1.Clinocopathological study about malignant potentiality of gall-bladder adenoma.
Yong Sik KIM ; Young Gwan KO ; Sung Wha HONG ; Choong YOON ; Yoon Wha KIM
Journal of the Korean Surgical Society 1993;45(2):240-248
No abstract available.
Adenoma*
2.Histopathologic study of soft palate muscles in cleft palate (II)>.
Hyun Chul KIM ; Suk Wha KIM ; Yoon Ho LEE ; Chin Whan KIM ; Doo Hyun CHUNG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(4):538-548
No abstract available.
Cleft Palate*
;
Muscles*
;
Palate, Soft*
3.A case report of acquired nonmalignant treacheoesophageal fistula.
Jeong Seob YOON ; Kyu Do CHO ; Chi Kyung KIM ; Se Wha KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(8):800-805
No abstract available.
Fistula*
4.Analysis of Peritumoral Edema in MRI of Meningioma.
Eui Jong KIM ; Seung Jae LIM ; Young Tae KO ; Yup YOON ; Woo Suk CHOI ; Yoon Wha KIM
Journal of the Korean Radiological Society 1994;31(4):593-599
PURPOSE: The purpose of this study is to evaluate the incidence and the degree of peritumoral edema on MRI in meningioma and to correlate other MR findings with the edema. MATERIALS AND METHODS: MR images of 35 patients with histologically-confirmeal meningioma were retrospectively reviewed. We analyzed the MR findings with special attention to the presence or absence and degree of edema. The edema was graded as absent, mild (extending less than 1 cm from outer margin of mass), moderate (1 to 3cm with mild mass effect), and severe (more than 3cm with marked mass effect). We also evaluated size and margin of the tumor, heterogeneity of mass signal, enhancement pattern and dural enhancement of the masses. In 24 patients with cerebral angiography, cerebral vascularity on angiogram was correlated with MR findings. Statistic correlation analysis was done using SAS ver 6.04. RESULTS: Twenty-five of 35 cases (72%) had edema; mild in 11 cases, moderate in 10 cases, and severe in 4 cases. Heterogeneous signal intensity of mass (<0.001), heterogeneous enhancement of mass (<0.001), mass size (<0.001), location (<0.001), and vascularity on angiography (<0.05) were well correlated with edema, while mass margin (>0.05), dural enhancement (>0.05), and histologic type (>0.05) were not correlated with edema. CONCLUSION: In meningioma, moderate to severe peritumoral edema occurred in 41% (14/35). The edema was correlated with heterogeneous enhancement, size, location, heterogeneous signal intensity and vascularity of the mass on angiography.
Angiography
;
Cerebral Angiography
;
Edema*
;
Humans
;
Incidence
;
Magnetic Resonance Imaging*
;
Meningioma*
;
Population Characteristics
;
Retrospective Studies
5.A study on the usefulness of HbA1c for diagnosis in patients withdiabetes mellitus.
Young Sik CHOI ; Young Ho YOON ; Wha Soon CHUNG ; Tae Yeal CHOI ; Choon Won KIM
Korean Journal of Clinical Pathology 1991;11(1):31-39
No abstract available.
Diagnosis*
;
Humans
6.Study on Abdominal Sequelae after Free TRAM Flap or Rectus Abdominis Muscular Free Flap Operation.
Kyung Won MINN ; Sang Baek HAN ; Yoon Ho LEE ; Suk Wha KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(2):257-262
The TRAM flap provides the safe creation of a durable, soft, natural-appearing breast mound and has thus become the most popular method of breast reconstruction. On the other hand, the rectus muscle can be used as a good donor site for a flap reconstruction in trauma or osteomyelitis cases on the lower extremity. The abdominal sequelae, including abdominal wall dysfunction after free rectus muscle transfer, was evaluated. Thirty-seven patients underwent free TRAM (n=29) or rectus abdominis muscular free flap(n = 8) operations between 1994 and 1997. In harvesting of the TRAM flap, a muscle-splitting technique was used and thus one-quarter of the muscle was preserved. In rectus muscular free flap, the entire width of the rectus abdominis muscle was harvested. Among the 37 patients, 26 patients (20 free TRAM flap and 6 rectus muscular free flap) were studied, for they were followed up postoperatively for at least 6 months and had provided preoperative data of abdominal strength. Cosmetic results of the abdomem were appraised by four independent judges on photographs taken of 26 patients. The global appearance of the abdomen was rated as "natural" in 75%. The scar on the umbilicus and lower abdomen was rated as acceptable or not visible in 65%. The replies to questionnaires were analyzed Patient self-assessment showed general satisfaction. In 24 of 26 answers, they said they would recommend the operation to others, and 70% of the patients found their abdominal strength and sports ability the same or improved. Thirty percent of the patients complained that back pain developed or became aggravated after surgery. Abdominal muscular strength was tested both preoperatively and 6 months to 1 year period after surgery according to Lacote. The abdominal wall function was impaired, especially in the upper rectus and external oblique muscle. In conclusion even though the abdominal sequelae after free TRAM or rectus muscular free flap reconstruction should not be urderestimated, no problem of clinical significance was encountered, and patients showed a high degree of satisfaction with the operation
Abdomen
;
Abdominal Wall
;
Back Pain
;
Breast
;
Cicatrix
;
Female
;
Free Tissue Flaps*
;
Hand
;
Humans
;
Lower Extremity
;
Mammaplasty
;
Osteomyelitis
;
Surveys and Questionnaires
;
Rectus Abdominis*
;
Self-Assessment
;
Sports
;
Tissue Donors
;
Umbilicus
7.Gallbladder carcinoma: Regional lymph nodes metastases on CT scan.
Whi Youl CHO ; Sang Keun YOON ; Joong Wha PARK ; Young Ju KIM ; Ki Joon SUNG
Journal of the Korean Radiological Society 1993;29(3):444-447
CT scans of 23 patients with gallbladder carcinoma were retropectively reviewed to determine the incidence of lymphatic spread and to access the pattern of regional lymph node metastases. The lymphatic spread were noted in 74%(17/23). The involved patterns of regional lymph node metastases were nodes of porta hepatis 65%, portocaval nodes 41%, superior pancreaticoduodenal nodes 47%, posterior pancreaticoduodenal nodes 59%, nodes around the celiac trunk 35%, nodes around the superior mesenteric artery 29% and paraaortic nodes 35%. The findings suggested that the pattern of regional lumph node metastases in gallbladder carcinoma occurred along the normal lymphatic pathway of the gallbladder.
Gallbladder*
;
Humans
;
Incidence
;
Lymph Nodes*
;
Mesenteric Artery, Superior
;
Neoplasm Metastasis*
;
Tomography, X-Ray Computed*
8.Gallbladder carcinoma: Regional lymph nodes metastases on CT scan.
Whi Youl CHO ; Sang Keun YOON ; Joong Wha PARK ; Young Ju KIM ; Ki Joon SUNG
Journal of the Korean Radiological Society 1993;29(3):444-447
CT scans of 23 patients with gallbladder carcinoma were retropectively reviewed to determine the incidence of lymphatic spread and to access the pattern of regional lymph node metastases. The lymphatic spread were noted in 74%(17/23). The involved patterns of regional lymph node metastases were nodes of porta hepatis 65%, portocaval nodes 41%, superior pancreaticoduodenal nodes 47%, posterior pancreaticoduodenal nodes 59%, nodes around the celiac trunk 35%, nodes around the superior mesenteric artery 29% and paraaortic nodes 35%. The findings suggested that the pattern of regional lumph node metastases in gallbladder carcinoma occurred along the normal lymphatic pathway of the gallbladder.
Gallbladder*
;
Humans
;
Incidence
;
Lymph Nodes*
;
Mesenteric Artery, Superior
;
Neoplasm Metastasis*
;
Tomography, X-Ray Computed*
9.Sonographic Findings of Inguinal Herniation of the Ovary.
Journal of the Korean Radiological Society 2003;49(3):211-215
PURPOSE: To describe the sonographic findings of inguinal herniation of the ovary. MATERIALS AND METHODS: Forty-five girls aged 1-12 (mean, 4.7) months with a groin mass underwent sonographic examination, and in seven of the 45, inguinal herniation of the ovary was detected, and confirmed at surgery. Gray-scale and color Doppler sonographic examinations were performed to evaluate the size, echo pattern, and blood flow of the mass. Sonography of the pelvis and contralateral groin was also performed. RESULTS: In all seven cases, sonography revealed an oval-shaped complex mass 15-25 mm in maximal diameter and composed of heterogeneous hypoechoic portions and one to seven small internal cysts, each 2-9 mm in diameter. Blood flow was observed in all cases, though was subtly decreased in one. In two there was associated herniation of the salpinx, and in two others, incarceration. In four, contralateral inguinal hernia was present. CONCLUSION: Sonographic findings of an oval-shaped heterogeneous hypoechoic mass with internal small cysts, present in the groin, indicate inguinal herniation of the ovary.
Fallopian Tubes
;
Female
;
Groin
;
Hernia, Inguinal
;
Humans
;
Ovary*
;
Pelvis
;
Ultrasonography*
10.Immunoblastic Sarcoma Arising in Angiommunoblastic Lymphadenopathy: A case report.
Youn Wha KIM ; Hyun Sook CHI ; Jung Kook LEE ; Hui Joong YOON
Korean Journal of Pathology 1986;20(3):388-394
Angioimmunoblastic lymphadenopathy (AILD) is a systemic disease clinically characterized by fever, generalized lymphadenopathy, hepatosplenomegaly, polyclonal gamma-globulinemia and Cooms' positive hemolytic anemia. The lymph node in AILD reveals a polymorphic feature consisting of a proliferation of small vessels, immunoblasts and plasma cells and acidophilic interstitial material. Progression into immunoblastic sarcoma is reported as high 35% of the patient with AILD. Nathwani et al have observed not only malignant transformation of AILD in sequential tissue examination, but also the coexistence of AILD and immunoblastic lymphoma in the same lymph node or at different sites in the same patient. Multiple clusters or islands of compactly arranged large lymphoid cells constitute the initial histologic evidence of immunoblastic sarcoma. Immunoblastic sarcoma is a large cell lymphoma conceptually related to transformed T-and B-lymphocytes of the extrafollicular compartment of the immune system, which proignosis is poor. We have recently experienced a case of immuno blastic sarcoma arising in angioimmunoblastic lymphadenopathy in a 24-year-old woman. She had history of multiple enlarged lymph nodes in the inguinal, axilla and supraclavicular areas. Previous lymph node biopsies revealed reactive change. Six month later, right axillary lymph node biopsy reveled AILD with focal clusters of immunoblasts. Subsequent lymph node biopsy at the same site revealed diffuse immunoblasic sarcoma, B-cell type. A case presentation with histologic findings and a brief review of literature were done.
Female
;
Humans
;
Biopsy