1.Synovial Biopsy by Franklin-Silverman Needle
Jung Man KIM ; Myung Sang MOON ; Hong Sup LEE
The Journal of the Korean Orthopaedic Association 1978;13(4):653-659
Biopsy has proved to be of value in the diagnosis of many inflammatory and malignant diseases, and needle biopsy of the synovial membrane in arthritis is well established and often employed as the final diagnostic aid in patient with joint disease. Authors have carried out synovial needle biopsy in 76 joints with Franklin-Silverman needle used commonly in liver biopsy. The results obtained were as followa; 1) Of seventy five biopsies attempted, adequate amount of tiasue was obtained in 51 of 53 knee cases (96.2%), 11 of 14 wrists (78.6%). 3 of 5 elbows (60%), 1 of 3 ankles (33.3%). Adequate amount of tissue was obtained in 66 cases and the overall succese rate was 88%. 2) Histopathological diagnosis was made in 53 of 75 cases (70.7%). In 12 cases, correct specimens were obtained but proved to be incompatible with the diagnosis done by either clinical data or open biopsy. 3) Histopathological diagnoses were made in 25 of 35 cases of rheumatoid arthritis (71.4%) 14 of 18 cases of tuberculous arthritis (77.8%), 7 of 13 cases of degenerative arthritis (53,8%), 4 of 6 cases of suppurative arthritis (66.7%), 2 cases of traumatic arthritis (100%), and one case of villonodular synovitis (100%). 4) The complications resulting from this proedure were pare; mild transient hemarthrosis was found in only 5 cases We also discovered that for an accurate diagnosis multiple specimens should be obtained because otherwise the specimens were too small to interprete histopathologically. In addition we concluded that the success rate depended not upon the sorts of needle used but rather more upon the biopsy technique. Franklin-Silverman needle biopsy proved to be a simple, safe and reliable procedure for diagnosis of the synovial diseases in which conventional arthrotomy is inadvisable and other diagnostic procedures are inadequate.
Ankle
;
Arthritis
;
Arthritis, Infectious
;
Arthritis, Rheumatoid
;
Biopsy
;
Biopsy, Needle
;
Diagnosis
;
Elbow
;
Hemarthrosis
;
Humans
;
Joint Diseases
;
Joints
;
Knee
;
Liver
;
Needles
;
Osteoarthritis
;
Synovial Membrane
;
Synovitis
;
Wrist
2.Reconstruction of the lower leg with free latissimus dorsi myocutaneous flap.
Kyu Yoon LEE ; Yong Bae KIM ; Young Man LEE ; Soon Jae YANG ; Chong Sup PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(1):101-106
No abstract available.
Leg*
;
Myocutaneous Flap*
;
Superficial Back Muscles*
3.Cytologic Smear to Evaluate the Endocervical Canal after Cervical Conization.
Man Soo YOON ; Kyu Sup LEE ; Ook Hwan CHOI ; Won Whe KIM
Korean Journal of Obstetrics and Gynecology 2000;43(6):1002-1007
OBJECTIVE: To evaluate the impact of the cytologic smear of the endocervical canal immediately after cervical conization on the rate of residual cervical lesions. METHOD: A retrospective review of 229 patients who underwent cervical conization for high grade cervical intraepithelial neoplasia or microinvasive cancer followed by hysterectomy. Endocervical Papanicolaou smear with a cytologic brush performed immediately after cervical conization in all 229 patients. RESULTS: Fifty-four of 229 patients undergoing cervical conization followed by hysterectomy had residual lesion in the hysterectomy specimen. The prevalence rate of residual lesion according to the margin status of conization specimen as well as the results of the postconization Papanicolaou smear of the endocervical canal was compared. Forty-one of 78 patients (52.6 %) with positive margins had residual lesion compared with thirteen of 151 patients (8.6 %) with negative margins. Twenty-six of 34 patients (76.5 %) with positive postcone cytology had residual lesion compared with twenty-eight of 195 patients (14.4 %) with negative postcone cytology. CONCLUSIONS: Postcone cytologic smear of the endocervical canal as well as margin status are useful in predicting residual lesion after conization.
Cervical Intraepithelial Neoplasia
;
Cervix Uteri
;
Conization*
;
Female
;
Humans
;
Hysterectomy
;
Papanicolaou Test
;
Prevalence
;
Retrospective Studies
4.Squamous carcinoma arising in benign cystic teratoma.
Chan YOON ; Man Chul PARK ; Yong Woo LEE ; Won Sup OH ; Hye Rim PARK
Korean Journal of Obstetrics and Gynecology 1993;36(7):2428-2434
No abstract available.
Carcinoma, Squamous Cell*
;
Teratoma*
5.Clinical and histological consideration of dermal shaving method in osmidrosis axillae.
Hyun Gyo JEONG ; Young Man LEE ; Soon Jae YANG ; Jong Sup PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(5):936-944
No abstract available.
Axilla*
6.Clinical and histological consideration of dermal shaving method in osmidrosis axillae.
Hyun Gyo JEONG ; Young Man LEE ; Soon Jae YANG ; Jong Sup PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(5):936-944
No abstract available.
Axilla*
7.Reconstruction of the lower leg with the reverse-pedicled anterior tibial flap: a case report.
Won Suk OH ; Yong Bae KIM ; Young Man LEE ; Soon Jae YANG ; Chong Sup PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):1100-1105
No abstract available.
Leg*
8.Clinical and Cytogenetic Cytogenetic Studies in Primary Amenorrhea.
Ook Hwan CHOI ; Kyu Sup LEE ; Man Soo YOON ; Won Whe KIM
Korean Journal of Obstetrics and Gynecology 1998;41(11):2730-2738
The purpose of this study was to determine the frequency of chromosomal or genetic causes of primary amenorrhea, and was made to assess the etiology of disorders in those patients whose chromosome appeared normal. Sixty eight patients with primary amenorrhea were evaluated clinically and cytogenetically, which were refered to our Cytogenetic Laboratory in Department of Obstetrics and Gynecology, Pusan National University Hospital, from Aug. 1988 to Dec. 1996. The results were as follows. l. Out of 68 cases with primary amenorrhea, 40 cases (58.9%) had the normal chromosome constitutions and 28 cases (41.1%) had the abnormal chromosome constitutions including 46, XY. 2. Turner's syndrome was found in 25 cases (36.7%), consisting of 11 cases (16.1%) of 45, X, 3 cases (4.3%) of 46, X, i (Xq), 1 case (1.5%) of 46, X, inv (X), 1 case (1.5%) of 46, X, del (Xq), 1 case (1.5%) of 46, X, del (Xp), 1 case (1.5%) of 46, X, tel (Xq), 1 case (1.5%) of 45, X/46, XX, 1 case (1.5%) of 45, X/46, XY, 1 case (1.5%) of 45, X/47, XXX, 2 cases (2.9%) of 45, X/46, X, del (Xq), I case (1.5%) of 45, X/46, X, del (Xq), 1 case (1.5%) of 45, X/46, X, r (X). 3. 3 cases (4.3%) had the 46, XY chromosome constitution consisting of 2 cases (2.9%) of testicular feminization syndrome and 1 case (1.5%) of pure gonadal dysgenesis. 4. Among 40 patients whose chromosome are normal, the etiologies of amenorrhea were assumed to be caused by 11 cases (27.5%) of hypogonadotropic hypogonadism (idiopathic), 10 cases (25.0%) of congenital absence of vagina, 5 cases (12.5%) of pure gonadal dysgenesis in order of frequency.
Amenorrhea*
;
Androgen-Insensitivity Syndrome
;
Busan
;
Constitution and Bylaws
;
Cytogenetics*
;
Female
;
Gonadal Dysgenesis
;
Gynecology
;
Humans
;
Hypogonadism
;
Male
;
Obstetrics
;
Turner Syndrome
;
Vagina
9.A study of teenage obstetrics complications.
Hyun Kyung KIM ; Jae Chern SONG ; Man Chul PARK ; Yong Woo LEE ; Won Sup OH
Korean Journal of Obstetrics and Gynecology 1993;36(7):2117-2123
No abstract available.
Obstetrics*
10.An experimental study & clinical appliance of EMLA(eutectic mixture of local anesthetics).
Ki Jeong WON ; Yong Bae KIM ; Byeong Il PARK ; Yeong Man LEE ; Jong Sup PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):911-916
No abstract available.