1.CT Findings of Bronchioloalveolar Carcinoma.
Journal of the Korean Radiological Society 1995;32(5):717-723
PURPOSE: We studied CT findings of bronchioloalveolar carcinoma that manifestated varied clinical and radiologic characteristics. MATERIALS & METHODS: We studied presenting radiographic patterns and their characteristics and secondary findings of histologically proven 30 cases of bronchioloalveolar carcinomas on chest CT scan. RESULTS: Bronchioloalveolar carcinoma appeared radiologically as a solitary nodule(19 cases), consolidation (7 cases), and multinodules(4 cases). A solitary nodular type shows irregular or spiculated borders, peripheral or subpleural location, heterogenous density, pleural tags, pseudocavitation, and sometimes rim-enhancement of mass. A consolidation type shows air-brochogram, pseudocavitation and CT anglogram within homogenous low attenuated consolidated lung. Hilar and mediastinal lymphadenopathy as secondary findings of bronchioloalveolar carcioma appeared frequently(43.3%). Even in a solitary nodular form, hilar & mediastinal lymphadenopathy was noted in 36.8% and follow-up study in 6 cases showed lung-to-lung metastasis with 14.7 months in mean metastasis duration. CONCLUSION: It is difficulty in diagnosis of bronchioloalveolar carcioma with clinical or plain radiographic features alone because of theis variability. We found that CT scan can help the diagnosis of this tumor. We also found out that a solitary form of bronchioloalveolar carcioma as well as diffuse form does not have a good prognosis.
Adenocarcinoma, Bronchiolo-Alveolar*
;
Diagnosis
;
Follow-Up Studies
;
Lung
;
Lymphatic Diseases
;
Neoplasm Metastasis
;
Prognosis
;
Tomography, X-Ray Computed
3.Diseases and Health Service Utilization Patterns of Geriatric Inpatients.
Hyeon Ju KIM ; Seong Chul HONG ; Sang Yi LEE ; Myeung Ju KIM ; Seung Wook HWANG
Journal of the Korean Geriatrics Society 2003;7(4):295-304
BACKGROUND: Recently elderly people have increased in Korea and increased demands of medical service. This study was carried out to identify diseases and health service utilization patterns of geriatric inpatients to provide better understanding and basis planning to meet the needs of expanding geriatric population. METHOD: We use data of `Patient Survey in Korea` in 1999 and analyzed characteristics of disease structure and utilization patterns of health care service of 54,013 cases of discharged patients aged 65 years or more. RESULT: The proportion of the elderly in total discharged patients is 14.7%. Male to female ratio is 1:1.3 and most common age group was between 65 and 69 years old. 84.2% of elderly patients were admitted at secondary or tertiary health care facilities. The most common disease in geriatric inpatients is malig- nancy in male and vascular disease in female. The average duration of hospitalization is 14.2 days. They stay longer than the nation wide average hospital length and stay longest when they are admitted by mental and behavioral disorders. CONCLUSION: Geriatric patients are admitted mostly with chronic degenerative diseases such as neoplasm and vascular disease. Elders prefer to be admitted to tertiary hospitals and oriental hospitals. They stay more in hospital.
Aged
;
Delivery of Health Care
;
Female
;
Health Services*
;
Hospitalization
;
Humans
;
Inpatients*
;
Korea
;
Male
;
Tertiary Care Centers
;
Vascular Diseases
4.CT and MR Findings of Kimura's Disease in the Head and Neck.
Dong Ik KIM ; Jung Ho SUH ; Hong Ju SON
Journal of the Korean Radiological Society 1995;32(2):243-248
PURPOSE: Kimura's disease is an inflammatory condition of unknown etiology which usually occurs in salivary glands and cervical lymph nodes. This study was undertaken to evaluate the radiologic characteristics of Kimura's disease using CT and MRI. MATERIALS & METHODS: We evaluated CT & MR of 10 patients with histologically proved Kimura's disease in the head and neck. Six males and four females between 16 and 58 years old (mean age, 37.6 years) were included. Contrast enhanced CT scan was performed in all, and spin-echo MRI was performed in 2 patients. RESULTS: Both CT and MRI demonstrated the distinctive sites of involvement that were major salivary glands (4 cases) and lacrimal gland (1 case), periglandular soft tissue (8 cases), and cervical lymph nodes (8 cases). Majority of soft tissue lesions were ill-defined with infiltration to adjacent fascial planes, but nodal lesions were relatively well-defined and homogenous. The lesions were iso-intense on Tl-weighted image and hyper-intense on T2-weighted image. All but a few nodal lesions showed variable degree of contrast enhancement on CT and MRI. CONCLUSION: In diagnosis of Kimura's disease, CT & MRI of head & neck, especially salivary glands, are useful. In cases of recurrent periglandular soft tissue mass with contrast-enhancing cervical lymphadenopathy in adult patients, Kimura's disease should be included in the differential diagnosis.
Adult
;
Diagnosis
;
Diagnosis, Differential
;
Female
;
Head*
;
Humans
;
Lacrimal Apparatus
;
Lymph Nodes
;
Lymphatic Diseases
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Neck*
;
Salivary Glands
;
Tomography, X-Ray Computed
5.A procedure for delayed gastric emptying on pyloric preserving pancreaticoduodenectomy.
Tae Il JIN ; Jae Hong KIM ; Ju Sup PARK
Journal of the Korean Surgical Society 1993;45(5):588-695
No abstract available.
Gastric Emptying*
;
Pancreaticoduodenectomy*
6.A procedure for delayed gastric emptying on pyloric preserving pancreaticoduodenectomy.
Tae Il JIN ; Jae Hong KIM ; Ju Sup PARK
Journal of the Korean Surgical Society 1993;45(5):588-695
No abstract available.
Gastric Emptying*
;
Pancreaticoduodenectomy*
9.Clinical evaluation of the scirrhous gastric cancer according to the cancer location.
Nam Soo SONG ; Jae Hong KIM ; Ju Sep PARK
Journal of the Korean Cancer Association 1992;24(5):666-673
No abstract available.
Stomach Neoplasms*
10.Operation methods according to the location of intrahepatic duct stones.
Il Gyue PARK ; Jae Hong KIM ; Ju Sup PARK
Journal of the Korean Surgical Society 1993;45(5):654-662
No abstract available.