2.Thyroid nodules in children.
Journal of the Korean Pediatric Society 1993;36(8):1133-1138
30 cases of patients with nodule on the thyroid who visited Pediatric Clinic in PUN Hospital from Jan. 1985 till Dec. 1990 were studied and evaluated. All records of the patients were reviewed in regard to the physical examination, thyroid function test, radionuclide scanning, ultrasonogram and pathological findings of the tissues gained by fine needle aspiration or operation. The following results were obtained. 1) Patients with thyroid nodule occupied 7% of all of the goiters who visited the author's clinic during the same period. 2) Male to female ratio was 1:5 predominant in female children. But the ratio was 1:1 in cases of carcinonia. In age distribution, the older, the higher get the incidence. 3) The periods intervening between symptom onset and visiting our clinic were less than 3 months in most of cases. But in one third of the cases, they were neglected for over 1 year. 4) As cardinal symptoms and sings, neck masses were noticed in all of the cases. Easy fatigability, palpitation, sweating and dyspnea were complained of occasionally. 5) In radionuclide scanings, 27 cases had photon defects. All of the carcinoma cases had photon defects. 6) Malignancies were found in 13% of cases. All of malignancies were papillary carcinoma. 7) By palpation, 26 cascs were classified as single nodule, and 4 cases were classified as multiple nodules. But 4 cases among those classified as single nodule revealed multiple photon defect on radionuclide scanning. Because there is significantly high malignancy rate in thyroid nodules as our study showed, all of cases of thyroid nodules in children should be throughly investigated and treated at early stages.
Age Distribution
;
Biopsy, Fine-Needle
;
Carcinoma, Papillary
;
Child*
;
Dyspnea
;
Female
;
Goiter
;
Goiter, Nodular
;
Humans
;
Incidence
;
Male
;
Neck
;
Palpation
;
Physical Examination
;
Sweat
;
Sweating
;
Thyroid Function Tests
;
Thyroid Gland*
;
Thyroid Nodule*
;
Ultrasonography
3.Clinical Outcome and Follow-up of Neonatal Hydronephrosis Diagnosed Antenatally.
Journal of the Korean Society of Pediatric Nephrology 1998;2(2):161-168
Myxopapillary ependymoma generally arise in the conus medullaris and filum terminale of adult spinal cord. These tumors are readily recognized due to unique histopathologic features, however, their cytologic features are not well described. When only a tiny sample is obtained, cytologic examination using crush preparation may be a useful diagnostic tool to help appropriate intraoperative diagnosis. We present the crush cytologic features of myxopapillary ependymoma arising in thoracic and lumbar spinal cord of a 13-year-old boy. The patient had complained of paraparesis and back pain for 1 month. The MRI image revealed a relatively well demarcated intramedullary mass in T11-L1 levels. Crush preparation for cytology were performed by biopsy material. Crush cytologic findings revealed high cellularity and small sized branching papillary clusters on fibrillary or mucinous background. The tumor cells had uniform round or elongated nuclei. The cytoplasmic process of tumor cells were attached to the vascular wall. Between the tumor cells and vascular walls, the perivascular collar of globoid acellular stroma with metachromatic reaction on toluidin blue stain was noted. The crush preparation of myxopapillary ependymoma is considered as a simple and highly accurate diagnostic tool for differentiation from other intramedullary neoplasms of central nervous system.
Adult
;
Male
;
Female
;
Infant, Newborn
;
Humans
;
Biopsy
5.Apoptosis of Fas Expressed Target Cells Induced by Cytotoxic T Lymphocytes.
Korean Journal of Immunology 1997;19(2):245-262
Cytotoxic T lymphocytes (CTL) playing an important role in e cell-mediated immune response kill the target cells by the special contact-dependent mechanism. It has been known that CTL and NK cells utilize two different pathways in removing specific target cells: apoptotic cell death and osmotic lysis by the pore forming protein. Interaction of CTL with target cells results in the ligand-induced, receptor-mediated, nonsecretory lytic process and lethal hit is delivered by the transducing molecule, Fas (CD95, APO-1), one of the TNFR/NGFR superfamily. In addition, ligation of TNF receptor and CD40 also induced the apoptosis of B cell and epithelial cells. However, recognition of target cells, the triggering mechanism, cytotoxic mediators, internal metabolic pathway and signal transduction behind apoptosis remain undefined and have been elucidated only in part. ...continue...
Apoptosis*
;
Cell Death
;
Epithelial Cells
;
Genistein
;
Ice
;
Killer Cells, Natural
;
Ligation
;
Metabolic Networks and Pathways
;
Receptors, Tumor Necrosis Factor
;
Signal Transduction
;
T-Lymphocytes, Cytotoxic*
6.Follow-up Results of Z-plate Fixation in the Thoracolumbar Burst Fracture.
Byeoung Su SHIM ; Keun Su KIM ; Jung Chung LEE
Journal of Korean Neurosurgical Society 2000;29(6):763-771
No abstract available.
Follow-Up Studies*
7.A Clinical Observation on Benign Prostatic Hyperplasia.
Korean Journal of Urology 1982;23(8):1123-1126
A clinical study was made on 117 cases of benign prostatic hyperplasia admitted to the Department of Urology, Chungnam University Hospital during the period from January 1974 to August 1982. The results were summarized as follows: 1. Common symptoms were dysuria (82.1%) and urinary retention (41.0%). 2. Gross or microscopic hematuria was noticed in 48 cases (41.0%). 3. The degree of prostatic enlargement by rectal palpation was not related to the severity of symptoms. 4. Pulmonary disease (19.5%) and cardiac disease (12.8%) were frequently associated with B.P.H. 5. Treatment consisted of suprapubic of retropubic prostatectomy in 94 cases, TUR in 7 cases and cystostomy in 10 cases. 6. Postoperative complications were urinary incontinence (34%), wound problem (9.7%), delayed bleeding (8.7%), and urinary tract infection (4.8%). 7. Mean weight of removed prostatic tissue was 31.3gm.
Chungcheongnam-do
;
Cystostomy
;
Digital Rectal Examination
;
Dysuria
;
Heart Diseases
;
Hematuria
;
Hemorrhage
;
Lung Diseases
;
Postoperative Complications
;
Prostatectomy
;
Prostatic Hyperplasia*
;
Urinary Incontinence
;
Urinary Retention
;
Urinary Tract Infections
;
Urology
;
Wounds and Injuries
8.Expression of FHIT protein and allelic deletion at FHIT locus in primary cervical carcinoma tissues.
Korean Journal of Obstetrics and Gynecology 2000;43(4):694-703
Allelic deletions involving the short arm of chromosome 3(3p13-21.1) have been observed frequently in cervical carcinomas. Recently the fragile histidine triad(FHIT) gene was cloned and mapped to this chromosomal region(3p14.2). From various studies involving tumor cell lines and primary cancers, the FHIT gene has been presumed to be a candidate for tumor suppressor gene involving various tumors. In FHIT gene, the most common aphidicolin-inducible fragile site, FRA3B exists and the FRA3B has been considered as a region of the spontaneous integration site of HPV 16. In order to elucidate the role of the FHIT in carcinogenesis of cervical cancer, this study was designed to investigate both the expression of FHIT protein in normal, preinvasive and invasive cancer samples employing immunohistochemical study and allelic loss of FHIT gene locus against several microsatellite markers employing the PCR analysis. Immunohistochemical studies of FHIT protein revealed following features. In normal ectocervical squamous epithelium, the expression of FHIT was relatively weak and confined to the basal layer, but in normal endocervical glandular epithelium it was very strong. The expression of FHIT was reduced as the tumor progressed from early lesion to invasive cancer. The koilocytosis was associated with diminished expression of FHIT protein. The study of allelic loss of FHIT gene locus was undertaken against two intragenic (D3S1300, D3S1234) and one extragenic (D3S1295) microsatellite markers. The 5th intron, D3S1300, showed allelic change in 6 of 15 assays and 7th intron, D3S1234 showed allelic change in 10 of 29 assays. There was no apparent LOH from 29 assays in D3S1295. In conclusion, the expression of FHIT protein was markedly reduced or absent in cervical squamous cell carcinoma and the chromosome breakage in FHIT region might be related to the diminished expression of FHIT. On the basis of the reduced expression of FHIT and its encompassment of FRA3B region, it is suggested that disruption of FHIT, a putative tumor suppressor gene, might be the mechanism by which HPV infection enhances cervical tumorigenesis and clonal outgrowth.
Arm
;
Carcinogenesis
;
Carcinoma, Squamous Cell
;
Cell Line, Tumor
;
Chromosome Breakage
;
Clone Cells
;
Epithelium
;
Genes, Tumor Suppressor
;
Histidine
;
Human papillomavirus 16
;
Introns
;
Loss of Heterozygosity
;
Microsatellite Repeats
;
Polymerase Chain Reaction
;
Uterine Cervical Neoplasms
9.Prescriptions and indications of hormone replacement therapy.
Korean Journal of Medicine 2005;68(4):469-472
No abstract available.
Hormone Replacement Therapy*
;
Prescriptions*
10.Effects of dexamethasone on proliferation, collagen synthesis and alkaline phosphatase activity of normal human bone marrow stromal cells.
Journal of Korean Society of Endocrinology 1993;8(1):59-65
No abstract available.
Alkaline Phosphatase*
;
Bone Marrow*
;
Collagen*
;
Dexamethasone*
;
Humans*
;
Mesenchymal Stromal Cells*