No abstract available.

Dermatofibrosarcoma protuberans (DFSP) is a rare, distinctive cutaneous tumor, which consists of spindle shaped ceils arranged in densely packed interlacing bundles with the storiform or cartwheel pattern. Histologically, it resembles deep growing dermatofibroma, nodular fasciitis, neurofibroma and neural sheath tumors. DFSP is one of t.he connective tissue tumors which is difficult. to diagnose histologically as well as clinically. Recently, the immunochemical staining with a monoclonal antibody to CD34 is reported to give assistance in the clear differential diagnosis of DFSP from other fibrous or neural tumors. Herein, three cases of DFSP were stained by immunohistochemical staining with S-100 protein, vimentin, factor VIII and anti-CD34 antibody in order to assess the use of anti-CD34 in the differential diagnosis of DFSP.
Connective Tissue ; Dermatofibrosarcoma* ; Diagnosis, Differential ; Factor VIII ; Fasciitis ; Histiocytoma, Benign Fibrous ; Neurofibroma ; S100 Proteins ; Vimentin

Calcific tendinitis of the shoulder joint is common disease causing acute pain, mainly involving the supraspinatus or infraspinatus muscle, and less frequently the teres minor or subscapularis muscle. This study reports on the satisfactory arthroscopic removal of calcium deposits as well as infraspinatus and supraspinatus muscle repair without relapse via minimal incision using suture anchors. This was a case of atypically extensive calcific tendinitis involving the infraspinatus muscle, with a bursal side partial rupture of the supraspinatus muscle in a 61-year-old female whose chief complaint was chronic pain of the right shoulder exacerbated by limited movement.
Acute Pain ; Calcium ; Chronic Pain ; Female ; Humans ; Middle Aged ; Recurrence ; Rupture ; Shoulder Joint ; Shoulder* ; Suture Anchors ; Tendinopathy*

No abstract available.
Mycoplasma pneumoniae* ; Mycoplasma* ; Pneumonia, Mycoplasma*

PURPOSE: To evaluate the effect of pars plana vitrectomy with indocyanine green-assisted peeling of the internal limiting membrane (ILM) on visual acuity in macular edema in RVO patients. METHODS: Twenty-three eyes of 23 patients were treated consecutively (male: female=7:16). Thirteen patients were BRVO, and ten patients were CRVO. Vitrectomy that involved peeling the ILM with the assistance of indocyanine dye was performed in all 23 eyes. A visual acuity change of 2 lines or more was regarded as significant. We compared preoperative BCVA and postoperative BCVA. RESULTS: Improvement of visual acuity was observed in 13 eyes (8 eyes in BRVO, 5 eyes in CRVO) of 23 total eyes (56.5%). No change in visual acuity was observed in 5 eyes (3 eyes in BRVO, 2 eyes in CRVO). Worsening of visual acuity was observed in 5 eyes (2 eyes in BRVO, 3 eyes in CRVO). CONCLUSIONS: Pars plana vitrectomy with ILM peeling in patients with macular edema induced by RVO showed visual improvement in 56.5% of the cases in our study (61.5% in BRVO, 50% in CRVO). PPV with ILM peeling may be an effective procedure in reducing macular edema due to RVO.
Eye ; Humans ; Macular Edema ; Membranes ; Retinal Vein ; Retinal Vein Occlusion ; Retinaldehyde ; Visual Acuity ; Vitrectomy

BACKGROUND AND OBJECTIVES: Studies in patients with mitral valve prolapse syndrome (MVPS) have shown the coexistence of various forms of autonomic dysfunction, and so this is an area that requires further investigation. METHODS AND MATERIALS: The study group consisted of 65 patients (36 men and 29 women), aged 16 to 43 years (mean+/-SD, 28+/-8) with symptomatic, echocardiographically proven mitral valve prolapse (MVPS) who were free of other organic heart diseases and arrhythmias. In a prospective study, heart rate variability (HRV) indexes were calculated from 24-hour Holter recordings obtained during normal daily activity and plasma norepinephine was measured, and then these data were compared among the study group according to clinic heart rate (HR). RESULTS: The study group was divided into below 60 bpm (group 1: n=13), 60 - 80 bpm (group 2: n=36) and over 80 bpm (group 3: n=16) on the basis of clinic HR. These patient groups were matched with respect to age and gender. There were significant difference in SDNNIDX, rMSSD and pNN50 between these groups (p=0.005, 0.009 and 0.002 respectively), and these HRV measures correlated inversely with clinic HR (p<0.01). As clinic HR increased, there was a tendency for plasma norepinephrine concentration to also rise (p<0.05), but there was no statistical significant difference between these groups. CONCLUSION: Our data suggests that MVPS may have subgroups of HRV, reflecting cardiac autonomic modulation, according to clinic HR.
Arrhythmias, Cardiac ; Heart Diseases ; Heart Rate* ; Heart* ; Humans ; Male ; Mitral Valve Prolapse* ; Mitral Valve* ; Norepinephrine ; Plasma ; Prospective Studies

The congenital diverticulum of ventricle is a rare cardiac malformation arising from the left or right ventricle, the former being more common. Ventricular diverticulum is usually associated with other anomalies including intracardiac, midline thoracic, diaphragmatic and abdominal wall defect. The authors experienced a case of congenital diverticulum of left ventricle in nine month-old female infant. Left Blolock-Taussig shunt operation was done and total correction will be done later. Thereafter we presented a case with brief review of the related literatures.
Abdominal Wall ; Diverticulum* ; Female ; Heart Ventricles ; Humans ; Infant ; Pulmonary Atresia*

No abstract available.
Crohn Disease*

Lymphoma of the prostate is exceedingly rare. Much more common than primary lymphoma of the prostate id secondary involvement of malignant lymphomas originating at other sites. A variety of treatments have bee n used, including prostatectomy, radiotherapy or combinations of chemotherapy and radiotherapy. Generally, the prognosis is very poor, and there is currently no consensus regarding treatment. We report on a patient with T-cell lymphoma who presented with symptoms of bladder neck obstruction. The patient has been asymptomatic and under complete remission after completion of doxorubicin-based chemotherapy for 2 cycles.
Bees ; Consensus ; Drug Therapy ; Drug Therapy, Combination* ; Humans ; Lymphoma ; Lymphoma, T-Cell* ; Prognosis ; Prostate* ; Prostatectomy ; Radiotherapy ; T-Lymphocytes* ; Urinary Bladder Neck Obstruction

Ependymal cells line the surface of cerebral ventricles. They do not regenerate after they are fully matured and have a limited response to injury. In hydrocephalus, the expansile force of the ventricular wall is applied to ependymal cells and causes cell deformity to some degree. As it is known that the intermediate filaments of a cell act as a framework that resists changes in cellular shape, there may be some detectable changes of intermediate filaments of ependymal cells in hydrocephalus. In developing ependymal cells, it is also unclear if there are any changes to intermediate filaments in hydrocephalus. Developing ependymal cells are known to lose their immunoreactivity to glial fibrillary acidic protein (GFAP), a kind of intermediate filaments which exist in some neuroglial cells. We experimentally induced congenital and postnatal hydrocephalus and investigated the changes of immunore-activity against GFAP as well as the ultrastuctures of rat ependymal cells in both types of hydrocephalus. To induce congenital hydrocephalus, 40 mg/kg of ethylenethiourea (ETU) was orally administered to pregnant rats on the 15th day after conception. Tissues taken from fetuses on the 17th day, from newborn rats immediately after birth, and from rats of 1 week and 2 weeks after birth were obtained and processed for immunohistochemistry for GFAP and electron microscopy. Postnatal hydrocephalus was induced by injecting kaolin suspension into the subarachnoid space of 15-day-old rats. Ependymal tissues were obtained and processed for immunohistochemistry and electron microscopy after 1 and 2 weeks following injection. The results were as follows; 1. Congenital hydrocephalus was induced more consistently and extensively than postnatal hydrocephalus. 2. In congenital hydrocephalus, GFAP-reactive ependymal cells were found in lateral ventricles of 1-week and 2-week-old rats, while in control and postnatal hydrocephalic groups, GFAP-reactive ependymal cells were not found. GFAP-reactive cells tended to be found in clusters. 3. Electron microscopy showed ependymal cells in congenital hydrocephalus had a less marked flattening figure, scarce apical cilia, often widened regions in the intercellular gap, spaces in subependymal tissue, and different figures in mitochondria. Above all, intermediate filaments, including GFAP, increased and were irregularly arranged in ependymal cell cytoplasm in congenital hydrocephalus. Therefore, in congenitally-induced hydrocephalus, the ependymal cells appeared to have a greater responsiveness to expansile force and remained in a more premature state than postnatally-induced hydrocephalus.
Animals ; Cerebral Ventricles ; Cilia ; Congenital Abnormalities ; Cytoplasm ; Ethylenethiourea ; Fertilization ; Fetus ; Glial Fibrillary Acidic Protein ; Humans ; Hydrocephalus ; Immunohistochemistry ; Infant, Newborn ; Intermediate Filaments* ; Kaolin ; Lateral Ventricles ; Microscopy, Electron ; Mitochondria ; Neuroglia ; Parturition ; Rats* ; Subarachnoid Space