A clinical observation was made on patients with injuries of the genitourinary tract, who were admitted to the department of Urology, Kyungpook National University Hospital during 7 years period from January, 1976 to December, 1982 and the results were as follows. Out of 1821 total hospital admission, 390 were due to injuries of the G-U tract, giving rate of 21.4%. Sex ratio, male to female, was 9:1. The most frequently involved age group was the 3rd decade, being 26.7% of total, followed by the 4th and fifth decade,67.7% of total was seen in age group of 20 to 49 years. Urethra was the most commonly involved organ comprising 153 (38.3%) out of 399 cases of injured organs of the G-U tract, followed in frequency by kidney in 118 (29.6%) and bladder in 71 (17.8%). Traffic accident was the most frequent cause of the G-U injuries (41.5%), followed in frequency by fall (24.2%) and kick and blow (9.7%). In detail, the most frequent cause in the renal, bladder and urethral injuries was traffic accident, while iatrogenic ones in the ureteral and external genitalia injuries. The most commonly associated injure was chest injury in cases of renal injuries (11.0%) , while pelvic bone fracture in bladder (43.7%) and urethral injuries (38.9%). The major treatment modality was conservative management in renal injuries (62.7%), primary repair in bladder injuries (62.7%) and suprapubic cystostomy in urethral injuries (29.4%) .
Accidents, Traffic ; Cystostomy ; Female ; Genitalia ; Gyeongsangbuk-do ; Humans ; Kidney ; Male ; Pelvic Bones ; Sex Ratio ; Thoracic Injuries ; Ureter ; Urethra ; Urinary Bladder ; Urology

A clinical observation was made on patients with injuries of the genitourinary tract, who were admitted to the department of Urology, Kyungpook National University Hospital during 7 years period from January, 1976 to December, 1982 and the results were as follows. Out of 1821 total hospital admission, 390 were due to injuries of the G-U tract, giving rate of 21.4%. Sex ratio, male to female, was 9:1. The most frequently involved age group was the 3rd decade, being 26.7% of total, followed by the 4th and fifth decade,67.7% of total was seen in age group of 20 to 49 years. Urethra was the most commonly involved organ comprising 153 (38.3%) out of 399 cases of injured organs of the G-U tract, followed in frequency by kidney in 118 (29.6%) and bladder in 71 (17.8%). Traffic accident was the most frequent cause of the G-U injuries (41.5%), followed in frequency by fall (24.2%) and kick and blow (9.7%). In detail, the most frequent cause in the renal, bladder and urethral injuries was traffic accident, while iatrogenic ones in the ureteral and external genitalia injuries. The most commonly associated injure was chest injury in cases of renal injuries (11.0%) , while pelvic bone fracture in bladder (43.7%) and urethral injuries (38.9%). The major treatment modality was conservative management in renal injuries (62.7%), primary repair in bladder injuries (62.7%) and suprapubic cystostomy in urethral injuries (29.4%) .
Accidents, Traffic ; Cystostomy ; Female ; Genitalia ; Gyeongsangbuk-do ; Humans ; Kidney ; Male ; Pelvic Bones ; Sex Ratio ; Thoracic Injuries ; Ureter ; Urethra ; Urinary Bladder ; Urology

Bronchial carcinoid tumor was a low grade malignant and it was regarded as predictable clinical course and good survivality after surgical resection. But despite of its low grade malignant potentiality, bronchial carcinoid tumor was clearly capable of metastasizing and causing death. We present 2 cases of bronchial carcinoid tumors. One of them was typical carcinoid tumor in 44 year-old female and another was atypical carcinoid tumor in 53 year-old male patient. Currative therapeutic procedure was performed by lobectomy and wedge resection.
Carcinoid Tumor* ; Female ; Humans ; Male

Mucocele of the appendix is an uncommon disorder, usually found incidentally during ultrasonography or radiographic studies. It occurs predominantly in the sixth or seventh decades,and has a distinct female predominance. Pseudomyxoma peritonei is a rare condition resulting from a ruptured mucin-producing lesion of the appendix or ovary. It is not easily diagnosed clinically before operation and only histopathologic finding provides the correct final diagnosis. Treatment should consist of evacuation of the mucinous ascites and removal of the mucocele. Reoperations for correction of intestinal obstruction may be needed. The role of chemotherapy is uncertain, and external radiation is probably of no value. We experienced a case of colonic adhesion caused by pseudomyxoma peritonei that originated from the vermiform appendix. This patient was 75 year old female who had suffered from lower abdominal pain associated with constipation and tenesmus for 5 days. We performed ileocecal resection and ileocecal anastomosis. We report this case with brief review of the literature.
Abdominal Pain ; Aged ; Appendix ; Ascites ; Colon* ; Constipation ; Diagnosis ; Drug Therapy ; Female ; Humans ; Intestinal Obstruction ; Mucins ; Mucocele ; Ovary ; Pseudomyxoma Peritonei* ; Ultrasonography

Malignant neoplasm of the fallopian tube is the rarest of the gynecologic cancers. Vaginal bleeding, vaginal discharge, and pelvic pain are the most common symptoms. Because of these non-specific symptoms, the diagnosis of this least common neoplasm is rarely made before laparotomy. The tumor is typically unilateral and has histologic subtypes, endometrioid and serous adenocarcinoma being the most common subtypes. Surgery, clearly the mainstay of treatment, is also the first approach to diagnosis. The procedure of choice is total abdominal hysterectomy with bilateral salpingo-oopho-rectomy. We had experienced one patient with primary tubal cancer, successfully evaluated with laparoscopy. And then we intend to report the case of the above patient and have a brief discussion about that.
Adenocarcinoma ; Diagnosis ; Fallopian Tube Neoplasms ; Fallopian Tubes ; Female ; Humans ; Hysterectomy ; Laparoscopy* ; Laparotomy ; Pelvic Pain ; Uterine Hemorrhage ; Vaginal Discharge

Thymoma has been associated with a variety of diseases, including myasthenia gravis, pure red cell aplasia (PRCA), hypogammaglobulinemia, and other abnormal immune and endocrine disorders. Herein we report a case of PRCA associated with invasive thymoma in a 65-year-old man. In spite of total thymectomy and irradiation to the mediastinum, no significant response was observed. The mechanisms and management of PRCA associated with invasive thymoma are reviewed.
Agammaglobulinemia ; Aged ; Humans ; Mediastinum ; Myasthenia Gravis ; Red-Cell Aplasia, Pure* ; Thymectomy ; Thymoma*

To determine the prevalence and risk factor of anti-HCV in ESRD patients under chronic maitenance hemodialysis, the prevalence of serum antibodies to hepatitis C Virus(Anti-HCV) was assessed by an enzyme immunoassay (Abbott HCV EIA) in 253 patients with long-term Hemodialysis in Daegu & Kyoungbuk. 15 patients(5.9%) were anti-HCV positive. All dialysis patients had the history of transfusion. The number of transfusion units was not significant in anti-HCV positive patients(mean 17+/-20 pints) in comparison with the number in anti-HCV negative patients (mean 16+/-17 pints). The frequency of hemodialysis was also not significant in anti-HCV positive patients(mean 477+/-618 ) compared with anti-HCV negative patients (mean 462+/-616). The mean duration of hemodialysis was significantly higher(P<0.001) in the anti-HCV positive patients (74+/-42 months) in comparison with anti-HCV negative patients (45+/-41 months). We concluded that the prevalence of anti-HCV in hemodialysis patients is 5.9% and that HCV infection is significantly related with the duration of hemodialysis rather than the number of transfusion units and the frequency of hemodialysis
Antibodies ; Daegu* ; Dialysis ; Hepacivirus ; Hepatitis C ; Humans ; Immunoenzyme Techniques ; Kidney Failure, Chronic ; Korea* ; Prevalence* ; Renal Dialysis* ; Risk Factors

PURPOSE: Chlormadinone acetate (CMA) therapy for benign prostatic hyperplasia (BPH) may lower the serum prostate specific antigen (PSA) level. However, little is known about the effect of CMA on the total or free serum PSA levels of PSA. Such information would be important since PSA testing is useful for prostate cancer screening. Thus, we prospectively studied the effect of CMA therapy on the total and free serum PSA levels. MATERIALS AND METHODS: The patients with lower urinary tract symptoms (LUTS) and BPH who were aged over 50 years were treated with 50mg CMA for 6 months. Men with a PSA level greater than 10ng/ml were excluded to reduce the likelihood of including cases of occult prostate cancer. Those with suspicious findings on the digital rectal examination and serum PSA testing were biopsied to rule out prostate cancer. alpha- blocking agents were permitted to treat the men with LUTS. Serum levels of the total and free PSA were measured at the study baseline and after approximately 3 and 6 months. The prostate volume (PV) was assessed by transrectal ultrasonography. RESULTS: The analysis included 170 patients with a mean age of 67.9 years, a baseline PV of 47.3ml and a baseline total PSA of 4.1ng/ml. The total PSA levels declined from 4.1ng/ml at baseline to 2.0ng/ml after 6 months of treatment (50.7% decrease, p<0.01). The mean percent free PSA (21% to 22% at baseline) was not significantly altered by CMA treatment. The PSA levels and PV at baseline did not affect the rate of decline of PSA. CONCLUSIONS: The total PSA serum levels decreased by an average of 50% during CMA therapy, but the percent free PSA did not change significantly. This information is potentially useful in the interpretation of the PSA data that's used for early detection of prostate cancer in the men receiving CMA.
Chlormadinone Acetate* ; Digital Rectal Examination ; Humans ; Lower Urinary Tract Symptoms ; Male ; Mass Screening ; Prospective Studies ; Prostate* ; Prostate-Specific Antigen* ; Prostatic Hyperplasia* ; Prostatic Neoplasms ; Ultrasonography