No abstract available.
Gastritis*

No abstract available.
Toluene* ; Xylenes*

Choroidal metastatic carcinoma is very rare. We recently experienced a case of lung adenocarcinoma which presented to the clinic with ocular symptoms. This 57-year-old Korean male patient visited the department of ophthalmology due to decreased visual acuity and pain of the left eye. On MRI scan, a nodule was attached to the retina of the left eyeball. On simple chest radiograph, a large amount of pleural effusion was noted in the left pleural cavity. Emergency enucleation of the left eyeball was done with an impression of malignant melanoma causing an intractable ocular pain. Grossly, the lesion in the eyeball was rising from the choroid. On histologic examination, tumor cells formed many irregular, small gland-like structures. The tumor cells showed alcian blue-positive mucin in the cytoplasm and glandular lumens and were positive for CEA. Chest CT scan was performed postoperatively and showed a huge mass in the left lower lobe and multiple nodular opacities in both lung fields. Bronchoscopic biopsy revealed moderately differentiated adenocarcinoma similar to that of the eyeball.
Adenocarcinoma* ; Biopsy ; Choroid* ; Cytoplasm ; Emergencies ; Humans ; Lung Neoplasms ; Lung* ; Magnetic Resonance Imaging ; Male ; Melanoma ; Middle Aged ; Mucins ; Neoplasm Metastasis* ; Ophthalmology ; Pleural Cavity ; Pleural Effusion ; Radiography, Thoracic ; Retina ; Tomography, X-Ray Computed ; Visual Acuity

Serous cystadenomas of the pancreas account for approximately a third of pancreatic cystic neoplasms. Their coexistence with a second tumor is extremely rare. We now report a case of a serous microcystic adenoma combined with an intraductal papillary mucinous tumor of the pancreas in a 69-year-old man. Abdominal computed tomography scans demonstrated an incidental cystic mass in the body with cystic dilatation of the duct in the head of the pancreas. Central pancreatectomy with pancreatico-jejunostomy, and cyst excision of the pancreatic head were performed. Histologic examination demonstrated a serous microcystic cystadenoma in the body coexisting with an intraductal papillary mucinous adenoma in the head of the pancreas. This case study highlights the importance of careful intra-operative and pathologic examination for synchronous pancreatic tumors.
Adenoma ; Aged ; Cystadenoma ; Cystadenoma, Serous ; Dilatation ; Head ; Humans ; Mucins ; Pancreas ; Pancreatectomy ; Pancreatic Cyst

The common errors in preoperative treatment plan for the orthognathic surgery can be occurred during cast impression, cast mounting procedure with face-bow transfer, surgical stent fabrication, and so on. One of the most common errors exists during mounting process of the model on the articulator. Accurate mounting of dental casts to articulator should be achieved by transferring the 3- dimensional spatial relationship of the maxillary arch to an articulator. A face-bow is used for transfer this relationship to articulator, usually by relating the face-bow to a plane of reference of maxillary cast. The purpose of this study is evaluation of the accuracy of face-bow transferring of maxillary model to the articulator. The maxillary casts of thirty patients for orthognathic surgery were mounted on articulator with an face-bow instrument. The relationship of occlusal plane angle to Frankfort horizontal plane relations were compared the cephalogram with the cast-mounted articulator. As a result of this study, the significant difference between the maxillary occlusal planes angle in the cephalogram and articulator were found . The results were followed,1. The mean occlusal plane angle in cast-mounted articulator was 13.5.(SD+/-5.4).2. The mean occlusal plane angle in cephalogram was 10.4.(SD+/-4.3).3. The mean difference of occlusal plane angle between cast-mounted articulator and cephalogram was 3.3.(SD+/-4.6).According to the result, we should suggest that the occlusal plane angle to Frankfort plane in cast-mounted articulator is more steeper than that of cephalogram.And then, maxillofacial surgeon should try to get a more predictable result by suggesting the proper correction method and mounting the cast accurately.
Dental Articulators ; Dental Occlusion* ; Humans ; Orthognathic Surgery ; Stents

No abstract available.
Child ; Child Development* ; Humans ; Infant* ; Mass Screening*

Intracavernous papaverine injection may be the first step in the assessment of the impotent patient Since measurement of the rigidity requires a sophisticated procedures that may not be available to the majority of the practitioners, we attempted to find an objective method to evaluate the results or this common test. We tested 44 patients complaining of impotence and 2 normal potent men with intracavernous injection of 30mg. papaverine and measured the angle between the penis and the legs with the patient in the standing position and obtained radioisotope erection penogram. Various penogram indexes were calculated from the time activity curve and their usefulness was evaluated and was compared with the findings of nocturnal penile tumescence. The papaverine test can distinguish between the vasculogenic and psychogenic impotent patients. Measurement of the erectile angle after intracavernous injection of papaverine is a simple, objective and reliable method to evaluate patients with vascular impotence. The penogram indexes were significantly correlated with the penile arterial inflow and venous outflow during erection. but not significantly correlated with nocturnal penile tumescence test.
Erectile Dysfunction ; Humans ; Leg ; Male ; Papaverine ; Penile Erection* ; Penis

No abstract available.
Hemorrhage* ; Hemorrhoids*

No abstract available.
Cardiotocography* ; Meconium* ; Pregnancy*

PURPOSE: In recent years, colonic diverticular disease has increased rapidly because of high intraluminal pressure in the colon due to the low fiber westernized diet and the increasing number of elderly people. Furthermore, emergency operation is required in many cases. Therefore, the aim of this study is proposed to review the optimal treatment guide. METHODS: This study is a retrospective review of the hospital records of 34 patients who underwent surgical treatment for colonic diverticular diseases at the National Medical Center from March 1992 to July 2003. RESULTS: The patients consisted of 23 males and 11 females, with mean age of 49 years. The lesion sites were cecum (62%), sigmoid colon (20%), ascending colon (9%), transverse colon (6%) and descending colon (3%), in descending orders of frequency. The patients were staged by Thorsen classification at the right colon and by Hinchey classification at the other sites. At the right colon, there were no cases of stage IV and 2 of bleeding. At the transverse colon and left colon, there were 3 cases of stage II, 5 of III, and 2 of IV. For the right colon, all patients underwent one- stage operation. For the other sites, 3 one- stage operations and 7 two- stage operations were performed. Major or minor postoperative complications occurred in 12 patients, including 2 mortality cases. Among them, 2 cases with colocutaneous fistulas might have been prevented if the operation had been made on the basis of stage. CONCLUSION: Because diverticular disease occurs at the various sites of the colon and has potential risk, it is important that patient treatment is based on stage.
Aged ; Cecum ; Classification ; Colon* ; Colon, Ascending ; Colon, Descending ; Colon, Sigmoid ; Colon, Transverse ; Diet ; Emergencies ; Female ; Fistula ; Hemorrhage ; Hospital Records ; Humans ; Male ; Mortality ; Postoperative Complications ; Retrospective Studies