2.Radiographic Measurement of Normal Adult Cervical Spinal Region in the Korean Population
Young LIM ; Hyun Duck YOO ; Sung Tai SHIN ; Byung Jik KIM ; Kwang Yoon SEO
The Journal of the Korean Orthopaedic Association 1987;22(1):159-162
Radiographic measurement of cervical spine is very important in cervical spine injury especially those without fracture. Authors measured the retropharyngeal space, retrotracheal space, lordortic curve and sagittal diameter of cervical spinal canal in 148 cases of normal adult male. The results are as follows: 1 . In normal Korean adult male maximum retropharyngeal space is 7mm in C, level and Smm in Cs level. Maximum retrotracheal space is 16mm in C, level. 3. Loss of normal lordotic curve is shown in 21 cases(14.2%), 4. Average sagittal diameter of C, level is 21.27mm-it's the largest of all the cervical spinal cana1s, and that of C, level is 16.15mm-it's the smallest.
Adult
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Humans
;
Male
;
Spinal Canal
;
Spine
3.1 Case of chromosome 1q deletion with sialoblastoma and hepatoblastoma in neonate.
Chu Yeop HUH ; Hye Jin CHOI ; Seung Bo KIM ; Sun LEE ; Sung Jik LIM ; Moon Ho YANG
Korean Journal of Obstetrics and Gynecology 1999;42(1):175-178
Sialoblastoma and hepatoblastoma of neonate were very rare cancer. We present a case of concurrent sialoblastoma with hepatoblastoma associated with chromosomal anomaly.
Hepatoblastoma*
;
Humans
;
Infant, Newborn*
4.Ocular dimensions with aging in normal eyes.
Kyung Jik LIM ; Sung Min HYUNG ; Dong Ho YOUN
Korean Journal of Ophthalmology 1992;6(1):19-31
To quantify the dynamic changes taking place in the anterior segment, we measured the anterior chamber depth (ACD), lens thickness (LT) and their difference between sexes and age groups in normal eyes using contact ultrasonography and anterior chamber photography. There were 141 women (241 eyes) and 76 men (130 eyes) between the ages of 10 and 70 years. In normal eyes, the lens thickness was increased and the anterior chamber depth was decreased with aging in both sexes. The anterior chamber depth showed an accelerated decrease between the 4th and 5th decades in females and the ratio of anterior chamber depth to axial length was smaller in females than in males after the 5th decade. The results suggested that the prevalence of angle closure glaucoma will be increased in females after middle age.
Adolescent
;
Adult
;
Aged
;
Aging
;
Anterior Chamber/anatomy & histology
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Child
;
Eye/*anatomy & histology/*growth & development
;
Female
;
Humans
;
Lens, Crystalline/anatomy & histology
;
Male
;
Middle Aged
5.The Effects of Arthroscopic Lavage Combined with Percutaneous multiple Drilling in Patients with Degenerative arthritis of knee.
Chi Sung AHN ; Byung Jik KIM ; Han Suk KO ; Young LIM ; Jeong Gook SEO ; Jin Ku KIM ; Jung Kyu PARK
Journal of the Korean Knee Society 1997;9(1):84-89
42 knees with degenerative arthritis underwent arthroscopic lavage and 7 knees underwent arthroscopic lavage combined with multiple bone drilling in between 1994 and 1995 and followed average 12 months. Clinical evaluation using the hospita1 for specia] surgery knee scores (HSS scores) was done at last follow up and classified into 4 groups: excellent (90-99), good (80-89), fair (70-79) and poor (less than 70). The results were as follows: l. Of the 42 knees of the lavage group, 6 knees (16%) was excellent, 14 knees (33%) good, ]7 knees (40%) fair and 5 (11%) knees poor. Success group (Excellent & Good) were achived in 20 knees (49%). 2. Of 17 knees treated with arthroscopic lavage comhined with multiple bone drillig resulted in excellent in 9 knees (53%), good in 4 knees (23%), fair in 2 knees (12%) and poor in 2 knees (12%). Success group were achived in 13 knees (76%). 1n conclusion, we helieve that multiple bone drilling in conjunction with arthroscopic lavage has more favorable effect on the pain relief for degenerative osteoarthritis of the knee than arthroscopic lavage only.
Follow-Up Studies
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Humans
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Knee*
;
Osteoarthritis*
;
Therapeutic Irrigation*
6.Fine Needle Aspiration Cytology of Metastatic Alveolar Rhabdomyosarcoma Misinterpreted as Carcinoma: A Case Report.
Hyun Jung KIM ; Sung Jik LIM ; Kyeongmee PARK
Korean Journal of Cytopathology 2005;16(1):52-56
Fine-needle aspiration cytology(FNAC) has been used extensively in the diagnosis of metastatic malignancies. However, metastatic soft tissue sarcomas are often overlooked, primarily due to the low frequency with which they occur. Here, we report a rare case of metastatic rhabdomyosarcoma in both cervical lymph nodes, which was detected by FNAC. A 45-year-old woman presented with anosmia, postnasal drip, and sneezing, symptoms which had persisted for 1 month. The patient was found to have a tumorous lesion at the upper portion of the mid-turbinate, with multiple enlarged cervical lymph nodes, and this lesion was examined closely at our facility. FNA cytology smears obtained from both cervical lymph nodes revealed a high degree of cellularity, and displayed cohesive clusters with gland-like spaces, as well as single isolated cells with abundant karyorrhectic debris. The tumor cells exhibited round to oval nuclei containing fine chromatin, occasional small nucleoli, and scanty cytoplasm, or a total lack of cytoplasm. Some of the tumor cells were arranged in multinucleated forms and abundant dense eosinophilic cytoplasms, reminiscent of a rhabdomyoblast. The histological findings of the lymph nodes revealed an outstanding sinusoidal infiltration and a prominent alveolar growth pattern, interspersed with occasional typical rhabdomyoblasts. The immunohistochemical results [desmin(+), myoglobin(+), myogenin (+), pan CK(-), synaptophysin(-), neuron specific enolase(-)] supported a confirmative diagnosis of alveolar rhabdomyosarcoma. Alveolar rhabdomyosarcoma is a representative sarcoma, which typically manifests with nodal metastasis and carcinoma-like clustering. The cytopathologist should remain alert upon encountering unusual morphology, so that the possibility of this condition, although somewhat remote, should not be dismissed or overlooked.
Biopsy, Fine-Needle*
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Chromatin
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Cytoplasm
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Diagnosis
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Eosinophils
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Female
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Humans
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Lymph Nodes
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Lymphatic Metastasis
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Middle Aged
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Myogenin
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Neoplasm Metastasis
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Neurons
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Olfaction Disorders
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Rhabdomyosarcoma
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Rhabdomyosarcoma, Alveolar*
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Sarcoma
;
Sneezing
7.Persistent Carotid-Vertebrobasilar Anastomosis: Radiologic Findings.
Sung Il PARK ; Dong Ik KIM ; Pyoung JUN ; Pyeong Ho YOON ; Geum Ju HWANG ; Young Jik CHEON ; Joon Seok LIM
Journal of the Korean Radiological Society 1998;39(5):863-867
PURPOSE: To evaluate the radiologic findings of carotid-vertebrobasilar anastomosis and associated anomalies. MATERIALS AND METHODS: Thirteen patients with fourteen cases of carotid-vertebrobasilar anastomosis collectedfrom January 1992 to December 1997 were reviewed. Clinical diagnosis refered for cerebral angiography werecerebral infarction(n=3), intracranial hemorrhage(n=2), subarachnoid hemorrhage(n=1), brain tumor(n=3),arteriovenous malformation(n=3) and trigeminal neuralgia(n=1). Cerebral angiograms and clinical symptoms wereretrospectively analyzed. RESULTS: The fourteen carotid-vertebrobasilar anastomsis consisted of eleven cases ofpersistent trigeminal artery and three cases of type I proatantal intersegmental artery. Persistent trigeminalarteries were associated with anterior communicating artery aneurysm(n=1), posterior fossa arteriovenousmalformation(n=2) and persistent trigeminal artery variant(n=5). Type I proatantal intersegmental arteries wereassociated with hypoplastic vertebral arteries(n=2) : only proximal segment in one, and proximal and distalsegments in one case. Only one patient had clinical symptom related to the carotid-vertebrobasilar anastomosiswhich was trigeminal neuralgia. CONCLUSION: Knowledge of the anatomical and radiologic findings ofcarotid-vertebrobasilar anastomosis and associated anomalies will aid in the accurate diagnosis of neurovasculardisease and prevent possible complications during surgical and interventional procedures.
Arteries
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Brain
;
Cerebral Angiography
;
Diagnosis
;
Humans
;
Trigeminal Neuralgia
8.Granular Cell Tumor of the Descending Colon Treated by Endoscopic Mucosal Resection: A Case Report and Review of the Literature.
Jae Myung CHA ; Joung Il LEE ; Kwang Ro JOO ; Jae Won CHOE ; Sung Won JUNG ; Hyun Phil SHIN ; Sung Jik LIM
Journal of Korean Medical Science 2009;24(2):337-341
Although colorectal granular cell tumors (GCTs) are rare, their incidental finding has increased as the use of diagnostic colonoscopy has become more common. Here we describe the case of a 41-yr-old man with a GCT in the descending colon that was detected after a screening colonoscopy. Endoscopic examination revealed a yellowish submucosal tumor, 13x12 mm in diameter, in the descending colon. Endoscopic mucosal resection (EMR) followed by histological examination revealed that the tumor was composed of plump histiocyte-like cells with an abundant granular eosinophilic cytoplasm and small round nuclei. The tumor cells expressed S-100 protein and stained with periodic acid-Schiff, but were negative for desmin and cytokeratin. The resected tumor was diagnosed as a GCT. Colonoscopists should consider the possibility of GCT in the differential diagnosis of yellowish submucosal tumors of the colon. In such patients, EMR seems to be a feasible and safe approach for diagnosis and treatment.
Adult
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*Colon, Descending/pathology
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Colonic Neoplasms/diagnosis/*pathology/surgery
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Colonoscopy
;
Diagnosis, Differential
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Granular Cell Tumor/diagnosis/*pathology/surgery
;
Humans
;
Male
;
S100 Proteins/metabolism
9.A case of primary antiphospholipid antibody syndrome showing vegetation on the mitral valve through echocardiography.
Seung Yeop LEE ; Seung Kwon PARK ; Sung Hwan YUN ; Yun Seok JUNG ; Hyen Jik KIM ; Sung Hwan LIM ; Jung Sang HAH ; Wook Nyeun KIM
Yeungnam University Journal of Medicine 1998;15(2):350-358
Antiphospholipid antibody syndrome(APS) is a well-known clinical syndrome characterized by recurrent arterial or venous thromboses, recurrent fetal loss, thrombocytopenia, together with high titers of sustained anticardiolipin antibody(aCL) or lupus anticoagulant(LA). Although systemic lupus erythematosus(SLE) and APS may coexist, a high proportion of patients manifesting the APS do not suffer from classical lupus or other connective tissue disease. The patient has been defined as having a primary antiphospholipid antibody syndrome. We experienced one case of primary APS with recurrent fetal loss, recurrent cerebral infarctions, positive anticardiolipin antibody IgG and fluttering vegetation on the mitral valve, without other connective tissue diseases including SLE. Forty-three old female had 2 out of 11 criteria for the diagnosis of SLE, such as thrombocytopenia and positive antinuclear antibody, but did not meet whole criteria. The patient was treated with ticlopidine, and anticoagulant therapy was recommended.
Antibodies, Anticardiolipin
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Antibodies, Antinuclear
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Antibodies, Antiphospholipid*
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Antiphospholipid Syndrome*
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Cerebral Infarction
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Connective Tissue Diseases
;
Diagnosis
;
Echocardiography*
;
Female
;
Humans
;
Immunoglobulin G
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Mitral Valve*
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Thrombocytopenia
;
Ticlopidine
;
Venous Thrombosis
10.Airborne Nicotine Concentrations in the Workplaces of Tobacco Farmers.
Seok Ju YOO ; Sung Jun PARK ; Byoung Seok KIM ; Kwan LEE ; Hyun Sul LIM ; Jik Su KIM ; In Shik KIM
Journal of Preventive Medicine and Public Health 2014;47(3):144-149
OBJECTIVES: Nicotine is a natural alkaloid and insecticide in tobacco leaves. Green tobacco sickness (GTS) is known as a disease of acute nicotine intoxication among tobacco farmers. Until now, GTS has been recognized globally as a disease that results from nicotine absorption through the skin. However, we assumed that GTS might also result from nicotine inhalation as well as absorption. We aimed to measure the airborne nicotine concentrations in various work environments of Korean tobacco farmers. METHODS: We measured the nicotine concentrations in the tobacco fields, private curing barns, and joint curing barns of farmers from July to October 2010. All sampling and analyses of airborne nicotine were conducted according to the National Institute for Occupational Safety and Health manual of analytic methods. RESULTS: The airborne nicotine concentrations (geometric mean [geometric standard deviation]) in the tobacco field were 83.4 mg/m3 (1.2) in the upper region and 93.3 mg/m3 (1.2) in the lower region. In addition, the nicotine concentration by personal sampling was 150.1 mg/m3. Similarly, the nicotine concentrations in the private curing barn, workers in curing barns, the front yard of the curing barn, and in the joint curing barn were 323.7 mg/m3 (2.0), 121.0 mg/m3 (1.5), 73.7 mg/m3 (1.7), and 610.3 mg/m3 (1.0), respectively. CONCLUSIONS: The nicotine concentration in the workplaces of tobacco farmers was very high. Future studies should measure the environmental concentration of nicotine that is inhaled by tobacco farmers.
*Agriculture
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Air Pollutants/*analysis
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*Environmental Monitoring
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Humans
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Nicotine/*analysis
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Occupational Exposure/*analysis
;
Tobacco
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Workplace