1.Relationship of estrogen receptor status to survival in breast cancer.
Keum Seok ROH ; Sung Soo OH ; Yoon Kyu PARK
Journal of the Korean Cancer Association 1992;24(1):82-91
No abstract available.
Breast Neoplasms*
;
Breast*
;
Estrogens*
2.Diagnostic Value of Adenosine Deaminase Activity in Tuberculous Pericardial Effusion.
Keum Soo PARK ; Chul Han KIM ; Byoung Chul MIN ; Kyung Hoon CHOE
Korean Circulation Journal 1990;20(1):141-147
Adenosine deaminase(ADA) is an enzyme capable of catalysing the pathway from adenosine to inosine. Previous studies have shown that this enzyme may be useful in recognition of a tubeculous etiology of pleural, peritoneal, or meningeal effusions. ADA activity was studied in 42 patients with large amount of pericardial effusion. Patients were subdivided into the following four group : (A) 15 cases of tuberculous effusions : (B) 4 with pyogenic effusions : (C) 15 with idiopathic effusions : (D) 9 with malignant effusions. The results were as follows ; 1) The mean ADA activities assessed in pericardial effusions were 134.0+/-77.6U/L in group A : 93.8+/-43.8 in group B : 38.3+/-23.2 in group C : 27.3+/-20.8 in group D. Comparing the level achieved in group A with all others, the difference is significant at the P<0.001 level. 2) The mean ADA activities assessed in sera were 50.7+/-57.2 U/L in group A : 63.5+/-24.1 in group B : 25.9+/-12.0 in group C : 14.0+/-7.5 in group D. Comparing the level achieved in group A with all others, there is no significant difference. 3) Specificity(0.87) and sensitivity(0.93) of the test for the differential diagnosis of patients with tuberculous effusion from those with idiopathic effusion is high, when a value of more than 50 U/L is considered. In conclusion, the assessment of ADA in pericardial effusions is of great value in the diagnosis of tuberculous pericarditis.
Adenosine Deaminase*
;
Adenosine*
;
Diagnosis
;
Diagnosis, Differential
;
Humans
;
Inosine
;
Pericardial Effusion*
;
Pericarditis, Tuberculous
3.Liposarcoma of Spermatic Cord: Report of A Case.
Tae Soo CHOI ; Hack Jo KEUM ; Chee Ho PARK
Korean Journal of Urology 1989;30(3):453-455
Liposarcoma is the malignant tumor that can be originated from any adipose tissue. Spermatic cord liposarcoma are very rare. They are less than 4% of primary malignant tumor of spermatic cord. Radical orchiectomy appears to be adequate treatment. We report a case of liposarcoma of the left spermatic cord in 54 years old man which has presented as a slowly growing scrotal mass without metastatic evidence and radical orchiectomy were performed as a treatment. The iteratures were reviewed briefly.
Adipose Tissue
;
Humans
;
Liposarcoma*
;
Middle Aged
;
Orchiectomy
;
Spermatic Cord*
4.Supreceliac aorta bypass surgery for juxtarenal aortic occlusive disease: 2 cases.
Joong Hwan OH ; Suk Joong CHOO ; Eun Kee KIM ; Chong Kook LEE ; Keum Soo PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(1):105-111
No abstract available.
Aorta*
5.Percutaneous Balloon Mitral Vavuloplasty under General Anesthesia in Patient with Mitral Stenosis and Schizophrenia.
Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Kyung Bong YOON ; Sung Oh HWANG
Korean Circulation Journal 1992;22(6):1050-1054
Since the introduction of percutaneous mitral valvotomy(PMV) in 1984, PMV was an effecive alternative to surgical commissurotomy in selected patients with severe mitral stenosis. Also PMV was an excellent palliative strategy in such patients who were high risk for operative management or longterm anticoagulation was not feasible. We performed PMV in a patient with very tight mitral stenosis and severe pulmonary hypertension under the general anesthesia because the patient was anticipated to be uncooperative due to mental problem, who was diagnosed as schizophrenia 16 years ago. Robinol was used for premedication and i.v fentanyl was used for maintenance of anesthesia. Inoue balloon was introduced into the LV and gradual ballooning was performed with favorable results. Total anesthesia time and interval from internal jugular vein puncture to the completion of valvuloplasty were 1 hour 45 min and 40 minutes respectively. Hemodynamic variables were improved immediately after intervention and mitral valve area was increased from 0.5cm2 to 1.3cm2.
Anesthesia
;
Anesthesia, General*
;
Fentanyl
;
Hemodynamics
;
Humans
;
Hypertension, Pulmonary
;
Jugular Veins
;
Mitral Valve
;
Mitral Valve Stenosis*
;
Premedication
;
Punctures
;
Schizophrenia*
6.Percutaneous balloon mitral valvuloplasty in patient with mitral stenosis and kyphoscoliosis.
Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Sung Oh HWANG
Korean Circulation Journal 1993;23(2):320-324
Percutaneous balloon mitral valvuloplasty(PMV) was comparable to surgical commissurotomy in initial and long term follow-up results in selected patients with symptomatic severe mitral stenosis. Transseptal puncture was necessary for antegrade introduction of balloon. In patient with kyphoscoliosis, PMV was relatively contraindicatied due to difficulty and risk of septal puncture. We performed the PMV in a patient with kyphoscoliosis and severe mitral stenosis. The patient was presented with NYHA class III. Echocardiographic evaluation revealed mitral valve area of 0.8cm2 and mean diastolic pressure gradient of 12mmHg. X-ray film of T-L spine showed severe kyphoscoliosis. Transseptal puncture was possible with modification of angle of Brockenbrough needle at the site of 15cm from the needle tip. After transseptal puncture, Inoue balloon was introduced into the LV and gradual ballooning was performed with optimal results. Hemodynamic variable were improved immediately after intervention and mitral valve area was increased from 0.7cm2 to 1.8cm2. Patient was discharged with NYHA class I.
Blood Pressure
;
Echocardiography
;
Follow-Up Studies
;
Hemodynamics
;
Humans
;
Mitral Valve
;
Mitral Valve Stenosis*
;
Needles
;
Punctures
;
Spine
;
X-Ray Film
7.Two Cases of Takayasu's Aortitis Causing Acute Myocardial Infarction.
Soon Koo BAIK ; Keum Soo PARK ; Seung Hwan LEE ; Kyung Hoon CHOE ; Sung Oh HWANG
Korean Circulation Journal 1992;22(2):322-329
The myocardial infarction is usually associated with the coronary artery disease in adults. It is unusual in chilhood and young adult but occasionally associated with coronary vasculitis. Takayasu's arteritis produces a panaortits with thickening of the adventitia and narrowing of aorta. Narrowing of coronary arteries is due to extension into these arteries of the processes of inflammation that occur in aorta. We report here two cases of Takayasu's aortitis causing acute myocardial infarction. Case 1 is a 17-year-old girl presented with the inferior myocardial infarction and the cerebral infarction. Digital subtraction aortography showed a diffuse narrowing of the aorta and the obstruction of both subclavian arteritis, right carotid artery and both femoral arteries. Case 2 is a 19-year-old male patient with anterior myocardial infarction. Coronary cineangiogram showed the beak like appearance of the left main coronay artery.
Adolescent
;
Adult
;
Adventitia
;
Animals
;
Aorta
;
Aortitis*
;
Aortography
;
Arteries
;
Arteritis
;
Beak
;
Carotid Arteries
;
Cerebral Infarction
;
Coronary Artery Disease
;
Coronary Vessels
;
Female
;
Femoral Artery
;
Humans
;
Inferior Wall Myocardial Infarction
;
Inflammation
;
Male
;
Myocardial Infarction*
;
Takayasu Arteritis
;
Vasculitis
;
Young Adult
8.A Case of Hypertrophic Cardiomyopathy with Myocardial Infarction and Normal Coronary Arteriogram.
Ki Baik HAHM ; Woong Ku LEE ; Seung Yun CHO ; Keum Soo PARK ; Yang Soo JANG ; Nam Sik CHUNG
Korean Circulation Journal 1986;16(2):291-298
Patients with hypertrophic cardiography often complain of chest pain and have electrocardioagrams suggesting myocardial damage or ischemia. Some of three patients have associated coronary arterial atherosclerosis. Transmural myocardial infarction may occur in patients with hypertrophic cardiomyopathy in the absence of significant atherosclerosis of the extramural coronary arteries, about which several pathophysiologic exlpanations were discussed. Presented here, a case of 49-year-old man with hypertrophic cardiomyopathy accompanied with myocardial infarction and angiographically normal coronary arteries is reported. Asymmetric septal hypertrophy, characteristic morphologic abnormality of hypertrophic cardiomyopathy, was progressed to dilated cardiomyopathy after the occurrence myocardial infarction.
Atherosclerosis
;
Cardiomyopathy, Dilated
;
Cardiomyopathy, Hypertrophic*
;
Chest Pain
;
Coronary Vessels
;
Humans
;
Ischemia
;
Middle Aged
;
Myocardial Infarction*
9.High-dose epinephrine therapy in refractory cardiac arrest.
Sung Oh HWANG ; Mu Eob AHN ; Kyung Soo LIM ; Keum Soo PARK ; Kyung Hoon CHOI ; Seong Joon KANG
Journal of the Korean Society of Emergency Medicine 1991;2(1):56-61
No abstract available.
Epinephrine*
;
Heart Arrest*
10.A case of Meigs' syndrome.
Joong Jeong JEON ; Jae Young YOON ; Ji Soo KIM ; Soo Ja KIM ; In Myeong JU ; Keum Min PARK
Korean Journal of Obstetrics and Gynecology 1991;34(8):1179-1187
No abstract available.
Female
;
Meigs Syndrome*