A case of retroperitoneal teratoma was presented in a 40-year-old Korean Male. The radiologic studies were evaluated a space occupying mass containing tooth like a density in the retroperitoneal region. Surgical removal of mass wag performed and histological finding was conformed the benign teratoma.
Adult ; Humans ; Male ; Teratoma* ; Tooth

The renal scan was performed of 18 cases of acute pyelonephritis. 2 cases were normal and 16 cases were abnormal uptake findings in renal scan. Among these cases, 11 cases were mottled, 4 cases were decreased, 1 case was defect uptake finding. Conclusively, we believe that renal scan is a more sensitive index than the pyelogram for renal parenchymal lesions in the acute pyelonephritis.
Pyelonephritis*

A cumulative clinical investigation was undertaken on subfertile males who were seen in our department during the period from 1955 to 1978. The results obtained were as follows, 1. A total of 2, 117 subfertile males corresponds to 2.8% of total urological out-patients(75,540), and 3.4% of total male out-patients(62,341) for the period of 24 years. 2. A total of 486 subfertile males were hospitalized for corrective surgery. They were 9% of the urological in-patients(5,582) for the same period. 3. Numbers of subfertile male patients are increasing yearly with the ratio from 10 cases(1%) in 1955 to I79 cases(l8%) in 1978(Table 1). 4. Primary infertility was found in 88% of the total subfertile males and the secondary, 12%. 5. Age of subfertile males varied from 22 to 61. the mean being 35, and that of their partners ranged from 24 to 49, the mean being 32(Table 2). 6. Duration of infertile marital life ranged from 1 to 40 years, the mean being 6 years. An average duration of infertile marriage from 1955 to 1959 was 10 years but that of infertile marriage from 1975 to 1978, 4 years(Table 3). 7. Occupation of the subfertile male patients comprised of merchants, farmers, company employees, public officials, engineers, laborers, soldiers, medical doctors, students, and no occupation. Of these, mental workers were 40%, and muscular workers, 60%. 8. An average frequency of sexual intercourse of the subfertile couples revealed 2.2 per week with no significant differences between the infertile group and the normal fertile group(Table 4). 9. According to etiological classification of male infertility, 1) faulty spermatogenesis occupied 22% of total patients; 2) faulty transportation, 35%; 3) faulty seminal composition, 7%; 4) faulty ejaculation, 1%; 5) faulty maturation, 3%; 6) hormonal disturbances, 2%; and idopathic, 30%(Table 5). 10. Suspective etiological factors are listed as follows: Vasectomy reversal was 22%; testicular hypoplasia, 18%; various causes of epididymitis, 12%; pyospermia, 4%; varicocele, 22%; etc(Table 6) 11. Judging from the results of semen analyses, azoospermia was found in 53%, oligospermia, in 29%; and normospermia, in 7% of the 1,876 cases whose semen was examined. In 151 cases, semen analyses revealed normal, but no babies have been born within 1 year of normal marital life even with fertile women. No primary causes were found in 11O cases of azoospermia, and in 410 cases of oligospermia(Table 7) 12. An average value of spermiogramme was as follows: Volume was 2.4ml; count, 93*l000000/ml; motility, 64%; and morphology, 88% in normospermia group, while volume was 2.3ml; count, 24* 10000000/ml; motility, 27%; normal shape, 79% in oligospermia group(Table 8). 13. Findings of testicular biopsies of azoospermias showed that hypospermatogenesis was found in 15% ; peritubular fibrosis, in 26%; germinal arrest, in 15%; germinal aplasia, in 26%; and normospermatogensis with obstructive pattern, in 18% of the 366 azoospermias(Table 9). 14. Single or combined medical therapy with various drugs such as HCG (Puberogen), testosteront ( Miro-depo), liothyronine (Thyronamin), vitamins (Vitamedine), l-arginine, nucleic acid precursor ( AICAMIN). and Korean Ginsen were given to 275 cases out of the 485 idiopathic subfertile patients for the period from 3 to 12 months in order to improve the spermatogenesis. The improved results were obtained from 60 cases out of 141 oligospermias, and from 15 cases out of 134 azoospermias (Tables 10 and 11). The detail results of the medical therapy on the remaining 210 patients will be separately published. 15. Epididymovasostomy was carried out on 124 cases of the bilateral post-inflammatory epididymal obstruction and viable sperm were appeared in 25 cases out of the 82 cases whose semen could be examined but pregnancy occurred only in 11 cases(Table 12). 16. Vasovasostomy was performed on 329 previously vasectomized men and successful results were obtained in 252 cases for patency and in 105 cases for pregnancy out of 300 patients whose semen could repeatedly be tested post-operatively(Table 12).
Arginine ; Azoospermia ; Biopsy ; Classification ; Coitus ; Ejaculation ; Epididymitis ; Family Characteristics ; Female ; Fibrosis ; Humans ; Infertility ; Infertility, Male* ; Male ; Male* ; Marriage ; Military Personnel ; Occupations ; Oligospermia ; Pregnancy ; Semen ; Semen Analysis ; Spermatogenesis ; Spermatozoa ; Transportation ; Triiodothyronine ; Varicocele ; Vasovasostomy ; Vitamins

Adult Wilms' tumor unlike that of childhood, is a rare disease and there is controversy as to whether all these are indeed truly Wilms` tumor or in actually represent sarcomatoid renal carcinoma. The pathologic hallmarks of this neoplasm are distinctive and it is histologically similiar to the childhood tumor. The therapeutic guidelines that govern childhood Wilms` tumor should be applied to adult Wilms` tumor and prognosis is worse than that of childhood. A case of Wilms' tumor in 24 year-old female was presented.
Adult* ; Female ; Humans ; Prognosis ; Rare Diseases ; Wilms Tumor* ; Young Adult

No abstract available.
Lung* ; Needles* ; Pneumothorax* ; Respiratory Function Tests*

Epithelioid hemangioendothelioma (EH) is a rate pulmonary vascular malignancy. Clinically, EH has been considered as an indolent, generally non-aggressive tumor. We report a case of EH which was confirmed by open lung biopsy. A 34-year-old woman was admitted for further evaluation of multiple small (less than 2cm in size) nodules, incidentally detected on screening chest radiograph. The chest CT showed multiple, relatively well-marginated, variable sized nodules at both whole lung. Transbronchial lung biopsy and transthoracic needle aspiration were nondiagnostic and open lung biopsy was performed from right middle lobe of lung. On light-microscopic examination, the nodules were composed of a poorly cellular hyaline core and a more cellular peripheral zone which extended into air space in a micropolypoid fashion and obliterated blood vessels. The tumor cells at the peripheral zone had intracytoplasmic vacuoles which suggested primitive, vascular differentiation. Immuno-histochemical study revealed the cellular area which gave positive reaction to factor VIII-related antigen. She received no specific therapy after open lung biopsy and chest X-ray films had showed no change for about two years.
Adult ; Biopsy ; Blood Vessels ; Female ; Hemangioendothelioma, Epithelioid* ; Humans ; Hyalin ; Lung ; Mass Screening ; Needles ; Radiography, Thoracic ; Thorax ; Tomography, X-Ray Computed ; Vacuoles ; von Willebrand Factor ; X-Ray Film

No abstract available.
Risk Factors*

To investigate the factors which affecting the cognitive impairment of the 60 or more age group, the authors surveyed for the subjects in some area of Kyungnam Province. 201 studied subjects were tested for cognitive function with mini-mental state examination(MMSE). Information on demographic characteristics and life style has been collected through direct interview. The concentration of Al and Ca of subject's drinking water, which might be related with cognition, was measured by Inductively Coupled Argon Plasma Spectrometer. The main results were summarized as follows. 1. The prevalence rate of cognitive impairment was 18.4% in male and 45.2% in female and this sexual difference was statistically significant(p=0.03). And the uneducated or illiterated showed significantly high prevalence rate of cognitive impairment(p=0.02). 2. In stratified analysis by sex and education year, we can not see significant trend indicating the neurotoxic effects of aluminum and protective effects of calcium to the cognitive function(p>0.05). 3. The correlation between the concentration of aluminum in drinking water and the MMSE score in whole subjects showed weak negative relationship(r=-0.066). But there was no statistical significance(p=0.434).
Aged* ; Aluminum ; Argon ; Calcium ; Cognition ; Drinking Water ; Education ; Female ; Gyeongsangnam-do ; Humans ; Life Style ; Male ; Plasma ; Prevalence

No abstract available.
Acute Lung Injury* ; Inhalation* ; Nitrogen Dioxide* ; Nitrogen*

Helicobacter pylori is now recognized as causative agent of chronic gastritis and peptic ulcer, and strongly associated with development of gastric carcinoma. With development of sensitive and specific serologic tests to identify individuals infected with Helicobacter pylori, the epidemiologic study of this diseases has been investigated. But it's transmission route is not established, yet. The purpose of this study is to measure the prevalence of Helicobacter pylori infection in healthy children and young adults and to evaluate related factors for Helicobacter pylori infection in Korea. The seroprevalence of Ig G antibodies to Helicobacter pylori was determined using a Enzyme Linked Immunosorbent Assay and we obtained the information, such as demographic characteristics, monthly household income, numbers of family members in the house, numbers of persons using same room, type of house, and type of drinking water through the questionnaire survey. The observed overall seropositivity rate was 25.7%. The rate is increased progressively from 5.8% in the age group 1~3 years to 44.4% in the age group 20~29 years(chi-square for trend, p<0.001). Especially, the rate increased steeply from 6.5% in the age group 4~6 years to 20.8% in the age group 7~9 years, and this suggested that elementary school age was the major acquisition time of Helicobacter pylori infection. In multivariate logistic regression model, age, numbers of family members in the house, and type of house was statistically significant variables for Helicobacter pylori infection. Each odds ratio(95% CI) were as follows; base to age group 1~9 years, age group 10~19 years 3.6(2.0~6.4), age group 20~29 years 7.3(4.1~13.1) and base to group of 1~3 family members, groups of 4~5 family members 2.1(1.1~4.0), group of 6 or more family members 2.7(1.3~5.4) and base to apartment, single and multihouse 1.9(1.1~3.5). Sex, monthly household income, numbers of persons using same room, and type of drinking water was not statistically significant for Helicobacter pylori infection.
Antibodies ; Child ; Drinking Water ; Enzyme-Linked Immunosorbent Assay ; Epidemiologic Studies ; Family Characteristics ; Gastritis ; Helicobacter pylori* ; Helicobacter* ; Humans ; Korea ; Logistic Models ; Peptic Ulcer ; Prevalence ; Surveys and Questionnaires ; Seroepidemiologic Studies* ; Serologic Tests ; Young Adult