1.Cases with Endometrial Polyp and Endocervical Polyp Associated With Tamoxifen Use.
Byung Hoon CHOE ; Eun Kyoung CHOI ; Young Tae KIM ; Jae Wook KIM ; Byung Woo PARK
Korean Journal of Obstetrics and Gynecology 2000;43(4):725-730
Tamoxifen is a nonsteroidal triphenylethylene delivative that has been widely used in the treatment of breast cancer. tamoxifen is indicated for the adjuvant treatment of breast cancer in women following total mastectomy or segmental mastectomy, breast irradiation and chemotherapy. tamoxifen has been shown to have significant benificial effect in the treatment of breast cancer patient as hormonal therapy. However ,there is mounting evidence that tamoxifen may affect other hormon sensitive organs, including the uterus and ovaries. An increased risk of endometrial polyps, endometrial hyperplasia and adenocarcinoma has been reported in tamoxifen treated women. We have met cases of endometrial polyp and endocervical polyp which were associated with tamoxifen use, after modified radical mastectomy for infilterating ductal carcinoma of breast . So we report these cases with the brief review of literatures.
Adenocarcinoma
;
Breast
;
Breast Neoplasms
;
Carcinoma, Ductal
;
Drug Therapy
;
Endometrial Hyperplasia
;
Female
;
Humans
;
Mastectomy, Modified Radical
;
Mastectomy, Segmental
;
Mastectomy, Simple
;
Ovary
;
Polyps*
;
Tamoxifen*
;
Uterus
2.Effect of Gl Cyclins Expression on Clinical Prognostic Parameters in Cervical Carcinoma.
Young Tae KIM ; Byung Hoon CHOE ; Jae Wook KIM ; Jae Hoong KO ; Eun Kyoung CHOI
Korean Journal of Gynecologic Oncology and Colposcopy 1999;10(3):233-241
Alterations in the expression of genes that control the cell cycle may be of critical importance in tumorigenesis and malignant transformation. The major regulatory events leading to cell proliferation occur in Gl phase of cell cycle, and the deregulated expression of Gl cyclins is related to oncogenesis. Cyclins Dl and E play important roles in the progression of cell through Gl phase of the cell cycle. Amplification and/or overexpression of the cyclin Dl gene and aberrant expression of cyclin E has been described in various forms of human cancer. However, the role of cyclins Dl and E in cervical cancer has been poorly defined. In this study, we examined the expression of cyclins Dl and E by Northern blot technique and the status of human papil- lomavirus(HPV) type 16 and 18 by polymerase chain reaction in 25 cases of cervical carcinoma to explore the relationship between cyclins Dl and E and cervical cancer. We found cyclin Dl expression showed down-regulated expression in cervical cancer but cyclin E expression was increased in cancer group. Other clinicopathological prognostic factors were not correlated with cyclins D1 and E expression. Further study based on larger numbers of cases with correlation of cyclins D1 and E status and survival data will be needed to elucidate the use of cyclin expressions as prognostic factor.
Blotting, Northern
;
Carcinogenesis
;
Cell Cycle
;
Cell Proliferation
;
Cyclin E
;
Cyclins*
;
Humans
;
Polymerase Chain Reaction
;
Uterine Cervical Neoplasms
3.Echocardiographically guided pericardiocentesis with central venous catheter in emergency room.
Sung Oh HWANG ; Young Sik KIM ; Moo Eob AHN ; Kyoung Soo LIM ; Yoon Kyung CHO ; Jung Han YOON ; Keum Soo PARK ; kyung Hoon CHOE
Journal of the Korean Society of Echocardiography 1993;1(1):125-130
No abstract available.
Central Venous Catheters*
;
Emergencies*
;
Emergency Service, Hospital*
;
Pericardiocentesis*
4.Rupture of Mitral Papillary Muscle Resulting from Blunt Chest Trauma: A Case Report.
Sung Oh HWANG ; Mu Eob AHN ; Kyoung Soo LIM ; Seung Hwan LEE ; Jung Hwan YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Joong Hwan OH
Korean Circulation Journal 1992;22(4):699-704
We experienced a case of mitral incompetence due to rupture of anterolateral papillary muscle in a 56-year-old male who complained of abdominal pain and mild dyspnea after being struck by car. Clinical manifestation immediately following injury was minimal, but heart failure progressed rapidly 3 days after injury. Echocardiopraphic evaluation revealed ruptured anterolateral papillary muscle and severe mitral regurgitation on color flow imaging. There was no evidence of coronary artery disease on coronary angiography. Operation revealed that the haed of anterolateral papillary muscle was torn out of its insertion. Mitral valve replacement with mechanical prosthesis was performed on the 50th day after injury.
Abdominal Pain
;
Coronary Angiography
;
Coronary Artery Disease
;
Dyspnea
;
Heart Failure
;
Humans
;
Male
;
Middle Aged
;
Mitral Valve
;
Mitral Valve Insufficiency
;
Papillary Muscles*
;
Prostheses and Implants
;
Rupture*
;
Thorax*
5.Intrapulmonary shunt and effect of PEEP therapy on pulmonary contusion.
Sung Oh HWANG ; Young Sik KIM ; Mu Eob AHN ; Kyoung Soo LIM ; Joong Hwan OH ; Jung Han YOON ; Kyung Hoon CHOE ; Sung Joon KANG
Journal of the Korean Society of Emergency Medicine 1992;3(2):23-30
No abstract available.
Contusions*
6.Emergency Transvenous Cardiac Pacing without Fluoroscopy in Patients with Impending Brady-Asystolic Cardiac Arrest.
Sung Oh HWANG ; Young Sik KIM ; Boo Soo LEE ; Kyoung Soo LIM ; Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE
Korean Circulation Journal 1994;24(1):60-65
Not infrequently, we meet urgent situations that emergency cardiac pacing is inevitable. Paricularly, in patients with impending brady-asystole cardiac arrest, we cannot but introduce pacing cartheter without fluroscopic guidance in emergency department if transcutaneous pacing is not available. There is little report about emergency transvenous cardiac pacing without fluoroscopic guidance in patients with impending cardiac arrest in korea. We report our experiences of temporary transvenous pacing by blind approach performed in patients with impending bradyasystolic cardiac arrest in emergency department. Among 10 patients who blind pacing were performed. 7 were successfully paced and 3 were not. 5 of 7 patients with successful pacing died of underlying diseases. 2 patients wiere alive. A hematoma around the puncture site was developed in a patient receiving thrombolytic therapy. We concluded that temporary transvenous pacing withoup fluoroscopy should be tried in the emergency situations if fluoroscopy or transcutaneous pacemaker is not avialable.
Emergencies*
;
Emergency Service, Hospital
;
Fluoroscopy*
;
Heart Arrest*
;
Hematoma
;
Humans
;
Korea
;
Punctures
;
Thrombolytic Therapy
7.End-tidal concentration of sevoflurane for reducing rocuronium-induced withdrawal reactions in adult patients: a comparison between male and female patients.
Jong Hoon YEOM ; Kyoung Hun KIM ; Gyu Ho CHOE ; Jae Min LEE
Korean Journal of Anesthesiology 2014;66(6):439-443
BACKGROUND: In this study, we assessed the 50% effective concentration (EC50) of sevoflurane for reducing a rocuronium-induced reaction, based on the Dixon's up-and-down method. We also assessed the 50 and 95% effective end-tidal concentration of sevoflurane (ETsev), based on the probit regression curve of the probability of nonwithdrawal reaction. METHODS: We conducted a prospective, double-blind study in 23 males and 24 females. After using 2.5% thiopental sodium (4 mg/kg), anesthesia was induced in the patients. The patients then inhaled sevoflurane with 5 vol% in 6 L/min of oxygen. When the target ETsev was achieved, a nurse injected the intubating dose of rocuronium (0.6 mg/kg) for 5-10 s under the free flow of intravenous fluid. After the nurse evaluated the response, the nurse recorded the maximum heart rate during 30 s and the mean arterial pressure after rocuronium injection. RESULTS: Based on Dixon's up-and-down method, the EC50 of sevoflurane was 2.5 alpha 0.5 vol% in males and 2.5 alpha 0.3 vol% in females. The probit regression curve of the probability of nonwithdrawal reaction showed that in males the 50% effective ETsev was 2.4 vol% (95% confidence interval [CI], 1.5-3.1 vol%) and the 95% effective ETsev was 3.5 vol% (95% CI, 2.9-11.0 vol%); in females, the 50% effective ETsev was 2.4 vol% (95% CI, 2.1-2.7 vol%) and the 95% effective ETsev was 3.0 vol% (95% CI, 2.7-4.5 vol%). CONCLUSIONS: The inhalation of sevoflurane during the induction period may provide a simple and reliable means of reducing rocuronium-induced reactions without adverse hemodynamic changes. There was no significant difference between males and females.
Adult*
;
Anesthesia
;
Arterial Pressure
;
Double-Blind Method
;
Female
;
Heart Rate
;
Hemodynamics
;
Humans
;
Inhalation
;
Male
;
Oxygen
;
Prospective Studies
;
Thiopental
8.Successful resuscitation of prehospital sudden cardiac death induced by variant angina: a case report.
Sung Oh HWANG ; Moo Eob AHN ; Young Sik KIM ; Kyoung Soo LIM ; Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE
Journal of the Korean Society of Emergency Medicine 1992;3(1):85-91
No abstract available.
Death, Sudden, Cardiac*
;
Resuscitation*
9.A Case of Takaysu Arteritis Associated with Complete Obstruction of Descending Thoracic Aorta and Stenosis of the Right Coronary Artery.
Hong Seung KIM ; Ju Yong LEE ; Byoung Soo YOO ; Seung Chan AHN ; Jung Han YOON ; Kyoung Hoon CHOE ; Keum Soo PARK
Korean Circulation Journal 1997;27(2):213-218
Takaysu arteritis is a systemic disease characterized by stenosis or obstruction of aorta and its branches. Its etiology is unknown but clinical and serologic data suggest autoimmune process. Coronary artery involvement has been uncommon, but potentially fatal complication of Takayasu arteritis. A 41-year old female patients was presented with exertional dyspnea and anterioi chest pain of 2 week duration. Systolic bruit was heard at the both middle portion of internal carotid artery areas. Both radial arteries were palpated well but both femoral, popliteal and doralis pedis arteries were palpated weakly. Aortogram showed complete obstruction of descending thoracic aorta and collateral circulation of internal mammary artery. Coronary angiogram showed 80% stenosis at the middle portion of the right coronary artery. Calcium channel blocker and antiplatelet agent were prescribed. And her clinical symptom improved.
Adult
;
Aorta
;
Aorta, Thoracic*
;
Arteries
;
Arteritis*
;
Calcium Channels
;
Carotid Artery, Internal
;
Chest Pain
;
Collateral Circulation
;
Constriction, Pathologic*
;
Coronary Stenosis
;
Coronary Vessels*
;
Dyspnea
;
Female
;
Humans
;
Mammary Arteries
;
Radial Artery
;
Takayasu Arteritis
10.A case of subclavian stenosis treated by percutaneous transluminal angioplasty.
Byung Su YOO ; Kyoung Gu YOH ; Hyee Seung HONG ; Seung Ok CHOI ; Kwang Hoon LEE ; Jung Han YOON ; Kyung Hun CHOE ; Jin Hyun PARK
Korean Journal of Nephrology 1992;11(3):297-300
No abstract available.
Angioplasty*
;
Constriction, Pathologic*