Renal cell carcinoma is a relatively rare tumor, accounting for approximately 3 percent of adult malignancies. Bilateral renal cell carcinoma, either synchronous or asynchronous, very rarely occurs and makes another urological dilemma. We experienced a case of unrecognized bilateral renal cell carcinoma ; which had been treated by radical nephrectomy after diagnosed as a left renal cell carcinoma, Robson stage IIIa, about 18 months later another mass was found in remaining kidney. Therefore, we performed wedge resection of the mass, and it was also diagnosed as a renal cell carcinoma. Reviewing of the initial abdomen-pelvis CF scan, mass in Rt. kidney had already been existed when left. renal cell carcinoma was diagnosed. This case was finally diagnosed with unrecognized bilateral synchronous renal cell carcinoma.
Adult ; Carcinoma, Renal Cell* ; Humans ; Kidney ; Nephrectomy

BACKGROUND: The bronchial anthracofibrosis has been thought to be a unique clinical syndrome caused by a fibrotic response to active or old tuberculous infection, but recent studies suggest that long-term exposure to woodsmoke may be the cause of the development of bronchial anthracofibrosis and the tuberculosis is thought to be a disease frequently associated with bronchial anthrocofibrosis, not the main etiology. The purpose of this study was to elucidate the relationship between the bronchial anthracofibrosis and the long-term exposure to woodsmoke and tuberculosis through analyses of the clinical features of patients with bronchial anthracofibrosis. METHODS: 166 patients having bronchial anthracofibrosis confirmed by bronchoscopy were included in this study. They were 23 males and 143 females, having mean sge 72.4 years, ranging from 56 to 91. The epidemiologic features, distinctive clinical features, physiologic findings, radiologic findings and bronchoscopic findings were analyzed retrospectively. RESULTS: All the patients living in rural area (129 of 166) had experienced long-term exposure to woodsmoke. The history of tuberculosis was obtained in 52 patients without history of occupational exposure to dust. The predominant chest CT findings were atelectasis, bronchial stenosis and calcified or noncalcified lymph node enlargements. The most common abnormality of pulmonary function was obstructive pattern, observed in 47.8%. The bronchoscopic examination disclosed multifocal anthracotic plaques mostly at the bifurcation of lobar or segmental bronchi, particularly in upper lobe. The bronchial stenosis was frequently observed in right middle and upper lobe. The associated diseases were obstructive airway disease in 56, obstructive pneumonia in 40, active tuberculosis in 36, and lung cancer in 11 patients. CONCLUSION: The bronchial anthracofibrosis, in the patient who has long-term experience to woodsmoke inhalation without any history of environmental exposure to dust, is one of the manifestation of lung disease related to woodsmoke inhalation, and is frequently associated with various pulmonary diseases, including tuberculosis.
Bronchi ; Bronchoscopy ; Constriction, Pathologic ; Dust ; Environmental Exposure ; Female ; Humans ; Inhalation ; Lung Diseases ; Lung Neoplasms ; Lymph Nodes ; Male ; Occupational Exposure ; Pneumonia ; Pulmonary Atelectasis ; Retrospective Studies ; Tomography, X-Ray Computed ; Tuberculosis

Recently, aging process and westernization of life style are increasing the incidence of colonic diverticulum. About 30% of colonic diverticulm result in diverticular bleeding, which often causes acute lower gastrointestinal bleeding. In most cases, the bleeding stops spontaneously. But when relapsing or causing massive bleeding, it sometimes needs emergent surgery. Generally, treatments for colonic diverticular bleeding consist of conservative ones. But recently, urgent colonoscopy is important procedure since it estimates the needs for surgery, or when bleeding foci being identified, endoscopists frequently can stop the bleeding by only colonoscopic procedures such as injection therapy, band ligation, hemoclipping and argon plasma coagulation, etc. In patients with hematochezia, we made early detection of diverticular bleeding foci by urgent colonoscopy, and then we were able to treat them successfully by argon plasma coagulation and hemoclipping. Thus we report these with literature review.
Aging ; Argon Plasma Coagulation ; Colon* ; Colonoscopy ; Diverticulum ; Diverticulum, Colon ; Gastrointestinal Hemorrhage ; Hemorrhage* ; Hemostasis ; Humans ; Incidence ; Life Style ; Ligation

OBJECTIVES: This study was conducted to investigate the prevalence and risk factors of osteopenia and osteoporosis in 40-59 year-old male workers working at nuclear power plants. METHODS: Bone density, body composition, and anthropometry data were analyzed for 2,073 subjects were carried out from March 2004 to July, 2004. Educational level, smoking status, drinking status and frequency of physical activity were investigated by self-reported questionnaires through internet to identify lifestyles related to bone mass density. Bone mass density was measured by EXE-3000 of Osteosys Co. and body fat percentage, and waist-to-hip ratio by Inbody 3.0 of Biospace Co. RESULTS: The prevalence of ostepeniaosteopenia and osteoporosis was 22.8% and 3.0%, respectively. According to multinominal multinomial logistic regression analysis, age, smoking status (current smoker and former smoker), low body mass index (< 25 kg/m2), and frequency of physical activity were significantly associated with osteopenia and osteoporosis. CONCLUSIONS: The prevalence of osteopenia and osteoporosis wasseemed high for the, when it was inferred from subjects' age compared to the results of previous studies. The This study results suggeststhat it is necessary for 40-59 year-old male workers to stop smoking, and exercise regularly in order to prevent osteopenia and osteoporosis.
Adipose Tissue ; Anthropometry ; Body Composition ; Body Mass Index ; Bone Density ; Bone Diseases, Metabolic* ; Drinking ; Humans ; Internet ; Life Style ; Logistic Models ; Male* ; Motor Activity ; Nuclear Power Plants ; Osteoporosis* ; Prevalence* ; Questionnaires ; Risk Factors* ; Smoke ; Smoking ; Waist-Hip Ratio

No abstract available.
Craniocerebral Trauma* ; Head* ; Humans ; Tomography, Emission-Computed, Single-Photon*