2.Cholelithiasis with Mucosal Dysplasia of the Gallbladder in a 2-year-old Child.
Kun Moo CHOI ; Ki Young PARK ; Dae Woon EOM
Journal of the Korean Surgical Society 2010;79(Suppl 1):S58-S61
Traditionally, it has been emphasized that hemolytic disease was the primary cause of gallstones (cholelithiasis) in most young patients. In recent years, gallstones and common bile duct calculi have been increasingly diagnosed in infants and children, unrelated to hemolytic diseases. On the matter, the World Health Organization (WHO) classified intraepithelial neoplasia (dysplasia) of gall bladder as one of the precursor lesions of invasive cancer. The following article describes the case of a 2-year-old girl who had a laparoscopic cholecystectomy due to cholelithiasis and the pathologic diagnosis was chronic cholecystitis with diffuse, mild mucosal dysplasia.
Child
;
Cholecystectomy, Laparoscopic
;
Cholecystitis
;
Cholelithiasis
;
Gallbladder
;
Gallstones
;
Humans
;
Infant
;
Preschool Child
;
Urinary Bladder
;
World Health Organization
3.Classification and reconstruction of the injured digit distal to dip joint.
Dong Gil HAN ; Ki Young AHAN ; Dae Hwan PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(3):499-506
No abstract available.
Classification*
;
Joints*
4.The diagnostic value of barium enema in acute appendicitis.
Dae Young WOO ; Nae Won JANG ; Ki Ho PARK
Journal of the Korean Surgical Society 1991;41(6):796-807
No abstract available.
Appendicitis*
;
Barium*
;
Enema*
5.The comparative study of the surgical treatment of axillary osmidrosis by inaba's manual, and combined subcutaneous tissue shaving method.
Dong Ha HWANG ; Ki Young AHN ; Dae Hwan PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(6):1310-1316
No abstract available.
Subcutaneous Tissue*
6.MR Findings of Brainstem Injury.
Sang Joon KIM ; Dae Chul SUH ; Choong Ki PARK ; Woo Cheol HWANG ; Man Soo PARK
Journal of the Korean Radiological Society 1995;32(2):237-241
PURPOSE: To analyze the characteristies of traumatic brainstem injury by CT and MR MATERIALS AND METHODS: CT and MR studies of 10 patients with traumatic brainstem lesion in MR were retrospectively reviewed, particularly attended to location, signal intensity and associated lesions. RESULTS: CT failed to depict 8 of 10 brainstem lesions. All lesions were detected in MR images with T2-weighted images showing higher detection rate (n=10) (100%) than Tl-weighted images (n=3) (30%) or CT (n=2) (20%). The brainstem lesions located in the dorsolateral aspects of the rostral brainstem(mid brain and upper pons)in 7 (70%) cases, in ventral aspects of rostral brain in 2 (20%) cases and in median portion of pons in 1 (10%) case. Corpus callosal (n=5), Iobar white matter(n=5) diffuse axonal injury, and 2 hemorrhagic lesions in basal ganglia were the associated findings. CONCLUSION: MR imaging is more helpful than CT in the detection of brainstem injury, especially T2 weighted images. Primary brainstem lesions were typically located in the dorsolateral aspect of rostral brainstem(midbrain and upper pons). Corpus callosum and white matter lesions were frequently associated.
Basal Ganglia
;
Brain
;
Brain Stem*
;
Corpus Callosum
;
Diffuse Axonal Injury
;
Humans
;
Magnetic Resonance Imaging
;
Pons
;
Retrospective Studies
7.Four Patients with Culture Negative, Afebrile Infective Endocarditis Who Mainly Showed Immunologic Phenomena.
Ki Kwon LIM ; Jee Hyuk PARK ; Jeong Euy PARK ; Dae Won KIM ; Kap No LEE
Korean Circulation Journal 1987;17(4):771-775
A total of 33 patients with infective endocarditis were observed in the Guro and Hye Hwa Hospitals of Korea University Between September, 1981 and Feb, 1987. Among thses patients four patients presented with heart murmur and heart failure and had vegetation like findings observed on the two dimensional echocardiography. But these patients did not have any fever or leukocytosis in the peripheral blood and the repeated blood cultures were negative. They showed the immunologic phenomena of infective endocarditis such as microscopic hematuria in 4 patients, rheumatoid factor in 3 patients, false positive VDRL in one patient. The serum complement was decreased in 2 patients in whom it was checked. We report these 4 patients because we think these patients might be in the clinical stage in which the infecting organism is spontaneously cleared but the immunologic sequelae are remained.
Complement System Proteins
;
Echocardiography
;
Endocarditis*
;
Fever
;
Heart Failure
;
Heart Murmurs
;
Hematuria
;
Humans
;
Korea
;
Leukocytosis
;
Rheumatoid Factor
8.The Neurocristopathy in a Newborn with Congenital Central Hypoventilation Syndrome, Hirschsprung's Disease and Ganglioneuroblastoma.
Sung Eun JUNG ; Dae Yeon KIM ; Ki Hong KIM ; Seong Cheol LEE ; Kwi Won PARK ; Woo Ki KIM
Journal of the Korean Association of Pediatric Surgeons 1999;5(2):146-151
Neurocristopathy is characterized as having a common origin in aberrant neural crest development. Congenital central hypoventilation syndrome (Ondine's curse) is characterized by marked depression of respiratory drive during sleep and normal ventilation while awake because of no response to both hypercapnea and hypoxia. The girl was full-term, weighing 3020 grams. The girl had poor respiratory effort at birth, but improved with oxygen supply and stimulation. abdominal distention and calcification were noted. During laparotomy transitional zone was found at distal jejunum; a jejunostomy was constructed. Numerous attempts at extubation failed because of apnea. The results of an apnea work-up, including brain sonography, echocardiogram, were normal. The girl died of sepsis at 37 days of age. para-aortic ganglioneuroblastoma was found on autopsy. We experienced a newborn with congenital central hypoventilation syndrome, Hirschsprung's disease and congenital ganglioneuroblastoma representative of neurocristopathy.
Anoxia
;
Apnea
;
Autopsy
;
Brain
;
Depression
;
Female
;
Ganglioneuroblastoma*
;
Hirschsprung Disease*
;
Humans
;
Hypoventilation*
;
Infant, Newborn*
;
Jejunostomy
;
Jejunum
;
Laparotomy
;
Neural Crest
;
Oxygen
;
Parturition
;
Sepsis
;
Ventilation
9.Flow Cytometric DNA Analysis of Prostate Adenocarcinoma :Correlation with histologic grade and DNA ploidy.
Hong Ki LEE ; Kwang Sun SUH ; Dae Young KANG ; Jong Woo PARK
Korean Journal of Pathology 1993;27(1):40-49
Nuclear DNA content of 32 cases of prostate adenocarcinoma diagnosed 1986-1991 was determined by flow cytometry, with the use of paraffin-embedded archival tissue. The present study was done to define the relationship between clinical stage, histopathological grade, and DNA ploidy. Aneuploidy was found in 10(31.3%) cases including 7 cases of near-tetraploidy. Among diploid tumors, 36.4% were localized disease(stage A and B), 13.6% were characterized by invasion outside the prostate(stage C), and 50.0% showed distant metastasis(stage D). Among aneuploid tumors, 10.0% were stage B, 50.0% stage C, and 40.0% stage D. The degree of glandular differentiation was characterized by the Gleason score and the percentage of sampled tissue involved by carcinoma was graded by Dhom's method. Apparent correlation was found between Gleason grade and Dhom grade(P<0.05). All 13 tumors with a Gleason grade I(score of 2 to 5) were diploid. Four of 9 tumors with a Gleason grade II(score of 6 to 7) were aneuploid(near-tetraploidy 33.3%, aneuploidy 11.1%) and 60.0%, of tumors with a Gleason grade III(score of 8 to 10) were aneuploid(near-tetraploidy 40.0%, aneuploidy 20%). The percentage of aneuploid cases increased with advanced clinical stage, but the relationship between aneuploidy versus clinical stage was not significant. However, it can be concluded that DNA ploidy correlates well with Gleason grade(p<0.05), which may have predictive prognostic value for prostate adeno-carcinomas.
Adenocarcinoma
10.Ultrastructural study on angiogenesis of granulation tissue after burn.
Dae Hwan PARK ; Dong Gil HAN ; Ki Young AHN ; Tae Joong SOHN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(3):400-410
No abstract available.
Burns*
;
Granulation Tissue*