Ultrasonographic and radiographic findings in 72 cases of pelvic masses which have been provedhistopathologically were analyzed. The results were as follows; 1. Among 72 cases, 28 cases were uterine massesand 44 cases were adnexal masses. 2. Pathologic accuracies of ultrasonographic diagnosis were 64.3% in uterinemasses, 70.5% in adnexal masses, and 68.1% in all pelvic masses. 3. Plain or IVP findings were not specific indiagnosis and showed secondary mass effects or functional disturbances. 4. Because of its high accuracy ofpathologic diagnosis and safety, ultrasonography can be regared as the most valuable and preferential study. Butin cases of cystic myomas, endometrioses, cystic missed abortions and huge masses, the accurate diagnoses weredifficult.
Abortion, Missed ; Diagnosis ; Endometriosis ; Female ; Myoma ; Pregnancy ; Ultrasonography

OBJECTIVE: To investigate the frequency and nature of dysphagia of traumatic brain injured (TBI) patients, and to examine the relationship of clinical parameters with the dysphagia. METHOD: Forty-two TBI patients were included in this study. We examined clinical parameters such as Glasgow coma scale (GCS), duration of coma, and posttraumatic amnesia (PTA), hospital stay, rehabilitation stay, functional independence measure (FIM) gain, and efficiency as functional outcomes. We classified the brain lesions into two categories: focal and nonfocal lesion according to the findings of the brain CT imaging. We performed videofluoroscopic swallowing study (VSS) for patients with dysphagia. RESULTS: Eighteen (42.8%) out of total 42 TBI patients had dysphagia. The presence of dysphagia had significant relationship with GCS, duration of PTA, hospital and rehabilitation stay, and FIM gain. Duration of dysphagia was positively correlated with duration of coma, and hospital and rehabilitation stay, but negatively correlated with FIM gain and efficiency. Duration of dysphagia was longer in patients with nonfocal brain lesion than those with focal brain lesion. On VSS findings, common problems were impairment of tongue control and prolonged pharyngeal transit time. Majority of patients had combined problems in oral and pharyngeal phases. CONCLUSION: Dysphagia was common problem in TBI patients, and occurrence and duration were correlated with several clinical parameters and with prognosis of TBI patients.
Amnesia ; Brain Injuries ; Brain* ; Coma ; Deglutition ; Deglutition Disorders* ; Glasgow Coma Scale ; Humans ; Length of Stay ; Prognosis ; Rehabilitation ; Tongue

OBJECTIVE: Our study was designed to evaluate the clinical value of pulse oximetry for the detection of aspiration in a stroke patient with dysphagia at bedside. METHODS: Thirty two acute stroke patients with dysphagia were devided into two groups according to the presence or absence of aspiration. And controls was selected among the inpatients without a neurological disease and an evidence of dysphagia. We assessed the dysphagia by a neurological examination, fiberoptic examination of vocal cord and videofluoroscopic swallowing study(VFSS). And the oxygen saturation of tissue blood flow(SpO2) was measured, while VFSS was performed by swallowing the barium sulfate fluid for three times. RESULTS: The clinical findings of dysphagia were not exactly correlated with the VFSS. There was no significant difference of the resting SpO2 among three groups, but the mean SpO2 fell more in the patients with aspirations( 2.73%) than in the controls( 0.11%) or the patients without aspirations( 0.33%). Mean SpO2 fell more in the patients with aspiration of larger amount, but the change of SpO2 was not statistically significant. CONCLUSIONS: We conclude that the pulse oximetric measurement of SpO2 is useful as a screening test for the assessment of aspiration and the efficacy of swallowing training.
Barium Sulfate ; Deglutition ; Deglutition Disorders* ; Humans ; Inpatients ; Mass Screening ; Neurologic Examination ; Oximetry ; Oxygen* ; Stroke* ; Vocal Cords

Carcinosarcomas of the uterine cervix are extremely rare. Cervical carcinosarcoma can be characterized by having two different origins: the Mullerian ducts and the mesonephric duct remnants. A 53-year-old Korean woman was admitted to the hospital because of pelvic mass detected on computed tomography scan done at private clinic. A Radical hysterectomy with bilateral salpingooophorectomy and pelvic lymphadenectomy was carried out upon a diagnosis of stage IB2 cervical sarcoma. Immunohistochemically, the epithelial component was positive for pancytokeratin and estrogen receptor, but negative for CD 10 and carletinin. The mesenchymal component was positive for vimentin. The histopathologic diagnosis was a carcinosarcoma of the uterine cervix arising from Mullerian ducts. She underwent chemotherapy. She developed systemic recurrence seven months after operation and died of disease. The origin of cervical carcinosarcoma needs to be verified and immunohistochemical studies using mesonephric marker (CD 10, carletinin, and estrogen receptor) is helpful.
Breast Neoplasms ; Carcinosarcoma* ; Cervix Uteri* ; Diagnosis ; Drug Therapy ; Estrogens ; Female ; Humans ; Hysterectomy ; Lymph Node Excision ; Middle Aged ; Mullerian Ducts* ; Recurrence ; Sarcoma ; Vimentin ; Wolffian Ducts

Malignant melanoma may show a predisposition for vulvar skin. Although 37% of all melanomas in women affect the vulva, the skin in this area accounts for only 12% of the total surface area of body. Malignant melanoma of the vulva presented as polypoid tumours in 35% of patients. The most common sites of disease were the clitoral area and the labia majora, which accounted for more than 60% of all lesions. Only 15% of tumours were located primarily in hair-bearing areas. Two women who were diagnosed vulvar melanoma in Uijongbu St. Mary's Hospital were evaluated. We reviewed their medical records. One woman underwent the radical vulvectomy with bilateral inguinal and femoral lymph node dissection, and the other underwent wide local excision with both inguinal lymph nodes dissection. We experienced 2 cases of vulvar melanoma, so we report it with a brief review of literature.
Female ; Humans ; Lymph Node Excision ; Lymph Nodes ; Medical Records ; Melanoma* ; Skin ; Vulva

PURPOSE: To report the arthroscopic findings in symptomatic dysplastic hips and to clarify the efficacy of a labral test. MATERIALS AND METHODS: Between July 2001 and Nov 2004, arthroscopy was performed on 37 dysplastic hips. There were 7 males and 30 females and the average age was 38.8 years. The average center-edge angle was 6.54o. Radiographically, 28 hips were prearthritic and 9 hips showed arthritic changes. The arthroscopic findings of the labrum and cartilage and the efficacy of labral test were compared. RESULTS: Labral lesions were found in 25 cases, and cartilage lesions were found in 16 cases of 28 prearthritic hips. All patients with radiographic evidence of osteoarthritis had both labral and cartilage lesions. Labral lesions were found in 30 out of 33 cases with a positive labral test. CONCLUSION: This study identified the pathologic processes of acetabular labrum and cartilage in most cases, even though there was no radiographic evidence of osteoarthritis. Preoperative labral test is a useful physical examination in those suspected of having labral lesions.
Acetabulum ; Arthroscopy ; Cartilage ; Female ; Hip* ; Humans ; Male ; Osteoarthritis ; Pathologic Processes ; Physical Examination

OBJECTIVE: To investigate complications of stroke patients with regard to incidence, predisposing risk factors and their effect on the patients's prognosis during rehabilitation management. METHOD: Two hundred fifty nine patients with stroke admitted to Department of Rehabilitation Medicine were included in this study. We analyzed types of stroke, incidence of complications, outcome of rehabilitation treatment and the length of the hospital stay. RESULTS: Of the 259 patients who had received rehabilitation, shoulder pain occurred in 59 patients (22.8%), depressions in 24 (9.3%), falls in 24 (9.3%) and pneumonia in 21 (8.1%); 112 patients (42.9%) had a total of 174 complications. The incidence of complication was higher in patients who had lower initial FIM score or previous cardiac disease. The patients with complication had longer rehabilitation hospital stay and lower FIM gain and efficacy. CONCLUSION: Early detection and treatment of the complications of acute stroke patients during rehabilitation will shorten the length of the hospital stay and improve the overall prognosis of the patients.
Depression ; Heart Diseases ; Humans ; Incidence ; Length of Stay ; Pneumonia ; Prognosis* ; Rehabilitation* ; Risk Factors ; Shoulder Pain ; Stroke*

Alveolar rhabdomyosarcoma (ARMS) arising in the corpus uteri is an extremely rare condition with exceptionally rapid progression and poor prognosis. Furthermore, ARMS is primarily diagnosed in the pediatric population. Due to rarity of the disease, there are no standard treatment guidelines. A 90-year-old woman was presented with a huge pelvic mass causing dyspnea and abdominal distension. The patient underwent debulking surgery and was diagnosed with uterine ARMS by fresh specimen biopsy. Despite intensive postoperative care, the patient died on the eighth postoperative day. Here, we report a case of uterine ARMS that will add to our understanding of this exceptionally rare type of tumor.