No abstract available.

No abstract available.

So far today the blood Picture of specific dermatoses such as leprosy, syphilis, skin tubercuIosis, pemphigus and eczema was studied a good many ways. Author has studied the blood picture especially red blood cells, hemoglobin, hematocrit, white blood cells and its differential counts in 217 cases of various skin diseases such as contact. dermatitis, urticaria, chronic eczema, atoPic dermatitis, seborrheic dermatitis, erythema multiforme, erythemanodosum, drug eruption, prurigo, lichen urticatus, exfoliative dermatitis and purpura. At the same time liver function tests were performed in 46 cases including 25 cases of contact dermatitis, 6 cases of chronic eczema, 5 cases of atopic dermatitis, 5 cases of urticaria and 5 cases of exfolistive dermatitis. Afterwards the correlations of those two groups were investigated. Among all mentioned above dermatose except purpura no changes of red blood cells, hemogiobin and hematocrit were observed according to the authors own control of normal values which were obtained in 62 normal healthy adults. Other findings are as follows; 1. In contact dermatitis leucocytes and eosinophils are increased while neutrophils slightIy decreased. 2. Moderate increase of lymphocytes in urticaria. 3. In chronic eczema leucocytes and lymphocytes slightly increased but neutrophils somewhat decreased. 4. In atopic dermatitis leucocytes and eosinophils increased and there was also moderate increase of lyrnphocytes. 5. In seborreheic dermatitis monocytes and basophils were increased but eosinophils were slightly increased. 6. In erythema multiforme monocytes were decreased and leacocytes increased slightly. 7. In erythema nodosum neitrophils increased and lymphocytes and monocytes were decreased. 8. In drug eruption monocytes were decreased. 9. ln Prurigo eosinophils were increased. 10.:ln lichen uiticatus neutrophils were decreased. 11. In exfoliative dermatitis there are marked increase of leucocytes and eosinophils and decrease of neutrophiIs, lymphocytes and basophils. 12. In purpura red b!ood cells, hemoglobin, hematocrit were decreased. The increase of white blood cells in contact dermatitis and exfoliative dermatitis almost paralleled with the extension of their lesions. Marked liver function disturbarces were found in a good many cases cf exfoliativedermatitis while slight degree of liver function disturbances were found in some cases of contact dermatitis and it was found that some cases of chronic eczema, urticaria and atopic dermatitis gave some influence to liver function. The fact of leucocytes increase in exfoliative dermatitis and contact dermatitis seems more or less go parallels with liver function disturbances.
Adult ; Basophils ; Dermatitis ; Dermatitis, Atopic ; Dermatitis, Contact ; Dermatitis, Exfoliative ; Dermatitis, Seborrheic ; Drug Eruptions ; Eczema ; Eosinophils ; Erythema Multiforme ; Erythema Nodosum ; Erythrocytes ; Hematocrit ; Humans ; Leprosy ; Leukocytes ; Lichens ; Liver ; Liver Function Tests ; Lymphocytes ; Monocytes ; Neutrophils ; Pemphigus ; Prurigo ; Purpura ; Reference Values ; Skin Diseases* ; Syphilis, Cutaneous ; Urticaria

Statistical observation was made on 117 cases of malignant tumors in the urinary tract who had been admitted to Department of the Urology, St. Mary's Hospital from January 1, 1966 to May 31. 1972. Statistical observation included age, sex, clinical manifestation, annual distribution, organ distribution and methods of operation. The results were as follows; 1. Male patients were more common than female patients, and most of them were over the age of 40 years. Hematuria was the most common symptom, and other symptoms were pain, mass and dysuria. Operations were performed in 79 patients, and remaining patients were treated with radiation, chemotherapy and hormone therapy. 2. The urinary bladder was the most commonly involved organ, and other organs were in order of kidney, prostate and penis. Histologically, transitional cell carcinoma in the bladder was the most common and next in order was of renal cell carcinoma, Wilms' tumor and squamous cell carcinoma of penis.
Carcinoma, Renal Cell ; Carcinoma, Squamous Cell ; Carcinoma, Transitional Cell ; Drug Therapy ; Dysuria ; Female ; Hematuria ; Humans ; Kidney ; Male ; Penis ; Prostate ; Urinary Bladder ; Urinary Tract* ; Urology ; Wilms Tumor

Leiomyosarcoma of the breast is extremely rare. The natural history of leiomyosarcoma of the breast remains largely unknown because of the low incidence and lack of long-term follow up. But leiomyosarcoma of the breast appears to be less aggressive biologically than other sarcomas of the breast such as rhabdomyosarcoma. In an attempt to define diagnostic criteria of smooth muscle tumors of the breast, the reported cases of leiomyoma of the breast and nipple were also reviewed and compared with leiomyosarcomas by Chen et al(1981). Based on the result of this review, tumors with three or more mitoses per 10 HPF are leiomyosarcoma and those with no mitosis, necrosis, and significant atypia are leiomyomas. We have experienced a case of leiomyosarcoma of the breast. The patient was a 39 year-old female and was admitted due to a rapid growing right breast mass. The breast mass was noted 4 years ago and then this year the mass growed rapidly. Simple mastectomy was performed. Grossly the mass measured 11.0x8.0x8.0 cm in dimensions and was well circumscribed, pinkish, multinodular, and it was protruded from the cut surface. Microscopically the mass is composed of interlacing bundles of spindle shaped cells and multifocal large areas of hyalinized collagenous tissue. The individual spindle cells are slightly pleomorphic and occasionally show mitotic figures, 6~7 per 10 HPF in the most cellular area.
Female ; Humans ; Incidence

No abstract available.

No abstract available.

A vesicovaginal fistula is a distressing complication which may follow hysterectomy and other extensive pelvic operation. Maligntncies of the uterin cervix or bladder may predispose to erosion and vesicovaginal fistula or such fistulas may occur as a result of extensive radiation therapy. Childbirth, particularly involving prolonged labor with potential necrosis of the vesico vaginal septum or complicated delivery with trauma may also induce a vesicovaginal fistula. In this experience the most common cause of vesicovaginal fistula resulting from surgery was total abdominal hysterectomy. Diagnosis of vesicovaginal fistula is usually made when appearance of methylene blue in the vagina after instillation of the dye into the bladder and further confirmed the presence and definitive localization of the fistula with cystoscopic examination. The operative procedures, the authors utilized were suprapubic transvesical closure in 8 cases, vaginal closure in two cases, and transabdominal approach in one case. The bladder was opened at the dome and then stay sutures were made at 1.0cm from the fistula margin. Then, the fistulous tract was excised making a lateral margin wide enough to leave viable tissue for subsequent closure. Vaginal wall and bladder wall closure were carried out in whole layer using interrupted 2 zero chromic suture. In one case of large fistula with high opening, the patient was underwent transabdominal method interposing a peritoneal flap between vagina and bladder wall. A urethral catheter was placed for 10 to 12 days postoperatively. In 5 cases of ureterovaginal fistula, one patient required the nephrectomy because of pyonephrosis, 2 patients refused further medication, one had ureteral reimplantation and another patient had psoas hitch and Boari operation. The following conclusions were obtained. 1. The most common cause of vesicovaginal fistula was the complication of total hysterectomy. 2. The diameter of fistulous tract was ranging from 1 to 10 mm. 3. For the repair of vesicovaginal fistula transvesical approach were 8 out of in 13 case, vaginal route in 2 cases, intraabdominal approach using a peritonal flap in one case. 4. Urethral catheter had been placed postoperatively was removed on the 12th postoperative day in most cases. Ureteral splint catheter was also placed for 8 to 10 days postoperatively. 5. 12 out of 14 cases, urinary vaginal fistulas were successfully closed on the first surgical attempt and one case healed on the second attempt. One case failed because of infection at the area of closure.
Catheters ; Cervix Uteri ; Diagnosis ; Female ; Fistula ; Humans ; Hysterectomy ; Methylene Blue ; Necrosis ; Nephrectomy ; Parturition ; Pyonephrosis ; Replantation ; Splints ; Surgical Procedures, Operative ; Sutures ; Ureter ; Urinary Bladder ; Urinary Catheters ; Vagina ; Vaginal Fistula* ; Vesicovaginal Fistula

A case of intussusception of a ureter due to a ureteral polyp was observed. Ureteral intussusception have been exceedingly rare, and very few reference to this condition can be found in the medical literature. The author have report a 39 years old female of a case of intussusception of the ureter associated with a benign polyp. The author have performed satisfactory conservative treatment. The patient was entirely recovery and has remained in excellent health since.
Adult ; Female ; Humans ; Intussusception* ; Polyps* ; Ureter*

It is generally accepted that erythropoiesis is controlled by the erythropoietic stimulating factor (erythropoietin) which is believed being produced in the kidney. Among the various causes. hypoxia is one of the most potent one for the stimulation of erythropoietin production in the kidney. This experiment was planned to determine the efficiency of the erythropoietin in the hydronephrotic kidney and the intact or disturbed liver function. Materials and Methods: The mongrel dogs weighing between 10 and 13 kg were used. Group A: A1: hydronephrosis due to bilateral ureteral ligation. A2: hydronephrosis due to bilateral ureteral ligation and testosterone injection. A3: hydronephrosis due to bilateral ureteral ligation and CCI4 intoxication. Group B: B1' bilateral nephrectomy. B2: bilateral nephrectomy and CCI4 intoxication. To observe the chemical constituents and erythropoietic activity blood sample were collected on 2, 4, 6. 8. 10th day after operation in the A group and 1, 2, 3. 4th day after operation in the B group. Chemical constituents were BUN, creatinine and electrolytes. Erythropoietic activity was determined by the incorporation of 59Fe into the red cells of mouse (DeGowin method). The results of the experiments were summarized as follows: 1. The hydronephrosis due to bilateral ureteral ligation induced increase of erythropoietic activities. 2. When testosterone was given in the group of the hydronephrosis due to bilateral ureteral ligation, erythropoietic activity was increased more than in the group of the hydronephrosis only. 3. The most prominent elevation of erythropoietic activities among any other group was confirmed when liver function was disturbed by CCl4 intoxication in the hydronephrotic animals. This marked elevation seemed to be due to the disturbance of the liver function which inactivated or destroyed erythropoietin. 4. Erythropoietin activity was decreased in the group of bilateral nephrectomy. 5. Erythropoietin activity was much less in the bilateral nephrectcmized group when liver was damaged by CCI. injection. The erythropoietic stimulation was ineffective in the nephrectomized animals. 6. Testosterone injection decreased the BUN and creatinine level in the uremic animals due to nephrectomy. 7. Pathological findings revealed mild hydronephrotic changes in the group of ureteral ligation by. testosterone injection, and mild degree of necrosis and severe fibrosis in the interstitial tissue of the kidney, and fatty changes and focal central necrosis of the liver due to CCl4 injection.
Animals ; Anoxia ; Creatinine ; Dogs ; Electrolytes ; Erythropoiesis ; Erythropoietin* ; Fibrosis ; Hydronephrosis ; Kidney ; Ligation* ; Liver ; Mice ; Necrosis ; Nephrectomy* ; Testosterone ; Ureter*