No abstract available.
Cervix Uteri* ; Female ; Lymph Nodes* ; Neoplasm Metastasis* ; Risk Factors*

From July 1982 to February 1984, we performed 21 times of microsurgery for urethroplasty and pyeloplasty: 11 times in 11 cases of hypospadia, 4 times in 3 cases of urethrocutaneous fistula and 6 times in 5 cases of UPJ stricture. The results were as follows : 1. Success rate of urethroplasty was 81.8% (9/11) , but complication rate was 36.4% (4/11). 2. Success rate of urethrocutaneous fistular repair was 50% (2/4) . Fistula was recurred in two cases after first repair of urethrocutaneous fistula. 3. Success rate of pyeloplasty was 100%.
Constriction, Pathologic ; Female ; Fistula ; Hypospadias ; Male ; Microsurgery

This study was conducted to determine whether plaints could engage in sexual activity following total cystectomy with ileal conduit. Sixteen male bladder cancer patients treated by total cystectomy with or without preoperative irradiation. Patients ranged in age from 48 to 70 years (mean 59.6years). The interval from therapy ranged from 7 to 82 months(mean 33.8 months). Prior to therapy 11/16 patients(68.8%) reported they were engaging some form of sexual activity at least once per month. All were able to achieve an erection and were orgasmic. Following total cystectomy, 6 patients(37.5%) continued to engage in sexual activity at least once per month and were experiencing orgasm. 3 patients(18.8%) reported they were able to achieve an erection. The spontaneous resumption of sexual activity by almost one third of the patients in this study refutes assumption that sexual activity would be impossible following total cystectomy.
Cystectomy* ; Humans ; Male ; Orgasm ; Sexual Behavior* ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urinary Diversion

One case of multicentric glioblastoma multiforme is presented. On the brain CT scan, multiple lesions were found and cerebral metastases or brain abscesses were considered preoperatively. Multicentric glioblastoma multiforme is quite rare, but it should be considered when there is no evidence of extracranial primary malignant lesion.
Brain ; Brain Abscess ; Glioblastoma* ; Neoplasm Metastasis ; Tomography, X-Ray Computed

Spontaneous spinal epidural hematoma is a rare cause of spinal cord compression. Recently, at our hospital, the author et al had the opportunity of observing case with spontaneous cervical epidural hematoma in a 28 years old woman who had suddenly felt a strong pain in interscapular area. Rapidly after she noticed weakness in her legs and one day later she was completely paraplegia. The MRI of spine was done. There show tubular like low signal intensity at posterior epidural space of C7 level and ghigh signal intensity of cord at C7 level due to cord compression effect. In this article, we are adding one more rare case of spontaneous cervical spinal epidural hematoma confirmed by MRI.
Adult ; Epidural Space ; Female ; Hematoma ; Hematoma, Epidural, Spinal* ; Humans ; Laminectomy ; Leg ; Magnetic Resonance Imaging ; Paraplegia ; Spinal Cord Compression ; Spine

The authors experience 3 cases of angiographically occult vascular malformation(AVOM) of the brain during the last 3 months in 1990. All cases were diagnosis of either operative or pathological finding and were associated with intracerebral hemorrhage. The authors recommend that surgery should be considered even to those angiographically negative intracerebral hemorrhage cases, once clinical features are highly suggestive of AOVM. Surgery can be an effective and define therapy for these entities, which are prone to cause recurrent hemorrhage and persistent neural deficits.
Brain* ; Cerebral Hemorrhage ; Diagnosis ; Hemorrhage ; Magnetic Resonance Imaging ; Vascular Malformations*

No abstract available.
Brain* ; Tomography, Emission-Computed, Single-Photon*

OBJECTIVES: The rupture of middle cerebral artery(MCA) aneurysm usually cause or is associated with higher incidence of intracerebral hemorrhages(ICH) than any other aneurysmal ruptures. Also, the outcome of patients who had ICH is known to be worse than patients who had subarachnoid hemorrhage(SAH) only. The authors report the bleeding pattern and outcome of ruptured MCA aneurysm patients. PATIENTS AND METHODS: A total 106 ruptured MCA aneurysm patients who were surgically treated were included and they were divided into 2 groups by the initial brain CT findings according to the presence or absence of ICH over 10cc in amount. The clinical data were analysed retrospectively. RESULTS: The overall mortality was 18.9%. Among 81 patients(76.4%) who had subarachnoid hemorrhage(SAH) only, 68 patients(84%) showed favorable outcome. Twenty five patients(23.6%) had ICH over 10cc in amount with or without SAH, and among them, 11 patients(44%) showed favorable outcome. The ICH was located in temporal lobe(15 patients, 60%), frontal lobe(3, 12%), sylvian fissure(6, 24%) and frontal-temporal lobe(1, 4%). Among 15 patients who had ICH in temporal lobe, only 4 patients(26.6%) showed favorable outcome and all 3 patients who had ICH in frontal lobe showed favorable outcome. CONCLUSION: ICH was presented in 23.6% of ruptured MCA aneurysm patients and the prognosis of patients with ICH was worse than patients with SAH only. The ICH was located mainly in the temporal lobe and sylvian fissure.
Aneurysm ; Brain ; Cerebral Hemorrhage ; Frontal Lobe ; Hemorrhage* ; Humans ; Incidence ; Intracranial Aneurysm* ; Middle Cerebral Artery* ; Mortality ; Prognosis ; Retrospective Studies ; Rupture ; Subarachnoid Hemorrhage ; Temporal Lobe

PURPOSE: beta-catenin is a key regulator of the cadherin-mediated cell adhesion system and also plays a role as a transcription regulating factor. Nuclear expression and mutation of beta-catenin have been identified in some benign and malignant tumors, and over expression of beta-catenin indicates an oncogenic potential. This study was designed to clarify the role of beta-catenin in the histogenesis of gallbladder carcinoma. METHODS: In benign hyperplastic lesions, adenomas, and carcinomas of the gallbladder, intracellular expression of beta-catenin was investigated by immunohistochemical stainings. Cyclin D1 and Ki-67 were also examined. RESULTS: All of the hyperplastic lesions showed membranous expression of beta-catenin. Adenomas and polypoid carcinomas showed significantly higher incidence of cytoplasmic and nuclear expression of beta-catenin than hyperplastic lesions and infiltrative carcinomas (P<0.01). Loss of beta-catenin expression was frequently noticed in infiltrative and poorly differentiated carcinomas. Nuclear expression of beta-catenin in carcinomas had unique pathologic characteristics, including polypoid growing, well differentiated tubular type, and early stage. Cytoplasmic and nuclear expression of beta-catenin showed good correlations with cyclin-D1 expression (P<0.05). The Ki-67 index was significantly higher in infiltrative carcinomas than in adenomas or polypoid carcinomas (P<0.05). CONCLUSION: Our results suggest that beta-catenin as a molecular marker may play a role in the carcinogenesis of the adenoma-carcinoma sequence of polypoid carcinomas. Infiltrative carcinomas, however, may have different mechanisms.
Adenoma* ; beta Catenin* ; Carcinogenesis ; Cell Adhesion ; Cyclin D1 ; Cytoplasm ; Gallbladder* ; Incidence

PURPOSE: Although Pokeweed intoxication is relatively less severe, thereis little data onthe clinical presentation ofPokeweed intoxication in Korea. This study examined the clinical aspectsto providebasic data for evaluating Pokeweed intoxication. METHODS: A retrospective study by a chart review was performedon 19 patients who ingested Pokeweed and presented to anacademic emergency department with an annual census of 40,000 between March 2012 and May 2012. RESULTS: Nineteen patients were identified. All patients wereintoxicated unintentionally. The most common symptoms were vomiting with diarrhea and abdominal pain. The onset time varied, but occurs 30 minutes to 5 hours post ingestion of Pokeweed. All patients were discharged without fatal complications. CONCLUSION: Compared to previous reports, mostpokeweed poisoning patients complain of gastrointestinal symptoms. Supportive care is the mainstay of the management of pokeweed intoxication. All symptoms were resolved over a 24 to 48 hour period.
Abdominal Pain ; Censuses ; Diarrhea ; Eating ; Emergencies ; Humans ; Korea ; Phytolacca americana ; Plant Poisoning ; Retrospective Studies ; Vomiting