1.Nonfunctional Parathyroid Carcinoma: A Case Report.
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2010;28(2):111-116
Parathyroid carcinoma is a rare endocrine malignancy accounting for 0.5% to 4.0% of all cases of hyperparathyroidism and commonly present as hypercalcemia and parathyroid hormone (PTH) elevation. Nonfunctional parathyroid carcinoma does not show symptoms of hyperparathyroidism and only showed a vague indication of being pathologic, even when detected late. The optimal treatment is en bloc resection of the cancer, but frequent local recurrence after surgery has been reported. Adjuvant local treatment such as radiotherapy may improve the likelihood local control in cases with incompletely resected or microscopic residual tumor. The results of this study point to a case of nonfunctional parathyroid carcinoma treated by external beam radiotherapy after en-bloc resection of cancer.
Accounting
;
Hypercalcemia
;
Hyperparathyroidism
;
Neoplasm, Residual
;
Parathyroid Hormone
;
Parathyroid Neoplasms
;
Recurrence
2.Utility of endometrial bacterial cultures in the prediction of endometritis following cesarean section.
Young Ha CHOI ; Tae Gyu PARK ; Sang Hun KIM ; Yoon Kee PARK ; Sung Ho LEE
Korean Journal of Obstetrics and Gynecology 1992;35(9):1373-1379
No abstract available.
Cesarean Section*
;
Endometritis*
;
Female
;
Pregnancy
3.Diagnosis of Budd-Chiari Syndrome by Measuring the Diameter of Azygos-hemiazygos Vein on CT.
Moon Gyu LEE ; Yong Ho AUH ; Cheol Min PARK ; Gi Young KO ; Sang Hee CHOI
Journal of the Korean Radiological Society 1995;32(5):763-767
PURPOSE: The diagnosis of Budd-Chiari syndrome on CT is difficult if CT do not demonstrate obstruction of the IVC or hepatic vein and other parameter is needed for the correct diagnosis. The purpose of our study was to determine the usefulness of measuring the diameter of azygos-hemiazygos vein on CT to differentiate Budd-Chiari syndrome from advanced liver cirrhosis. MATERIALS AND METHODS: Fourteen patients who were proven as Budd-Chiari syndrome on vena cavography were studied for analysis. All patients showed evidence of liver cirrhosis on CT. As a control group fifteen cases of advanced liver cirrhosis who underwent endoscopic sclerotheraphy due to esophageal variceal bleeding were also included for comparison. The largest short axis diameter of azygos-hemiazygos vein was measured in all patients at the level of diaphragm on axial CT and the results were compared in both groups. RESULTS: In patients with Budd-Chiari syndrome the largest short axial diameter of azygos-hemiazygos vein ranged from 0.5cm to 2.5cm(mean ;1.5cm). Only one patient who showed hepatic venous obstruction demonstrated a diameter of less than 1 cm(0. Scm). In contrast, the diameter in patients with advanced liver cirrhosis without obstruction of IVC or hepatic vein was less than 1 cm with a range from 0.2cm to 1 cm(mean ;0.6cm). CONCLUSION: The short axis diameter of azygos-hemiazygos vein was an indicator of IVC obstruction (Budd-Chiari syndrome).
Axis, Cervical Vertebra
;
Budd-Chiari Syndrome*
;
Diagnosis*
;
Diaphragm
;
Esophageal and Gastric Varices
;
Hepatic Veins
;
Humans
;
Liver Cirrhosis
;
Veins*
4.Quadruple Metachronous Primary Malignant Neoplasm in the Head and Neck and Digestive Tract.
Korean Journal of Medicine 2017;92(2):204-208
Multiple primary cancers, i.e., the occurrence of multiple malignant neoplasms in a single patient, were first reported by Billorth in 1889. The incidence is low but increasing gradually due to developments in cancer diagnosis, early detection, and prolongation of life. In Korea, double primary cancers are occasionally reported. However, the simultaneous presence of four primary cancers in a single patient is rare. Recently, we experienced the case of a 68-year-old male diagnosed with quadruple primary cancers involving the esophagus, tonsils, liver and buccal mucosa. Here, we report this very rare case of four metachronous primary neoplasms and provide a brief review of the related literature.
Aged
;
Early Diagnosis
;
Esophageal Neoplasms
;
Esophagus
;
Gastrointestinal Tract*
;
Head and Neck Neoplasms
;
Head*
;
Humans
;
Incidence
;
Korea
;
Life Support Care
;
Liver
;
Male
;
Mouth Mucosa
;
Neck*
;
Palatine Tonsil
5.Laparoscopic Treatment of Duodenal Ulcers: A vagotomy assessed by the congo red test.
Sang Ho LEE ; Gyu Seog CHOI ; Wansik YU
Journal of the Korean Surgical Society 1999;56(2):225-232
BACKGROUND: The aim of this study is to show the effectiveness and the safety of laparoscopic surgery for the treatment of complicated duodenal ulcers. METHODS: From September 1994 to July 1997, 30 hemodynamically stable patients underwent laparoscopic surgery for the treatment of complicated duodenal ulcers, including 13 free perforations, 12 obstructions and 5 intractabilities. Operations consisted of a truncal vagotomy with a drainage procedure, a proximal gastric vagotomy (posterior truncal vagotomy with anterior seromyotomy) and simple closure of the perforation in 16, 9, 5 cases, respectively. In the beginning of this study, congo-red tests were attempted in 12 patients, intraoperatively in 7 and postoperatively in 5, to assess the reliability of a laparoscopic vagotomy. Long-term follow up was evaluated using by modified Visik criteria. RESULTS: The mean operation time was 150 (80-230) minutes. Oral intake resumed on the third postoperative day. The mean hospital stay was 8.4 days. There was one intraoperative open conversion. In another case, a distal subtotal gastrectomy followed due to persistent postoperative gastric stasis. Six of 7 intraoperative congo red tests showed black-to-red discoloration of the gastric mucosa, which meant reduced gastric acidity. However, in the postoperative group, only 2 of 5 cases did. The mean follow-up period was 21 (3-38) months. There were 2 recurrent ulcers. One was on the duodenum; the other was a marginal ulcer. CONCLUSIONS: Laparoscopic surgery for the treatment of complicated duodenal ulcers is technically feasible, effective, and safe.
Congo Red*
;
Congo*
;
Drainage
;
Duodenal Ulcer*
;
Duodenum
;
Follow-Up Studies
;
Gastrectomy
;
Gastric Acid
;
Gastric Mucosa
;
Gastroparesis
;
Humans
;
Laparoscopy
;
Length of Stay
;
Peptic Ulcer
;
Ulcer
;
Vagotomy*
;
Vagotomy, Proximal Gastric
;
Vagotomy, Truncal
6.Recent Advances in Cancer Cachexia.
Journal of Korean Oncology Nursing 2011;11(1):20-25
PURPOSE: The study was aimed to review and understand the meaning of cancer cachexia. METHODS: Using the keywords "cachexia" and "cancer cachexia" 30 oncology research published from 1974 to 2009 were selected for the review. RESULTS: The mechanism of cancer cachexia has not been fully understood, but various pathogenesis appears to be involved in the development cachexia including altered metabolism of carbohydrate, lipid, and protein associated with cytokines and hormone. As a result, muscle strength, food intake and resting energy expenditure (REE) are reduced. Most medications for the treatment of cachexia show debating results except some drugs such as megace. Supportive care including nutritional education, nursing care, and social support are found another effective treatment options. CONCLUSION: The results of this study would help oncology nurses to understand the mechanism of cancer cachexia and its management.
Cachexia
;
Cytokines
;
Eating
;
Education, Nursing
;
Energy Metabolism
;
Megestrol Acetate
;
Muscle Strength
7.Clinical study on intranasal injection of steroid in allergicrhinitis.
Ho Joon LEE ; Heon Sang SHIN ; Gyu Dong CHOI ; Gun Young MUN ; Chul Ho CHANG
Journal of the Korean Academy of Family Medicine 1991;12(2):28-31
No abstract available.
8.Diffuse Pigmented Villonodular Synovitis of the Knee: Case Report.
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2007;25(4):278-282
Diffuse pigmented villonodular synovitis (PVNS) is an uncommon aggressive synovial proliferative disorder of unknown etiology affecting the joint linings. Though a histologically benign inflammatory process, because of its aggressive growth with bone destruction or recurrence, it is frequently suggested to occur as a low malignant neoplasm. Optimal treatment is surgery, but the local recurrence rate after radical synovectomy for diffuse PVNS is relatively high due to the infiltrative growth pattern. External beam radiotherapy with moderate doses or intra-articular instillation of radioactive isotopes may improve the likelihood of local control and long-term function in patients with incompletely resected or recurrent diffuse PVNS. I report one case of diffuse PVNS of the right knee joint treated with arthroscopic synovectomy and external beam radiotherapy is presented.
Humans
;
Joints
;
Knee Joint
;
Knee*
;
Radioisotopes
;
Radiotherapy
;
Recurrence
;
Synovitis, Pigmented Villonodular*
9.A Clinical Study on Neonatal Polycythemia.
Gyu Ja JEONG ; Hye Jin LEE ; Yaung Sook CHOI ; Son Sang SEO
Journal of the Korean Pediatric Society 1990;33(11):1495-1502
No abstract available.
Polycythemia*
10.The Radiopharmaceutical Therapy for Multiple Bone Metastases of Cancer.
Korean Journal of Hospice and Palliative Care 2014;17(4):207-215
Multiple bone metastases are common manifestation of many malignant tumors such as lung cancer, breast cancer, prostate cancer and renal cell carcinoma. Bone metastasis is secondary cancer in the bone, and it can lead to bone pain, fracture, and instability of the weight bearing bones, all of which may profoundly reduce physical activity and life quality. Treatment for bone metastasis is determined by multiple factors including pathology, performance status, involved site, and neurologic status. Treatment strategies for bone metastasis are analgesics, surgery, chemotherapy and radiotherapy. External beam radiotherapy has traditionally been an effective palliative treatment for localized painful bone metastasis. However, in some cases such as multiple bone metastases, especially osteoblastic bone metastasis originated from breast or prostate cancer, the radiopharmaceutical therapy using (89)Sr, (186)Re, (188)Re, (153)Sm and (117m)Sn are also useful treatment option because of administrative simplicity (injection), few side effects, low risk of radiation exposure and high response rate. This article offers a concise explanation of the radiopharmaceutical therapy for multiple bone metastases.
Analgesics
;
Breast
;
Breast Neoplasms
;
Carcinoma, Renal Cell
;
Drug Therapy
;
Lung Neoplasms
;
Motor Activity
;
Neoplasm Metastasis*
;
Osteoblasts
;
Palliative Care
;
Pathology
;
Prostatic Neoplasms
;
Quality of Life
;
Radiation Oncology
;
Radiopharmaceuticals
;
Radiotherapy
;
Weight-Bearing