Soft tissue perineurioma is a very rare tumor composed of entirely of neoplastic perineurial cells. A 54-year-old woman presented with a palpable mass in the right lower leg. The mass was excised. Grossly, the tumor measured 2.0x2.0x1.5 cm. The cut surface was well circumscribed, pale pinkish gray, and rubbery soft. Histological examination showed that the tumor was composed of spindle cells within collagenous and myxoid stroma. The tumor cells had elongated, tapering nuclei with long and thin cytoplasmic processes, and were arranged in fascicular, whorled, and storiform pattern. The tumor cells were positive for epithelial membrane antigen and collagen type IV and negative for S-100 protein. Ultrastructurally, tumor cells showed long and thin cytoplasmic processes, pinocytic vesicles, and incomplete external lamina. The diagnosis of soft tissue perineurioma was confirmed by immunohistochemical stain and ultrastructural study.
Collagen ; Collagen Type IV ; Cytoplasm ; Female ; Humans ; Immunohistochemistry ; Leg ; Middle Aged ; Mucin-1 ; Nerve Sheath Neoplasms ; S100 Proteins

A rate com;lication of hysterectomy is complete prolapse and inversion of vagina. This can occur whether the hysterectomy was abdominal or vaginal and cystocele and/or enterocele is often associated with this condition. Traditionally, prolapse has been treated by surgery, the types of operation for prolapse are generally but not always, carried out through the vaginal rather than through the abdominal surgical route. We experienced five cases who had repair of posthysterectomy vaginal vault prolapse by transabdominal sacral colpopexy and report with brief review of literatures.
Cystocele ; Hernia ; Hysterectomy* ; Pelvic Organ Prolapse* ; Prolapse ; Vagina

Primary angiosarcoma of the female reproductive system is extremely rare, and its management is not well understood. We experienced a very rare case of angiosarcoma arising in the uterus of a 37-year-old woman who presented abdominal distension. At laparotomy, the uterus was observed to be enlarged and deformed by multilobulated hemorrhagic mass. Tumor deposits were present on both ovaries and the omentum. The operation consisted of total abdominal hysterectomy with salpingo-oophorectomy, and omentectomy. Microscopic examination showed that the tumor consisted mostly of solid sheets of pleomorphic and spindle cells forming irregular, communicating cleft-like spaces. Well-formed vascular channels lined by atypical endothelial cells were seen in differentiated areas. Some vessels were partially lined by normal endothelial cells and partially by neoplastic endothelial cells. Papillary architecture composed of epithelioid tumor cells was noted in a focal area. The tumor cells were immunoreactive for factor VIII-related antigen, Ulex europaeus agglutinin-1, CD31 and CD34. Weibel-Palade bodies were not seen in the tumor cells. She received adjuvant chemotherapy, but died 13 months after the diagnosis.
Adult ; Chemotherapy, Adjuvant ; Diagnosis ; Endothelial Cells ; Female ; Hemangiosarcoma* ; Humans ; Hysterectomy ; Laparotomy ; Omentum ; Ovary ; Ulex ; Uterus* ; von Willebrand Factor ; Weibel-Palade Bodies

No abstract available.
Aged* ; Gallstones* ; Humans

No abstract available.

No abstract available.
Pregnancy*

No abstract available.
Adolescent* ; Ecthyma* ; Humans ; Pseudomonas aeruginosa

No abstract available.
Orbit*

Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis. Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016–2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed. Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=–3.74, p<.001; 80s: t=–3.42, p=.001), walking for exercise more than 5 days a week (t=–2.83, p=.005), cerebrovascular disease (t=–8.33, p<.001), osteoarthritis (t=–2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=–2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=–2.76, p=.007), sitting time per day (t=–2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002). Conclusion In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.

Depression is one of the most significant public health problems in Korea. The lifetime prevalence rates of major depressive disorder (MDD) in Korean adults have ranged from 3.3% to 5.6%, which are lower than those of western countries. Point prevalence rates of MDD in Korean elders from 4.6% to 7.5%, which are relatively higher than those of Western countries and other Eastern countries, have been reported. The prevalence rate of probable depression (depressive symptoms defined by the cutoff point of 16 on the Center for Epidemiologic Studies Depression Scale was lowest in the age group of 40 to 49 years at 7.6%, and highest in the age group of 15 to 18 years at 46.8%. The prevalence of probable depression in Korean elders increased with age and was highest in the group aged 80 years and over, at 35.4%. There is relatively consistent evidence that being female, having low income, no education, prior MDD, dementia and history of cerebrovascular attack increased the risk of depression. Although it is difficult to come to consistent conclusions on the epidemiology of depression in Korea due to methodological differences between studies, depression is already common and will become more common in Korea. Tremendous sociocultural, economic, and political changes along with rapid population aging have contributed and will contribute to the prevalence and impacts of depression in Korea.
Adult ; Aged ; Aging ; Dementia ; Depression ; Depressive Disorder, Major ; Epidemiologic Studies ; Female ; Humans ; Korea ; Prevalence ; Public Health ; Risk Factors