No abstract available.
Cystectomy* ; Lasers, Gas* ; Volatilization*

Verrucous hemangioma is a variety of capillary, cavernous or mixed hemangioma that can develop into acanthosis, hyperkeratosis, and papillomatosis. Most verrucous hemangiomas appear on the lower extremities, and are present at birth or appear during infancy. It is important, from a prognostic and therapeutic point of view, to make a correct diagnosis between verrucous hemangioma and angiokeratoma circumscriptum. The former needs a large and deep excision, while the latter responds to the common means of physical therapy. We observed two patients who showed typical clinical and histopathological findings of verrucous hemangioma. Treatment was by wide sugical excision and skin graft. The two patients responded positively to this tratment.
Angiokeratoma ; Capillaries ; Diagnosis ; Hemangioma* ; Humans ; Lower Extremity ; Papilloma ; Parturition ; Skin ; Transplants

No abstract available.
Pregnancy* ; Statistics as Topic*

No abstract available.
Biopsy* ; Humans

No abstract available.
Adult* ; Disseminated Intravascular Coagulation* ; Humans ; Multiple Organ Failure* ; Still's Disease, Adult-Onset*

Familial adenomatous polyposis (FAP) includes early development of up to thousands of colorectal adenoma and of colonic adenocarcinoma in all untreated cases. Moreover, a variety of extracolonic manifestation are seen. Several reports have demontrated a high incidence of papillry carcinoma of thyroid. We experienced a case of familial adenomatous polyposis, presenting with thyoid papillry carcinoma, and reported with a brief review of literatures.
Adenocarcinoma ; Adenoma ; Adenomatous Polyposis Coli* ; Carcinoma, Papillary* ; Colon ; Incidence ; Thyroid Gland* ; Thyroid Neoplasms

In reconstructing a defect of the mandible after removing tumor of an oral cavity or facial region, various musculocutaneous flaps are used. Among those, SCM musculocutaneous flaps are clinically frequently used due to its near donor site and it can be done without an additional operation. Because the SCM muscle is supplied by many vessels of the external carotid artery and subclavian artery, it is essential to the figure out its distribution to the SCM muscle, clavicle and the skin before making an osseomusculocutaneous flap including the clavicle. Especially, understanding the distribution status of the origin of superior thyroid artery and SCM branch is very important in making a SCM musculocutaneous flap including the clavicle and deciding the rotation arc of the musculocutaneous flap. The authors have dissected SCM muscles and arteries distributed to the SCM muscle of 50 cadavers and found the following results. The average distance from the origin of superior thyroid artery to SCM branch entering to SCM muscle was 30.1 mm (16.0 ~37.7 mm), and some were to have 2 ~3 branches inserted simultaneously into the SCM muscle. The average distance from the origin of superior thyroid artery to clavicular head of SCM muscle was 87.6 mm (57.7 ~123.8 mm), and to sternal head of SCM muscle was 131.2 mm(99.7 ~166.8 mm). After the SCM branch of superior thyroid artery distributed to the SCM muscle, the bifurcation point into clavicular branch and sternal branch is located at an average 58.8 mm(28.4 ~130.4 mm) above the clavicle. All of the nutrition artery distributed to the clavicle were branches of the thoracoacromial artery, and the SCM branch of superior thyroid artery distributed throughout the SCM muscle and downwards to the periosteal artery of the clavicle. The pattern of the superior thyroid artery was divided into 6 types. Among the branches of superior thyroid artery such as laryngeal, SCM and thyroid branch, The type I (36%) that the laryngeal branch arised first was most common. Next, the incidence of type II that all three branches arised at one point was 16%. In addition, the incidence of the case that SCM branch arised directly from the external carotid artery was 26%. In conclusion, because the origin of superior thyroid artery from the external carotid artery is located relatively close to the mandible above the neck, the length of SCM musculocutaneous flap including the SCM branch of superior thyroid artery is sufficient to reconstructing the mandible and the SCM osseomusculocutaneous flap including the clavicle is useful in reconstruction of the mandible.
Arteries* ; Cadaver ; Carotid Artery, External ; Clavicle ; Head ; Humans ; Incidence ; Mandible ; Mouth ; Muscles ; Myocutaneous Flap ; Neck ; Skin ; Subclavian Artery ; Thyroid Gland ; Tissue Donors

PURPOSE: To describe technical methods for functional magnetic resonance imaging (fMRI) study with arterial spin labeling (ASL) compared to blood oxygenation level-dependent (BOLD) technique and discuss the potential of ASL for research and clinical practice. MATERIALS AND METHODS: Task-based (n = 1) and resting-state fMRI (rs-fMRI) (n = 20) were performed using ASL and BOLD techniques. Results of both techniques were compared. RESULTS: For task-based fMRI with finger-tapping, the primary motor cortex of the contralateral frontal lobe and the ipsilateral cerebellum were activated by both BOLD and ASL fMRI. For rs-fMRI of sensorimotor network, functional connectivity showed similar results between BOLD and ASL. CONCLUSION: ASL technique has potential application in clinical and research fields because all brain perfusion imaging, CBF measurement, and rs-fMRI study can be performed in a single acquisition.
Brain ; Cerebellum ; Frontal Lobe ; Magnetic Resonance Imaging* ; Motor Cortex ; Oxygen ; Perfusion Imaging

PURPOSE: To describe technical methods for functional magnetic resonance imaging (fMRI) study with arterial spin labeling (ASL) compared to blood oxygenation level-dependent (BOLD) technique and discuss the potential of ASL for research and clinical practice. MATERIALS AND METHODS: Task-based (n = 1) and resting-state fMRI (rs-fMRI) (n = 20) were performed using ASL and BOLD techniques. Results of both techniques were compared. RESULTS: For task-based fMRI with finger-tapping, the primary motor cortex of the contralateral frontal lobe and the ipsilateral cerebellum were activated by both BOLD and ASL fMRI. For rs-fMRI of sensorimotor network, functional connectivity showed similar results between BOLD and ASL. CONCLUSION: ASL technique has potential application in clinical and research fields because all brain perfusion imaging, CBF measurement, and rs-fMRI study can be performed in a single acquisition.
Brain ; Cerebellum ; Frontal Lobe ; Magnetic Resonance Imaging* ; Motor Cortex ; Oxygen ; Perfusion Imaging

The most serious problem of ruptured hepatocellular carcinoma (HCC) is the difficulty to achieve curative resection due to unplanned emergency operations, the hemodynamic instability, the frequent intrahepatic recurrence and the peritoneal seeding after resection for primary ruptured hepatocelluar carcinoma. Recent articles have suggested that well planned elective hepatic resection after hemodynamic stabilization of a ruptured HCC patient has a good prognosis, and repeat hepatic resection of recurred HCC has good prognosis when the liver function is good. We report here on patient who survived a long time with recurred HCC after 3 bouts of repeated hepatic resection for intrahepatic recurrences and 1 bout of right hemicolectomy for an omental recurrence. (ED note: now it shows good.)
Carcinoma, Hepatocellular ; Emergencies ; Hemodynamics ; Humans ; Liver ; Prognosis ; Recurrence*