PURPOSE: Steatocystoma multiplex is a rare benign disease that occurred multiply on whole body surface. Many physicians have tried managing steatocystoma in variable methods. However it is hard to define the optimal way to cure steatocystoma. We performed both aspiration and excisional method to study the usefulness of both methods. METHODS: A 28-year-old woman has asymptomatic multiple subcutaneous nodules on whole body. Most lesions were aspirated with 26-guage needled 3cc syringe but large and purulent three nodules were excised. RESULTS: We diagnosed the lesion histologically as steatocystoma multiplex. Aspirated wound healed without scar, excised wound remained scar but esthetically acceptable. Axillary lesion contained so clustered type cysts that was difficult to aspirate whole cyst. Thus additional excisional method was needed. CONCLUSION: There are many practical methods to cure steatocystoma. However, there is no appropriate method to cure it. Therefore we should select different therapeutic method according to anatomical location and cyst size. Especially at subcutaneous fat-rich lesion like axilla and abdomen, it is better to excise the clustered cyst than to aspirate.
Abdomen ; Adult ; Axilla ; Cicatrix ; Female ; Humans ; Steatocystoma Multiplex ; Syringes

In 1960 Martin and his associates described another type of tumor of the stomach derived from the smooth muscle, which they named myoid tumor in a study of six patients. In 1962 Stout applied the term "lelomyoblastoma" to this interesting entity in a report of a collected series of 69 patients. Tumor cells are round or polygonal epithelioid cells, which contain perinuclear vacuole or clear zone. A 58 year-old female was admitted to this hospital because of epigastric discomfort for three months. At Upper gastrointestinal series and gastrofiberscope, a round hemispherical submucosal tumor was noted at posterior wall near the lesser curvature of gastric antrum. After subtotal gastrectomy, the submucosal tumor was diagnosed as leiomyoblastoma. Because leiomyoblastoma are rare and easily misdiagnosed as leiomyoma or leiomyosarcoma, careful histologic study is recommended.
Epithelioid Cells ; Female ; Gastrectomy ; Humans ; Leiomyoma ; Leiomyoma, Epithelioid* ; Leiomyosarcoma ; Middle Aged ; Muscle, Smooth ; Pyloric Antrum ; Stomach* ; Vacuoles

Although augmentation rhinoplasty with silicone implant was once the mainstream technique, more complex rhinoplasty procedures that focus on reshaping the nasal tip and columella are required to meet the customers' demands. After columellar control strut or septal extension graft have been introduced for the correction of the nasal tip and columella, the results of augmentation rhinoplasties were very good. But, the problem is the dimension of the septal cartilage which is used for the graft material. So, we dissected a total of 10 cadavers. The anterior-posterior dimension and the cephalic-caudal dimension of the septal cartilage were measured as if it were a rectangular shape. With using a 10 mm L-shaped strut, a septal cartilage was measured, too. As the results, we found that the anterior-posterior dimension of the septal cartilage was 22.1 mm on average, and the cephalic-caudal dimension was 28.0 mm on average. The average size of the septal cartilage was 627.2 mm2. With using a 10 mm L-shaped strut, the possible size of the graft was 226.2 mm2 with an average anterior-posterior dimension of 12.1 mm and an average cephalic-caudal dimension of 18.0 mm. This report will be beneficial when the surgeon performs the various rhinoplasty techniques using the septal cartilage.
Cadaver* ; Cartilage* ; Rhinoplasty ; Silicones ; Transplants

BACKGROUND AND OBJECTIVES: Hyperhomocyt(e)inemia is known to be one of independent risk factors for atherosclerosis. The relationship between hyperhomocysteinemia and coronary artery diseases was evaluated in Korean adults. MATERIALS AND METHOD: Basal fasting plasma homocysteine level was measured in 307 patients (174 males, 58+/-11 years; 133 females, 60+/-11 years). Coronary artery disease (CAD) was diagnosed in 194 patients. According to the clinical presentation of CAD and the number of significantly stenotic coronary artery, the plasma homocysteine level was analyzed. RESULTS: The plasma homocysteine level was 9.4+/-3.0 micromol/L in male and 8.5+/-3.5 micromol/L in female (P=.016). Homocysteine was 10.0+/-3.3 micromol/L in 130 smokers, 8.3+/-3.0 micromol/L in 162 non-smokers (P<0.001). The plasma homocysteine level was 9.4+/-3.2 micromol/L in 194 patients with CAD and 8.4+/-3.2 micromol/L in 113 patients without CAD (P=.008). The homocysteine was 10.2+/-3.2 micromol/L in 63 patients with acute myocardial infarction (MI), 9.8+/-3.1 micromol/L in 37 old MI, 8.7+/-3.0 micromol/L in 67 unstable angina, and 8.8+/-3.7 micromol/L in 27 stable angina. The plasma homocysteine was related with the clinical presentation of CAD(P=.035) but was not an independent risk factor for coronary artery diseases. CONCLUSIONS: The elevated value of plasma homocysteine level is a risk factor for pateint with clinical severity of the coronary artery diseases, and male and smokers had higher plasma homocysteine level than those in female and nonsmokers.
Adult ; Angina, Stable ; Angina, Unstable ; Atherosclerosis ; Coronary Artery Disease* ; Coronary Vessels* ; Fasting ; Female ; Homocysteine* ; Humans ; Hyperhomocysteinemia ; Male ; Myocardial Infarction ; Plasma ; Risk Factors