1.Atypical Ductal Epithelial Hyperplasia in Breast: Marnrnographic, Sonographic, and MR Findings.
Journal of the Korean Radiological Society 1994;31(3):559-566
PURPOSE: To document the radiologic characteristic findings of atypical ductal epithelial hyperplasia, we analyzed film mammographic, ultrasonographic, and MRI findings of our cases. MATERIALS AND METHODS: We analyzed 23 cases of surgically proven ADH, excluding carcinoma in ipsilateral breast. Presence and pattern of neodensity, microcalcification, and architectural distortion were reviewed on mammography. Echo pattern and ductal parenchymal morphology were analyzed on ultrasonography, and enhancement speed and pattern analysis were performed on MRI. RESULTS: On film mammography, ADH showed tendency of neodensity(10 of 23 cases), m icrocalcification(11 of 23 cases), with less parenchymal distortion of surrounding structures(7 of 23 cases). On ultrasonography, ADH was demonstrated as inhomogenous to intermediate echoic nodule(16 of 20 cases) with ragged border(19 of 20 cases), however, its boundary was thin or nearly absent(16 of 20 cases), and showed smooth ductal echography(11 of 20 cases). Gd-DTPA contrast dynamic MR study showed relatively slow and less enhancement in 4 out of 5 cases, with progressive inclination of the speed curve of enhancement in later period of dynamic study. CONCLUSION: Multimodality image approach is needed for better evaluation of ADH, however, excisional biopsy is recommended for confirmative diagnosis and proper treatement.
Biopsy
;
Breast*
;
Diagnosis
;
Gadolinium DTPA
;
Hyperplasia*
;
Magnetic Resonance Imaging
;
Mammography
;
Ultrasonography*
2.Focal Nodular Hyperplasis in Liver.
Ki Ho SEONG ; Jae Ho CHO ; Jae Chun CHANG
Yeungnam University Journal of Medicine 1995;12(2):400-404
Focal nodular hyperplasia is a benign hepatic tumor mainly composed of nodules of hepatocytes and Kupffer cells separated by fibrous septa. In general, it is difficult to differentiate focal nodular hyperplasia and hepatocellular carcinoma on ultrasonography, conventional CT(computerized tomography), and angiography. But IV bolus CT is of particular value in the diagnosis of focal nodular hyperplasia because it can divide enhanced CT into early and late phase and can characterize tumor vascularity and analyze any intratumoral elements. In our case, it was seen as a hypoechoic mass lesion on ultrasonograpl'hy and hyperdense mass lesion on early-phase IV bolus CF and isodense mass, lesion on late-phase IV bolus CT. On angiography, hypertrophy of the feeding artery and tumor staining were well visualized. The patient underwent operation and the mass was pathologically confirmed to a focal nodular hyperplasia. We report the first case of focal nodular hyperplasia on IV bolus CT in Korea.
Angiography
;
Arteries
;
Carcinoma, Hepatocellular
;
Diagnosis
;
Focal Nodular Hyperplasia
;
Hepatocytes
;
Humans
;
Hypertrophy
;
Korea
;
Kupffer Cells
;
Liver*
;
Ultrasonography
3.A clinical study of peptic ulcer perforation.
Ki Jae CHO ; In Ho JUNG ; Kun Pil CHOI
Journal of the Korean Surgical Society 1991;40(6):737-746
No abstract available.
Peptic Ulcer Perforation*
;
Peptic Ulcer*
4.Surgical Treatment of the Ruptured Abdominal Aortic Aneurysm Complicated with Abdominal Compartment Syndrome and Colon Ischemia .
Kwang Jo CHO ; Ki Jae PARK ; Kil Soo LYIE
Journal of the Korean Society for Vascular Surgery 2006;22(1):44-47
A 76-years old man with a ruptured abdominal aortic aneurysm underwent an emergency abdominal aortic replacement with artificial graft. The patient developed abdominal compartment syndrome at the day of the operation and he received secondary decompression operation the next day. At 45 hours after the second operation the patient was returned to operation room to close the abdominal fascia, and sigmoid colon necrosis was found so we performed sigmoid colectomy with colostomy. After 22 days from the last operation, the abdominal wound was closed completely and the patient was discharged at the 42nd postoperative day with a colostomy state. We report here on this complex case together with a review of the recent articles.
Aged
;
Aortic Aneurysm, Abdominal*
;
Colectomy
;
Colon*
;
Colon, Sigmoid
;
Colostomy
;
Compartment Syndromes
;
Decompression
;
Emergencies
;
Fascia
;
Humans
;
Intra-Abdominal Hypertension*
;
Ischemia*
;
Necrosis
;
Transplants
;
Wounds and Injuries
5.Last 10 year's statistics of newborn baby's sex ratio in multigravide at Taegu Catholic Medical Center.
Jong Ki LEE ; Kyung Il CHO ; Cheol Hyun PARK ; Suok Jae CHO
Korean Journal of Obstetrics and Gynecology 1993;36(10):3565-3575
No abstract available.
Daegu*
;
Humans
;
Infant, Newborn*
;
Sex Ratio*
6.Gd-DTPA Enhanced Dynamic IVIRI of the Breast Cancer.
Jae Hyun CHO ; Jae Seung LEE ; Ki Keun OH ; Pyeong Ho YOON
Journal of the Korean Radiological Society 1995;32(1):173-180
PURPOSE: To evaluate the specific findings of infiltrating ductal carcinoma from the ductal carcinoma in situ (DCIS) and to differentiate from the atypical ductal hyperplasia(ADH). MATERIALS AND METHODS: Fifty breast lesions in 48 patients including thirty-six breasts of 36 patients with infiltrating ductal carcinoma, fourteen breasts of 12 patients with DCIS, and nine breasts of 7 patients with ADH were examined with FLASH technique using Gd-DTPA. We evaluated the maximal amount, the speed, and the pattern of enhancement after intravenous injection of Gd-DTPA(0.16mmol/kg body weight). Also we evaluated the diagnostic accuracy in the patients with breast cancer. RESULTS: The maximal amount of enhancement were 1,161.84 +/- 394.44 NU in infiltrating ductal carcinoma, 982.11 +/- 458.35 NU in DCIS, and 1,035.94 +/- 305.20 NU in ADH. The speed of enhancement was 827.33 +/- 384.20 NU within the first 1 minute with a sudden increase in signal intensity after injection and a much slighter in- crease thereafter in infiltrating ductal carcinoma. DCIS showed in creasing signal intensity within the first 2 minutes(749.70 +/- 487.36 NU), and ADH showed significant increased enhancement(765.40 +/- 313.61 NU) at 3 minutes after injection of Gd-DTPA. The patterns of enhancement were focal with irregular margins in infiltrating ductal carcinoma and irregular peripheral enhancement in DCIS and ADH. However, absent or extreme delayed enhancement at the central portion of the tumor was more frequently seen in infiltrating ductal carcinoma rather than DCIS or ADH. CONCLUSION: Gd-DTPA enhanced dynamic MRI was valuable in the diagnosis of breast cancer and in differentiating DCIS from ADH. Furthermore, it was effective in analyzing the extension of breast carcinoma, multiplicity, and bilaterality of breast carcinoma.
Breast Neoplasms*
;
Breast*
;
Carcinoma, Ductal
;
Carcinoma, Intraductal, Noninfiltrating
;
Diagnosis
;
Gadolinium DTPA*
;
Humans
;
Injections, Intravenous
;
Magnetic Resonance Imaging
7.Gd-DTPA Enhanced Dynamic IVIRI of the Breast Cancer.
Jae Hyun CHO ; Jae Seung LEE ; Ki Keun OH ; Pyeong Ho YOON
Journal of the Korean Radiological Society 1995;32(1):173-180
PURPOSE: To evaluate the specific findings of infiltrating ductal carcinoma from the ductal carcinoma in situ (DCIS) and to differentiate from the atypical ductal hyperplasia(ADH). MATERIALS AND METHODS: Fifty breast lesions in 48 patients including thirty-six breasts of 36 patients with infiltrating ductal carcinoma, fourteen breasts of 12 patients with DCIS, and nine breasts of 7 patients with ADH were examined with FLASH technique using Gd-DTPA. We evaluated the maximal amount, the speed, and the pattern of enhancement after intravenous injection of Gd-DTPA(0.16mmol/kg body weight). Also we evaluated the diagnostic accuracy in the patients with breast cancer. RESULTS: The maximal amount of enhancement were 1,161.84 +/- 394.44 NU in infiltrating ductal carcinoma, 982.11 +/- 458.35 NU in DCIS, and 1,035.94 +/- 305.20 NU in ADH. The speed of enhancement was 827.33 +/- 384.20 NU within the first 1 minute with a sudden increase in signal intensity after injection and a much slighter in- crease thereafter in infiltrating ductal carcinoma. DCIS showed in creasing signal intensity within the first 2 minutes(749.70 +/- 487.36 NU), and ADH showed significant increased enhancement(765.40 +/- 313.61 NU) at 3 minutes after injection of Gd-DTPA. The patterns of enhancement were focal with irregular margins in infiltrating ductal carcinoma and irregular peripheral enhancement in DCIS and ADH. However, absent or extreme delayed enhancement at the central portion of the tumor was more frequently seen in infiltrating ductal carcinoma rather than DCIS or ADH. CONCLUSION: Gd-DTPA enhanced dynamic MRI was valuable in the diagnosis of breast cancer and in differentiating DCIS from ADH. Furthermore, it was effective in analyzing the extension of breast carcinoma, multiplicity, and bilaterality of breast carcinoma.
Breast Neoplasms*
;
Breast*
;
Carcinoma, Ductal
;
Carcinoma, Intraductal, Noninfiltrating
;
Diagnosis
;
Gadolinium DTPA*
;
Humans
;
Injections, Intravenous
;
Magnetic Resonance Imaging
8.Transcervical myomectomy with resectoscopy.
Won Il PARK ; Ki Hyun PARK ; Byung Suk LEE ; Dong Jae CHO ; Chan Ho SONG
Korean Journal of Fertility and Sterility 1993;20(3):301-305
No abstract available.
9.Analysis of Postoperative Results According to the Types of Urinary Diversionafter Radical Cystectomy.
Phil Bum JUNG ; Duk Ki YOON ; Dong Sun KIM ; Jae Heung CHO
Korean Journal of Urology 2000;41(2):229-234
No abstract available.
Cystectomy*
10.Clinical Observation on Pyelonephritis.
Korean Journal of Urology 1981;22(6):551-557
The clinical observation was made on 233 cases of pyelonephritis in the Department of Urology, Seoul Adventist Hospital, during the period from 1978 to 1980. The following results were obtained: 1. The incidence of pyelonephritis was 36.7% of the total number of in-patient admitted to the Department of Urology during this period. 2. The age ranged from 10 to 70 years and most favorable age was from 31 to 40 years for 45.3%. 3. The sex ratio of male and female was about 1 : 4. 4. The most common symptoms were flank pain (89. 0%) fever, chill (81. 1%), abdominal pain (34. 0%), lumbago (29. 2%), hematuria (76.4%) and others. 5. In urine culture. The most common organisms were E. Coli (72.9%). Staphylococcus aureus (19. 6%). Pseudomonas aeruguinosa (46%) In urine A.F.B. Stain, 26 cases (11. 0%) were positive. 6. On the I.V.P. findings of pyelonephritis, 83 (35.6%) cases were normal and 150 cases (64.4%) abnormal. 7. The underlying diseases associated with pyelonephritis were cystitis (31. 3%), diabetes or debilitating illness (6.9%), tuberculosis of urinary tract (11%), calculi of urinary tract (29%), congenital anomaly of urinary tract (4. 7%), instrumentation (1.9%), pregnancy (1%), etc. (7. 2%). 8. On treatment of pyelonephritis, 143 cases were performed with conservative, medical treatment, and other cases ware performed with operation, for examples: ureterolithotomy in 51 cases, nephrectomy 26 cases, nephrolithotomy, pyelolithotomy in 6 cases, T.U.R., partial nephrectomy in each 2 cases, etc. or with combined treatment.
Abdominal Pain
;
Calculi
;
Cystitis
;
Female
;
Fever
;
Flank Pain
;
Hematuria
;
Humans
;
Incidence
;
Low Back Pain
;
Male
;
Nephrectomy
;
Pregnancy
;
Pseudomonas
;
Pyelonephritis*
;
Seoul
;
Sex Ratio
;
Staphylococcus aureus
;
Tuberculosis
;
Urinary Tract
;
Urology