The number of women undergoing breast augmentation surgery with a prosthesis for cosmetic purposes or reconstruction after a mastectomy is steadily increasing.Hematoma is one of complications associated with breast augmentation surgery.It usually occurs early in the postoperative period. It rarely occurs late (after six months). However, chronic hematomas after prosthesis removal have not yet been reported in the radiological literature. We present a case of unilateral chronic organizing hematoma that developed late and grew persistently over long period after breast explantation, mimicking a soft tissue tumor of the chest wall clinically. Meanwhile, characteristic magnetic resonance imaging features of heterogeneous signal intensities on T1-weighted and T2-weighted images and dark signal intensity with a persistent enhancement of the peripheral wall of the lesion were found. These can be used for a differential diagnosis.

OBJECTIVES: This study aimed to investigate the prospective associations of premenstrual dysphoric disorder (PMDD) with quality of life, socio-occupational function and disability. METHODS: 170 nurses were recruited from two general hospitals. Interviews were made at baseline and at four follow-up points (two mid follicular phases and two late luteal phases of the two consecutive menstrual cycles). The baseline evaluation consisted of sociodemographic characteristics and menstrual history. PMDD was diagnosed by DSM-IV criteria after observation of the two menstrual cycles. The follow-up evaluations were consisted of the World Health Organization Quality of Life-Brief form, the Social and Occupational Functioning Assessment Scale, and the World Health Organization Disability Assessment Scale-II. RESULTS: PMDD was detected 15 (8.8%) of 170 participants. The PMDD group showed significantly worse quality of life and socio-occupational functioning than the none-PMDD group particularly at the late luteal phases. No significant differences were found in sociodemographic characteristics and menstrual history between those with and without PMDD. CONCLUSION: PMDD was prospectively associated with worse quality of life and socio-occupational functioning in this study group.
Diagnostic and Statistical Manual of Mental Disorders ; Female ; Follow-Up Studies ; Hospitals, General ; Menstrual Cycle ; Prospective Studies ; Quality of Life ; World Health Organization

OBJECTIVE: This study aimed to investigate the association between cognitive decline and advancing age, and the potential effects of vascular risk factors on the associations. METHOD: 1134 old persons aged 65 or over was assessed by the Korean version of Mini-Mental State Examination (MMSE-K) in 1999, and after two years 686 (61%) of the total subjects were reassessed with MMSE-K. Data on age and vascular risk factors (hypertension and diabetes) was obtained. RESULTS: Cognitive decline was significantly associated with advancing age. The stratified analyses showed that the association of cognitive decline with advancing age was significant for those with vascular risk factors, but not significant for the subjects without vascular risk factors. CONCLUSION: We suggest that the cognitive decline with advancing age might be delayed by appropriate management for the vascular risk factors.
Humans ; Longitudinal Studies* ; Risk Factors*

Multiple primary malignant neoplasms (MPMN) are defined by the presence of multiple primary cancers of multicentric origin and/or different tissues. The incidence of MPMN is less than 1% in Korea and recently seems to be increased due to early detection of cancer and prolonged survival of cancer patients. Previous investigations suggest that non-Hodgkin's lymphoma (NHL) may be associated with chronic liver disease and hepatocellular carcinoma (HCC). The pathogenesis of this association is thought to be due to chronic antigenic stimulation, the presence of HBsAg, and immunosuppressive therapy. We report a case of synchronous NHL and HCC in a 54-year-old man which is thought to be associated with hepatitis B virus infection. Pathological examination and immunohistochemical study of neck lymph node and liver mass biopsies showed diffuse large cell lymphoma and HCC, respectively. He was treated initially with EPOCH (etoposide, vincristine, doxorubicin, cyclophosphamide and prednisolone) chemotherapy for NHL and transarterial chemoembolization with doxorubicin, mitomycin-c, lipiodol, and gelfoam for HCC.
Biopsy ; Carcinoma, Hepatocellular* ; Cyclophosphamide ; Doxorubicin ; Drug Therapy ; Early Detection of Cancer ; Ethiodized Oil ; Gelatin Sponge, Absorbable ; Hepatitis B Surface Antigens ; Hepatitis B virus ; Humans ; Incidence ; Korea ; Liver ; Liver Diseases ; Lymph Nodes ; Lymphoma, Large B-Cell, Diffuse ; Lymphoma, Non-Hodgkin* ; Middle Aged ; Mitomycin ; Neck ; Vincristine

The legends of Fig. 1 were marked incorrectly.

OBJECTIVES: This study aimed to examine current educational experiences, knowledge, intention to report, and requests for child abuse education in medical interns. METHODS: A descriptive cross-sectional study was conducted in 2006 and 2007. The study sample consisted of 193 medical interns who served their internships at the university hospital. They answered 11 self-administered questionnaires related to child abuse. RESULTS: Although respondents indicated a strong will to assist in eradicating abuse of children, about 90% had no educational experiences and knowledge of child abuse. Ignorance was a major factor for low reported cases of abused children. The preferred nominated reporting agency for child abuse was the National Child Protection Agency in 47.9% of female respondents, while 48.3% of males nominated Police Stations as their preferred option. In relation to sexual abuse, Police Stations were the preferred reporting agency by 49.2% of males and 37.0% of females. Medical school curricula were chosen by the majority of interns as the most appropriate stage where child abuse education should be introduced. CONCLUSION: This study found that medical graduates had limited experience and knowledge related to child abuse. The medical school curricula for child abuse needs to be further developed, implemented, and evaluated when appropriate.
Child ; Child Abuse ; Child Abuse, Sexual ; Cross-Sectional Studies ; Curriculum ; Surveys and Questionnaires ; Female ; Humans ; Intention ; Internship and Residency ; Male ; Police ; Schools, Medical ; Sex Offenses

Retroperitoneal liposarcoma is an infrequent, locally aggressive malignancy. We report two cases of huge retroperitoneal liposarcomas. The presence of a palpable abdominal mass was a common symptom of the two patients. Preoperative imaging study showed huge retroperitoneal tumors. Both patients underwent complete surgical resections, and a negative microscopic margin was achieved in both cases. The histopathologic diagnosis was a well-differentiated retroperitoneal liposarcoma. Neither of the two patients developed a recurring tumor during the 1.5 years of follow-up.
Follow-Up Studies ; Humans ; Liposarcoma ; Retroperitoneal Neoplasms ; Sarcoma

No abstract available.
Wound Healing* ; Wounds and Injuries*

Korean hemorrhage fever(KHF) is an acute febrile disease with high fever, hypotension, gastrointestinal symptom, hemorrhagic symptom and renal failure. An adult patient with KHF presented with normal EKG on admission and no hypotensive period, subsequently developed dypnea on 10 th hospital days. Pulmonary edema pattern of the chest x-ray, T inversion of EKG and diffuse ventricular dyskinesia of echocardiography apperaed on 10th hospital days, and then disappered on 2 month. We experienced a rare case of KHF associtaed with myocarditis. This case suggests that the Myocarditis can be associated with KHF.
Adult ; Dyskinesias ; Echocardiography ; Electrocardiography ; Fever ; Hemorrhage ; Hemorrhagic Fever with Renal Syndrome* ; Humans ; Hypotension ; Myocarditis* ; Pulmonary Edema ; Renal Insufficiency ; Thorax