Cystic lymphangioma are rare benign tumors that originate as a congenital anomaly of the lymphatic system. Their common presentation is in neck and axillary area at the birth, during infancy or early pediatric age group. Author reports an unusual case of cystic lymphangioma of breast which was diagnosed in a 32-year-old woman. The findings were very dense, sharply defined, and multilobulated masses on mammography, and mu-Itiloculated echo free lesions on ultrasonogram.
Adult ; Breast* ; Female ; Humans ; Lymphangioma, Cystic* ; Lymphatic System ; Mammography ; Neck ; Parturition ; Ultrasonography

BACKGROUND: Both atrophic gastritis and intestinal metaplasia may progress to gastric dysplasia. This study aimed to analyze the factors influencing progression of atrophic gastritis and intestinal metaplasia to dysplasia. METHODS: People diagnosed with atrophic gastritis and intestinal metaplasia for the first time received a follow-up endoscopy and were investigated for the cumulative incidence rate of gastric dysplasia by age, gender, smoking habit, alcohol intake, rice consumption and family history of stomach cancer. RESULTS: The cumulative incidence rate increased with age, consuming > or =3 bowls of rice per day and family history of stomach cancer. Multivariate analysis showed that the cumulative incidence rate of gastric dysplasia increased in subjects >61 years (RR=2.54, P=0.014), in those consuming > or =3 bowls of rice per day (RR=1.46, P=0.021) and in those with a family history of stomach cancer (RR=1.31, P=0.037). CONCLUSIONS: More active management, such as intensive endoscopic follow-up examinations, lifestyle change and education regarding gastric dysplasia, are required in those older than 61 years, having a higher intake of grain or with a family history of stomach cancer.
Edible Grain ; Endoscopy ; Follow-Up Studies ; Gastritis, Atrophic ; Humans ; Incidence ; Life Style ; Metaplasia ; Multivariate Analysis ; Risk Factors ; Smoke ; Smoking ; Stomach ; Stomach Neoplasms

Various cancer types have been associated with cancer-related cerebral infarction. In this study, we describe the first case of cancer-related cerebral infarction in which the underlying disease was primary bone marrow lymphoma (PBML). A 79-year-old man presented with abruptly developed bilateral lower extremity weakness and confusion. Diffusion-weighted imaging on admission showed multiple cortical and subcortical embolic infarction lesions in multiple vascular territories. Diagnostic evaluations to determine the embolic source revealed no abnormalities. Laboratory testing demonstrated elevated D-dimer (2.59 μg/mL) but no other prothrombotic abnormalities. In suspicion of cancer-related stroke, we performed chest CT, abdomen CT, and FDG-PET to detect the hidden malignancy. Findings revealed no evidence of cancer; however, they did reveal signs of anemia (hemoglobin 9.0 g/dL). Bone marrow aspiration biopsy showed large atypical B cell involvement suggestive of high-grade B cell lymphoma. The patient was diagnosed with primary bone marrow diffuse large B-cell lymphoma initially presenting with ischemic stroke. Our case suggests that primary bone marrow cancer may be a candidate for the differential diagnosis of hidden malignancy in patients with suspected cancer-related stroke. Bone marrow biopsy may be essential for establishing an appropriate differential diagnosis in patients with abnormal hematologic findings.

Purpose: Visual impairment, hearing impairment, and masticatory discomfort each influence quality of life (QoL). However, little is known regarding the impact of their coexistence on QoL. Therefore, we aimed to investigate the influence of the coexistence of visual impairment, hearing impairment, and masticatory discomfort on QoL among middle-aged adults aged 40-64. Methods: This study involved a secondary data analysis utilizing the data from years 1 and 2 of the eighth Korea National Health and Nutrition Examination Survey. To evaluate the influence of the coexistence of visual impairment, hearing impairment, and masticatory discomfort on QoL, we conducted a complex sample hierarchical multiple regression analysis. Results: When visual impairment, hearing impairment, and masticatory discomfort coexisted, the QoL was significantly lower than in individuals without any of these conditions. Conclusion The coexistence of visual impairment, hearing impairment, and masticatory discomfort was negatively correlated with QoL. Therefore, it is important to prepare for old age through appropriate health management during middle age.

Purpose: This study examines the health information-seeking pathways and health literacy levels of cancer patients, identifying factors that influence health literacy using data from the 2nd Korean Health Panel 2021 (Ver. 2.2). Methods: The study utilized the 2021 annual data (Ver. 2.2) from the 2nd Korean Health Panel. A total of 363 participants were included in the final analysis. The data were analyzed using SPSS/WIN 25.0, employing frequency analysis, descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, cross-tabulation analysis, and hierarchical regression analysis. Results: Health information seeking pathways were ranked in the order of active seeking, passive exposure, and interactive communication. Younger, higher educated, and higher-income patients favored active seeking, while older, less educated patients relied on passive exposure. Additionally, lower-income patients were found to more often use interactive communication. Education, income, and active seeking significantly influenced health literacy. Conclusion Tailored support for cancer patients with lower levels of education and income is crucial to empower active health information seeking, reduce information gaps, and enhance health literacy to ensure better health outcomes.

Purpose: This study examines the health information-seeking pathways and health literacy levels of cancer patients, identifying factors that influence health literacy using data from the 2nd Korean Health Panel 2021 (Ver. 2.2). Methods: The study utilized the 2021 annual data (Ver. 2.2) from the 2nd Korean Health Panel. A total of 363 participants were included in the final analysis. The data were analyzed using SPSS/WIN 25.0, employing frequency analysis, descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, cross-tabulation analysis, and hierarchical regression analysis. Results: Health information seeking pathways were ranked in the order of active seeking, passive exposure, and interactive communication. Younger, higher educated, and higher-income patients favored active seeking, while older, less educated patients relied on passive exposure. Additionally, lower-income patients were found to more often use interactive communication. Education, income, and active seeking significantly influenced health literacy. Conclusion Tailored support for cancer patients with lower levels of education and income is crucial to empower active health information seeking, reduce information gaps, and enhance health literacy to ensure better health outcomes.

Purpose: This study examines the health information-seeking pathways and health literacy levels of cancer patients, identifying factors that influence health literacy using data from the 2nd Korean Health Panel 2021 (Ver. 2.2). Methods: The study utilized the 2021 annual data (Ver. 2.2) from the 2nd Korean Health Panel. A total of 363 participants were included in the final analysis. The data were analyzed using SPSS/WIN 25.0, employing frequency analysis, descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, cross-tabulation analysis, and hierarchical regression analysis. Results: Health information seeking pathways were ranked in the order of active seeking, passive exposure, and interactive communication. Younger, higher educated, and higher-income patients favored active seeking, while older, less educated patients relied on passive exposure. Additionally, lower-income patients were found to more often use interactive communication. Education, income, and active seeking significantly influenced health literacy. Conclusion Tailored support for cancer patients with lower levels of education and income is crucial to empower active health information seeking, reduce information gaps, and enhance health literacy to ensure better health outcomes.

Purpose: This study examines the health information-seeking pathways and health literacy levels of cancer patients, identifying factors that influence health literacy using data from the 2nd Korean Health Panel 2021 (Ver. 2.2). Methods: The study utilized the 2021 annual data (Ver. 2.2) from the 2nd Korean Health Panel. A total of 363 participants were included in the final analysis. The data were analyzed using SPSS/WIN 25.0, employing frequency analysis, descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, cross-tabulation analysis, and hierarchical regression analysis. Results: Health information seeking pathways were ranked in the order of active seeking, passive exposure, and interactive communication. Younger, higher educated, and higher-income patients favored active seeking, while older, less educated patients relied on passive exposure. Additionally, lower-income patients were found to more often use interactive communication. Education, income, and active seeking significantly influenced health literacy. Conclusion Tailored support for cancer patients with lower levels of education and income is crucial to empower active health information seeking, reduce information gaps, and enhance health literacy to ensure better health outcomes.

Leiomyosarcoma(LMS) is a malignant tumor from smooth muscle origin that arises most commonly in the gastrointestinal tract and uterus, but rarely in the oral and maxillofacial area which lacks smooth muscles. 63 cases of oral LMS have been reported, especially LMS that occurred in the mandibular gingiva is only 2 cases. Major symptom of oral LMS is painful or painless swelling. Besides it, oral LMS has no specific characteristics. So it is difficult to diagnose the case as LMS of the oral cavity. Certain cases report that LMS of the oral cavity was misdiagnosed as periodontitis and the patients were treated with unnecessary procedures. Conventional treatment of LMS is the radical surgical excision. LMS that is infiltrative and very malignant has poor prognosis despite of well-circumscribed boundary. LMS of the oral cavity is often recurred, has high rate of distant metastasis and 5-year-survival rate is as low as 23%. This article reports LMS of the mandibular gingiva that treated with surgical intervention, had local recurrence and metastasis to the lymph node after 16-month's follow-up examination.
Follow-Up Studies ; Gastrointestinal Tract ; Gingiva* ; Humans ; Leiomyosarcoma* ; Lymph Nodes ; Mouth ; Muscle, Smooth ; Neoplasm Metastasis ; Periodontitis ; Prognosis ; Recurrence ; Unnecessary Procedures ; Uterus

BACKGROUND: Interest in pharmacist participation in the multidisciplinary intensive care team is increasing. However, studies examining pharmacist interventions in the medical intensive care unit (MICU) are limited in Korea. The aim of this study was to describe the current status of pharmacist interventions and to identify common pharmacologic problems requiring pharmacist intervention in the MICU. METHODS: Between September 2013 and August 2014, a retrospective, observational study was conducted in the 22-bed MICU at a university hospital. Data were obtained from two trained pharmacists who participated in MICU rounds three times a week. In addition to patient characteristics, data on the cause, type, related drug, and acceptance rate of interventions were collected. RESULTS: In 340 patients, a total of 1211 pharmacologic interventions were performed. The majority of pharmacologic interventions were suggested by pharmacists at multidisciplinary rounds in the MICU. The most common pharmacologic interventions were adjustment of dosage and administration (n = 328, 26.0%), followed by parenteral/enteral nutritional support (n = 228, 18.1%), the provision of drug information (n = 228, 18.1%), and advice regarding pharmacokinetics (n = 118, 9.3%). Antimicrobial agents (n = 516, 42.6%) were the most frequent type of drug associated with pharmacist interventions. The acceptance rate of interventions was 84.1% with most accepted by physicians within 24 hours (n = 602, 92.8%). CONCLUSIONS: Medication and nutritional problems are frequently encountered pharmacotherapeutic problems in the MICU. Pharmacist interventions play an important role in the management of these problems.
Anti-Infective Agents ; Humans ; Critical Care ; Intensive Care Units* ; Korea ; Nutritional Support ; Observational Study ; Pharmacists* ; Pharmacokinetics ; Retrospective Studies