No abstract available.
Anxiety* ; Depression* ; Humans ; Kidney Transplantation* ; Kidney* ; Renal Dialysis*

Adenoid basal cell tumor of the prostate is a rare tumorous lesion that can be misdiagnosed as adenocarcinoma of the prostate. The malignant potential of adenoid basal cell tumor remains uncertain due to small number of reported cases. This 66-year-old man presented with symptoms of urinary tract obstruction. Under the impression of benign prostatic hyperplasia, a transurethral resection of the prostate (TURP) was performed. The patient was alive with no evidence of recurrence or metastasis 15 months after TURP. Microscopically, most of the lesions were composed of nodular collections of small nests of basaloid cells with peripheral palisading, and clusters of tumor cells forming cribriform pattern. Multiple areas of basal cell hyperplasia and atypical basal cell hyperpalsia were also observed. The coexistence of basal cell hyperplasia, atypical basal cell hyperpalsia, and adenoid basal cell tumor with cribriform pattern in this case supports a morphologic continuum from the benign hyperplastic lesion to malignant neoplasia.
Adenocarcinoma ; Adenoids* ; Aged ; Humans ; Hyperplasia ; Neoplasm Metastasis ; Prostate* ; Prostatic Hyperplasia ; Recurrence ; Transurethral Resection of Prostate ; Urinary Tract

Pseudoaneurysm due to chronic pancreatitis is uncommon, but it can cause recurrent and massive hemorrhage. Because of high morbidity and mortality associated with the pseudoaneurysm, early detection and treatment is essential. Surgical ligation or resection of the aneurysm has a high mortality and therefore, transcatheter embolization is preferably carried out. We report a case in which gastroduodenal artery pseudoaneurysm caused by chronic pancreatitis was successfully treated by transcatheter embolization using Gelfoam and Gianturco spring coils.
Aneurysm ; Aneurysm, False* ; Arteries* ; Gelatin Sponge, Absorbable ; Hemorrhage ; Ligation ; Mortality ; Pancreatitis, Chronic*

Lymphomatous involvement of the heart, occurring at initial diagnosis and presentation, is extremely rare. We report here a case of 58 year old man who presented with generalized edema, pericardial effusion, and a large right atrial mass detected by transesophageal echocardiography. There is no other evidence of disseminated lymphoma in this patient. Tumor removal and pulmonary embolectomy was done. Pathologically, the mass was malignant lymphoma, diffuse large cell type. Unfortunately, we have no chance to perform the intensive chemotherapy. The patient discharged in moribund state.
Diagnosis ; Drug Therapy ; Echocardiography, Transesophageal ; Edema ; Embolectomy ; Heart ; Humans ; Lymphoma* ; Middle Aged ; Pericardial Effusion

No abstract available.
Blood Flow Velocity* ; Pregnancy* ; Umbilical Arteries*

No abstract available.
Hernia, Umbilical* ; Ultrasonography*

No abstract available.
Broad Ligament* ; Female ; Hemorrhage* ; Pregnancy*

We presented several cases of the exophthalmos due to the orbital tumors, with the review of the literatures. We performed modified Kronlein operation and anterior orbitotomy, appropriately for each cases to improve the visual acuity and at least to correct cosmetically the proptosed eye. It will be better to do one's best in order to search a possible way to save the eye ball by which the ophthalmologist can remove the orbital tumor even if the patient lost his vision.
Exophthalmos* ; Humans ; Orbit ; Visual Acuity

Open fractures of the tibial shaft have a high incidence of complication and often result in poor outcomes. The most common method of stabilization is the external fixation by way of the Ilizarov method but the small diameter interlocking intramedullary nailing has also been introduced. The purpose of this study is to analyze the result of Ilizarov method and to compare its results with those of delayed intramedullary nailing used in the treatment of open tibial shaft fractures. We analyzed 81 patients with open tibial shaft fractures, treated using Ilizarov external fixator, or by delayed locked intramedullary nailing between January 1987 and December 1994. The follow-up period was an average 14.5 months. Out of the 81 patients, 58 patients were treated by nails and 23 patients by Ilizarov external fixators. Both groups were given the same initial management but the operation of the nailing group was delayed until proper soft tissue coverage and healing of the wound were evident. In the Ilizarov method group, 58 fractures obtained union within 26 to 53 weeks (average of 32.8 weeks) and in the nailing group, 23 fractures showed union within 14 to 51 weeks (average of 21.2 weeks). There was a significant difference between the two groups (P<0.05). Complications in the Ilizarov group included 4 nonunions, 12 delayed unions, 3 malalignments, 14 wound infections and 13 stiff ankles. There were no nonunion, 10 delayed unions, 8 malalignments, 6 wound infections and 11 stiff ankles in the nailing group. In this study, the Ilizarov group had more delayed unions and nonunions took a longer period of time to obtain the union, and had a more limited range of motion in the ankle, than the nailing group. The nailing group was easier to manage, especially in the soft tis-sue procedure, and it did not require a high level of compliance while having a relatively low risk of malunion.
Ankle ; Compliance ; External Fixators* ; Follow-Up Studies ; Fracture Fixation, Intramedullary ; Fractures, Open ; Humans ; Ilizarov Technique ; Incidence ; Range of Motion, Articular ; Wound Infection ; Wounds and Injuries

BACKGROUND & OBJECTIVE: Although some authors (Hamid et at.(1988) ; Moschner et at. (1994)) described that the vestibular function test (VFT) is useful in the differential diagnosis of central vestibular disorders, the reliability of VFT is not well established. The purpose of this study is to know the sensitivity and specificity of VFT for the diagnosis of central vestibular dysfunction. This study correlates VFT and MRI findings in the patients with central vestibular disorder. METHODS: Among the patients who were given VFT and brain MRI study, we selected 131 patients whose VFT results were not compatible with the peripheral vestibular dysfunction. Also we classified the MRI and VFT findings into groups of brainstem or cerebellar lesions and others. We got the sensitivity and specificity of VFT for the diagnosis of central vestibular dysfunction and the differentiation of brainstem or cerebellar lesions from others. Then we compared the results of VFT in each group. Results : 1. Among 71 patients with central vestibular disorder demonstrated by VFT, 41 patients showed lesions in MRI imaging. Among 60 patients whose VFT results were normal, 9 patients were found to have central lesions by MRI. Overall the sensitivity and specificity of VFT for diagnosing the central lesions were 82.0%, 63.0% respectively. 2. Common features in all central vestibular dysfunction patients are abnormalities in CDP and saccade reflex testing. 3. Overall the sensitivity and specificity of VFT for differentiating the brainstem or cerebellar lesions from others were 41.1%, 95.8% respectively. The percentage of patients who showed increased vestibulo-ocular reflex (VOR) gain during gaze fixation test is highly correlated with group of brainstem or cerebellar lesions detected in MRI( p < 0.001). Conclusion : VFT is a sensitive study in detecting and predicting the lesions of central vestibular system. But the ability to differentiate and localize the central lesions is remained to be improved. Key Words ; Vestibular Disorder, Electronystagmography, Rotating chair test, Vestibular function test, Posturography, MRI.
Brain ; Brain Stem ; Cytidine Diphosphate ; Diagnosis ; Diagnosis, Differential ; Electronystagmography ; Humans ; Magnetic Resonance Imaging* ; Reflex ; Reflex, Vestibulo-Ocular ; Saccades ; Sensitivity and Specificity ; Vestibular Function Tests*