1.The Role of Endorectal Ultrasonography in the Follow-up Evaluation of the Uterine Cervical Carcinomas in Intra-arterial Cisplatin Chemotherapy.
Journal of the Korean Radiological Society 1994;30(6):1135-1140
PURPOSE: lntra-arterial cisplatin infusion chemotherapy delivers higher concentration of this therapeutic agent to the limited area of cervical carcinoma. We evaluated the role of endorectal ultrasonography (ERUS) in the analysis of the tumor response to this chemotherapy. MATERIALS AND METHODS: ERUS was done in 20 patients of cervical carcinomas limited to the pelvis by rotating the 5 UHz linear arraytransducer along the reference sagittal plane in the middle of uterine cervix and vagina. We examined and compared the change of tumor size and morphology on ER US, before, during and after intra-arterial cisplatin (50 mg/m2) chemotherapy through internal lilac artery near uterine arterial branching. Colposcopy and radical hysterectomy with pelvic lymphadenectomy were performed in all patients, and ERUS findingswere compared with those findings. RESULTS: ERUS correlated well with surgery in the estimation of preoperative tumor size and morphology. Tumor reduction rate on ERUS (100-the largest area of the preoperative tumor/the largest area of the initial tumor) was as follows: more than 75% decrease of the original size in 3 patients, 75% -50% in 6 patients, 50%-25% in 8 patients, and less than 25% in 3 patients. Hyperechoic reflecting areas were noted in 4 patients, which corresponded to gaseous necrosis on postoperative pathology. CONCLUSION: ERUS is helpful to evaluate the morphologic change of cervical carcinoma limited tothe pelvis in intra-arterial cisplatin chemotherapy.
Arteries
;
Cervix Uteri
;
Cisplatin*
;
Colposcopy
;
Drug Therapy*
;
Female
;
Follow-Up Studies*
;
Humans
;
Hysterectomy
;
Lymph Node Excision
;
Necrosis
;
Pathology
;
Pelvis
;
Ultrasonography*
;
Vagina
2.The Comparison of Ureteroscopic Lithotripsy Between Laser and Electrohydraulic Lithoriptor.
Korean Journal of Urology 2000;41(11):1342-1349
No abstract available.
Lithotripsy*
3.Apocrine Mixed Tumor with Follicular Differentiation.
Hyun Jeong LEE ; Kee Young ROH ; Won Keun AHN ; Seog Jun HA ; Jin Wou KIM
Annals of Dermatology 2000;12(1):52-55
Mixed tumor of the skin (chondroid syringoma) is a rare benign tumor composed of epithelial elements intermingled with myxoid or cartilagenous stroma which is not separated by basement membrane. It had been believed to originate from the eccrine gland but recently, it was described to be of apocrine gland origin in case of showing apparent apocrine secretion. We report on a 63-year-old man with a tumor on the right upper eyelid showing typical microscopic features of mixed tumor of the skin. Many apocrine decapitation secretions were seen in tubular structures and follicular differentiations were also seen, which represents the common origin of folliculo-sebaceous-apocrine unit.
Adenoma, Pleomorphic
;
Apocrine Glands
;
Basement Membrane
;
Decapitation
;
Eccrine Glands
;
Eyelids
;
Humans
;
Middle Aged
;
Skin
4.A Study on Diagnosis and Treatment of Acute Myocardial Infarction.
Chan Sang PARK ; Jun CHO ; Woo Ik CHOI ; Young Hoo AHN ; Dong Phil LEE
Journal of the Korean Society of Emergency Medicine 1997;8(4):513-519
As the incidence of acute myocardial infarction been increasing with prolongation of life spans, improvement in foods and life styles in Korea, rapid diagnosis and treatment is critical in survival of acute myocardial infarction patient. Most of the acute myocardial infarction result from atherosclerotic plaque forming thrombus and occlusion of coronary artery. Because early thrombolytic therapy is important to maintain the left ventricular function and survival rate, there have been many trials to reperfuse the occluded coronary artery. We have studied the many aspects of acute myocardial infarction such as sex, age, infarction site, chief complaints, change of ECG, change of serum enzyme, time delay on emergency room arrival, and compared the effectiveness of thrombolytic therapy. Total number of patient was 212, and males were 141(66.5%) and females were 71(33.5%). The most common infarction site was ant, fuel wall(102 cases,48%)of the heart and the most common chief complaint was chest pain(204 cases,97%). Among the 106 patients who received thrombolytic therapy, 101 patients(95%) had survived and 5 patients(5%) had died. Among the 64 patients who didn't receive thrombolytic therapy, 56 patients (87.5%) were alived and 8 patients(12.5%) were dead.
Ants
;
Coronary Vessels
;
Diagnosis*
;
Electrocardiography
;
Emergency Service, Hospital
;
Female
;
Heart
;
Humans
;
Incidence
;
Infarction
;
Korea
;
Life Style
;
Life Support Care
;
Male
;
Myocardial Infarction*
;
Plaque, Atherosclerotic
;
Survival Rate
;
Thorax
;
Thrombolytic Therapy
;
Thrombosis
;
Ventricular Function, Left
5.Pupil Cycle Time in the Diabetics.
Gyung Chun KIM ; Ki Woo AHN ; Young Mi JUN
Journal of the Korean Ophthalmological Society 1995;36(4):691-696
In order to evaluate the ocular autonomic dysfunction in diabetics, pupil cycle time(PCT) was assessed in 201diabetics and 33controls. PCT was significantly different between the diabetics and controls and prolonged in diabetics in regard to the severity of retinopathy(p<0.05). PCT was significantly prolonged in diabetics in regard to the diabetic peripheral neuropathy and nephropathy(p<0.05). PCT was significantly different among the diabetic groups in regard to the duration of diabetes(p<0.05). Sustainde PCT was unmeasurable in 56.7% of diabetics and in 72.3% of proliferative diabetic retinopathy compared with 28.8% of controls(p<0.05). Ocular autonomic dysfunction in diabetics correlated closely with the severity of the diabetic retinopathy, diabetic petiphetal neuropathy and nephropathy, diabetic duration.
Diabetic Nephropathies
;
Diabetic Retinopathy
;
Peripheral Nervous System Diseases
;
Pupil*
6.Dislocation of the Globe into the Nasal Cavity after Orbital Wall Fracture.
Kwang Hyun KIM ; Young AHN ; Jun Sun RYU ; Chang Bae YOON
Journal of the Korean Ophthalmological Society 2000;41(12):2765-2770
No Abstract Available.
Dislocations*
;
Nasal Cavity*
;
Orbit*
7.Changes in Auditory Brainstem Resposes in Hyperbilirubinemic Neonates Before and after Exchange Transfussion and Phototherapy.
Chong Woo BAE ; Young Ho RA ; Sa Jun CHUNG ; Chang Il AHN
Journal of the Korean Pediatric Society 1988;31(5):547-554
No abstract available.
Brain Stem*
;
Humans
;
Infant, Newborn*
;
Phototherapy*
8.A Case of Kimura's Disease Presenting as a Rhinophyma-like Configuration.
Moon Jung CHOI ; Hyun Jeong PARK ; Baik Kee CHO ; Jun Hee BYUN ; Wha Young AHN
Annals of Dermatology 2003;15(2):85-88
Kimura's disease is a benign, uncommon, chronic inflammatory condition that usually presents with painless subcutaneous nodules or plaques. Head and neck are the most frequently involved sites in Kimura's disease. Mandible is the most commonly involved, followed by neck, cheek, scalp and forehead. Other possible sites are oral cavity, inguinal area and extremities, but there have been no reports involving the nose, especially the one that looks like a rhinophyma. We describe a case of Kimura's disease presenting like a rhinophyma.
Cheek
;
Extremities
;
Forehead
;
Head
;
Mandible
;
Mouth
;
Neck
;
Nose
;
Rhinophyma
;
Scalp
9.Sternum-Splitting Approach for Anterior Space-Taking Lesions in the Upper Thoracic Lesion.
Young Jun CHO ; Jang Hoe HWANG ; Myung Soo AHN
Journal of Korean Neurosurgical Society 1991;20(8):693-698
Recently we performed a modified sternum-splitting approach in surgery for anterior space-taking lesion in the upper thoracic region. In contrast to the original trans-sternal approach introduced by Cauchoix, we cut only the manubrium and split it using vertebral spreader. After reaching the anterior surface of the cervico-Thoracic vertebrae, the central portion of the vertebral body was removed with air-drill under an operating microscope. The longitudinal bone defect of the vertebral bodies was filled with a bone graft obtained from the iliac bone. Removal of the space-taking lesions in the cervico-thoracic junction and upper thoracic region can be performed safely by utilizing the modified sternum-splitting approach. This approach can be applied also to endarterectomies at the origins of the vertebral arteries and the subclavian artery.
Endarterectomy
;
Manubrium
;
Microsurgery
;
Spine
;
Subclavian Artery
;
Transplants
;
Vertebral Artery
10.Six Cases of Congenital Absence of the Vagina Managed by McIndoe Operation.
Sung Duk CHO ; Hye Sun JUN ; Chung No LEE ; In Hyun KIM ; Jae Young AHN
Korean Journal of Obstetrics and Gynecology 1997;40(1):223-228
Mullerian agenesis or dysgenesis, rare developmental anomaly presenting as primary amenorrhea, is characterized by absence of vagina and absence or rudimentary development of the uterus. Anatomic anomalies of the axial skeleton and kindney often accompany this psychologically devatating condition. There are various methods of surgical treatment for congenital absence of the vagina. The six cases reviewed in this paper were all treated with McIndoe technique. All of 6 women experienced satisfactory sexual activity and were satisfied with vaginal depth following vaginal creation using a split thickness skin graft technique. Despite the existence of several alternative methods, the McIndoe technique is a relatively simple and highly successful procedure and hence is still prefered by many surgeons.
Amenorrhea
;
Female
;
Humans
;
Sexual Behavior
;
Skeleton
;
Skin
;
Transplants
;
Uterus
;
Vagina*