Multilocular cystic renal cell carcinoma is a distinct subtype of renal cell carcinoma with its pathological characteristics and good prognosis. Multilocular renal cysts and renal cell carcinoma with cystic change are important differential diagnoses. We report a case of multilocular cystic renal cell carcinoma in a 37-year-old woman who came to the hospital because of the right renal mass. The removed right kidney showed a 6x4 cm well defined cystic mass in the lower pole. On cut section there were multiple cavities in the mass, filled with serosanguineous fluid and focal yellowish solid area. Microscopically, these cysts were lined by a single layer of flat or cuboidal cells consisted of clear cytoplasm with small central nuclei. In some portions of the tumor, the clear neoplastic cells formed sheets within the septa or walls of the cysts.
Adult ; Carcinoma, Renal Cell* ; Cytoplasm ; Diagnosis, Differential ; Female ; Humans ; Kidney ; Multicystic Dysplastic Kidney ; Prognosis

In benign hyperproliferative epidermal diseases(eq. warts, psoriasis) and squamous carcinoma, some molecular markers of hyperproliferative keratinocyte such as cytokeratin 16 and PCNA were expressed predominantly. However, all healthy epidermis including the meatal epidermis are nonreactive to those molecular markers except some of thick skin. Recently, there are several reports which show unusal proliferative capacity around the annular region of the ear drum. Our study has concentrated on the characteristics of the differentiation in healthy deep meatal epidermis using immunohistochemistry with cytokeratins and PCNA. Our investigation has demonstrated that the deep meatal epidermis around the annular region in contrast to the other region of the meatus exhibited unusal proliferative capacity. This result suggests a pathology link such as invasion mechanism and hyperkeratinization between the cholesteatoma and deep meatal skin.
Carcinoma, Squamous Cell ; Cholesteatoma ; Ear ; Epidermis* ; Humans* ; Immunohistochemistry ; Keratin-16 ; Keratinocytes ; Keratins ; Pathology ; Proliferating Cell Nuclear Antigen ; Skin ; Warts

No abstract available.
Rhinitis*

The author analyzed 169 cases of spontaneous intracerebral hemorrhages at the basal ganglia and thalamus, who had been admitted to Jeonju Presbyterian Medical Center from 1975 to 1979. Intracerebral hematoma was confirmed by angiography and the amount of hematoma was divided as small, medium or large according to the angiographic evidence. Among the 169 cases, 145 cases underwent appropriate medical or surgical treatment. 63 cases were treated conservatively and 82 cases were operated ; 22 cases of frontal approach, 51 cases of temporal approach, and 9 cases of extraventricula diainage of clot. Results obtained are as follows : 1. The common pridiection age group was from the fifth to the seventh decades, which was 90.5% of all cases. The ratio of male to female was about 2 to 1. 2. putaminal hemorrhage was 65.1%, and thalamic hemorrhage was 16.6%. 3. Angiographic evidence of arteriosclerosis was seen in 86.4%. 4. The worse prognostic factors were related to age(over 65), site and size of hematoma, and mental state on admission. 5. With conservative management 49.2% were improved, 6.3% not improved, 44.4% moribund or dead. 6. With surgical treatment 58.5% were improved, 3.7% not improved, 37.8% moribund or dead. 7. Microsurgical temporal approach proved to have the following advantages over frontal approach. (1) Better outcome was found in this approach(64.7% vs 54.4%). (2) The distance to the hematoma was closer in temporal approach, and so total removal of hematoma and complete control of bleeding sources with less surrounding structural damages were possible. 8. Early operation seems to be more effective than delayed operation in the cases of large hematoma with deteriorating neurological signs.
Angiography ; Arteriosclerosis ; Basal Ganglia* ; Cerebral Hemorrhage* ; Female ; Hematoma ; Hemorrhage ; Humans ; Jeollabuk-do ; Male ; Protestantism ; Putamen ; Putaminal Hemorrhage ; Thalamus*

No abstract available.
Peritoneum*

No abstract available.
Diarrhea* ; Korea*

Neurilemmomas are well-encapsulated, benign, slow-growing tumors originating from Schwann cells of the nerve sheath surrounding cranial, peripheral, or autonomic nerves. Intraoral neurilemmomas are relatively rare and have a wide variety of morphologic and radiologic features. This makes differential diagnosis difficult, and only histopathological features can lead to a definitive neurilemmoma diagnosis. In this report, we present the case of a 30-year-old woman whose chief complaint was a solitary, nodular mass on the right floor of the mouth. After computed tomography and magnetic resonance imaging, we performed an incisional biopsy that showed the typical characteristics of a neurilemmoma. The mass was removed completely through an intraoral surgical approach. Despite losing a portion of the lingual nerve, the patient did not complain of any specific discomfort. Wound healing was uneventful and there were no signs or symptoms of recurrence.
Adult ; Autonomic Pathways ; Biopsy ; Diagnosis ; Diagnosis, Differential ; Female ; Humans ; Lingual Nerve ; Magnetic Resonance Imaging ; Mouth* ; Neurilemmoma* ; Recurrence ; Schwann Cells ; Sublingual Gland ; Wound Healing

PURPOSE: To evaluate the radiographic changes in distal radius fractures treated conservatively. MATERIALS AND METHODS: We reviewed 55 patients with a distal radius fracture treated by conservative treatment. Average age was 57.6 years. According to the AO classification, 17 were A2 fractures followed by C1 (13 cases), C2 (9 cases), C3 (7 cases), B1 (6 cases) and A3 (3 cases). Closed reduction and U-shaped splint were applied as initial treatment. Long arm cast followed by short arm cast were applied for intraarticular or metaphyseal comminuted fractures. Radial inclination angle, radial length and volar tilt angle in each radiograph were measured and evaluated by statistic analysis. Radiographic changes according to ages, comminution of metaphysis and fracture type were also evaluated. RESULTS: Radial inclination, radial length and volar tilt were 22.8degrees, 12.0 mm and 8.5degrees after closed reduction, 22.1degrees, 10.5 mm and 7.7degrees at casting, 20.1degrees, 8.7 mm and 4.5degrees at cast off, and 18.7degrees, 7.4 mm and 4.1degrees at last follow-up. All three values had statistical significances between casting and removal of cast (p<0.001, p<0.001, p=0.002). Radial inclination angle and radial length in the group over 60 years had statistical significances between casting and removal of cast, comparing with the group under 60 years (p=0.037, p=0.045). CONCLUSION: Loss of reduction was more prominent between 3 to 6 weeks after injury, especially in the group 60 years or older.
Arm ; Follow-Up Studies ; Fractures, Comminuted ; Humans ; Radius ; Radius Fractures ; Splints

PURPOSE: To evaluate the radiographic changes in distal radius fractures treated conservatively. MATERIALS AND METHODS: We reviewed 55 patients with a distal radius fracture treated by conservative treatment. Average age was 57.6 years. According to the AO classification, 17 were A2 fractures followed by C1 (13 cases), C2 (9 cases), C3 (7 cases), B1 (6 cases) and A3 (3 cases). Closed reduction and U-shaped splint were applied as initial treatment. Long arm cast followed by short arm cast were applied for intraarticular or metaphyseal comminuted fractures. Radial inclination angle, radial length and volar tilt angle in each radiograph were measured and evaluated by statistic analysis. Radiographic changes according to ages, comminution of metaphysis and fracture type were also evaluated. RESULTS: Radial inclination, radial length and volar tilt were 22.8degrees, 12.0 mm and 8.5degrees after closed reduction, 22.1degrees, 10.5 mm and 7.7degrees at casting, 20.1degrees, 8.7 mm and 4.5degrees at cast off, and 18.7degrees, 7.4 mm and 4.1degrees at last follow-up. All three values had statistical significances between casting and removal of cast (p<0.001, p<0.001, p=0.002). Radial inclination angle and radial length in the group over 60 years had statistical significances between casting and removal of cast, comparing with the group under 60 years (p=0.037, p=0.045). CONCLUSION: Loss of reduction was more prominent between 3 to 6 weeks after injury, especially in the group 60 years or older.
Arm ; Follow-Up Studies ; Fractures, Comminuted ; Humans ; Radius ; Radius Fractures ; Splints

No abstract available.
Amniotic Band Syndrome* ; Infant, Newborn