1.A case of liposarcoma of the neck in adolescence.
Nak Heon KANG ; Young Jin KIM ; Moon Je CHO
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):87-91
No abstract available.
Adolescent*
;
Humans
;
Liposarcoma*
;
Neck*
2.A Case of Miillerian Adenosarcoma of the Uterus with Squamous Cell Carcinoma of the Uterine Cervix.
Joong Sik SHIN ; Nak Woo LEE ; Hai Joong KIM ; Young Sik KIM ; Chul Hwan KIM
Korean Journal of Gynecologic Oncology and Colposcopy 1999;10(2):200-204
Mullerian adenosarcoma is an uncommon variant of MQllerian mixed tumors of the uterus and a mixed, biphasic neoplasia in which the mesenchymal component is malignant and the epithelial component is benign. In contrast to typical malignant Miillerian mixed tumor(MMMT), Miillerian adenosarcomas are usually tumors of low malignant potential. These tumom usually present as pedunculated endometrial masses in postmenopausal women with vaginal bleeding. We experienced a case of Miillerian adenosarcoma of the uterus with squamous cell carcinoma of the uterine cervix and report with a brief review of literatures.
Adenosarcoma*
;
Carcinoma, Squamous Cell*
;
Cervix Uteri*
;
Female
;
Humans
;
Uterine Hemorrhage
;
Uterus*
3.Computed tomographic measurement of splenic size in normal Korean adults
Nak Kwan SUNG ; 5eong Ku WOO ; Young Tae KO ; Soon Young KIM
Journal of the Korean Radiological Society 1983;19(3):570-574
Authors analyzed 72 cases of abdominal CT of Korean adults who didn't have any medical reasons to believe thespleen was abnormal. The following criteria were measured with mulitiple transverse scanning of the entire lengthof spleen (height, breadth, thickness) & relationship with fixed midline structure, the spine( the shortestdistance from midline to medial edge of spleen, the longest distance from anterior margin of vertebral body toanterior tip of spleen). The reults were as follows; 1. The average size in adult was 8.0±1.5cm in height,8.6±1.2cm in breadth and 3.4±0.6cm in thickness; in adult female, 7.8±1.1cm, 8.4±1.0cm and 3.4±0.6cm,respectively; total average, 7.9±1.3cm, 8.5±1.1cm and 3.4±0.6cm, respectively. No remarkable difference wasnoted between both sexes and age groups. 2. The shortest distance from midline to medial edge of spleen was4.1±1.1.cm in male, 3.6±1.0cm in female and total average of 3.9±1.1cm. There was remarkable difference betweenboth sexes(p<0.005) but not between age groups. 3. The longest distance from anterior margin of vertebral body toanterior edge of spleen was 2.3±1.7cm in male, 2.0±1.4cm in female and total average of 2.2±1.6cm. Noremarkable difference was seen between both sexes and age groups.
Adult
;
Female
;
Humans
;
Male
;
Spleen
;
Tomography, X-Ray Computed
4.Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion.
Se Joo KIM ; Young Shin KIM ; Nak Kyung CHOI ; Byung Chul LEE ; Man Hong LEE
Journal of the Korean Society of Biological Psychiatry 2001;8(2):271-275
Hyposexuality after stroke has been frequently observed, but hypersexuality as a sequela of stroke has not been commonly documented. We report a patient who exhibited hypersexuality and obsessive-compulsive behaviors after stroke in the region of the left mesial frontal cortex and both basal ganglia. At 2 months after stroke, he visited psychiatric unit due to these symptoms. His motor function was almost full recovered. He was treated with fluvoxamine and perphenazine, With two-month medication, his hypersexuality and obsessive-compulsive behavior disappeared. This case may indicate that basal ganglia-thalamocortical circuit plays an important role in the mediation of sexual behavior and obsessive-compulsive behavior. Since changes in sexual activity may not be spontaneously reported, a systemic inquiry into patient's sexual functioning after infarction in frontal lobe or basal ganglia is warranted.
Basal Ganglia*
;
Depression
;
Fluvoxamine
;
Frontal Lobe
;
Humans
;
Infarction
;
Negotiating
;
Perphenazine
;
Sexual Behavior
;
Stroke*
6.A Case of Rare Craniofacial Clefts: Tessier No .7 Cleft.
Hyun Jung LEE ; Nak Gyun CHUNG ; So Young KIM ; In Kyung SUNG ; Chung Sik CHUN
Journal of the Korean Society of Neonatology 1998;5(1):95-99
Craniofacial clefts are rare among facial anomalies with an incidence of 1.5 to 5 per 100,000 births, and 1 per 100 cases of cleft lip and palate. The Tessier No. 7 clefts are unusual lesions that result from failure of the embryonic mandibular and maxillary processes to properly fuse and form the corners of the mouth. We experienced a case of Tessier No. 7 craniofacial cleft in a 1 day-old female patient who presented with a macrostomia and auricular malformation. The diagnosis was established by clinical and radiographic findings. A brief review of literature was made.
Cleft Lip
;
Diagnosis
;
Female
;
Humans
;
Incidence
;
Macrostomia
;
Mouth
;
Palate
;
Parturition
7.120 liver resections:a four year experience.
Seong Hwan HWANG ; Young Kil CHOI ; Sang Hyo KIM ; Nak Whan PAIK
Journal of the Korean Surgical Society 1993;45(1):38-46
No abstract available.
Liver*
8.Knee Pain and Its Severity in Elderly Koreans: Prevalence, Risk Factors and Impact on Quality of Life.
Hyung Joon JHUN ; Nak Jeong SUNG ; Su Young KIM
Journal of Korean Medical Science 2013;28(12):1807-1813
This study investigated the epidemiology (prevalence, risk factors, and impact on quality of life) of knee pain and its severity in elderly Koreans. The subjects (n=3,054) were participants aged > or =50 yr from the fifth Korea National Health and Nutrition Examination Survey, conducted in 2010. Knee pain was defined as pain in the knee lasting > or =30 days during the most recent 3 months; severity was categorized as mild, moderate, or severe. EQ-5D was used to measure quality of life. The prevalence of knee pain was 23.1% (11.7% in men, 31.9% in women). The prevalences of mild, moderate, and severe knee pain were 4.3%, 9.1%, and 9.7%, respectively (2.8%, 5.4%, and 3.5% in men and 5.4%, 12.0%, and 14.4% in women). Old age, female gender, a low level of education, a manual occupation, obesity, and radiographic osteoarthritis were risk factors for knee pain, and were associated with increased severity of knee pain. Excluding men with mild knee pain, people with knee pain had significantly lower quality of life than those without knee pain. Early interventional approaches are needed to reduce the medical, social, and economic burden of knee pain in elderly Koreans.
Age Factors
;
Aged
;
Asian Continental Ancestry Group
;
Female
;
Humans
;
Logistic Models
;
Male
;
Middle Aged
;
Obesity/complications
;
Odds Ratio
;
Osteoarthritis, Knee/complications/epidemiology/radiography
;
Pain/*epidemiology/etiology
;
Prevalence
;
*Quality of Life
;
Questionnaires
;
Republic of Korea
;
Risk Factors
;
Severity of Illness Index
;
Sex Factors
9.Cytohistologic Correlation and Clinical Significance of ASCUS, LSIL, and HSIL.
Nak Woo LEE ; Se Kyu KIM ; Tak KIM ; Hae Joog KIM ; Young Tae KIM ; Yong Kyun PARK ; Kyu Wan LEE
Korean Journal of Obstetrics and Gynecology 2000;43(5):853-857
OBJECTIVE: To evaluate the cytohistologic correlation and the clinical significance among patients with atypical squamous cells of undetermined significance(ASCUS), low-grade squamous intraepithelial lesion(LSIL), and high-grade squamous intraepithelial lesion(HSIL) identified on cervical Pap smear screening. MATERIALS AND METHODS: Pathologic reports of patients who have underwent cervical Pap smear screening at Korea university Ansan hospital from January 1997 to December 1998 were evaluated. Cytologic diagnosis was classified by the Bethesda System (TBS). Among these patients, the patients whose histologic diagnosis was established by cervical punch biopsy, LEEP, conization, and hysterectomy were targetted. Cytohistologic correlation were analysed in ASCUS, LSIL, and HSIL respectively. RESULTS: During 2 year period (1997-1998), total 3587 Pap smears were taken. The median rate of abnormal cytology was 7.2%, with 4.6% of ASCUS, 0.8% of LSIL, 1.3% of HSIL, and 0.5% of squamous cell carcinoma. The median ratio of ASCUS versus SIL was 2.2. Smears with ASCUS showed 46.9% with chronic cervicitis, 40.6% with LSIL(35.9% with koilocytotic atypia, 4.7% with mild dysplasia), 10.9% with HISL, and 1.6% with invasve squamous cell carcinoma on biopsy. Smears with LSIL showed 38.1% with LSIL(9.5% with koilocytotic atypia, 28.6% with mild dysplasia), and 28.6% with HSIL on biopsy. Smears with HSIL showed 27.8% with LSIL, 63.9% with HSIL, and 8.3% with invasive squamous cell carcinoma on biopsy. CONCLUSIONS: Smears with ASCUS showed 53.1% with SIL and cancer on biopsy. But most of theses cases revealed koilocytotic atypia rather than dysplasia, so conservative management such as repeated Pap smear is desirable. On the other hand, because smears with LSIL showed dysplasia rather than koilocytotic atypia on biopsy, more active management such as colposcopic directed biopsy is required.
Biopsy
;
Carcinoma, Squamous Cell
;
Conization
;
Diagnosis
;
Gyeonggi-do
;
Hand
;
Humans
;
Hysterectomy
;
Korea
;
Mass Screening
;
Uterine Cervicitis
10.Cheese-like Material in the Heart: An Autopsy Case Report of Severe Hypertriglyceridemia in Diabetic Ketoacidosis Patient.
Joo Young NA ; Eun Hee KIM ; Bon Young KOO ; Ik Jo CHUNG ; Byung Ha CHOI ; Nak Eun CHUNG
Korean Journal of Legal Medicine 2013;37(4):212-215
Here we report an autopsy case of diabetic ketoacidosis (DKA) with severe hypertriglyceridemia (12,900 mg/dl). A 29-year-old woman with a history of type 1 diabetes was found dead at a motel. There was no injury on external inspection, but a lump of cheese-like material was noted in the heart at autopsy and peripheral blood plasma had a creamy appearance. After postmortem biochemical analysis, we made a diagnosis of DKA with severe hypertriglyceridemia and concluded that these unusual autopsy findings were caused by DKA and postmortem change. Uncontrolled diabetes often causes DKA and hypertriglyceridemia. To the best of our knowledge, this is the first report in Korea of DKA with severe hypertriglyceridemia diagnosed by autopsy.
Adult
;
Autopsy*
;
Diabetic Ketoacidosis*
;
Diagnosis
;
Female
;
Heart*
;
Humans
;
Hypertriglyceridemia*
;
Korea
;
Plasma
;
Postmortem Changes