (range of 3-10). Lower abdominal pain (65%) was the most frequently presenting symptom, palpable mass(20%) or diagnosed mass(15%) being the second. But, in 20% of cases there was no lower abdominal pain. The torsion occurred at the right side in 11cases (55%) and at the left side in 9 cases. The most frequent degree of torsion was those cases that was rotated twice (720 degrees). The neoplasms undergoing torsion ranged in diameter between 5cm and 30cm and the most prevalent size was 6 to 10 cm (8 cases). Most of the patients (17cases) were treated by total abdominal hysterectomy and bilateral salpingo-oophorectomy. The tumors that produce torsion varied histologically and the most common type was cystic teratoma (in 5 cases), simple cyst(in 3 cases), serous cystadenoma(in 2 cases), mucinous cystadenoma(in 2 cases). CONCLUSIONS: In our study, ovarian tumor torsion occurring in postmenopausal patients constituted approximately 20% of all torsion patients, therefore adnexal torsion should be considered when a postmenopausal woman presents with lower abdominal pain. When torsion is diagnosed, total abdominal hysterectomy and bilateral salpingo-oophorectomy is the usual treatment for postmenopausal patients. Histologically, in more than 90% of cases, the tumors that produce torsion were benign. If cancer is evident, more extensive surgery is required.
Abdominal Pain
;
Diagnosis
;
Female
;
Gynecology
;
Humans
;
Hysterectomy
;
Medical Records
;
Menopause
;
Mucins
;
Obstetrics
;
Parity
;
Teratoma
8.A Case of Mucocutaneous Lymph Node Syndrome Complicated by Aseptic Meningitis, Hydrops of the Gallbladeder and Dilatation of the Coronary Arteries.
Ho Jin LEE ; Sung Sook CHO ; Hyung Sik MOON ; Hong Kue LEE ; Soon Il LEE ; Young Seok LEE
Journal of the Korean Pediatric Society 1987;30(11):1259-1264
No abstract available.
Coronary Vessels*
;
Dilatation*
;
Edema*
;
Meningitis, Aseptic*
;
Mucocutaneous Lymph Node Syndrome*
9.Clinical Usefulness of Intracytoplasmic Sperm Injection of 1-day-old Unfertilized Oocyte during IVF-ET.
Chung Hoon KIM ; Hyung Sik CHU ; Eun Hee KANG ; Hee Dong CHAE ; Byung Moon KANG ; Yoon Seok CHANG
Korean Journal of Obstetrics and Gynecology 1999;42(11):2440-2445
OBJECTIVE: To analyze the efficacy of intracytoplasmic sperm injection (ICSI) for totally unfertilized oocytes by the conventional insemination during in vitro fertilization and embryo transfer (IVF-ET) METHODS: From March 1996 to April 1998, 15 couples who experienced total fertilization failure after conventional IVF without severe male factor infertility in semen analysis were evaluated. Fertilization were assessed by the presence of 2 pronucleus (PN) after 14-16 hours of conventional insemination. All unfertilized oocytes were reinseminated by ICSI and checked for signs of fertilization between 6-10 hours after ICSI. The embryos with fertilization and development were transferred to the uterine cavity and the outcome was analyzed. RESULTS: Total numbers of unfertilized oocytes were 120, and total numbers of oocytes injected on day 1 using ICSI were 102. Total numbers of oocytes with normal fertilization after ICSI were 74 and mean fertilization rate of 71.1 +/- 24.0% was obtained. The numbers of embryos transferred was 3.6 +/- 1.7. The biochemical pregnancy rate was 13.3% (2/15) and the clinical pregnancy rate was 6.7% (1/15) per cycle. CONCLUSION: ICSI to totally unfertilized oocytes by conventional insemination technique during IVF-ET on the next day of oocyte retrieval seems to be a relatively successful mean and afford a chance of pregnancy to the infertile couples whom the ET could not perfomed to because of total fertilization failure."
Embryo Transfer
;
Embryonic Structures
;
Family Characteristics
;
Fertilization
;
Fertilization in Vitro
;
Humans
;
Infertility
;
Insemination
;
Male
;
Oocyte Retrieval
;
Oocytes*
;
Pregnancy
;
Pregnancy Rate
;
Semen Analysis
;
Sperm Injections, Intracytoplasmic*
10.Two Cases of Eyelid Sebaceous Carcinoma.
Yun Sik YANG ; Ki Chul KWAK ; Hyung Bae MOON
Journal of the Korean Ophthalmological Society 1988;29(1):213-218
Sebaceous carcinoma is a particularly common malignant tumor of the eyelid. Therefore, this lesion is important to ophthalmologist. Recently, there appears to have been an increased incidence or recognition of sebaceous carcinomas of the eyelid, which had been previously believed to be very rare. Frequently mistaken for a recurrent chalazion, invasion by sebaceous carcinoma is frequently enhanced by repeat curettage and forms of therapy that obscure the true diagnosis. This tumor is difficult to completely resect due to intraepithelial widespread, so its prognosis is poor. The authors experienced two cases of sebaceous carcinoma of the eyelid. One was a 57 year old female patient who was treated with surgical resection and the other was a 71 year old male with cervical lymph node metastasis. He was treated with surgical resection, but he rejected radiotherapy.
Aged
;
Chalazion
;
Curettage
;
Diagnosis
;
Eyelids*
;
Female
;
Humans
;
Incidence
;
Lymph Nodes
;
Male
;
Middle Aged
;
Neoplasm Metastasis
;
Prognosis
;
Radiotherapy