No abstract available.
Humans

In comparison to parenchymal hamartoma, endobronchial hamartoma is rare benign neoplasm of the lung. Most parenchymal hamartomas are asymptomatic and are found incidentally. However, endobronchial hamartomas are frequently discovered through respiratory symptoms as a result of bronchial irritation or obstruction. A 47-year-old male patient was admitted to our hospital due to dry cough 1 month prior to admission. On bronchoscopic examination, a polypoid mass was found completely obliterating the anterior segmental bronchus of the left upper lobe. We report a case of endobronchial chondroid hamartoma, which was resected by anterior segmentectomy of the left upper lobe.
Bronchi ; Bronchial Neoplasms ; Cough ; Hamartoma* ; Humans ; Lung ; Male ; Mastectomy, Segmental* ; Middle Aged

No abstract available.
Pleural Effusion*

No abstract available.
Mycobacterium*

This study was performed to investigate the effects of enflurane anesthesia and surgery on thyroid function by determining the plasma concentration of thyroxid(T4) and trilodothyronine(T3) in 10 patients who had neither hepatic disorder nor endocrine disease. Each patient was premedicated with diazepam 10mg and atropine sulfate 0.5mg intramuscularly one hour before induction of anesthesia. Anesthesia was induced with pentohal sodium and maintained with enflurane and oxygen supplemented with pancuronium bromide in divided dose as needed. plasma concentrations of thyroxine and triiodothyronine were measured by means of radiommunoassay. The results obtained were as follows: 1) No significant change in the plasma concentration of thyroxine was detected during enflurane anesthesia and surgery. 2) Plasma concentration of triidothyronine decreased significantly, compared with the control level, during enflurane anesthesia alone and anesthesia plus surgery. Although the precise mechanisms for the decrease in triiodothyronine following anesthesia and surgery remain unknown, decreased peripheral conversion from T4 to T3 may be responsible for this decline. Our data imply that enflurane anesthesia did not stimulate thyroid funcion judged by plasma concentration of T4 or T3. Therefore, enflurane anesthesia may be an useful anesthetics for patients with hyperthyroidism.
Anesthesia* ; Anesthetics ; Atropine ; Diazepam ; Endocrine System Diseases ; Enflurane* ; Humans ; Hyperthyroidism ; Oxygen ; Pancuronium ; Plasma ; Sodium ; Thyroid Gland* ; Thyroxine ; Triiodothyronine

Bovine tuberculosis, which is caused by Mycobacterium bovis, a member of the M. tuberculosis complex, is a zoonosis transmitted through the inhalation of infected droplets or the ingestion of raw milk. Human bovine tuberculosis has been reported rarely in most countries since the introduction of pasteurized milk and M. bovis eradication programs. However, it has been reported in other areas with poorly controlled programs. We encountered a case of localized empyema due to M. bovis infection in a pregnant female immigrant from Vietnam. We report this case with a brief review of the related literature.
Eating ; Emigrants and Immigrants ; Empyema ; Female ; Humans ; Inhalation ; Milk ; Mycobacterium ; Mycobacterium bovis ; Tuberculosis ; Tuberculosis, Bovine ; Vietnam

Bovine tuberculosis, which is caused by Mycobacterium bovis, a member of the M. tuberculosis complex, is a zoonosis transmitted through the inhalation of infected droplets or the ingestion of raw milk. Human bovine tuberculosis has been reported rarely in most countries since the introduction of pasteurized milk and M. bovis eradication programs. However, it has been reported in other areas with poorly controlled programs. We encountered a case of localized empyema due to M. bovis infection in a pregnant female immigrant from Vietnam. We report this case with a brief review of the related literature.
Eating ; Emigrants and Immigrants ; Empyema ; Female ; Humans ; Inhalation ; Milk ; Mycobacterium ; Mycobacterium bovis ; Tuberculosis ; Tuberculosis, Bovine ; Vietnam

PURPOSE: We evaluated the clinical utility of preoperative serum prostate specific antigen (PSA), digital rectal examination (DRE), transrectal ultrasound (TRUS), and findings of TRUS-guided biopsies in predicting the final pathologic diagnosis in patients who underwent radical prostatectomy. MATERIALS AND METHODS: The medical records of 53 patients with prostate cancer who underwent radical prostatectomy from september 1995 to June 2000 were reviewed. Pathologic variables evaluated on sextant biopsies included total length and percent of cancer on one core, number of cores involved and Gleason score. Clinical variables included PSA and PSA density (PSAD). Also subjects were divided into two groups; organ-confined group versus non organ-confined group. RESULTS: On final pathologic examination, 38 patients (72%) had organ-confined, 11 patients (21%) had margin positive, 6 patients (11%) had capsular penetration and 6 patients (11%) had seminal vesicle involvement. None had pelvic lymph node metastases. Chi-square analysis demonstrated significant correlations between PSA, PSAD, number of cores involved, total length of cancer on one core and organ-confined prostate cancer. When PSA level was 11 or more, PSAD was 0.34 or more, biopsies had Gleason scores of 7 or more, number of cores involved was two or more, and total length of cancer on one core was 0.4cm or more, possibility of cancer being non organ-confined increased CONCLUSIONS: This study demonstrates that PSA, PSAD, Gleason score in sextant biopsy, number of cores involved, total length of cancer on one core are clinically useful predictors of organ-confined disease. This may help both patients and clinician in selecting the most appropriate therapeutic approach.
Biopsy* ; Diagnosis* ; Digital Rectal Examination* ; Humans ; Lymph Nodes ; Medical Records ; Neoplasm Grading ; Neoplasm Metastasis ; Prostate* ; Prostate-Specific Antigen* ; Prostatectomy ; Prostatic Neoplasms* ; Seminal Vesicles ; Ultrasonography*

We operated on a Marfan patient who had Stanford type A acute aortic dissection, aortic root aneurysm, and aortic regurgitation. The Yacoub-David aortic root remodeling procedure which preserves native aortic valve and replaces all three aortic sinuses and ascending aorta by a Dacron graft, was applied for this patient. A 24mm Hemashield graft was designed to three tongues at the aortic root end to meet the shape of the Valsalva sinuses. The patient recovered from the procedure uneventfully and there was no aortic regurgitation postoperatively.
Aneurysm ; Aorta ; Aortic Valve ; Aortic Valve Insufficiency ; Humans ; Marfan Syndrome* ; Polyethylene Terephthalates ; Sinus of Valsalva ; Tongue ; Transplants

PURPOSE: We developed a novel rat model to investigate vasculogenic erectile dysfunction(ED) and investigated the possible mechanisms of atherosclerosis-induced ED. MATERIALS AND METHODS: Twenty male Sprague-Dawley rats(3 months old) were divided into control(n=10) and atherosclerosis(n=10) group. The control group was placed on a regular diet, while the atherosclerosis group received a 1% cholesterol diet for 6 weeks. To induce endothelial dysfunction, which is essential to the development of atherosclerosis, NG-nitro-l-arginine methyl ester(L-NAME) 1 mg/ml was added to the drinking water for the first 2 weeks. After six weeks, erectile function was assessed with cavernous nerve electrostimulation. Measurement of blood levels of cholesterol and histopathologic examination of the aorta and iliac artery were done. Semiquantitative RT-PCR for hypoxia-induced factor(HIF)-1alpha mRNA and Western blotting for HIF-1alpha and transforming growth factor (TGF)-beta1 were carried out on the penile tissues. RESULTS: Compared with the control group, both serum cholesterol level and arterial pressure were significantly elevated in the atherosclerosis group. The atherosclerosis group also showed prolonged and diminished erectile responses during cavernous nerve stimulation. Histologic study revealed definite atherosclerosis in the aorta and internal iliac artery, and the severity of atherosclerosis correlated well with decreased erectile function. Although RT-PCR did not show differences in the expression of HIF-1alpha mRNA, expression of HIF-1alpha and TGF-beta1 was significantly higher in the atherosclerosis group than in the control animals. CONCLUSIONS: In the rat, vasculogenic ED secondary to atherosclerosis could be generated by a high-cholesterol diet combined with an NOS inhibitor. Atherosclerosis might hamper erectile function by cavernosal ischemia secondary to a reduced blood supply and possibly by cavernosal fibrosis.
Animals ; Aorta ; Arterial Pressure ; Atherosclerosis ; Blotting, Western ; Cholesterol ; Diet ; Drinking Water ; Erectile Dysfunction* ; Fibrosis ; Humans ; Iliac Artery ; Ischemia ; Male ; Models, Animal* ; Nitroarginine ; Rats* ; Rats, Sprague-Dawley ; RNA, Messenger ; Transforming Growth Factor beta1 ; Transforming Growth Factors