No abstract available.
Prostatic Neoplasms* ; Receptors, Androgen*

BACKGROUND: Computerized topography(CT) is the method of choice for establishing patients with abdominal and/or pelvic trauma. However, the sensitivity of CT far detecting bladder rupture has been questioned. We investigated the roles of CT as the initial evaluation of abdominal and pelvic trauma in diagnosis of bladder rupture. METHODS: We reviewed the medical records and radiographs of 53 patients with bladder rupture for last 5 year. And among them, all radiographs of 30 patients who underwent both CT and retrograde cystography were evaluated independently by two urologists who had no knowledge of the patients' final diagnosis. RESULTS: Among 30 patients, all of patients were correctly diagnosed by retrograde cystography, but the CT diagnosis was correct in only 23 patients(76.7%), who were 17 patients(85.0%) with intraperitoneal rupture and 6 patients(60%) with extraperitoneal rupture. And of the 7 patients who were negative by the CT, all showed the sign of inadequate bladder distension. CONCLUSION: We suggest that CT, if properly performed with adequate bladder filling, is as sensitive for detection of bladder injuries as conventional cystography. Especially, in trauma patients with hematuria and suspected other organ injury, CT-cystography with retrograde filing may be as accurate as conventional cystography and obviate the need for an additional plain film cystography,
Diagnosis* ; Hematuria ; Humans ; Medical Records ; Rupture ; Urinary Bladder*

No abstract available.
Carbon Dioxide* ; Carbon* ; Respiratory Rate* ; Tidal Volume*

PURPOSE: The purpose of this study was to investigate whether the expressions of alpha-1 -antichymotrypsin(ACT) and/or p53 protein in advanced prostate cancer were related with bony metastases. MATERIALS AND METHODS: The immunohistochemical study with ACT and p53 included 7 archival transurethral resection and 14 prostate biopsy specimens from patients with prostate cancer who showed high serum PSA level(>10ng/ml) and periprostatic or lymph node involvement on imaging study. Whole body bone scan was perfomed to detect bony metastatis in all patients. RESULTS: Four out of 5 cases showing strong expression patterns with ACT protein showed abnormal hot uptakes on whole body bone scan. ACT proteins were weakly expressed in seven out of eight cases without bony metastases. p53 protein was expressed in 13 cases, but there was no statistically significant relation between the expression of p53 protein and bony metastasis. Either, there was no significant relation between ACT and p53 protein expression patterns. CONCLUSIONS: Our results suggested that the strong expression of ACT protein combined with high serum PSA level(>10ng/ml) and whole body bone scan could be the useful method for confirming bony metastasis although not adequate for screening test. The expression of p53 protein appears to be associated with progression of prostate cancer, but there was no statistically significant relation with bony metastasis.
Biopsy ; Humans ; Lymph Nodes ; Mass Screening ; Neoplasm Metastasis* ; Prostate* ; Prostatic Neoplasms*

Pheochromocytoma originate from chromaffin cells and occur in the adrenal medulla in majority. About 10 per cent of pheochromocytomas can occur in the ectopic or extra-adrenal sites, anywhere along the fetal route of the chromaffin tissues. Pheochromocytoma of the bladder is a rare neoplasm that often occurs with the unique symptom complex of micturitional attacks, such as headache, palpitation, hypertension of sweating due to increased catecholamine secretion during detrusor activity. We report a very rare case of nonfunctioning pheochromocytoma of the bladder in a 67- year-old woman without typical symptoms. Preoperatively elevated urine catecholamines and their metabolites returned to normal after removal of the tumor.
Adrenal Medulla ; Catecholamines ; Chromaffin Cells ; Female ; Headache ; Humans ; Hypertension ; Pheochromocytoma* ; Sweat ; Sweating ; Urinary Bladder*

From July 1982 to February 1984, we performed 21 times of microsurgery for urethroplasty and pyeloplasty: 11 times in 11 cases of hypospadia, 4 times in 3 cases of urethrocutaneous fistula and 6 times in 5 cases of UPJ stricture. The results were as follows : 1. Success rate of urethroplasty was 81.8% (9/11) , but complication rate was 36.4% (4/11). 2. Success rate of urethrocutaneous fistular repair was 50% (2/4) . Fistula was recurred in two cases after first repair of urethrocutaneous fistula. 3. Success rate of pyeloplasty was 100%.
Constriction, Pathologic ; Female ; Fistula ; Hypospadias ; Male ; Microsurgery

Bilateral renal cell carcinoma is relatively rare and associated with dismal outlook. We experienced 2 cases of asynchronous bilateral renal cell carcinoma. Herein these cases are presented with review of literatures.
Carcinoma, Renal Cell*

The incomplete obliteration of the processus vaginalis leads to the development of inguinal hernia in pediatric age, and its management is principally surgical repair. This study was a review and analysis of the usefulness of herniography on the hydrocele in pediatric age. From January 1985 to June 1989, 117 patients with unilateral hydrocele were studied to evaluate incomplete obliteration of the processus vaginalis. The over-all incidence of open processus vaginalis on the opposite side was 6.9% (8 of 117 cases), but the rate of patients who had past history of a palpable or visualized mass on the opposite side was 5%(3 of 12 cases). This finding would suggest that the herniogram is needed for the patients whose history is suspicious for hydrocele testis.
Hernia, Inguinal ; Humans ; Incidence ; Testis

Familial lichen planus is an uncommon disease, and there are 104 cases reported in the English literature. Several theories regarding the etiopathogenesis of lichen planus have been proposed. However, immunological mechanisms and genetic susceptibility have been emphasized the most. Several reports showed HLA analysis in lichen planus patients, and recently 2 cases have revealed an increased frequency of DR1 antigen in patients with lichen planus compared to a control group. We observed two brothers with typical skin lesions of lichen planus of almost simultaneous onset. We confirmed lichen planus by skin biopsies in both brothers and analyzed HLA typing. We also observed the occurrence of DR1 antigen in both of them.
Biopsy ; Genetic Predisposition to Disease ; Histocompatibility Testing ; Humans ; Lichen Planus* ; Lichens* ; Siblings ; Skin

Between 1980 and 1991, we managed 12 cases of pheochromocytoma which consisted of 1 case of vesical pheochromocytoma, 1 case of malignant adrenal pheochromocytoma and 10 cases of benign adrenal pheochromocytoma including one case of bilateral pheochromocytoma. There were 6 men and 6 women and their mean are was 47 ranging from 17 to 67. Eleven patients complained of hypertension and headache. and one symptom free patient had nonfunctioning vesical pheochromocytoma. After diagnosis. various surgical management were proceeded in 11 patients. 1 patient who had bilateral tumor refused any operation`. Mean duration of follow-up after operation was 40.5 months (ranging from 8 to 127). Ten surgically mats were alive during follow up but one died of malignant adrenal pheochromocytoma 9 months after operation. One patient who received nonsurgical treatment had hypertension and headache despite of continued medical therapy.
Diagnosis ; Female ; Follow-Up Studies ; Headache ; Humans ; Hypertension ; Male ; Pheochromocytoma*