1.A Case of Low Grade Endometrial Stromal Sarcoma.
Seung Ok YANG ; Joung Kee PARK ; Gi Chul KANG ; Kyung Soo KIM ; Dong Jin KIM ; Kwang Soo KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 1997;40(8):1788-1793
A low grade endometrial stromal sarcoma is a rare malignant tumor in woman. We experienced this infrequent malignant tumor in a 36 years old woman showing metas- tasis to both ovaries, omentum, rectum and mesenteric lymph nodes, and she was treated by total abdominal hysterectomy with bilateral salpingo-oophorectomy followed by VAC(vincristi n, actinomycin, cyclophoshamide) chemotherapy. The authors report this case with the clinicopathologic findings and brief review of literature.
Adult
;
Dactinomycin
;
Drug Therapy
;
Female
;
Humans
;
Hysterectomy
;
Lymph Nodes
;
Omentum
;
Ovary
;
Rectum
;
Sarcoma, Endometrial Stromal*
3.Clinical Significance of Amniotie Fluid Cell Culture Failure.
Soon Gon LEE ; Im soon LEE ; Kwon Hae LEE ; Hae Hyeog LEE ; Kyung Hoon CHOI ; Dong Hee KIM ; Hee Kyung YANG ; Seul Kee LEE
Korean Journal of Perinatology 1999;10(1):24-29
The reports of all amniocentesis samples received in our cytogenetic laboratory from 1986 to 1998 were reviewed to identify cases in which culture failure of amniocytes occurred. Medical records were then reviewed for the prenatal ultrasonographic findings, karyotype when available, and clinical outcome. We investigated the clinical aspects associated with second trimester amniotic fluid cell culture failure. During the study period, 5,325 second trimester amniotic fluid samples were processed, of which 42(0.8%) failed to yield a result. Ninety-seven percent of the samples were obtained before 24 weeks' gestation, mainly because of advanced maternal age. Three percent of the samples were obtained after 24 weeks' gestation. Culture failure was more common in samples obtained after or at 24 weeks' gestation(11.8%) than in those obtained before 24 weeks(0.44%)(p<0.05, chi-square test). This difference was also observed when the results were analysed according to the cases with known normal or abnormal karyotypes, The frequency of culture failure did not differ significantly between the groups with normal and abnormal karyotypes. We conduded that amniotic fluid cell culture failure is more common in advanced pregnancy and is not associated with a higher incidence of chromosomal abnormalities.
Abnormal Karyotype
;
Amniocentesis
;
Amniotic Fluid
;
Cell Culture Techniques*
;
Chromosome Aberrations
;
Cytogenetics
;
Female
;
Humans
;
Incidence
;
Karyotype
;
Maternal Age
;
Medical Records
;
Pregnancy
;
Pregnancy Trimester, Second
4.A case of Mullerian adenocarcinoma of the uterus.
Jong Chan LEE ; O Soon NAH ; Gyeong Hwa BAE ; Kee Im YANG ; Kweon Chul JEONG ; Sang Yoon PARK ; Je Ho LEE ; Eui Don LEE ; Kyung Hee LEE ; Kee Bok PARK
Korean Journal of Obstetrics and Gynecology 1992;35(12):1861-1866
No abstract available.
Adenocarcinoma*
;
Uterus*
5.A Case of Synchronous Early Gastric Cancer and Low-Grade MALT Lymphoma.
Byung Hoon MIN ; Kee Don CHOI ; Jong Pil IM ; Jung Mook KANG ; Jong In YANG ; Sang Myung WOO ; Kook Lae LEE ; Dong Ho LEE ; Joo Sung KIM ; Hyun Chae JUNG ; In Sung SONG
Korean Journal of Gastrointestinal Endoscopy 2002;25(4):203-207
Adenocarcinoma is the most common type of malignant tumor arising in the stomach, accounting for approximately 95% of malignant gastric neoplasms. The majority of remainder is lymphoma. Although H. pylori infection has been implicated as a common cause of both adenocarcinoma and lymphoma of the stomach, synchronous occurrence of both tumors is very rare. We present a case of a 23- year-old-female who presented with epigastric discomfort and was found to have synchronous low-grade B-cell MALT lymphoma and adenocarcinoma of the stomach in association with H. pylori infection.
Adenocarcinoma
;
B-Lymphocytes
;
Lymphoma
;
Lymphoma, B-Cell, Marginal Zone*
;
Stomach
;
Stomach Neoplasms*
6.Diagnostic Laparoscopy in Infertile Patients.
Jae Ik KIM ; Jung Hyung YANG ; Byoung Won KIM ; Sung Hee SIN ; Dae Hwa KIM ; kwang Soo KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 1997;40(10):2187-2194
One hundred and forty-nine infertile women underwent hysterosalpingography and di-agnostic laparoscopy as a part of their infertility work up at the Kwangju Christian Hospi-tal. The diagnostic value of hysterosalpingography was compared with diagnostic laparos- copy. It was found that hysterosalpingography is a sensitive means to determine tubal pat- ency. However, diagnostic laparoscopy revealed peritubal adhesion in 25.5% of patients, wh- ereas hysterosalpingography made an accurate diagnosis in only 10.5%. And in 61.7% of the cases, there was complete agreement between hysterosalpingogr- aphy and diagnostic laparoscopy. It is concluded that hysterosalpingography is a simple and non-invasive and useful method of assessing the tubal patency, and should remain an integral part of female infert- ility investigation. Diagnostic laparoscopy is a more useful method to evaluate pelvic patho- logy than hysterosalpingography, and thus should always be performed whenever a periton- eal factor is suspected in female infertility.
Diagnosis
;
Female
;
Fibrinogen
;
Gwangju
;
Humans
;
Hysterosalpingography
;
Infertility
;
Infertility, Female
;
Laparoscopy*
7.Helicobacter pylori Infection and Pathologic Findings in Bile Reflux Gastritis.
Jong Pil IM ; Jong In YANG ; Kee Don CHOI ; Byeong Gwan KIM ; Joo Sung KIM ; Kook Lae LEE ; Dong Ho LEE ; Mee Soo CHANG ; Hyun Chae JUNG ; In Sung SONG
Korean Journal of Gastrointestinal Endoscopy 2003;26(1):8-14
BACKGROUND/AIMS: The role of Helicobacter pylori in bile reflux gastritis (BRG) is uncertain. We show the role of H. pylori and pathology in BRG. METHODS: Thirty seven patients, including 5 patients who had undergone subtotal gastrectomy, were diagnosed with BRG by gastroscopic findings of bile-stained mucosa with hyperemia/ erosions. We measured total bile acid (TBA) concentration and compared the H. pylori positivity between BRG patients and 70 non-BRG patients. We showed how often we could see the pathologic findings of reactive gastritis in BRG and compared the grade of lymphoplasma cell and neutrophil infiltration between H. pylori positive and negative group in BRG. RESULTS: TBA concentration of 10 patients was 7,376.7+/-5,482.6micro mol/L. H. pylori positive rate of BRG was 45.9% and that of non-BRG was 70% (p=0.015). The gastric pit elongation and tortuosity were found only in 3 cases with gastric surgery. The grade of lymphoplasma cell and neutrophil infiltration was 2.41+/-0.51 and 1.88+/-0.86 in H. pylori positive BRG and 1.55+/-0.69 and 0.55+/-0.76 in H. pylori negative BRG, respectively (p<0.001). CONCLUSIONS: H. pylori infection in BRG was lower than that in non-BRG. The gastric pit elongation and tortuosity of BRG were not seen often. The lymphoplasma cell and neutrophil infiltration were relatively sparse in H. pylori negative BRG.
Bile Reflux*
;
Bile*
;
Duodenogastric Reflux
;
Gastrectomy
;
Gastritis*
;
Helicobacter pylori*
;
Helicobacter*
;
Humans
;
Mucous Membrane
;
Neutrophil Infiltration
;
Pathology
8.A Case of Esophageal Intramural Pseudodiverticulosis.
Kee Don CHOI ; Jong Pil IM ; Jung Mook KANG ; Byung Hoon MIN ; Jong In YANG ; Sang Myung WOO ; Joo Sung KIM ; Hyun Chae JUNG ; In Sung SONG
Korean Journal of Gastrointestinal Endoscopy 2002;24(5):285-290
Esophageal intramural pseudodiverticulosis is a rare disease characterized by multiple, flask-shaped outpouchings in the esophageal wall. These pseudodiverticula represent abnormally dilated excretory ducts of esophageal submucosal gland, which cause is unknown. The most common symptom is dysphagia associated with esophageal stricture. Frequently associated diseases were gastroesophageal reflux disease, diabetes mellitus, candida esophagitis, and chronic alcoholism. We have experienced a patient with dysphagia and anemia, who was diagnosed as esophageal stricture with intramural pseudodiverticulosis and pancreatic pseudoaneurysm. He was treated with esophageal bougienage for the esophageal stricture and transcatheter embolization for pancreatic pseudoaneurysm. This may be the first case of esophageal intramural pseudodiverticulosis reported in Korea.
Alcoholism
;
Anemia
;
Aneurysm, False
;
Candida
;
Deglutition Disorders
;
Diabetes Mellitus
;
Esophageal Stenosis
;
Esophagitis
;
Gastroesophageal Reflux
;
Humans
;
Korea
;
Rare Diseases
9.A case of renal failure due to leukemic infiltration diagnosed by renal biopsy.
Jong Yul KIM ; Pan Gyu KIM ; Eung Hoon IM ; Ji Youn HAN ; Ji Won PARK ; Jung Deuk LEE ; Chul Woo YANG ; Suk Young KIM ; Suk Young PARK ; Byung Kee BANG ; Kwang Sun SUH
Korean Journal of Medicine 1993;45(5):686-689
No abstract available.
Biopsy*
;
Leukemic Infiltration*
;
Renal Insufficiency*
10.Seroprevalence of Helicobacter pylori ingection in asymptomatic people in Korea.
Jin Ho KIM ; Hak Yang KIM ; Na Young KIM ; Sang Woo KIM ; Jae Gyu KIM ; Jae Jun KIM ; Jeong Kee SEO ; Jae Geon SIM ; Im Hwan ROE ; Hyeongsik AHN ; Byung Chul YOON ; Sang Woo LEE ; Yong Chan LEE ; In Sik CHUNG ; Hwoon Yong JUNG ; Weon Seon HONG ; Kyoo Wan CHOI
Korean Journal of Medicine 2000;59(4):388-397
BACKGROUND: Helicobacter pylori infection occurs throughout the world and causes various gastroduodenal diseases in all age groups. The prevalence of H. pylori infection varies among countries and races. The aim of this study was to evaluate the seroprevalence of H. pylori infection in healthy people in Korea. METHODS: From March 1998 to October 1998, 5,732 asymptomatic subjects responded to the self-assessment questionnaires from 54 hospitals were enrolled. Serum level of anti-H. pylori IgG was measured by ELISA test. RESULTS: The overall prevalence of H. pylori infection was 46.6% and showed no significant difference between male (47.2%) and female (45.9%). According to the geographic areas, the highly prevalent provinces were Kangwon (53.4%), Cheju (52.9%) and Jeonra provinces (50.6%), while Seoul (41.9%) was the lowest prevalent area. The seroprevalence increased with age and was the highest at 40's (78.5%). The characteristic feature of this study was that the infection rate increased steeply in three age groups (10-12, 16-19 years old and 30's). In Seoul, there was no different prevalence rate among the districts studied. CONCLUSION: The nation-wide seroprevalence of H. pylori infection in Korea is higher than that of the developed countries. We hope that this study provides the landmark for the study of H. pylori infection in Korea.
Continental Population Groups
;
Developed Countries
;
Enzyme-Linked Immunosorbent Assay
;
Female
;
Gangwon-do
;
Helicobacter pylori*
;
Helicobacter*
;
Hope
;
Humans
;
Immunoglobulin G
;
Jeju-do
;
Korea*
;
Male
;
Prevalence
;
Self-Assessment
;
Seoul
;
Seroepidemiologic Studies*
;
Surveys and Questionnaires