1.Clinical study for prognostic factors in colorectal cancer.
Chul Kyoo LEE ; Nam Sun PAIK ; Dong Wook CHOI
Journal of the Korean Cancer Association 1991;23(3):619-629
No abstract available.
Colorectal Neoplasms*
2.An immunohistochemical study on prolactin and growth hormone-specific cells in the mice adenohypophyses during the estrous cycle.
Jong Hak LEE ; Won Young PAIK ; Seung Wook KIM
Korean Journal of Obstetrics and Gynecology 1991;34(10):1388-1399
No abstract available.
Animals
;
Estrous Cycle*
;
Mice*
;
Pituitary Gland, Anterior*
;
Prolactin*
3.Localization of GnRH and GnRH mRNA in human ovaries by immunohistochemistry and in situ hybridization.
Jong Hak LEE ; Won Young PAIK ; Syng Wook KIM
Korean Journal of Obstetrics and Gynecology 1993;36(7):976-987
No abstract available.
Female
;
Gonadotropin-Releasing Hormone*
;
Humans*
;
Immunohistochemistry*
;
In Situ Hybridization*
;
Ovary*
;
RNA, Messenger*
4.Clinical review and late results of breast cancer.
Hee Jung WANG ; John KARL ; In Wook PAIK ; Hyucksang LEE
Journal of the Korean Surgical Society 1992;42(4):429-439
No abstract available.
Breast Neoplasms*
;
Breast*
5.A case of reconstruction of tongue and oropharynx by RAMC flap.
Hoon Shik YANG ; Sung Joon PAIK ; Yong Wook PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(4):852-856
No abstract available.
Oropharynx*
;
Tongue*
6.Retroperitoneal Sarcoma.
Tae Gil HEO ; Yang Won NAH ; Surk Hyo CHANG ; In Wook PAIK ; Hyucksang LEE
Journal of the Korean Surgical Society 1998;54(1):28-35
Soft-tissue sarcomas account for 1% of all solid tumors. Of these, less than 15% will occur in the retroperitoneum. Late diagnosis and large tumor size make retroperitoneal sarcomas difficult to resect. Resection with wide margins in all directions is rarely possible owing to proximity to vital structures. Radiation therapy is limited in dosage and, as with chemotherapy, has only been successful in a limited number of cases. These problems result in a poor prognosis. A series of patients with retroperitoneal sarcoma was reviewed with a focus on issues of surgical management and prognostic factors. A retrospective analysis of 12 patients with retroperitoneal sarcomas who had undergone operations at the Department of Surgery, Inje University Paik Hospital, Seoul, from 1980 through 1996 was performed. The mean age of the 10 adult patients was 51 years; the male-to-female ratio was 2:1. Eighty-three percent of the patients presented with an abdominal mass. The mean diameter of the tumors was 18.3 cm. Leimyosarcomas(33%) and liposarcomas(25%) comprised the majority of the histologic types. The tumor grades were I, II, and III in 3 cases each. Resection of the tumor was possible in 75%(9/12) of the cases, although 17% of the resections were incomplete. Resection of adjacent organs was required in 66% of the cases. The resectability rose from 60% in 80s to 86% in 90s, with no statistical significance, possibly due to the small number of cases in this series. There was no postoperative morbidity or mortality. Actuarial 1-, 3-, and 5-year survival rates after resection were 75%, 60%, and 30%, respectively. Four of the 7(57%) patients who underwent complete resections had recurrence 3 to 33 months after surgery; this was notable for grade II or III tumors only. Two patients with grade I tumors are alive 65 and 102 months respectively after complete resection and show no evidence of the disease. One patient who underwent an incomplete resection of the tumor died 50 months after the operation. Only the tumor grade was a significant prognostic factor(p=0.0207). In conclusion, a wide en-bloc resection of a retroperitoneal sarcoma with a clear margin in all directions is a prerequisite for long-term survival. Aggressive follow-up for the first 3 years after a complete resection of a high-grade tumor is justified.
Adult
;
Delayed Diagnosis
;
Drug Therapy
;
Follow-Up Studies
;
Humans
;
Mortality
;
Prognosis
;
Recurrence
;
Retrospective Studies
;
Sarcoma*
;
Seoul
;
Survival Rate
7.A Clinical Review of Breast Cancer.
Bu Jun GO ; Myoung Ho KIM ; Surk Hyo CHANG ; In Wook PAIK
Journal of the Korean Surgical Society 1998;55(Suppl):959-972
BACKGROUND : The incidence of breast cancer has steadily increased through the years. The establishment of the cause of breast cancer plays an important role for the diagnosis, management and prevention of breast cancer. METHODS : We analysed 241 cases of breast cancer that were treated during the 13 years from January 1985 to December 1997 at the Department of General Surgery, Inje University Paik Hospital, Seoul. RESULTS : The peak incidence of breast cancer was in the 5th decade (100 cases, 41.5%). The most common age of menarche ranged from 14 to 20 years (89.9%). The most common age of first full-term delivery ranged from 25 to 29 years (54.5%). The normal group was the most frequent body mass index (156 cases, 65.8%). The most common chief complaint was a painless palpable breast mass (166 cases, 68.9%). Most patients (181 cases, 75.1%) visited the hospital within 6 months of developing symptoms. The upper outer quadrant was the most frequent location for breast cancer (146 cases, 60.6%). The most common type of operative technique was a modified radical mastectomy (225 cases, 93.4%). The most common size of the breast mass ranged from 2 to 5 cm (151 cases, 62.7%). A pathologically positive axillary lymph node was present in 122 cases (52.4%). The predominant type of pathological classi fication was invasive ductal carcinoma (215 cases, 90.7%). According to the TNM system, the most common stage was stage II (161 cases, 66.8%). The five-year survival rates for the patients in stages I, II, III were 96.7%, 82.2%, 68.9%, respectively. CONCLUSIONS : We conclude that women with mass or mass-related symptoms needed more careful evaluation and aggressive approaches for discovering breast cancer.
Body Mass Index
;
Breast Neoplasms*
;
Breast*
;
Carcinoma, Ductal
;
Diagnosis
;
Female
;
Humans
;
Incidence
;
Lymph Nodes
;
Mastectomy, Modified Radical
;
Menarche
;
Seoul
;
Survival Rate
8.Tubulointerstitial Nephritis.
Ja Wook KOO ; Mee Kyung NAMGOONG
Korean Journal of Pediatrics 2004;47(Suppl 4):S926-S935
No abstract available.
Nephritis, Interstitial*
9.A Case of Cobb Syndrome.
Jong Kyu YANG ; Sung Wook KIM ; Seung Churl PAIK ; Chung Won KIM ; Ji Ho YANG
Annals of Dermatology 1997;9(1):64-68
Cobb syndrome is a rare neurocutaneous angiomatosis characterized by a vascular skin nevus associated with a spinal cord angioma of the same metamere. A 14-year-old girl had an asymptomatic large cutaneous hemangioma distributed from the TI dermatome downward to the L3 dermatome since birth and complained of a gait disturbance and urination difficulty for 1 year. A biopsy specimen in the skin lesion revealed the findings of capillary hemangioma. From C7 downward to L4 posterior epidural hemangioma composed of arteriovenous and cavernous components was diagnosed by radiological examination and surgical exploration. Because of very extensive cord hemangioma, only partial removal of the tumor at T11, T12 and L1 level was performed and postoperatively she was transferred to a special facility for rehabilitative therapy.
Adolescent
;
Angiomatosis
;
Biopsy
;
Female
;
Gait
;
Hemangioma
;
Hemangioma, Capillary
;
Humans
;
Nevus
;
Parturition
;
Skin
;
Spinal Cord
;
Urination
10.Chroidal Circulation in Central Serous Chorioretinopathy using Indocyanine Green Angiography.
Journal of the Korean Ophthalmological Society 2001;42(2):272-280
Fluorescein angiography(FAG)has been used to identify retinal circulation, but it has limitations to detect any other ocular circulations. Recently new technology developed indocyanine green angiography(ICGA), which allows better enhanced imaging of the ocular structures, such as choroid and other subretinal structure as compared with FAG. The authors investigated the characteristic findings of ICGA in central serous chorioretinopathy, comparing with those of FAG finding. After performing ICGA and FAG in 74 patients(74 eyes)with acute forms of central serous chorioretinopathy, as follows, arterial filling, leaking pattern. ICGA study showed presumed choroidal hyperpermeability in the 42 eyes(56.7%), which are no leak on the FAG. ICGA study showed focal hyperfluorescence detected by FAG, corresponding to presumed choroidal hyperpermeability in 65 eyes(87.8%). Delayed choroidal filling areas were showed in ICGA(49 eyes, 66.2%). ICGA study showed presumed choroidal hyperpermeability in the 32 eyes(43.2%)corresponding leak noted on the FAG. Numbers of hyperfluorescent lesion was two in 40 eyes(54.1%)on the ICGA. Most of focal leaking areas were located in superonasal area. In central serous chorioretinopathy the authors suggest that choroid is the primary pathologic focus, the choroidal circulatory dysfunction and vascular hyperpermeability can be assumed to be a causative role in structural abnormality of the retinal pigment epithelium. In conclusion we think that the ICGA is effective method for diagnosis and treatment of the central serous chorioretinopathy.
Angiography*
;
Central Serous Chorioretinopathy*
;
Choroid
;
Diagnosis
;
Fluorescein
;
Indocyanine Green*
;
Retinal Pigment Epithelium
;
Retinaldehyde