1.Peritoneal Diffuse Anaplastic Malignant Mesothelioma Simulating Anaplastic Carcinoma.
Mee Yon CHO ; Soon Hee JUNG ; Woo Ick JANG ; Dong Su CHA
Korean Journal of Pathology 1994;28(2):206-209
A case of diffuse malignant mesothelioma of peritoneum which was difficult to distinguish from metastatic anaplastic carcinoma or malignant melanoma was presented. The patient was a 50 year-old woman and complained of an abdominal pain and ascites for 20 days. Histologically, the tumor cells showed highly anaplastic appearance with sheet-like arrangement without any papillary or tubular structure. They stained Positive for cytokeratin and vimentin and negative for CEA, S-100 protein and melanoma associated antigen. A few cells within the tumor showed Positive reactivity to desmin. Ultrastructurally, the tumor cells had characteristic findings of mesothelioma such as long, exuberant, wavy microvilli with 10 to 12 of length/diameter ratio. The patient died 3 months after the diagnosis in spite of intraperitoneal chemotherapy.
Female
;
Humans
;
Neoplasm Metastasis
2.Disseminated intravascular coagulation(DIC) associated with gastric adenocarcinoma.
Soon Koo BAIK ; Heon Soo KIM ; Jong In LEE ; Woo Ick JANG ; Young Hak SHIM
Journal of the Korean Cancer Association 1992;24(3):456-462
No abstract available.
Adenocarcinoma*
3.Distribution of S-100 Protein Positive Dendritic Cell and its Correlation with Degree of Malignancy in Gastric Carcinoma.
Tae Jung JANG ; Woo Ick YANG ; Chan Il PARK ; In Joon CHOI
Korean Journal of Pathology 1991;25(4):327-337
The present study was performed in order to investigate the correlation among the number of T zone histiocytes, the clinicopathologic parameters and the patient's survival. The subjects in this study were 131 advanced gastric carcinomas including 86 follow-up cases and 41 early gastric carcinomas. The infiltration of T zone histiocytes into tumor tissues was investigated using the immunohistochemical method with andti s-100 protein, nd the data obtained were evaluated statistically. T zone histiocytes were scattered among the cancer cells and in areas formed clusters within the cancer stroma. These cells were abundantly present in tumor tissues and around lymphoid follicles but were rarely seen in surrounding normal stomach tissue. Analysis of the number of T zone histiocytes showed no correlation between the number of T zone histiocytes and the clinicopathologic features except the degree of lymphocytic infiltration within the advanced and the early gastric carcinomas. Survival of the patients with a marked infiltration of T zone histiocytes in stage III was longer than that with mild infiltration of T zone histiocytes, but there was no statistical significance(P value=0.084). Multivariate regressio analysis revealed that the depth of invasion(P value=0.0074) and the lymphocytic infiltration(P value=0.0152) were the important prognostic factors. The results indicate that good prognosis is expected in cases with less deep invasion and high lymphocytic infiltration, and that the number of T zone histiocytes is in proportio to the degree of lymphocyte infiltration within the tumor, although not directly correlated with the patient's survival.
4.Traumatic Pancreatic Transection Diagnosed by Emergent Endoscopic Retrograde Cholangiopancreatography: A Case report.
Dong Ki LEE ; Sang Soo LEE ; Woo Ick JANG ; Sang Ok KWON
Korean Journal of Gastrointestinal Endoscopy 1991;11(1):89-92
Pancreatic ductal rupture can be an elusive diagnosis. The early signs and symptoms are often vague, and when it goes unnoticed, ductal rupture results in inceased morbidity and mortality. Unfortunately, no diagnoatic test has proven reliable in its timely detection. Endoscopic retrograde cholangiopancreatography (ERCP) is routinely utilized to visualize the anatomy of the pancreatic duct in elective situation. But the utilization of emergent ERCP will allow detection of pancreatic rupture in clincal settings where surgery might not otherwise have been prompted by complications. In addition, present, timely visualization of the pancreatic duct will permit intelligent planning for pancreatic sugery. Recently, we experienced a case of 36-year-old female who had upper abdominal blunt trauma with heavy iron. Her serum amylase was high but the physical examination was vague. Emergent ERCP was performed and it revealed dye leak from rurptured pancreatic duct at tail portion of pancreas. Emergent distal pancreatectomy and splenectomy was successfully performed. So we report this case with a review of literatures.
Adult
;
Amylases
;
Cholangiopancreatography, Endoscopic Retrograde*
;
Diagnosis
;
Female
;
Humans
;
Iron
;
Mortality
;
Pancreas
;
Pancreatectomy
;
Pancreatic Ducts
;
Physical Examination
;
Rupture
;
Splenectomy
5.Therapeutic Endoscopic Retrograde Cholangiography in Patients with a Billroth II Gastrectomy: 2 cases of ERBD & 1 case of endoscopic stone retrievial.
Dong Ki LEE ; Sung Woo LEE ; Sung Rul KIM ; Sun Woo BAE ; Woo Ick JANG ; Sang Ok KWON
Korean Journal of Gastrointestinal Endoscopy 1992;12(2):271-277
Endoscopic retrograde cholangiopancreatography(ERCP) procedures are more difficult in patients who have undergone partial gastrectomy with Billroth II anastomosis. Because its altered anatomical relationship. the endoscopist is presented with additional problems: (i) Dfficulties in entering the afferent loop, depending on the surgical techiques used. (ii) The endoscope may be too sort to reach the papillary region unless the loops are suecessfully straightened out. (iii) Difficulties in passing the ligament of Treitz, especially in patients with Braun's anastomosis, (iv) Problems in cannulating the papilla and especially the common bile duct from a reversed position. (v) Problems in carrying out a papillotomy in a correct position. We attempted endoscopic sphincterotomy in 3 opatients previously subjected to gastrectomy with needle knife, and succeeded in 2 of them. In the two patients, successful billary drainage was achieved. And one patients with Billroth II gastrectomy, presented with CBD stone and cholangit, was successfully treated with endoscopic stone retriveial. The patient with a Billroth-II operation may unergo endscopic diagnostic as well as therapeutic procedures with a high rate of success, and can be suitable candidates for ERCP and endoscopic sphincterotomy
Cholangiography*
;
Cholangiopancreatography, Endoscopic Retrograde
;
Common Bile Duct
;
Drainage
;
Endoscopes
;
Gastrectomy*
;
Gastroenterostomy*
;
Humans
;
Ligaments
;
Needles
;
Sphincterotomy, Endoscopic
6.A case of subacute necrotizing lymphadenitis with pancytopenia.
Kang Hyun AHN ; Chong In LEE ; Hyun Soo KIM ; Woo Ick JANG ; Young Hak SHIM ; Youn Jung CHOI ; Woo Ik YANG
Korean Journal of Hematology 1992;27(1):183-187
No abstract available.
Lymphadenitis*
;
Pancytopenia*
7.Vitamin B12 deficiency megaloblastic anemia after total gastrectomy.
Seong Woo LEE ; Kwang Soen SONG ; Sungrul KIM ; Hyun Soo KIM ; Woo Ick JANG ; Young Hak SHIM ; Myung Soo KANG
Korean Journal of Hematology 1992;27(1):105-109
No abstract available.
Anemia*
;
Gastrectomy*
;
Vitamin B 12 Deficiency*
;
Vitamin B 12*
;
Vitamins*
8.Heart Rate Variability after Acute Myocardial Infarction.
Ick Hung MOON ; Tae Il JANG ; Mu In PARK ; Byung Hun YUN ; Seung Jae JOO ; Jae Woo LEE
Korean Circulation Journal 1994;24(1):17-23
BACKGROUND: Several abnormalities of the autonomic regulation of the heart have been noted after acute myocardial infarction(AMI). Measurement of heart rate(HR) variability has been reported to provide indirect, noninvasive estimate of the cardiac efferent parasympathetic activity. The purposes of this study were to get the information on heart rate variability after AMI and to determine its relation to clinical and hemodynamic data. METHODS: We measured HR variability in 28 patients(23 men and 5 women : mean age, 56.6+/-10.4 years) 3-15days after AMI, in 25 patients with unstable angina and in 21 normal subjects by using triangular interpolation of the frequency distribution histogram om normalto-normal RR intervals from Holter tapes. RESULTS: HR variability was lower in AMI than unstable angina patients(357.9+/-118.6 versus 426.1+/-122.5 msec : p<0.05) and normal subjects(525.1+/-137.4 msec : p<0.025). There was no difference for infarct site, thrombolytic therapy, presence of Q-wave. HR variability was significantly related to mean 24-hour HR, left ventricular ejection fraction(all p<0.0001), left ventricular end diastolic diameter(p<0.05). HR varability was lower in patients belonging to Killip class 2-4 and who reqired the use of diuretics or digitalis(all p<0.05). CONCLUSION: After AMI, HR variabillity was reduced and significantly related to clinical and hemodynamic indexes of severity. Measurement of HR variability early after AMI may offer important clinical information for the early high stratification of patients.
Angina, Unstable
;
Autonomic Nervous System
;
Diuretics
;
Female
;
Heart Rate*
;
Heart*
;
Hemodynamics
;
Humans
;
Male
;
Myocardial Infarction*
;
Thrombolytic Therapy
9.Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia.
Byoung Seon RHOE ; Hoguen KIM ; So Young JIN ; Woo Ick JANG
Yonsei Medical Journal 1989;30(4):383-386
A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.
Bile Duct Obstruction, Extrahepatic/*etiology/pathology
;
Biopsy
;
Carcinoma, Hepatocellular/*complications/pathology/surgery
;
Case Report
;
Common Bile Duct/pathology
;
Female
;
Hemobilia/*complications
;
Human
;
Liver Cirrhosis/diagnosis
;
Liver Neoplasms
;
Middle Age
10.Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia.
Byoung Seon RHOE ; Hoguen KIM ; So Young JIN ; Woo Ick JANG
Yonsei Medical Journal 1989;30(4):383-386
A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.
Bile Duct Obstruction, Extrahepatic/*etiology/pathology
;
Biopsy
;
Carcinoma, Hepatocellular/*complications/pathology/surgery
;
Case Report
;
Common Bile Duct/pathology
;
Female
;
Hemobilia/*complications
;
Human
;
Liver Cirrhosis/diagnosis
;
Liver Neoplasms
;
Middle Age