1.A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia.
Hyo Sin KIM ; He Jin IM ; Ock Seung JEONG ; Son Sang SEO ; Jung Woo YANG
Journal of the Korean Pediatric Society 1987;30(3):291-296
No abstract available.
Intestinal Atresia*
2.Excessive Sliding of the Helical Blade and the Femoral Neck Fracture after Insertion of Proximal Femoral Nail Anti-Rotation for Type A2 Intertrochanteric Fractures - A Case Report -.
Bong Ju PARK ; Hong Man CHO ; Ju Han KIM ; Woo Jin SIN
Journal of the Korean Fracture Society 2013;26(2):151-155
Proximal femoral nail anti-rotation (PFNA) with a lag screw that is shaped like a spiral blade shape is an orthopedic implant to fix trochanteric fractures of the proximal femur. In addition the reason of the biomechanical advantages, PFNA widely been used recently. We report an 83-year-old man with excessive sliding of the helical blade and a femoral neck fracture after AO/OTA type A2 intertrochanteric fracture, which was fixed with a PFNA.
Femoral Neck Fractures
;
Femur
;
Femur Neck
;
Hip Fractures
;
Nails
;
Orthopedics
3.Thrombospondin-1 and -2 Expressions in Hepatocellular Carcinomas: an Association with Tumor Angiogenesis and p53 Overexpression.
Jae Sin CHUNG ; Ho Sung PARK ; Hyun Jin SON ; Myoung Jae KANG ; Woo Sung MOON
Korean Journal of Pathology 2005;39(4):215-221
Background : It has been suggested that thrombospondin (TSP) is a p53-dependent negative regulator of tumor angiogenesis. TSP expression and localization in hepatocellular carcinomas (HCCs) and its association with overexpression of p53 protein were investigated. Methods : TSP-1 and -2 expressions were examined in 40 HCC specimens by immunohistochemical staining and in 4 HCC cell lines by Western blotting. In addition, p53 protein expression and microvessel density (MVD) were correlated with the TSP expression. Results : Strong immu- nopositivity for TSP-1 was observed in fibroblasts, vascular endothelial cells, and some vas- cular smooth muscle cells of the stroma in 18 cases (45%), and in tumor cells in 3 cases (7.5%) of 40 cases of HCC. Immunoreactivity for TSP-2 was observed in only the sinusoidal lining cells of the tumor in 15 cases (46%), and in tumor cells in 2 cases (6%) of 32 cases of HCC. TSP-1 expression was inversely correlated with MVD (p=0.028), but TSP-2 expression did not show any correlation with MVD. Although p53 was overexpressed in 17 cases, there was no significant correlation between TSP and p53 expressions. None of the HCC cell lines expressed TSP-1 or -2. Conclusions : These findings indicate that TSP-1 is mainly derived from nonparenchymal cells, and may decrease tumor angiogenesis in HCC.
Angiogenesis Inhibitors
;
Blotting, Western
;
Carcinoma, Hepatocellular*
;
Cell Line
;
Endothelial Cells
;
Fibroblasts
;
Microvessels
;
Myocytes, Smooth Muscle
;
Thrombospondin 1
;
Thrombospondins
4.Problems in Humeral Interlocking with Seidel Nail
Koing Woo KWUN ; Sin Kun KIM ; Sang Wook LEE ; Chang Hyuk CHOI ; Jin Kun LEE
The Journal of the Korean Orthopaedic Association 1996;31(2):199-204
Seidel nail is one of locked humeral nail and Seidel himself reported excellent result in his preliminary report using his nail. But our early experience showed disappointing result with high rate of complications, So we reviewed our 16 cases of humeral shaft fracture with polytrauma treated with Seidel nail and studied anatomical fitness of the nail within the distal medullary space using CT scan. The most frequent complication was intraoperative fracture of the proximal humerus < 4 cases> and this seemed to be due to lateral placement of pilot hole. There were 3 cases of nonunion and these cases showed insufficient distal anchorage, either primarily or postoperatively. Anatomical fitness study showed insufficient spreading of nail flanges in 5 cases of distal canal width below 9mm and nonunion cases were in this group. Other problems of Seidel nail were technical difficulties due to occasionally incorrect proximal targeting device and frequent breakage of adaptor screw. Study of more cases may be needed to confirm the design problem of Seidel nail.
Humerus
;
Multiple Trauma
;
Tomography, X-Ray Computed
5.Clinical Significance of Rotter's Nodes in Patients with Breast Carcinomas.
Jin Woo SIN ; Soo Jung LEE ; Ki Ho JEONG ; Koing Bo KWUN
Journal of Korean Breast Cancer Society 2001;4(1):80-86
PURPOSE: Rotter's nodes are removed in the course of a radical mastectomy, however they are not routinely removed in a modified radical mastectomy and breast conserving surgery, although they can be. Having been relatively ignored, the prognostic value and correlation of Rotter's nodes with axillary nodal status have rarely been reported or systematically studied. The aims of the present study were to assess the frequency and pattern of Rotter's node metastasis in breast cancer patients, and to compare the incidence of axillary lymph node metastasis and Rotter's node. We also investigated the rate of skip metastasis. METHODS: In order to investigate the predictability of axillary node positivity, we compared the status of axillary lymph nodes and the pathological prognostic markers. In 580 consecutive mastectomies performed for breast carcinomas between 1987 and 1999, axillary and Rotter's nodes were routinely dissected and separately sampled during mastectomy. RESULTS: The mean number of axillary lymph nodes and Rotter's nodes were 19.5 and 0.9. Axillary lymph nodes metastases were found in 47.2% of all patients. The frequency of axillary lymph node metastasis and the involvement of a higher level of axillary lymph node were significantly increased with increasing tumor size. However, metastasis at Rotter's nodes did not follow this pattern. Rotter's nodes were anatomically present in 39.8% of patients and an average of 2.3 lymph nodes was found in the interpectoral region. Rotter's metastases were found in 5% of all patients, and 10.6% of those with axillary lymph node metastases. The number of Rotter's nodes metastases was higher as the metastases were found at a higher level (p<0.05). CONCLUSION:The presence of axillary metastases was related to histologic grade, nuclear grade and lymphovascular invasion, but was not related to the mitotic index or perineural invasion. It is apparent that the potential risks from Rotter's and skip metastases were not great in all patients, although the routine excision of Rotter's nodes should be applied to patients with more locally advanced disease (T2-3, N1-N2).
Breast Neoplasms*
;
Breast*
;
Humans
;
Incidence
;
Lymph Nodes
;
Mastectomy
;
Mastectomy, Modified Radical
;
Mastectomy, Radical
;
Mastectomy, Segmental
;
Mitotic Index
;
Neoplasm Metastasis
6.Clinical Significance of Rotter's Nodes in Patients with Breast Carcinomas.
Jin Woo SIN ; Soo Jung LEE ; Ki Ho JEONG ; Koing Bo KWUN
Journal of the Korean Surgical Society 2001;60(2):141-147
PURPOSE: Rotter's nodes are removed in the course of a radical mastectomy, however they are not routinely removed in a modified radical mastectomy and breast conserving surgery, although they can be. Having been relatively ignored, the prognostic value and correlation of Rotter's nodes with axillary nodal status have rarely been reported or systematically studied. The aims of the present study were to assess the frequency and pattern of Rotter's node metastasis in breast cancer patients, and to compare the incidence of axillary lymph node metastasis and Rotter's node. We also investigated the rate of skip metastasis. METHODS: In order to investigate the predictability of axillary node positivity, we compared the status of axillary lymph nodes and the pathological prognostic markers. In 580 consecutive mastectomies performed for breast carcinomas between 1987 and 1999, axillary and Rotter's nodes were routinely dissected and separately sampled during mastectomy. RESULTS: The mean number of axillary lymph nodes and Rotter's nodes were 19.5 and 0.9. Axillary lymph nodes metastases were found in 47.2% of all patients. The frequency of axillary lymph node metastasis and the involvement of a higher level of axillary lymph node were significantly increased with increasing tumor size. However, metastasis at Rotter's nodes did not follow this pattern. Rotter's nodes were anatomically present in 39.8% of patients and an average of 2.3 lymph nodes was found in the interpectoral region. Rotter's metastases were found in 5% of all patients, and 10.6% of those with axillary lymph node metastases. The number of Rotter's nodes metastases was higher as the metastases were found at a higher level (p<0.05). CONCLUSION: The presence of axillary metastases was related to histologic grade, nuclear grade and lymphovascular invasion, but was not related to the mitotic index or perineural invasion. It is apparent that the potential risks from Rotter's and skip metastases were not great in all patients, although the routine excision of Rotter's nodes should be applied to patients with more locally advanced disease (T2-3, N1-N2).
Breast Neoplasms*
;
Breast*
;
Humans
;
Incidence
;
Lymph Nodes
;
Mastectomy
;
Mastectomy, Modified Radical
;
Mastectomy, Radical
;
Mastectomy, Segmental
;
Mitotic Index
;
Neoplasm Metastasis
7.Clinical Significance of Rotter's Nodes in Patients with Breast Carcinomas.
Jin Woo SIN ; Soo Jung LEE ; Ki Ho JEONG ; Koing Bo KWUN
Journal of Korean Breast Cancer Society 2000;3(2):162-170
PURPOSE: Surgical axillary dissection to determine the status of nodes remains as a part of the standard operation in the management of breast cancer. Rotter's nodes are removed in the course of a radical mastectomy but they are not routinely removed in a modified radical mastectomy and breast conserving surgery, although they can be. Having been relatively ignored, the prognostic value and correlation of Rotter's nodes with axillary nodal status have been rarely reported or systematically studied. The aim of the present study was to access the frequency and pattern of Rotter's node metastasis in breast cancer patients, and compare the incidence of axillary lymph node metastasis and Rotter's node. We also investigated the rate of skip metastasis. MATERIALS AND METHODS: To investigate the predicting axillary node positivity, we compared the status of axillary lymph node and pathological prognostic markers. In 580 consecutive mastectomy performed for breast carcinomas between 1987 to 1999, axillary and Rotter's node were routinely dissected and separately sampled during mastectomy . RESULTS: The mean number of axillary lymph node and Rotter's nodes were 19.5 and 0.9. Axillary lymph nodes metastases were found in 47.2% of all patients. Frequency of axillary lymph node metastasis and involvement of higher level of axillary lymph node were significantly increased by increasing tumor size. But metastasis at Rotter's nodes was not following this pattern. Rotter's nodes were anatomically present in 39.8% of patients and average 2.3 lymph nodes were found in the interpectoral region. Rotter's metastases were found in 5% of all patients, and 10.6% of those with axillary lymph nodes metastases. Number of Rotter's nodes metastases were higher as the metastases were found to higher level(P<0.05). CONCLUSION: The presence of axillary metastases were related to histologic grade, nuclear grade and lymphovascular invasion, but not related to mitotic index and perineural invasion. In summary, number of axillary lymph node and metastatic rate of axillary lymph nodes were similar to western reports. It is apparent that potential risk from Rotter's and skip metastases were not great in all patients, but routine excision of Rotter's nodes should be applied to patients with more locally advanced disease.
Breast Neoplasms*
;
Breast*
;
Humans
;
Incidence
;
Lymph Nodes
;
Mastectomy
;
Mastectomy, Modified Radical
;
Mastectomy, Radical
;
Mastectomy, Segmental
;
Mitotic Index
;
Neoplasm Metastasis
8.A Case of Vesico-Uterine Fistula after Repeat Cesarean Section.
Yoon Joo JANG ; Jin Ho LEE ; Jung Suk LEE ; Young Suk NO ; Sin Ae LEE ; Jong Woo KIM
Korean Journal of Obstetrics and Gynecology 2000;43(12):2301-2304
No abstract available.
Cesarean Section, Repeat*
;
Female
;
Fistula*
9.Amoxicillin Clavulanic Acid Induced Stevens-Johnson Syndrome.
In Hwan MOON ; Moon Sun SUH ; Sin Woo KO ; Ho Jin LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 2005;48(1):118-120
The Stevens-Johnson syndrome is a severe form of erythema multiforme associated with multiple organ involvement that can result in severe mortality. Various etiologic factors have been reported to include drugs, bacteria, virus, etc. We experienced a case of amoxicillin clavulanic acid induced Stevens-Johnson syndrome with the involvement of oral mucosa, skin, and conjunctiva. This patient was treated with steroid and supportive care.
Amoxicillin*
;
Amoxicillin-Potassium Clavulanate Combination*
;
Bacteria
;
Conjunctiva
;
Erythema Multiforme
;
Humans
;
Mortality
;
Mouth Mucosa
;
Skin
;
Stevens-Johnson Syndrome*
10.Clinical characteristics and prognostic factors of polymicrobial bacteremia.
Yoon Sang CHOI ; Sang Won SIN ; Sae Yong KANG ; Heung Jung WOO ; Chull Won CHOI ; Hee Jin CHUNG ; Woo Joo KIM ; Min Ja KIM ; Seung Chull PARK
Korean Journal of Infectious Diseases 1991;23(3):171-179
No abstract available.
Bacteremia*