No abstract available.
Occlusal Splints* ; Temporomandibular Joint*

No abstract available.
Thyroid Diseases* ; Thyroid Gland*

OBJECTIVE: The clinical value of preoperative serum squamous cell carcinoma antigen(SCC) in relation to clinical stage, tumor volume, disease extent and prognosis has already reported in many papers. The aim of this study is to analyse the relationship between preoperative SCC level and pelvic lymph node metastasis. Matrials and METHODS: From March 1995 to December 1998, 157 patients who examined pretreatment SCC levels before undergoing radical hysterectomy for squamous cell carcinoma of uterine cervix were included. The effect of pelvic lymph node status on the SCC level was examined by comparing 125 cases with cancer limited uterus or upper vagina and 32 cases with cancer confined to the uterus (including upper vagina) and pelvic lymph node using multivariate analysis. RESULTS: 90% of patients without pelvic lymph node metastasis showed SCC levels of 2.9ng/ml or below. 60.7% of patients with serum SCC level more than 2.9ng/ml exhibited pelvic lymph node metastasis. The marker values exceeding 2.9ng/ml increased risk of nodal metastasis 5 times compared with serum level 2.9ng/ml or below. Multivariate analysis confirmed that the pelvic lymph node metastasis had a large impact on the marker level than did tumor size or depth of stromal infilteration. CONCLUSION: SCC levels greater than 2.9ng/ml can be considered a high risk zone for nodal metastasis
Carcinoma, Squamous Cell* ; Cervix Uteri ; Female ; Humans ; Hysterectomy ; Lymph Nodes ; Multivariate Analysis ; Neoplasm Metastasis* ; Prognosis ; Tumor Burden ; Uterine Cervical Neoplasms* ; Uterus ; Vagina

Acetabular fractures assume great clinical importance because acetabular is weight bearing joint in the lower extremity. The undisplaced fractures of the acetabulum gave satisfactory results with closed method, but the treatment of displaced fractures have been controversial. A clinical analysis was performed on the 72 patients with displaced acetabular fractures, who had been treated at Soonchunhyang University Hospital from January 1980 to December 1989. The results obtained were as follows. 1. The prevalent age ranged from 21 to 50 years, which comprised 86.1% of all, and the ratio between male and female was 3:l. 2. The most common cause of injury was traffic accident, which comprised 76.4%. 3. According to Letournel's classification, simple fracture was 38 cases (52.8%), associated fracture was 34 cases (47.2%) and hip dislocation was associated in 28 cases (38.9%) and most common was posterior (20.8%). 4. Closed treatment was done in 47 cases and open treatment in 25 cases. 5. Results of open treatment group were better than closed treatment group in both clinical and roentgenographic study. 6. The complication were occured in 14 (29.8%) out of 47 cases of closed treatment group, and 10 (40.0%) out of 25 cases of open treatment group. 7. Not only choice of treatment but also determination of surgical approach require accurate assessment of the fracture pattern in this region of complex bony architecture by careful radilogic analysis.
Accidents, Traffic ; Acetabulum ; Classification ; Female ; Hip Dislocation ; Humans ; Joints ; Lower Extremity ; Male ; Methods ; Weight-Bearing

The spermatic granuloma is a granulomatous inflammation which is the tissue reaction due to extravasated sperm. Its exact causes and mechanism are not clearly evaluated. Its clinical interest is that it often confused with tuberculous epididymitis and other epididymal conditions. We experienced a case of spermatic granuloma that was clinically confused with tuberculous epididymitis in 23-year old Korean male.
Epididymitis ; Granuloma* ; Humans ; Inflammation ; Male ; Spermatozoa ; Young Adult

The Klinefelter's syndrome is characterized by azoospermia, gynecomastia, a variable degree of eunuchoidism elevated urinary gonadotropins, atrophic testis and hyalinization of the seminiferous tubules in which Leydig cells were preserved. Reviewing some world literatures, we have reported a case of Klinefelter's syndrome associated with right inguinal hernia in 22 year-old Korean male.
Azoospermia ; Eunuchism ; Gonadotropins ; Gynecomastia ; Hernia, Inguinal ; Humans ; Hyalin ; Klinefelter Syndrome* ; Leydig Cells ; Male ; Seminiferous Tubules ; Testis ; Young Adult

No abstract available.
Bandages*

No abstract available.

The successful development of reliable total hip arthroplasties for the treatment of several diseased hips has led to it increasing application in this country. As with any mode of therapy, the more frequent its use, the greater chance of complication or failure. Infection and loosening of component which is mainly due to improper surgical and cementing technique are the most frequent of these complication and has been increased the incidence of revision, too. We have experienced 96 hips of total hip replacement in 90 patients from February 1980 to July 1986. Among them, 14 hips who had been undertaken revisional arthroplasty were followed-up for average 27 months, and the following results were obtained. 1. Average patients age was 50.5 years, and time from previous total hip replacement to revisional arthroplasty was 3 years in 11 cases of loosening but only 3 weeks in 3 cases of surgieal error, and the post-revision follow-up was average 27 months. The main cause of the revisional surgery in this study were aseptic loosening in 9 csses (64.3%), surgical error in 3 cases(21.4%) and septic loosening in 2 cases(14.3%). 2. Cementless total hip replacement seems to be more prefer in an attempt to in initial total and even in revisional hip replacement to prevent loosening. 3. There are three cases of surgical error with the fracture and penetrating the tip of femoral stem into the proximal femur. Their causes of initial hip arthroplasty wss dysplastic hip in one and two cases of secondary osteosrthritis due to late sequelae of Legg-Calve-Perthes disease with moderate degree of anteversion of femoral head. These patients were younger than most who require usually total hip replscement and therefore their bone was harder and the medullary canal was nsrrow. These surgical complications are initiated because any attempt to correct these anteversion of femoral head was not given preoperatively. These kinds of surgical error in total hip replacement can be prevented by careful anstomicsl and radiological analysis of proximsl femur preoperatively, and X-rays or viewing with the T-V image intensifier for the proximal femur during the operation.
Arthroplasty ; Arthroplasty, Replacement, Hip ; Femur ; Follow-Up Studies ; Head ; Hip ; Humans ; Incidence ; Legg-Calve-Perthes Disease ; Medical Errors

PURPOSE: To characterize MRI findings of central nervous system(CNS) granulocytic sarcoma (chloroma) and to analyse the points which differentiate it from other CNS tumors. MATERIALS AND METHODS: We evaluated MRI in six patients with CNS granulocytic sarcoma proven by surgery or bone marrow biopsy (intracranical, one case and spine five cases). A 0.5T superconductive MR machine was used for diagnosis and, axial, coronal and sagittal T1- and T2-weighted spin echo images and Gd-DTPA enhanced T1-weighted images were obtained. We retrospectively analized the location, signal intensity, margin, contrast enhancement and homogeneity, and bony change around the tumor. RESULTS: MRI findings of CNS granulocytic sarcomas were as follows : one tumor was seen to be an extra-axial mass in the posterior fossa of the brain, four were epidural, and one was an epidural and presacral masses in the spine ; tumor magins were lobulated and three were smooth. On T1-weighted images, all tumors were of isoignal intensity; on T2-weighted images, four were of isosignal intersity and two were of high signal intensity. Contrast enhancement was inhomogeneous in five of six cases. Bony change around the tumor was seen in two cases. CONCLUSION: On T1-weighted images, CNS granulocytic sarcomas (chloromas) were of isosignal intensity, relative to brain parenchyma or spinal cord ; on T2-weighted images, they were of iso or high signal intensity, with relative contrast enhancement. These points could be useful in differentiating them from other CNS tumors.
Biopsy ; Bone Marrow ; Brain ; Central Nervous System* ; Diagnosis ; Gadolinium DTPA ; Humans ; Magnetic Resonance Imaging* ; Retrospective Studies ; Sarcoma, Myeloid* ; Spinal Cord ; Spine