Sebaceous carcinoma is uncommon and usually presents in the ocular adnexa as a cancer of the meibomian glands. They are frequently mistaken for chalazion. Considerable time often elapses before a diagnosis is made. We present a case of sebaceous carcinoma of the left eye lid in 59 year old female who had a history of 3 repeated surgical resections clinically diagnosed as chalazion during last 3 years.
Female ; Humans

No abstract available.
Miller Fisher Syndrome*

Leiomyoblastoma is uncommon and has been known as a neoplasm of smooth muscle origin. However, with recent pragress in immunohistochemical staining techniques, many clinicopathological discrepancies have been pointed out about the origin of leiomyoblastoma. We present here a case of gastric leiomyoblastoma did not expressed desmin and neuron specific enolase, and was thought to be of unknown derivation.
Desmin ; Leiomyoma, Epithelioid* ; Muscle, Smooth ; Phosphopyruvate Hydratase

Leiomyoblastoma is uncommon and has been known as a neoplasm of smooth muscle origin. However, with recent pragress in immunohistochemical staining techniques, many clinicopathological discrepancies have been pointed out about the origin of leiomyoblastoma. We present here a case of gastric leiomyoblastoma did not expressed desmin and neuron specific enolase, and was thought to be of unknown derivation.
Desmin ; Leiomyoma, Epithelioid* ; Muscle, Smooth ; Phosphopyruvate Hydratase

Historically, gastrointestinal stroma tumors (GIST) have been considered as smooth muscle tumors, but the controversy over this histogenesis is provoked due to various results with utilizing immunohistochemical methods. In andeffort to further clarify the histogenesis of GIST, we performed the immunohistochemical study, as well as histopathologic reexamination, of 24 cases, all diagnosed as smooth muscle tumors of gastrointestinal tract, from Seoul Paik Hospital and Ewha University Hospital between 1980 and 1989, and the main results were as follows; 1) In the histopathologic features by light microscopic study, 11 benign and 13 malignant lesions (including one high grade malignancy and 12 low-grade malignant lesions) were disclosed. 2) In the immunohistochemical study, all tumors showed Vimentin positivity (100%), but no tumor showed S-100 protein positivity (0%), and 7 cases (29.1%) showed Desmin positivity. Positive reaction for Desmin made it possible to suggest that the histogenesis of GIST be in smooth muscle, and neurogenic origin would be excluded by all negativity for S-100 protein. In summary, we would like to conclude that GIST would be smooth muscle tumors on account of their morphological characteristics and their intramural location, but most of them appear poorly differentiated by immunohistochemical method.

The incidence of colorectal cancer has been increased gradually and it was about 6.9% of all malignancies in Korea. Early diagnosis was recognized as the most important factor influencing the prognosis of colorectal cancer and the incidence of early colorectal cancer was increasing. Thus great change was observed in the treatment of early colorectal cancer, endoscopic therapy as well as curative surgical resection is being accepted. We report a case of effective and safe endoscopic therapy for early rectal cancer in 5S-year-old male patient. He presented with rectal prolapse and bleeding of a year's duration. A large polypoid mass with fine nodular surface and thick, short stalk was seen in the rectum at 4cm above the anal verge during flexible sigmoidoscopy. After the histologic examination of specimen obtained by bite biopsy, CT scan of pelvic cavity and ultrasonogram of abdomen, the tumor was removed safe and completely by 2 sessions of piecemeal polypectomies and strip biopsy. He has been well without symptoms and signs of recurrence of rectal cancer for 20 months.
Abdomen ; Biopsy* ; Colorectal Neoplasms ; Early Diagnosis ; Hemorrhage ; Humans ; Incidence ; Korea ; Male ; Prognosis ; Rectal Neoplasms* ; Rectal Prolapse ; Rectum ; Recurrence ; Sigmoidoscopy ; Tomography, X-Ray Computed ; Ultrasonography

PURPOSE: This research was conducted to compare the effects of an obesity control program on knowledge of obesity, diet habit, exercise habits, and weight loss of children in a pediatric and adolescent psychiatric hospital. METHODS: A non-equivalent control group non-synchronized design was used for this study. Eighteen patients were participated in the experimental group and seventeen were participated in the control group. For 8 weeks, the experimental group received the interventions for fifty minutes weekly, which were consisted of knowledge of obesity, diet habit, and exercise habits and weight loss, while the control group received the usual care during the same period. The outcome variables were measured before and after the program. Data were analyzed using t-test with SPSS/WIN 18.0. RESULTS: The experimental group showed more significant improvement in knowledge of obesity, diet and exercise habits than the control group, but weight loss was not different between the groups. CONCLUSION: To be more effective obesity control program, nurses should collaborate with other staffs including doctors and social workers, and consistently educate the families of the patients.
Adolescent* ; Child* ; Diet ; Food Habits ; Hospitals, Psychiatric* ; Humans ; Obesity* ; Social Workers ; Weight Loss

No abstract available.
Female ; Pregnancy ; Pregnancy, Ectopic*

No abstract available.
Female ; Ovary* ; Teratoma*

For neurologic symptoms such as mental changes, the etiologies should be thoroughly looked for. Neurologic problems are primarily assessed by medical history, physical and neurologic examination, electroencephalogram, neuroimaging studies. Furthermore, cardiovascular disorders, metabolic diseases, toxic materials and psychologic problems are also evaluated. In some cases that are difficult to find the causes of mental change despite the thorough evaluation and rarely, neurologic shock caused by severe pain can bring about alterness of consiousness. The causes of leading points are discovered frequently in the intussusception in late childhood and lipoma in the small bowel can be one of leading points but it rarely occurs. We report a case of neurologic shock with mental changes from intussusception secondary to a small bowel lipoma in a 13 year-old boy.
Adolescent ; Electroencephalography ; Humans ; Intussusception ; Lipoma* ; Male ; Metabolic Diseases ; Neuroimaging ; Neurologic Examination ; Neurologic Manifestations ; Shock*