The ultrasonography is a very useful diagnostic procedure in obstetric & gynecologic mass. so we anlayzedtotal 153 cases of pelvic ultrasonogram with pathologic diagnoses. The results were as follows: 1. The ages ofpatients were distributed from 16 to 70 years-old, and the third decade was the most prevalent. 2. Of 153 cases,the ovarian masses were 85 cases, the tubal ones were 49 cases, and the uterine were 19 cases. 3. Of 85 ovarianmasses, physiologic ovarian cysts were 44 cases, and cystic teratoma were 14 cases. Of 49 tubal masses, tubalpregnancies were 35 cases and the most prevalent. Of 19 uterine masses, leiomyomas were 11 ases and the mostprevalent. 4. Of 153 cases, the echo-complex masses were 103 cases, the cystic ones were 34 cases, and the solidones were 19 cases. 5. The characteristic findings of frequent masses were as follows: (1) The physiologic ovariancysts were 44 cases, and show mainly cytic or pure cystic masses in 42 cases. (2) The ectopic pregnancy were 36cases, and show echo-complex masses in 21 cases, and cul-de-sac fluid echo in 22 cases. (3) The cystic teratomaswere 1 cases, and reveal mainly cystic or pure cystic masses in 10 cases, and calcification with posterioracoustic shadowing in 6 cases. (4) The uterine leiomyoma were 11 cases, and reveal solid mass with abnormaluterine contour in 8 cases. (5) The malignant or borderline malignant lesions were 6 cases. (6) Of 153 cases, thepathologic diagnosis was possible in 98 cases(64.1%).
Diagnosis ; Female ; Leiomyoma ; Ovarian Cysts ; Pregnancy ; Pregnancy, Ectopic ; Shadowing (Histology) ; Teratoma ; Ultrasonography

A 15-year-old female patient had malignant atrophic papulosis(Degos' disease) that affected the skin and probably intestinal tract. She had multiple erythematous papules with porcelain-white atrophic centers on the trunk and extremities. Also she suffered from intermittent nausea, vomiting and abdominal pain. She received appendectomy for abdominal pain 2 months ago. Histopathologic studies showed atrophic epidermis and necrobiotic dermis. There were endothelial thickening, fibrinoid necrosis of bload vessels, perivascular lymphocytic infiltation in the lower dermis. She was treatd with acetyl salicylic acid and dipyridamole, but there was no improvement.
Abdominal Pain ; Adolescent ; Appendectomy ; Dermis ; Dipyridamole ; Epidermis ; Extremities ; Female ; Humans ; Malignant Atrophic Papulosis* ; Nausea ; Necrosis ; Salicylic Acid ; Skin ; Vomiting

Proteus syndrome is a rare congenital hamartomatous condition with a variety of abnormalities affecting allthree germ layers including overgrowth of various parts of the body, hemihypertrophy, unusual skeletalmalformation, skin lesions, and various tumors. I describe the radiologic findings in a 12 year-old boy withProteus syndrome. Computed tomography and magnetic resonance imaging are very useful for the specific diagnosis.
Child ; Diagnosis ; Germ Layers ; Hamartoma ; Humans ; Magnetic Resonance Imaging ; Male ; Proteus Syndrome* ; Proteus* ; Skin

Infantile hemangiopericytoma deserves separate consideration from adult form of hemangiopericytoma in that it has a benign clinical behavior and distinct histology. We herein report a case of infantile hemangiopericytoma in a 80-day-old male. He had multiple tender subcutaneous nodules on buttock and lower extremities which disappeared spontaneously in 10 months. Microscopically, well circumscribed multiple tumor nodules were seen in the dermis and subcutis and the nodules were consisted of haphazardly packed cells around endothelium-lined vascular slits. Infantile hemangiopericytoma is usually soliitary and spontaneously healed case has not been reported yet.
Adult ; Buttocks ; Dermis ; Hemangiopericytoma* ; Humans ; Lower Extremity ; Male

Prior to the introduction of CT, the clinical and radiological diagnosis of the intraventicular hemorrhage inliving patients was difficult. C.T. scanning is an invaluable investigation provding the rapid and noninvasivediagnosis of intracerebral and intraventricular hemorrhage. It reliably demonstrated the presence and distributionof fresh blood within the ventricular system. CT is also useful as a surgical guidance and in the evaluation offate of the hematoma by easily performable follow-up studies. We reviewed 3 cases of intraventricular hemorrhagein CT in the departement of radiology of Ewha Womans University hospital during the period from August, 1982 toAugust, 1983. The results were as follows: 1. The most patients were encountered in the 5th decade and the male tofemale ratio was 1.2:1. 2. Hypertension was the main cause of the intraventricular hemorrhage; 18 out of 31patients. Remaning 13 patients were caused by hypoxia, aneurysm, Moya Moya disease, coagulation defect, trauma andundetermined etiology. 3. 18 out of 31 patients showed hemorrhage in the lateral ventricles only and allventricles in 10 patients. 4. 28 out of 31 patients showed associated with intracranial hematoma: Those wereintracerebral hematomas in 16 patients, intracerebral hematoma with subarachnoid hemorrhage in 4 patients andextracerebral hematoma in 2 patients. 5. Outcome was assessed using the Glasgow scale. According to them the totalmortality rate was 54.8%, however, 32.2% of patients retured to normal or minor disablity. Patients, who hadhypertension and markded degree of hemorrhage in the ventricular systems had a poor outcome. Patients with onlyventricular hemorrhage had better outcome than associated intracranial hematoma. 6. 16 out of 31 patients weretreated by surgical methods and 15 out of 31 patients by conservative methods. 75% of patients were died inconservative treatment. 7. Conclusively, causes, degree of intraventricular hemorrhage and associatedintraventricular hematoma play an important role in outcome. And surgical treatment was beneficial in only a smallselective number of cases in intraventricular hemorrhage.
Aneurysm ; Anoxia ; Diagnosis ; Female ; Follow-Up Studies ; Hematoma ; Hemorrhage ; Humans ; Hypertension ; Lateral Ventricles ; Male ; Moyamoya Disease ; Subarachnoid Hemorrhage

Fifteen cases of genital warts were examined for the presence of human papillomavirus (HPV) using polymerise chain reaction (PCR). HPV6/11 DNA were found in all cases of genital warts. The PCR based methods described here provide a sensitive, accurate means of detecting genital HPVs.
Condylomata Acuminata ; DNA ; Humans* ; Papillomaviridae* ; Polymerase Chain Reaction*

We report a 19-year-old man with hyperkeratosis of nipple and areola which is a part of an epidermal nevus. He did not have a history of endocrinopathy or synthetic steroid therapy. The lesion, a fingertip sized verrucous dark browncolored macule on left upper back, had spread into left-anterior chest wall and had involved nipple and areola to make them hyperkerstotic and verrueous. Histologic section from the on left areola showed hyperkeratosis, papillomatosis, acanthosis and increased pigmentation in the basal cell layer. Chernical peeling with 30% trichloroacetic showed favorable response.
Humans ; Nevus ; Nipples ; Papilloma ; Pigmentation ; Thoracic Wall ; Trichloroacetic Acid ; Young Adult

PURPOSE: The purpose of this study was to examine the relationship of psychosocial distress, intention to quit and nursing performance. METHODS: The data were collected through structured questionnaires from 210 registered nurses in a general hospital. They were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson's correlation coefficient and multiple regression with the SPSS WIN program. RESULTS: The results of the analysis showed that the mean of the psychosocial distress was 25.38+/-7.26, intention to quit was 3.51+/-0.78, and nursing performance was 3.67+/-0.46. In the correlation analysis, the nursing performance had negative correlation with psychosocial distress(r=-.371, p=.000) and intention to quit(r=-.211, p=.002). There were statistically significant differences in nursing performance depending on age, marital status, position and work experience. The psychosocial distress and age explained 15.1% of nursing performance. CONCLUSION: This study showed psychosocial distress and intention to quit affects the nursing performance. Therefore, nursing executives and unit managers need to concern on the significance of the stress management programs so that these can be organizational support.
Hospitals, General ; Intention ; Marital Status ; Patients' Rooms ; Questionnaires

Ossification of the ligamentum flavum(OLF) is a well recognized cause of acquired spinal canal stenosis resulting in myelopathy, radiculopathy, or a combination of both. OLF is extremely rare in caucasian patients, but is one of the most common causes of compression of the posterior thoracic spinal cord in Japan. In most cases, it has been found in the thoracolumbar regions, and rarely in the cervical region. It is frequently but not alwalys found in association with ossification of the posterior longitudinal ligament(OPLL) and may cause cumulative damage, if comhined with OPLL. We experienced a case of ossification of the ligamentum flavum and posterior longitudinal ligament with sacral radiculopathy, which was treated hy posterior decompressive laminectomy and removal of the ossified ligamentum flavum and posterior longitudinal ligament. The day after operation, the radiating pain and paresthesia dramatically improved.
Constriction, Pathologic ; Humans ; Japan ; Laminectomy ; Ligamentum Flavum* ; Longitudinal Ligaments* ; Paresthesia ; Radiculopathy* ; Spinal Canal ; Spinal Cord ; Spinal Cord Diseases

This is a retrospective study of 161 ovarian neoplasms, all of which were surgically removed and had preoperative sonographic examinations. They were evaluated respect to age, tumor size and its echogenicity. The results were as follows: 1. Of all 161 tumors, physiologic lesions were 67 cases (41.6%), germ cell tumors were 28 cases (17.4%) and serous tumors were 19 cases (11.8%). 2. Of all 161 tumors, right ovarian lesions were 82 cases (50.9%), left were 59 cases (36.7%), and bilateral lesions were 20 cases(12.4%). 3. The most characteristic findings of tumors were as follows: 1) Physiologic tumors were 2-9cm sized (88.1%), anechoice-5% echogenic (79.1%), and developed during 4th & 5th decades (91.0%). 2) Inflammatory tumors were 2-9cm sized (94.1%), 50%-totally echogenic (76.5%), and during 4th & 5th decades (94.1%). 3) Serous tumors were 2-9cm sized (60.3%), anechoic-5% echogenic (89.5%), and during 3rd & 4th decades (84.2%). 4) Mucinous tumors were 5-19 cm sized (77.8%), anechoic-5% echogenic (77.8%), during 2nd-8th decades with diffuse distribution. 5) Endometrioid tumors were 5-14cm sized (100.0%), variable echogenic, and during 3rd & 4th decades (90.9%). 6) Germ cell tumors were 5-14cm sized (75.0%), variable echogenic, during 3rd & 4th decades (82.1%). 7) Parovarian cysts were 2-14cm sized (90.0%), anechoic-5% echogenic (100.0%), with diffuse age distribution. 4. The malignant and borderline malignant tumors were 9 caseswith more than 10cm sized (77.8%), and developed during older than 4th decade (100.0%). Anechoic 3 cases, 1-5% echogenic 2 cases, and totally echogenic 4 cases were found.
Age Distribution ; Female ; Mucins ; Neoplasms, Germ Cell and Embryonal ; Ovarian Neoplasms ; Parovarian Cyst ; Retrospective Studies ; Ultrasonography