1.Low-grade Immature Teratoma of the Ovary with Gliomatosis Peritonei: A case report.
Korean Journal of Pathology 1994;28(3):322-324
Immature teratoma accounts for less than I percent of all ovarian teratomas and occurs commonly in young individuals, the peak incidence being in the second decade. It contains a variable mixture of mature and immature tissues in which neuroectodermal elements almost always predominate. Gliomatosis peritonei, miliary implants of mature glial tissues on the peritoneum or omentum, is an infrequently reported complication of mature or immature ovarian teratomas. We describe the first case in Korea of a 12-year-old girl with an immature teratoma and numerous glial peritoneal implants.
Incidence
2.A Case of Heterophyid Trematode Infection with Intestinal Obstruction.
Korean Journal of Pathology 1994;28(1):65-67
This report describes a case of ileal obstruction in a 31-year-old male with acute abdominal pain. A plain film of the abdomen showed segmental obstruction of small intestine. The patient underwent laparoscopic resection of the segment. Microscopic examination demonstrated foci of ulceration, submucosal edema, transmural inflammation, mural and neural hyperplasia and noncaseating granulomas, mimicking Crohn's disease. However, there were microabscesses predominantly composed of eosinophils. Furthermore, a section of an adult heterophyid trematode was identified in the crypt. Heterophydiasis usually causes diffuse enteritis. Therefore, this case with intestinal obstruction seems to be a rare manifestation of intestinal heterophydiasis.
Adult
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Male
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Female
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Humans
3.Leiomyoma of the Female Urethra: A case report.
Kyoung Mee KIM ; Anhi LEE ; Sang In SHIM
Korean Journal of Pathology 1995;29(5):684-686
Leiomyomas are benign tumors of smooth muscle origin and are very rare in the female genital tract. To date, approximately 35 cases of urethral leiomyoma have been reported in the literature. A 34-year-old woman presented with a 3-year history of a mass at the urethral meatus. Physical examination showed 2 x 1.5 cm lump at the urethral meatus, posterior lip. Histologically the tumor was mainly composed of benign cigar shaped smooth muscle izells which were arranged in interlacing fascicles without cellular atypia or mitosis. Immunohistochemistry confirmed leiomyoma with positive staining for vimentin, desmin and muscle specific actin.
Female
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Humans
4.Concerning peritoneal drainage in operation for peritonitis from appendiceal perforation in children.
Youk Taek SHIM ; Sang Youn KIM
Journal of the Korean Surgical Society 1991;41(1):118-125
No abstract available.
Child*
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Drainage*
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Humans
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Peritonitis*
5.Effect of Nimodipine on Experimental Cerebral Vasospasm: Electron Microscopic Studies.
Journal of Korean Neurosurgical Society 1990;19(8-9):1179-1183
In order to evaluate the effect on nimodipine on the cerebral vasospasm, twelve adult mongrel dogs were studied in this experiment. This animals were divided into 2 groups ; Intracisternal injection of autogenous blood(Group I : no treatment group) and intravenous nimodipine administration after intracisternal injection of autogenous blood(Group II : treatment group). Nimodipine was administered 12 hours after intracisternal injection of autogenous blood for 7 days. Dogs were sacrificed at 8th day after intracisternal injection of autogenous blood and the unltrastructual changes were studied. The results were as follows : In Group I basilar artery showed endothelial cell swelling with distruption of intercellular junction, subendothelial edema and thickening of the internal elastic lamina with marked edematous change. The pathologic changes of arteries in Group II were considered more favorable than that of Group I. These results suggest that early intravenous treatment with nimodipine is beneficial in the treatment of vasospasm of this models.
Adult
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Animals
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Arteries
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Basilar Artery
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Dogs
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Edema
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Endothelial Cells
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Humans
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Intercellular Junctions
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Nimodipine*
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Vasospasm, Intracranial*
6.Tardy Ulnar Nerve Palsy with Recurrent Ulnar-Nerve Dislocation: Case Report
Myung Sang MOON ; In KIM ; Chul Hwan SHIM
The Journal of the Korean Orthopaedic Association 1977;12(4):833-838
No abstract available in English.
Dislocations
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Ulnar Nerve
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Ulnar Neuropathies
7.Hairy Blue Nevus.
Sang Hyun CHO ; Baik Kee CHO ; Sang In SHIM ; Won HOUH
Annals of Dermatology 1989;1(2):123-125
A 2-month-old female infant presented with a bluish-black, flat, hairy patch, 1.2cm in diameter, on the posterior aspect of her neck since birth. Histologic sections from the lesion showed numerous diffusely scattered dermal melanocytes throughout the dermis. The histopathologic and clinical findings were not fully oonsistent with any other known dermal melanocytosis. The diagnosis of “hairy blue nevus” was proposed for this unique lesion.
Dermis
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Diagnosis
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Female
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Humans
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Infant
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Melanocytes
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Neck
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Nevus, Blue*
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Parturition
8.Significance of Diagnosis of Soft Tissue and Bone Tumor Utilizing the Fine Needle Aspiration, Cell Blocks, and Franklin-Silverman Biopsy Needle: A Comparative Study of Three Different Methods
Kee Yong HA ; In Young OK ; Myung Sang MOON ; Sang In SHIM
The Journal of the Korean Orthopaedic Association 1982;17(1):29-35
In general, soft tissue and bone tumors are diagnosed clinically by physical findings, laboratory data, and X-ray findings with only limited reliability, and a definite diagnosis must be supported by histopathological evidence. For this purpose, open biopsy routinely has been carried out, but there have been many disadvantages and sometimes followed by surgical complications. The present study was undertaken to compare the cytologic findings of soft tissue and bone lesions with the histological findings. The specimen were obtained by fine needle aspiration and Franklin-Silverman needle. For cytodiagnosis Stormby's cell block of aspirates were utilized. For histological diagnosis small tissue fragments obtained by the Franklin-Silvermans cutting needle were used. Then, the diagnostic accuracy of 3 different methods were compared, and the clinical applicability of those methods as adjunctive diagnostic procedures in the diagnosis of the soft tissue and bone tumors were assessed. The results obtained were as follows: l. In 15 out of the 20 cases (75%) in which clinically and roentgenologically the soft tissue and bone tumors were suspected, sufficient material was aspirated to enable detailed cytological diagnosis possible by fine needle aspiration. ln 13 out of the 15 cases, diagnosis could be made by cytologic findings, which was similar to histologic findings of tissue obtained by Franklin-Silverman needle. 2. In 6 out of the 20 cases, sufficient tissue fluid for cell block preparation were obtained from the tumor tissues. In 5 cases, cytologic findings of cell blocks were consistent with that ot the tissue obtained by Silverman needle. But in one case malignancy was susupected by cytodiagnostic method, and definite diagnosis could not be made. Finally the lesion was found to be malignant schwannoma through the histological study of tissue specimen obtained by Franklin-Silverman needle biopsy. 3. In 19 out of the 20 cases, diagnosis could be made by Franklin-Silverman needle biopsy. 4. Diagnostic accuracy of the lesions by clinical and roentgenological method was 75%, which overall diagnostic accuracy of 3 methods were 86.7% in aspiration cytology, 83.3% in cytodiagosis of cell block and 95% of histodiagnosis of tissue specimen obtained by Franklin-Silverman needle. Through this study it is found that cytodiagnostic method of aspirates and histodiagnosis of the small tissue specimen by Franklin-Silverman needle are very useful adjunctive methods in enhancing the diagnostic accuracy of the soft tissue and bone lesion prior to open biopsy trial.
Biopsy
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Biopsy, Fine-Needle
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Biopsy, Needle
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Cytodiagnosis
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Diagnosis
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Methods
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Needles
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Neurilemmoma
9.A Case of Lymphomatoid Papulosis.
Jong Yuk YI ; Baik Kee CHO ; Won HOUH ; Sang In SHIM
Korean Journal of Dermatology 1987;25(1):130-134
We report herein a case of lymphomatoid papulosis in a 23-year-old female who had recurrent erythematous pinhead to pea sized papules and nodules on the both inner thighs and forearms for 4 years. Some lesions showed central hemorrhagic necrosis or scale formation. Individual lesions persisted for several months and showed spontaneous regression leaving pigmentation or depigmented atrophic scar. Histopathologically, there was marked cell infiltration, especially in the dermoepiderrnal junction and perivascular area. Infiltraled cells consisted of sorne ncutrophils and numerous atypical cells that had variable sized and irregular shaped nuclei. Electronmicroscopically, some atypical cells had cerebriform nuclei with marked peripheral condensation of chromatin and cytoplasm contained a few organelles, many polyribosomes and some dense bodies.
Chromatin
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Cicatrix
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Cytoplasm
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Female
;
Forearm
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Humans
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Lymphomatoid Papulosis*
;
Necrosis
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Organelles
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Peas
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Pigmentation
;
Polyribosomes
;
Thigh
;
Young Adult
10.Gastric Lymphoid Follicles in Helicobacter Pylori Infection: Frequency, Distribution and Relationship to Inflammation in 331 Gastric Biopsy Material.
Kyoung Mee KIM ; Anhi LEE ; Sang In SHIM ; Hyun Suk CHAE
Korean Journal of Pathology 1995;29(4):442-449
Helicobacter pylori(H. pylori) infection is considered the most important cause of chronic active gastritis and peptic ulcer. To determine the prevalence, distribution and it's relationship to degree of inflammation, gastric biopsy specimens were obtained from 331 nonulcer dyspepsia(NUD) patients consisting of 52 H. pylori negative normal volunteers and 279 H. pylori infected patients. Lymphoid follicles, degree of acute and chronic inflammation(Grade 0 to 3), and degree of H. pylori(Grade 0 to 4) were observed. The prevalence of H. pylori in NUD was 84.29%. The lymphoid follicles were found in 138 patients(41.7%) and only 5 patients(l.5%) without H. pylori showed lymphoid follicles. There was strong a relationship between lymphoid follicles and degree of acute and chronic inflammation and intensity of H. pylori infection(P<0.001). Acute and chronic inflammation were more serious in the antrum than body in H. pylori infected patients. There was no relationship between lymphoid follicles and the site in the stomach of H. pylori infection(P<0.078), but the body portion had an increased frequency of lymphoid follicles compared to the in antrum. Our results indicate that the prevalence of H. pylori infection in Korea is higher than in Western people and the degree of acute and chronic inflammation are strongly correlated with the presence of lymphoid follicles. The lymphoid follicles are believed to be absent from the normal stomach and their presence is strongly associated with H. pylori infection. The fact there is an that increased frequency of lymphoid follicles in H. pylori infected patients, and that they are more prevalent in the body of the antrum, support the concept that H. pylori may be a precursor in the development of primary gastric lymphoma.
Biopsy