1.Prostatic Tissue in Ovarian Mature Cystic Teratoma: A case report.
Seung Mo HONG ; Mi Sun CHOE ; Eun Mee HAN ; Hun Kyung LEE ; Jae Y RO
Korean Journal of Pathology 1999;33(7):525-528
Ovarian mature cystic teratoma containing benign prostatic tissue is rare and only 11 cases have been reported in the literature to date. We report a case of mature cystic teratoma of the ovary containing prostatic tissue. A 23-year-old female patient came to our hospital complaining of irregular menstruation for 3 months. Her menarche had occurred when she was 13 years old. The patient showed no evidence of virilization nor of endocrinopathy. A goose-egg-sized mass was palpable in the left lower abdomen on physical examination. Ultrasonography revealed a cystic ovarian mass with internal echogenecity. Microscopic finding was consistent with that of usual mature cystic teratoma except for a 1.5 cm focus of prostatic and bladder tissues. Prostatic tissue demonstrated strong immunoreactivity for prostatic specific antigen (PSA), prostatic alkaline phosphatase (PAP) and cytokeratin 7. Basal cells of the prostate glands were positive for high molecular weight cytokeratin (34betaE12). Although ovarian mature cystic teratoma containing prostatic tissue has been reported as a rare occurrence, a careful examination with immunohistochemical staining may increase the detection of prostatic tissue in mature cystic teratoma of the ovary.
Abdomen
;
Adolescent
;
Alkaline Phosphatase
;
Female
;
Humans
;
Keratin-7
;
Keratins
;
Menarche
;
Menstruation
;
Molecular Weight
;
Ovary
;
Physical Examination
;
Prostate
;
Teratoma*
;
Ultrasonography
;
Urinary Bladder
;
Virilism
;
Young Adult
2.Successful pregnancy in a patient undergoing regular hemodialysis.
Sung Rul KIM ; Sung Chan AHN ; Hee Seung HONG ; Han Seon JO ; Seung Ok CHOI ; Kyung Hun CHOE ; Kwang Hoon LEE
Korean Journal of Nephrology 1992;11(4):456-461
No abstract available.
Humans
;
Pregnancy*
;
Renal Dialysis*
3.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*
4.First Clinical Cases of Spirometrosis in Two Cats in Korea
Joohyung KIM ; Younsung OCK ; Kihwan YANG ; Seongjun CHOE ; Kyung-Mee PARK ; Wan-Kyu LEE ; Kyung-Chul CHOI ; Soochong KIM ; Dongmi KWAK ; Seung-Hun LEE
The Korean Journal of Parasitology 2021;59(2):153-157
This study reports the first two clinical cases of spirometrosis caused by Spirometra sp. in cats in Korea. In these two cases, the cats vomited, and long proglottids of tapeworm were recovered. The sick cats presented with anorexia and lethargy. However, they unexpectedly showed no diarrhea, which is the main symptom of spirometrosis. Based on a fecal floatation test as well as morphological and molecular analyses, the parasite was diagnosed as Spirometra sp. The 2 cases were treated with praziquantel. This study suggests regular monitoring of health and deworming in companion animals, even when animals are well cared for, with regular preventive medication. Additionally, spirometrosis should be considered in the differential diagnosis in cases of gastrointestinal symptoms in Spirometra endemic areas.
5.First Clinical Cases of Spirometrosis in Two Cats in Korea
Joohyung KIM ; Younsung OCK ; Kihwan YANG ; Seongjun CHOE ; Kyung-Mee PARK ; Wan-Kyu LEE ; Kyung-Chul CHOI ; Soochong KIM ; Dongmi KWAK ; Seung-Hun LEE
The Korean Journal of Parasitology 2021;59(2):153-157
This study reports the first two clinical cases of spirometrosis caused by Spirometra sp. in cats in Korea. In these two cases, the cats vomited, and long proglottids of tapeworm were recovered. The sick cats presented with anorexia and lethargy. However, they unexpectedly showed no diarrhea, which is the main symptom of spirometrosis. Based on a fecal floatation test as well as morphological and molecular analyses, the parasite was diagnosed as Spirometra sp. The 2 cases were treated with praziquantel. This study suggests regular monitoring of health and deworming in companion animals, even when animals are well cared for, with regular preventive medication. Additionally, spirometrosis should be considered in the differential diagnosis in cases of gastrointestinal symptoms in Spirometra endemic areas.
6.Ultrasound-guided Percutaneous Cholecysto-Cholangiography for the Exclusion of Biliary Atresia in Infants.
Kyung Min SHIN ; Hun Kyu RYEOM ; Byung Ho CHOE ; Kap Cheol KIM ; Jong Yeol KIM ; Jong Min LEE ; Hye Jeong KIM ; Hee Jung LEE
Journal of the Korean Radiological Society 2006;55(2):177-182
PURPOSE: The aim of this study is to determine the feasibility and effectiveness of performing an ultrasound-guided percutaneous cholecysto-cholangiogram (PCC) for excluding biliary atresia as the cause of neonatal jaundice. MATERIALS AND METHODS: Between Oct. 2003 and Feb. 2005, six ultrasound-guided PCC procedures were performed to five jaundiced infants (4 females and 1 male; mean age: 60 days old) for whom possibility of biliary atresia could not be ruled out by the DISIDA scan as the cause of their neonatal jaundice. Gallbladder puncture was performed under ultrasound guidance with a 23-gauge needle. Contrast material injection during fluoroscopic examination was performed after dilatation of the gallbladder lumen with normal saline under ultrasound guidance. The criteria used for excluding biliary atresia were complete visualization of the extrahepatic biliary trees and/or contrast excretion into the duodenum. The complications and final diagnosis was assessed according to the clinical and laboratory findings. RESULTS: The procedures were successful in all the patients without any complication. Biliary atresia could be ruled out in all the patients. The final diagnosis was neonatal cytomegalovirus hepatitis in two patients, total parenteral nutrition-associated cholestasis in two patients, and combined cytomegalovirus hepatitis and total parenteral nutrition-associated cholestasis in one patient. CONCLUSION: Ultrasound-guided PCC is a feasible and effective method for the early definitive exclusion of biliary atresia as the cause of neonatal jaundice. By the technique of injecting normal saline before contrast injection, PCC can be done even in a totally collapsed or very small gallbladder.
Biliary Atresia*
;
Cholangiography
;
Cholecystography
;
Cholestasis
;
Cytomegalovirus
;
Diagnosis
;
Dilatation
;
Duodenum
;
Female
;
Gallbladder
;
Gastrointestinal Tract
;
Hepatitis
;
Humans
;
Infant*
;
Infant, Newborn
;
Jaundice, Neonatal
;
Male
;
Needles
;
Punctures
;
Ultrasonography
7.Association between Change in Body Weight and Insulin Resistance in Individuals at Increased Risk of Diabetes.
Kyung Jin CHOE ; Won Jun KIM ; Sa Young SHIN ; Yeongmin WOO ; Ki Hun LEE ; Eun Jung KIM ; Myoung Sook SHIM ; Jin Yeob KIM
Korean Journal of Medicine 2015;89(6):681-689
BACKGROUND/AIMS: The present study aimed to investigate the associations between a change in body weight from 20 years of age to the present with insulin resistance and several parameters of metabolic syndrome in individuals at an increased risk of diabetes. METHODS: From patients with a diagnosis related to an increased risk of diabetes who were examined at our endocrinology clinic from January 2012 to December 2014, the present study recruited 125 individuals between 30 and 64 years of age with hemoglobin A1c levels from 5.7 to 6.4%. The change in body weight of each patient from 20 years of age to the present was retrospectively determined, and the associations of this change with insulin resistance and several parameters of metabolic syndrome were analyzed. RESULTS: The average gain in body weight after 20 years of age was 11.3 kg and there was no significance difference between the male and female patients. The proportion of overweight and obese patients at 20 years of age was 14%, but was 74% at the time of the visits to our endocrinology clinic. A change in body weight was significantly correlated with body mass index, insulin resistance, and waist circumference. Additionally, as the tertile of change in body weight increased, fasting insulin levels, insulin resistance, and the prevalence of abdominal obesity significantly increased. CONCLUSIONS: In the present study, an increase in body weight from 20 years of age to the present was correlated with insulin resistance and several parameters of metabolic syndrome in individuals at an increased risk of diabetes.
Body Mass Index
;
Body Weight*
;
Diagnosis
;
Endocrinology
;
Fasting
;
Female
;
Humans
;
Insulin Resistance*
;
Insulin*
;
Male
;
Obesity
;
Obesity, Abdominal
;
Overweight
;
Prevalence
;
Retrospective Studies
;
Waist Circumference
8.The cyclic burst effect of myostimulator on the thoracic aortomyoplasty.
Joong Hwan OH ; Kyung Hoon CHOE ; Seung Il PARK ; Jae Jeong SUH ; Il Hwan PARK ; Sang Hun LEE ; Eun Gi KIM
Korean Circulation Journal 2001;31(9):900-908
BACKGROUND: Descending thoracic aortomyoplasty (DTA) is a simple surgical procedure designed to use patient's own skeletal muscle based on the principle of aortic counterpulsation. Clinical application is limited. We have investigated the acute effect of DTA depending on the surgical configurations and cyclic bursts of stimulator parameter. METHODS: In 14 Mongrel dogs, the left latissimus dorsi muscle (LD) was wrapped around the descending aorta. Pacing leads were placed around the thoracodorsal nerve and sensing lead on the left ventricular apex. Cyclic burst 5-6 pulses were applied. Different surgical configurations are clockwise or counter-clockwise wrapping method of LD and whole type or band type of LD. Millar catheter and Swan-Ganz catheter were introduced to measure hemodynamics. Aorta pressure, right atrial pressure, mean aortic systolic and diastolic pressure, systolic and diastolic time, pulmonary wedge pressure, coronary perfusion pressure, endocardial viability ratio were measured in normal heart and pump failure heart. RESULTS: In normal heart, mean aortic diastolic pressure changed from 49.6+/-15.0mmHg to 55.5+/-17.1mmHg(p=0.012), endocardial viability ratio changed from 1.13+/-0.31 to 1.59+/-0.23 (p<0.001). In pump failure heart, mean aortic diastolic pressure changed from 40.0+/-12.8mmHg to 43.2+/-11.2mmHg(p=0.018), endocardial viability ratio changed from 0.69+/-0.22 to 1.01+/-0.40 (p=0.018). In clockwise configuration, mean aortic diastolic pressure changed from 50.3+/-14.0mmHg to 56.9+/-14.8mmHg(p=0.004). In whole type configuration, mean aortic diastolic pressure changed from 49.814.6mmHg to 57.1+/-15.6mmHg(p=0.003). CONCLUSIONS: Train stimulation of 5-6 pulses and surgical configurations of clockwise rotation with whole LD type play a role to maximize acute effect of DTA.
Animals
;
Aorta
;
Aorta, Thoracic
;
Atrial Pressure
;
Blood Pressure
;
Catheters
;
Counterpulsation
;
Dogs
;
Heart
;
Heart Failure
;
Hemodynamics
;
Muscle, Skeletal
;
Perfusion
;
Pulmonary Wedge Pressure
;
Superficial Back Muscles
9.Elevated C-reactive Protein Levels are a Sign of Pulmonary Arterial Hypertension in AECOPD.
So Ri KIM ; Yeong Hun CHOE ; Ka Young LEE ; Kyung Hoon MIN ; Seoung Ju PARK ; Heung Bum LEE ; Yong Chul LEE ; Yang Keun RHEE
Tuberculosis and Respiratory Diseases 2008;64(2):125-132
BACKGROUND: In chronic obstructive pulmonary disease (COPD) patients, the serum levels of C-reactive protein (CRP) are elevated and an increase of CRP is more exaggerated in the acute exacerbation form of COPD (AECOPD) than in stable COPD. Pulmonary arterial hypertension is a common complication of COPD. An increased level of CRP is known to be associated with the risk of systemic cardio-vascular disorders. However, few findings are available on the potential role of CRP in pulmonary arterial hypertension due to COPD. METHODS: This study was performed prospectively and the study population was composed of 72 patients that were hospitalized due to AECOPD. After receiving acute management for AECOPD, serum CRP levels were evaluated, arterial oxygen pressure (PaO2), was measured, and the existence of pulmonary arterial hypertension under room air inhalation was determined in the patients. RESULTS: The number of patients with pulmonary arterial hypertension was 47 (65.3%)., There was an increased prevalence of pulmonary arterial hypertension and an increase of serum CRP levels in patients with the higher stages of COPD (e.g., patients with stage 3 and stage 4 disease; P<0.05). The mean serum CRP levels of patients with pulmonary arterial hypertension and without pulmonary arterial hypertension were 37.6+/-7.4 mg/L and 19.9 +/-6.6 mg/L, respectively (P<0.05). However, there was no significant difference of the mean values of PaO2 between patients with pulmonary arterial hypertension and without pulmonary arterial hypertension statistically (77.8+/-3.6 mmHg versus 87.2+/-6.0 mmHg). CONCLUSION: We conclude that higher serum levels of CRP can be a sign for pulmonary arterial hypertension in AECOPD patients.
C-Reactive Protein
;
Humans
;
Hypertension
;
Hypertension, Pulmonary
;
Inhalation
;
Oxygen
;
Prevalence
;
Prospective Studies
;
Pulmonary Disease, Chronic Obstructive
10.Prognostic Factors of the RA Patients with ILD.
Hwajeong LEE ; Han Na CHOI ; Si Hye KIM ; Ji Hun KIM ; Sung Hoon PARK ; Seong Kyu KIM ; Dae Sung HYUN ; Kyung Jae JUNG ; Jisuk BAE ; Jung Yoon CHOE
Journal of Rheumatic Diseases 2013;20(1):9-16
OBJECTIVE: Interstitial lung disease (ILD) is a common pulmonary manifestation of rheumatoid arthritis (RA), and an important cause of morbidity and mortality in RA. We compared demographic and clinical characteristics of usual interstitial pneumonia (UIP) and nonspecific interstitial pneumonia (NSIP) patterns in RA patients and determined the prognostic factors that influence the survival of RA-ILD patients. METHODS: 51 enrolled RA patients (male n=21, female n=30) with ILD underwent HRCT. We categorized ILD into two groups, as the UIP pattern and the NSIP pattern, using HRCT. HRCT scans were scored to investigate the extent of the ILD. We divided the extent of the interstitial lung disease into 4 groups 1~14%, 15~19%, 20~24%, >25%. RESULTS: There were no significant differences between the UIP and NSIP pattern in the clinical characteristics, except for age at the time of the study (RA-NSIP pattern vs RA-UIP pattern 62.3+/-11.7 vs 68.2+/-8.4, p=0.042). There were no significant differences in survival time between the RA-UIP and RA-NSIP pattern (Log rank p=0.985). The extent of ILD on chest HRCT was significantly associated with mortality (HR=1.044, 95% CI 1.019~1.069) and patients that were diagnosed with ILD at an older age (HR=1.109, 95% CI 1.024~1.200) were associated with a worse prognosis. Comparing four groups divided by the extent of the lung disease, there were significant differences in survival estimates (Log-rank p-value<0.001) based on an ILD extent of 15%. CONCLUSION: Our study reveals that the extent of ILD on chest HRCT was found to be significantly associated with poor prognosis of RA-ILD patients.
Arthritis, Rheumatoid
;
Female
;
Humans
;
Idiopathic Pulmonary Fibrosis
;
Lung Diseases
;
Lung Diseases, Interstitial
;
Prognosis
;
Thorax