No abstract available.
Humans

PURPOSE: The purpose of this study is to analyze the effect of surgical treatment for painful varicocele. MATERIALS AND METHODS: We reviewed the records of 103 patients who had undergone varicocele ligation due to serious pain from January 1996 to December 1999 and followed up for one year. The average patient age was 21 (19-41) years. We analyzed the degree of varicocele, duration and aspects of pain, effects of surgical treatment and results according to surgical techniques. We classified the results into three aspects based on the relief of pain (complete, partial and no relief) and subjective symptoms. RESULTS: As for the degree of varicocele, 40 cases placed in grade II, and 63 in grade III. The nature of the pain was a sharp ache (33 cases), dragging pain (48 cases) and dull pain (22 cases). There was no statistical significance between the grade of varicocele and the degree of pain (p>0.05). Of the 103 patients, 81 (78.6%) experienced complete relief of pain and 10 (9.7%) had partial relief. Only 12 patients (11.6%) had persistent or worsened symptoms. The results for the postoperative de gree of pain relief according to duration of pain did not show any statistical significance (p>0.05), but those according to preoperative quality of pain showed statistical signi ficance (p<0.05). CONCLUSIONS: This study supports the conclusion that varicocele ligation is an effective treatment for painful varicocele.
Humans ; Ligation* ; Varicocele*

Maligant melanomas of the oral or nasal cavity, and the vulvovaginal area are relatively common among the melanomas of non-ocular mucosa. But, primary malignant melanoma arising in the mucosa of the palatine tonsil is rare. We present a case of primary malignant melanoma arising in the mucosa of the palatine tonsil. A 36-year-old male was admitted for evaluation of a recurrent sore throat. Tonsillectomy was performed on the basis of clinical suspicion of chronic tonsillitis. Grossly, the left tonsil was focally dark. Microscopically, the tonsillar mucosa was diffusely infiltrated with tumor cells. Tumor cells revealed numerous melanin pigments. Intraepithelial nests of tumor cells were noted, but pagetoid spread of tumor cells was not found. Tumor cells were positive for S-100 protein and HMB45 stain. There was no evidence of melanoma in the skin or eye.
Male ; Humans

Infantile hemangioendothelioma of the liver is a common vascular tumor in infancy. The tumor is usually multinodular or diffuse and classified into two types. We present a case of infantile hemangioendothelioma of the liver, which predominantly consists of type 2. A 4-month-old female was admitted for an evaulation of an abdominal distension. A CT scan of the liver showed a multinodular mass. The right lobectomy was done. Grossly, the mass consisted of round nodules ranging from 2cm to 5cm in diameter. Microscopically, the tumor revealed proliferation of small vascular channels lined by endothelial cells. Bizarre cells and mitotic cells were frequently noted. Vesicular nuclei and multilayering of the endothelial cells were also noted.
Endothelial Cells ; Female ; Hemangioendothelioma* ; Humans ; Infant ; Liver* ; Tomography, X-Ray Computed

Malignant struma ovarii is a rare tumor of the ovary. This can be diagnosed by histologically when carcinomas of the thyroid gland are excluded. We present a case of malignant struma ovarii arising from cystic teratoma. A 42-year-old female was admitted for evaluation of lower abdominal mass. Hysterectomy and both adnexectomy were performed on the basis of a clinical impression of uterine leiomyoma and an ovarian mass. The uterus revealed intramural leiomyoma, measuring 8 cm in diameter. Ovarian mass was predominantly cystic and partly solid. Microscopically, thyroid tissue with papillary structures were found in the solid area Papillae were complex, branching and randomly oriented. These papillae were infiltrated in the adjacent fibrous capsule, Clinical evidence of a primary thyroid carcinoma was not found.
Female ; Humans

Malignant struma ovarii is a rare tumor of the ovary. This can be diagnosed by histologically when carcinomas of the thyroid gland are excluded. We present a case of malignant struma ovarii arising from cystic teratoma. A 42-year-old female was admitted for evaluation of lower abdominal mass. Hysterectomy and both adnexectomy were performed on the basis of a clinical impression of uterine leiomyoma and an ovarian mass. The uterus revealed intramural leiomyoma, measuring 8 cm in diameter. Ovarian mass was predominantly cystic and partly solid. Microscopically, thyroid tissue with papillary structures were found in the solid area Papillae were complex, branching and randomly oriented. These papillae were infiltrated in the adjacent fibrous capsule, Clinical evidence of a primary thyroid carcinoma was not found.
Female ; Humans

No abstract available.

No abstract available.
Cystitis* ; Eosinophils* ; Urinary Bladder Calculi* ; Urinary Bladder*

PURPOSE: The commonly accepted diagnostic algorithm for hematuria includes excretory urography (IVU) and cystoscopy at a urologic department. The clinical courses was determined and a less invasive algorithm for young male patients with asymptomatic microscopic hematuria is suggested. MATERIALS AND MTHODS: A total of 310 males with an asymptomatic microscopic hematuria were enrolled retrospectively in the study at our clinic between January 1997 and December 2000. The mean age of the patients was 20.9 years (range 19 to 25). The initial urologic evaluation consisted of a urinalysis. If the results of the initial urologic evaluation were within the normal range, a cystoscopic examination was recommended as a further evaluation. Ninety-two patients underwent a cystoscopy. All patients were followed by urinalysis. The grade of microscopic hematuria with persistency, and the detection rate of abnormal findings in urologic evaluation were compared. RESULTS: There was a relationship between the grade of hematuria and the rate of the persistency of hematuria, but no relationship between the grade of hematuria and the detection rate of abnormal findings in a urologic evaluation was found. The results of the excretory urography and ultrasound showed an interdependence. There were no significant findings in the cystoscopic examination. CONCLUSIONS: A periodical follow-up of urinalysis is a proper study for young male patients with asymptomatic microscopic hematuria. In order to rule out upper urinary tract diseases, ultrasound and excretory urography can be useful. Furthermore, it is recommended that cystoscopy be done for selected cases in young male patients.
Cystoscopy ; Follow-Up Studies ; Hematuria* ; Humans ; Male* ; Reference Values ; Retrospective Studies ; Ultrasonography ; Urinalysis ; Urography ; Urologic Diseases

PURPOSE: The commonly accepted diagnostic algorithm for hematuria includes excretory urography (IVU) and cystoscopy at a urologic department. The clinical courses was determined and a less invasive algorithm for young male patients with asymptomatic microscopic hematuria is suggested. MATERIALS AND MTHODS: A total of 310 males with an asymptomatic microscopic hematuria were enrolled retrospectively in the study at our clinic between January 1997 and December 2000. The mean age of the patients was 20.9 years (range 19 to 25). The initial urologic evaluation consisted of a urinalysis. If the results of the initial urologic evaluation were within the normal range, a cystoscopic examination was recommended as a further evaluation. Ninety-two patients underwent a cystoscopy. All patients were followed by urinalysis. The grade of microscopic hematuria with persistency, and the detection rate of abnormal findings in urologic evaluation were compared. RESULTS: There was a relationship between the grade of hematuria and the rate of the persistency of hematuria, but no relationship between the grade of hematuria and the detection rate of abnormal findings in a urologic evaluation was found. The results of the excretory urography and ultrasound showed an interdependence. There were no significant findings in the cystoscopic examination. CONCLUSIONS: A periodical follow-up of urinalysis is a proper study for young male patients with asymptomatic microscopic hematuria. In order to rule out upper urinary tract diseases, ultrasound and excretory urography can be useful. Furthermore, it is recommended that cystoscopy be done for selected cases in young male patients.
Cystoscopy ; Follow-Up Studies ; Hematuria* ; Humans ; Male* ; Reference Values ; Retrospective Studies ; Ultrasonography ; Urinalysis ; Urography ; Urologic Diseases