2.Asymptomatic Primary Hematuria in Children.
Jung Mi LEE ; Woo Saeng PARK ; Cheol Woo KO ; Ja Hoon KOO ; Jung Sik KWAK
Journal of the Korean Society of Pediatric Nephrology 2000;4(1):25-32
Localized or solitary fibrous tumor (SFT) of the pleura has been classified as a type of mesothelioma, arising from the submesothelial connective tissue cells. The preoperative diagnosis of the tumor at the cytologic or histologic level is very important for the proper handling of the lesion. This preoperative diagnosis is now possible by means of the advance in the transthoracic fine needle aspiration biopsy (FNA) techniques and in the very experience of the cytopathologists. We describe FNA cytologic feature of two cases of SFT arising from the pleura. Cytologic, histologic, immunohistochemical, and electron microscopic characteristics of pleural SFT are discussed. The tumor cells of SFT are spindle or oval in shape with a variable amount of cytoplasm. They are arranged in irregular trabeculae intimately ass- ociated with capillaries. A unique cytologic feature observed in this tumor is that thick, eosinophilic, amorphous collagen bundles are scattered between tumor cells
Biopsy
;
Biopsy, Fine-Needle
;
Capillaries
;
Child*
;
Collagen
;
Connective Tissue Cells
;
Cytoplasm
;
Diagnosis
;
Eosinophils
;
Hematuria*
;
Humans
;
Mesothelioma
;
Pleura
;
Rhabdomyosarcoma
;
Solitary Fibrous Tumors
3.abdominoperineal resection for anastomotic recurrencee following sphincter-saving procedure in rectal cancer.
Kyung Sik KIM ; Woo Jung LEE ; Choong Bai KIM ; Kyong Sik LEE
Journal of the Korean Surgical Society 1992;43(2):305-311
No abstract available.
Rectal Neoplasms*
;
Recurrence*
4.Topical Treatment of Verrucae and Molluscum Contagiosum with Cantharidin.
Jung Bock LEE ; Wook Hwa BARK ; Joon Sik WOO ; Tae Ha WOO
Korean Journal of Dermatology 1970;8(2):37-40
The pathologic changes of verrucae and molluscum contagiosum are limitted chiefly to epidermis, therefore treatment with cantharidin which forms acantholytic bulla is successful. Canthrides is dried, powdered blister beetle, and cantharidin is its purified active ingredient. Its primary cutaneous effect is acantholysis and death of epidermal cells. For topical treatment, catharidin was prepared as a 0.9% solution in mixture of 50% of acetone, 25% of ether and 25% flexibIe collodion U.S.P. The therapeutic efficacy of cantharidin was excellent to eliminate the lesions of verrucae and molluscum contagiosum, showing the complete recovery of 114 out of 117 lesions of verrucae, and 520 out of 550 lesions of molluscum contagiosum with 1 to 3 topical applications. From the above results, it should be pointed out that cantharidin has the several advantages at clinical uses for the treatment of verrucae and molluscum contagiosum: 1 No residual scarring. 2. No pain. 3. Excellent therapeut!c efficacy.
Acantholysis
;
Acetone
;
Beetles
;
Blister
;
Cantharidin*
;
Cicatrix
;
Collodion
;
Epidermis
;
Ether
;
Molluscum Contagiosum*
;
Warts*
5.Value of ultrasonography in the diagnosis of acute appendicitis.
Seok Ho SOHN ; Kun Sik JUNG ; Jung Sik KIM ; Seong Ku WOO ; Ki Yong CHUNG ; Hee Jin KIM
Journal of the Korean Radiological Society 1993;29(2):249-254
During a 12-month period high-resolution, real-time ultrasonography (US) with graded compression was performed on 268 consecutive patients with clinically suspected acute appendicitis and its complication. US visualization of a fluid-filled, non-compressed appendix or a decompressed, thick-walled appendix was the primary criterion for a diagnosis of acute appendicitis. The sonographic findings were correlated with surgical-pathologic outcome in 92 cases and with the findings of clinical follow-up in the remainder. US was found to be accurate in the diagnosis of acute appendicitis and its complication with a sensitivity of 93.3%, a specificity of 98.9%, and an accuracy of 97%. The predictive value of a positive test was 97.7%; that of a negative test was 96.7%. There were two false-positive examination in patients with a thick-walled appendix or periapperdiceal abscess, which were surgically confirmed as appendiceal adenocarcinoma and perforated cecal diverticulitis respectively. There were six false-negative examination in patients with a sonographically no-visible appendix, which were confirmed surgically as acute appendicitis(n=5) and perforated appendicitis(n=1). Our results show that high-resolution, real-time US is an accureate imaging modality in the diagnosis of acute appendicitis and the evaluation of its complication.
Abscess
;
Adenocarcinoma
;
Appendicitis*
;
Appendix
;
Diagnosis*
;
Diverticulitis
;
Follow-Up Studies
;
Humans
;
Sensitivity and Specificity
;
Ultrasonography*
6.Periampullary cancer and whipple's operation.
Ja Yun KOO ; Woo Jung LEE ; Sung Hoon NO ; Myung Wook KIM ; Byung Ro KIM ; Jin Sik MIN ; Kyung Sik LEE
Journal of the Korean Surgical Society 1992;43(4):518-528
No abstract available.
7.A Study on the Serologic Parameters in Petients with Anemia of Chronic Renal Failure-According to Erythropoietin Treatment.
Jong Sik LIM ; Ho Jung KANG ; Won Jong PARK ; Jun Young DO ; Kyeung Woo YUN
Yeungnam University Journal of Medicine 1994;11(1):82-93
Clinical study was carried out on the 64 hemodialysis patients(HD) with chronic renal failure who had been treated from December 1992 to July 1993 in Yeungnam University Hospital. The following results were obitained. In hematologic parameters, MCH was 28.8±2.0pg, and MCV was 92.4±4.7fl. Result revealed normochromic and normocytic anemia. Mean values of serum ferritin were 657.4±292.0ng/ml in men and 511.5±370g in women. Mean values of serum iron were 145.5±63.7µg/dl. Mean values of transferrin saturation was 61.6±28.4%. Serum frerritin, serum iron and transferrin saturation were higher in HD group than normal reference. In erythropoeitin treatment group, Hb and Hct were significantly higher than non-erythropoietin treatment group. Amount of transfusion was significantly higher in non-erythropoietin treatment group than erythropoeitin treatment group(p<0.05). Values of iron, transferrin saturation were significantly higher in abnormal liver function test(LFT0 hemodialysis group than normal LFT group(p<0.05). Transfusion amounts revealed positive correlation with ferritin(r=0.4675), transferrin satruation (r=0.3823) and iron(r=0.3386) (p<0.05).
Anemia*
;
Clinical Study
;
Erythropoietin*
;
Female
;
Ferritins
;
Humans
;
Iron
;
Kidney Failure, Chronic
;
Liver
;
Male
;
Renal Dialysis
;
Transferrin
8.Effect of cyclosporin, indomethacin and methylprednisolone on puromycin-aminonucleoside induced nephrosis in rats.
Hong Bae KIM ; Hae Lee CHUNG ; Cheol Woo KO ; Ja Hoon KOO ; Jung Sik GWAK
Journal of the Korean Pediatric Society 1993;36(4):495-505
This experimental study was conducted to evaluate the effect of indomethacin and methylprednisolone on PAN-induced nephrosis in rats. Sprague-Dawley rats weighing 150~200gm were used and divided into controls, group I (PAN intraperitoneally), group II(PAN intraperitoneally, followed by indomethacin peritoneally for 12 days), group III (PAN intraperitoneally, followed by methylprednisolone peritoneally for 12 days) and group IV (PAN intraperitoneally, followed by cyclosporin subcutaneously for 12 days). Twenty four-hour urinary protein excretion was measured on day 0, 5, 10 and 17. On the 17th day, rats were sacrificed for the determination of total serum protein, albumin and cholesterol levels. Foot process widths of glomerular epithelial cells were measured, and anionic sites of lamina rara externa were determined by using PEI as cationic probes. The following results were obtained. Twenty four-hour urinary protein excretion (mg/day) of group I was significantly increased to 455.7+/-188.8 on the 5th day compared to 15.2+/-3.7 on day 0 (p<0.01), and increased gradulally to 525.6+/-203.5 on the 10th day, then decreased to 280.6+/-25.2 on the 17th day. In group III, 24 hr urinary protein excretion on 17 th day (180.7+/-64.5) was significantly lower than that of group I (280.6+/-25.2). Total serum protein of group III was significantly lower than that of group I, and serum albumin and cholesterol did not show any significant difference among Group I, II, III and IV. Foot process widths (nm) of glomerular epithelial cells in group I, II, III and IV were 409.5+/-15.2, 387.8+/-49.2, 279.9+/-36.9 and 398.3+/-38.3, respectively. And the value of group of group III was significantly lower than that of group I (p<0.01). The number of anionic sites per 1micrometer length of glomerular basement membrane in Group I, II, III and IV were 10.3+/-1.3, 10.1+/-1.6, 12.5+/-1.5and 10.2+/-1.5, respectively. And the value of group III was significantly lower than that of group I (P<0.01). In conclusion, cyclosporin and indomethacin did not show any significant effect on PAN nephrosis in rat. However, methylprednisolone reduced the urinary protein excretion and showed significant recovery of foot process widths and number of anionic sites of glomerular basement membrane.
Animals
;
Cholesterol
;
Cyclosporine*
;
Epithelial Cells
;
Foot
;
Glomerular Basement Membrane
;
Indomethacin*
;
Methylprednisolone*
;
Nephrosis*
;
Nephrotic Syndrome
;
Rats*
;
Rats, Sprague-Dawley
;
Serum Albumin
9.Clinical Course of IgA Nephropathy in Children.
Ihn Hee HONG ; Jun Hwa LEE ; Cheol Woo KO ; Ja Hoon KOO ; Jung Sik KWAK
Journal of the Korean Society of Pediatric Nephrology 1999;3(2):153-160
A statistical analysis of the diagnostic value for 244 aspiration biopsy cytology(ABC) among a total 1,043 cases from various sites was performed. ABC, using diagnostic terminology similar to that of a surgical pathology reports, was compared to the final tissue diagnosis. For the entire series, a sensitivity of 91.8%, a specificity of 99.3%, a positive predictive value of 98.9%, a negative predictive value of 94.8%, and an efficacy of the test of 96.3% were shown. There were 8 false negative and 1 false positive diagnosis. The diagnostic accuracy was 89.8%. Those results indicate that the ABC is a considerably highly accurate procedure that should be routinely employed.
Biopsy, Needle
;
Child*
;
Diagnosis
;
Glomerulonephritis, IGA*
;
Humans
;
Immunoglobulin A*
;
Intranuclear Inclusion Bodies
;
Meningioma
;
Pathology, Surgical
;
Sensitivity and Specificity
10.Prognostic significance of DNA ploidy in breast cancer patients.
Kamg Sup SHIM ; Kyong Sik LRR ; Woo Ik YANG ; Hun Taek JUNG
Journal of the Korean Surgical Society 1992;43(1):1-7
No abstract available.
Breast Neoplasms*
;
Breast*
;
DNA*
;
Humans
;
Ploidies*