2.A Case of Cavernous Hemangioma of the Urinary Bladder.
Jeong Hyun YOON ; Ki Hak SONG ; San Bong LEE ; Woo Ju JEONG ; Tae Hean KIM ; Kwang Gil LEE ; Jae Mann SONG
Korean Journal of Urology 2000;41(10):1291-1294
No abstract available.
Hemangioma, Cavernous*
;
Urinary Bladder*
3.A Case of Total Anomalous Pulmonary Venous Confluence in Adult Diagnosed by Echocardiography.
Gwang Seob LEE ; Kwang Sub CHOI ; Sin Eung KIM ; In Chul SUN WOO ; Jong Mann KIM ; Mi Young JANG ; Chul Bum LEE
Korean Circulation Journal 1992;22(5):874-881
Total anomalous pulmonary venous confluence(TAPC), a rare cyanotic congenital anomaly of the heart especially in adult, is now diagnosed by echocardiography instead of cardiac catheterization with high sensitivity and specificity. The key points are identification of pulmonary veins, pulmonary venous confluence draining anomalously to the heart. RVDVO on M-mode, abnormal echo free space posterior to left atrium on 2D-echo are basic characteristics of TAPVC. Peak velocity and flow profile measurement on the doppler provide additional informations : obstruction and anomalous vessels. A case of 23 year old male with supracardiac type TAPVC diagnosed by echocardiography was corrected successfully by surgery.
Adult*
;
Cardiac Catheterization
;
Cardiac Catheters
;
Echocardiography*
;
Heart
;
Heart Atria
;
Humans
;
Male
;
Pulmonary Veins
;
Sensitivity and Specificity
;
Young Adult
4.A Case of Diabetes Insipidus with Langerhans Cell Histiocytosis in Adult
Jae Hoon CHUNG ; Kwang Won KIM ; Kyu Jeung AHN ; Yong Ki MIN ; Myung Shik LEE ; Moon Kyu LEE ; Eun Mi KOH ; Choon Kwan KIM ; Mann Pyo JUNG
Journal of Korean Society of Endocrinology 1996;11(3):330-335
In Langerhans cell histiocytosis, diabetes insipidus is the most common endocrinologic complication. We experienced a case of Langerhans cell histiocytosis, involving pituitary stalk and lung. The patient was a 43 year old male with complaint of polyuria and polydipsia. The water deprivation test was carried out to confirm the diagnosis of diabetes insipidus. We found multiple small cysts and nodules in HRCT of lung, and diagnosed Langerhans cell histiocytosis by transbronchial lung biopsy, The patient was managed conservatively with DDAVP nasal spray. The polyuria,polydipsia was relieved completely. After that, we follow up and observe closely the patients lung and pituitary lesion.
Adult
;
Biopsy
;
Deamino Arginine Vasopressin
;
Diabetes Insipidus
;
Diagnosis
;
Follow-Up Studies
;
Histiocytosis, Langerhans-Cell
;
Humans
;
Lung
;
Male
;
Pituitary Gland
;
Polydipsia
;
Polyuria
;
Water Deprivation
5.Effects of Cigarette Smoking on Auditory Event-Related Potential P300.
Chang Mann CHUN ; Bung Kwang KIM ; Chang Uk LEE ; Sang Ick HAN ; In Ho PAIK
Journal of Korean Neuropsychiatric Association 1997;36(6):1099-1105
OBJECTIVES: The authors studied the effects of cigarette smoking on the cognitive function with topographic mapping of auditory event-related potential P300. METHODS: The subjects, 24 smokers and 14 nonsmokers, were assessed in the latencies and amplitudes of topographic auditory event-related potential P300 determined by Global Field Power Measurement. RESULTS: 1) There were significant differences of P300 latencies between smokers and controls artier smoking(ANOVAL F=10.45, P=0.0026). 2) There were no significant differences of P300 amplitude but a trend was present between smokers and nonsmokers after smoking(ANOVAL F=3.77, P=0.06). 3) There were no significant differences of difference between amplitude in maximal point and amplitude in minimal point but a trend was present between smokers and nonsmokers artier smoking(ANOVAL F=3.68, P=0.063). 4) There were no significant differences of maximal point in X-axis and in Y-axis, minimal point in X-axis and in Y-axis of P300 between smokers and nonsmokers artier smoking. CONCLUSIONS: These results support that auditory event-related potential P300 change by cigarrete smoking is indicative of enhanced cognitive function.
Evoked Potentials*
;
Smoke
;
Smoking*
;
Tobacco Products*
6.A Study on the Factors related to the Cognitive Impairment of the Elderly in a Rural Area.
Kwang Wook KOH ; Byung Mann CHO ; Su lll LEE ; Don Kyoun KIM ; Bong Su CHO ; Yeung Wook KIM ; Young Sil KIM ; Su Yong KANG
Korean Journal of Preventive Medicine 1996;29(3):657-668
To investigate the factors which affecting the cognitive impairment of the 60 or more age group, the authors surveyed for the subjects in some area of Kyungnam Province. 201 studied subjects were tested for cognitive function with mini-mental state examination(MMSE). Information on demographic characteristics and life style has been collected through direct interview. The concentration of Al and Ca of subject's drinking water, which might be related with cognition, was measured by Inductively Coupled Argon Plasma Spectrometer. The main results were summarized as follows. 1. The prevalence rate of cognitive impairment was 18.4% in male and 45.2% in female and this sexual difference was statistically significant(p=0.03). And the uneducated or illiterated showed significantly high prevalence rate of cognitive impairment(p=0.02). 2. In stratified analysis by sex and education year, we can not see significant trend indicating the neurotoxic effects of aluminum and protective effects of calcium to the cognitive function(p>0.05). 3. The correlation between the concentration of aluminum in drinking water and the MMSE score in whole subjects showed weak negative relationship(r=-0.066). But there was no statistical significance(p=0.434).
Aged*
;
Aluminum
;
Argon
;
Calcium
;
Cognition
;
Drinking Water
;
Education
;
Female
;
Gyeongsangnam-do
;
Humans
;
Life Style
;
Male
;
Plasma
;
Prevalence
7.Fine Structure and Albumin Gene Expression in Intrasplenically Transplanted Hepatocytes.
Sang Ok KWON ; Dong Ki LEE ; Jun Myeong KIM ; Eui Ryun PARK ; Kwang Yong SHIM ; Phil Ho JUNG ; Mee Yon CHO ; Mann Uk HUR
Korean Journal of Medicine 1997;53(4):534-540
BACKGROUND: The morphological characteristics of hepatocytes transplanted into the spleen have been studied. However few attempts has been made to determine the expression of genes in intrasplenically transplanted hepatocytes. The aim of this study was to explore whether the pattern of expression of albumin gene in intrasplenically transplanted hepatocytes is similar to that in adult liver, resulting in the long-term expression of this hepatocyte-specific gene. METHODS: Hepatocytes isolated from liver of syngeneic Fischer 344 rats and transplanted into the spleen of rats from the same strain survived for 12 months in the absence of immunosuppressive drugs. Microscopic examination of intrasplenic hepatocytes and Northern blotting for albumin gene expression of RNA extracted from liver and spleen was performed. RESULTS: Microscopy demonstrated that hepatocytes attached themselves only in the red pulp of the spleen and isolated hepatocytes preserved the fine structures characteristic of normal hepatic parenchymal cells. Throughout the 12 months period, intrasplenically transplanted hepatocytes expressed albumin mRNA. CONCLUSIONS: Intrasplenically transplanted hepatocytes represent a unique in vivo system of extrahepatic maintenance of hepatocytes. This novel transplantation system could be used to investigate hepatocyte engraft, proliferation and gene expression.
Adult
;
Animals
;
Blotting, Northern
;
Gene Expression*
;
Hepatocytes*
;
Humans
;
Liver
;
Microscopy
;
Rats
;
RNA
;
RNA, Messenger
;
Spleen
8.A Study on Food Intake and Associated Factors of the Urban Poor Elderly.
Bong Soo CHO ; Don Kyoun KIM ; Su Ill LEE ; Byung Mann CHO ; Yeung Ook KIM ; Kwang Wook KOH
Korean Journal of Preventive Medicine 1995;28(1):59-72
This study was carried out to analyse the food intake and associated factors of the urban poor elderly by comparing poor district, Unbong rental apartment in Bonsong 2 dong with other areas in Pusan. 135 elderlies(men 36, women 99) in Unbong rental apartment 136 elderlies(men 45, women 91 ) in the other areas were investigated during the period of March to August in l994. The assumption that the study area represented poor district was satisfied because the age and sex distribution was not significantly different, and the income of the study area was significantly lower than that of the control area. The variables of hospitalized in previous 12 month, gastrointestinal problem, alcohol drinking, cigarette smoking did not differ significantly. But the variables of chronic disease, take medicine, perceive, vitamin supplement differed significantly between two groups. Therefore some factors associated with health state in the study area are worse than those of the control areas. At most of all variables, nutrients intake of the study area did not reach the recommended dietary allowances(RDA) for Koreans, and that nutrient intakes of the study area were significantly lower than those of the control area. The hypothesis of this study that nutrient status depends on economical status was proved. As for the score of nutritional knowledge, the study area was significantly lower than the control area. But as for the score of nutritional behavior, two areas were not significantly different. The latter is counter result of our hypothesis, owing to the effect of the confounding factors including education etc. As for the correlation of variables, not only economic status and educational level, but the score of nutritional knowledge effects strongly on nutrient status in the study area, the poor district. Therefore, adequate nutritional education to the elderly in the poor district should be considered.
Aged*
;
Alcohol Drinking
;
Busan
;
Chronic Disease
;
Eating*
;
Education
;
Female
;
Humans
;
Sex Distribution
;
Smoking
;
Vitamins
9.A Case of Thyroid Papillary Carcinoma Presenting as a Miliary Pulmonary Infiltration in 8 Year Old Girl.
Eun Jung CHOI ; Jong Rheul KIM ; Chang Woo LEE ; Du Young CHOI ; Yeon Geun OH ; Jong Duk KIM ; Kwang Mann LEE ; Seung Taek PARK ; Hyang Suk YOON
Pediatric Allergy and Respiratory Disease 2003;13(4):271-276
Papillary carcinoma of the thyroid is the most common thyroid cancer in children. It usually occurs in the teenage female and presents as a mass within the thyroid itself. In the great majority of cases the only presenting sign is a neck mass. In a high percentage (60-80%) there are also palpable lymph nodes. A 8 years old female patient was admitted because of palpable neck mass and miliary shadow in chest X-ray. On examination, a soft nontenter nodular mass 1x1 cm in size was palpated at supraclavicular area of left mid-neck. In chest X-ray and CT, well demarcated nodular milialy infiltration was fully distributed in both lung. After the initial treatment failure for the miliary tuberculosis, the fine needle aspiration biopsy was performed. The Papillary carcinoma of the thyroid was diagnosed. Total thyroidectomy and entire lymph node excision were performed, followed by radioiodine ablation and hormonal therapy. The patient has been improved clinically. We are reporting a case of thyroid papillary carcinoma presenting as a pulmonary miliary infiltration with brief review of the literature.
Biopsy
;
Biopsy, Fine-Needle
;
Carcinoma, Papillary*
;
Child*
;
Female*
;
Humans
;
Lung
;
Lymph Node Excision
;
Lymph Nodes
;
Neck
;
Neoplasm Metastasis
;
Thorax
;
Thyroid Gland*
;
Thyroid Neoplasms
;
Thyroidectomy
;
Treatment Failure
;
Tuberculosis, Miliary
10.A Large Cystic Phyllodes Tumor of the Prostate.
Hyun Chul CHUNG ; Hyo Serk LEE ; Tae Im KIM ; Dae Il KIM ; Kwang Hwa PARK ; Jae Mann SONG
Yonsei Medical Journal 2009;50(1):174-176
We report a 65 year-old man with a large cystic phyllodes tumor of the prostate. The patient complained of abdominal discomfort and had a soft palpable mass. Computer tomography showed a solid and cystic mass in the pelvic fossa; the mass was adjacent only to the prostate. We excised the mass. Microscopic findings of the mass showed hyperplastic epithelium lined cysts with leaf-like intraluminal epithelia lined stromal projections, less than 2 mitotic counts/10 HPF, low-to-moderated cellularity, and mild-to-moderate cytoplasm atypia. The pathological findings were consistent with a phyllodes tumor of the prostate, a low-grade tumor. Twenty-eight months after the operation, the patient was well with no recurrence or metastases.
Aged
;
Biopsy
;
Humans
;
Male
;
Phyllodes Tumor/*pathology/radiography/*surgery
;
Prostatic Neoplasms/*pathology/radiography/*surgery
;
Tomography, X-Ray Computed